RESUMEN
OBJECTIVE: There are limited, unmatched data reporting low complication rates in pregnant women with coronavirus disease 2019 (COVID-19). The aim of this study was to compare COVID-19-related outcomes between pregnant and non-pregnant women after adjusting for potential risk factors for severe outcomes. METHODS: Data were obtained from the COVID-19 National Data Registry of Mexico, which is an ongoing prospective cohort of people of any age with clinically suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and admitted to 475 monitoring hospitals. This study included pregnant and non-pregnant women of reproductive age (15-45 years) with COVID-19 confirmed by reverse transcription polymerase chain reaction. To adjust for underlying risk factors, propensity score matching was conducted for chronic obstructive pulmonary disease, asthma, smoking, hypertension, cardiovascular disease, obesity, diabetes, chronic renal disease, immunosuppression, age, language, nationality and level of health insurance. The primary outcome was death. Secondary outcomes were pneumonia, intubation and intensive care unit (ICU) admission. RESULTS: The cohort comprised 5183 pregnant and 175 905 non-pregnant women with COVID-19. The crude (unmatched) rates of death, pneumonia, intubation and ICU admission in pregnant compared with non-pregnant women were 1.5% vs 1.5%, 9.9% vs 6.5%, 8.1% vs 9.9% and 13.0% vs 6.9%, respectively. After propensity score matching (5183 pregnant and 5183 non-pregnant matched women), pregnant women had a higher odds of death (odds ratio (OR), 1.84; 95% CI, 1.26-2.69), pneumonia (OR, 1.86; 95% CI, 1.60-2.16) and ICU admission (OR, 1.86; 95% CI, 1.41-2.45) than non-pregnant women, but similar odds of intubation (OR, 0.93; 95% CI, 0.70-1.25). CONCLUSION: After adjusting for background demographic and medical factors, pregnancy is a risk factor for death, pneumonia and ICU admission in SARS-CoV-2-infected women of reproductive age. Copyright © 2020 ISUOG. Published by John Wiley & Sons Ltd.
Asunto(s)
COVID-19/mortalidad , Neumonía/etiología , Complicaciones Infecciosas del Embarazo/mortalidad , Complicaciones Infecciosas del Embarazo/virología , Adolescente , Adulto , COVID-19/diagnóstico , COVID-19/virología , Estudios de Casos y Controles , Comorbilidad , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Unidades de Cuidados Intensivos/estadística & datos numéricos , México/epidemiología , Persona de Mediana Edad , Mortalidad , Pandemias , Neumonía/virología , Embarazo , Puntaje de Propensión , Estudios Prospectivos , Factores de Riesgo , SARS-CoV-2/genética , SARS-CoV-2/aislamiento & purificación , Adulto JovenRESUMEN
CLINICAL CASE: A 46-year-old woman with no relevant medical history, native of Honduras and resident in Spain for one and a half months. The patient went to the Emergency Department due to inflammation of the upper eyelid of the right eye, with an area that simulated an abscess. This was drained (obtaining hardly any purulent content). Treatment was prescribed with oral and topical antibiotics, as well as an anti-inflammatory drug. One week later the patient returned, with improvement of the inflammatory signs, but with discomfort and corneal erosions. After eversion of the upper eyelid, a «worm¼ type parasite emerged from the tarsus. The extraction was completed with a clamp, and was later identified as Dermatobia hominis (Dh) by examination of a fresh specimen. The subsequent outcome of the patient was favourable. DISCUSSION: Preseptal cellulitis in patients from tropical and sub-tropical areas can be caused by Dh.
Asunto(s)
Dípteros , Infecciones Parasitarias del Ojo/diagnóstico , Enfermedades de los Párpados/parasitología , Miasis/diagnóstico , Animales , Antibacterianos/uso terapéutico , Antiinflamatorios/uso terapéutico , Celulitis (Flemón)/tratamiento farmacológico , Celulitis (Flemón)/etiología , Celulitis (Flemón)/parasitología , Úlcera de la Córnea/etiología , Dexametasona/uso terapéutico , Dípteros/crecimiento & desarrollo , Drenaje , Quimioterapia Combinada , Enfermedades de los Párpados/cirugía , Femenino , Honduras/etnología , Humanos , Larva , Persona de Mediana Edad , Miasis/parasitología , Tobramicina/uso terapéuticoAsunto(s)
Síndrome POEMS/patología , Desnervación , Diabetes Mellitus Tipo 2/etiología , Ginecomastia/etiología , Hepatomegalia/etiología , Humanos , Hipertricosis/etiología , Masculino , Persona de Mediana Edad , Hipotonía Muscular/etiología , Osteólisis/etiología , Síndrome POEMS/diagnóstico , Fenotipo , Esplenomegalia/etiologíaRESUMEN
El presente documento detalla: Justificación, objetivos, metodología, medicación, historia de enfermedades médicas y medicación concominante, descontinuación(AU)
Asunto(s)
Antidepresivos , Depresión , Salud Mental , PerúRESUMEN
El presente documento detalla: Justificación, objetivos, metodología, medicación, historia de enfermedades médicas y medicación concominante, descontinuación
Asunto(s)
Antidepresivos , Depresión , Salud Mental , PerúRESUMEN
Os resultados mostraram que a centrifugacao e um metodo adequado para o nivelamento da grande variacao dos ejaculados de equinos e que o aumento da forca de 1000xg para 2000xg nao apresenta nenhum efeito sobre a qualidade dos espermatozoides. Alem disso, o numero de espermatozoides que permaneceram no sobrenadante apos centrifugacao de 2000xg por 5 minutos foi pequeno e a perda consequentemente diminuida. A centrifugacao mostrou um efeito positivo na intensidade da motilidade dos espermatozoides, alem do que intensificacao nao depreciou a qualidade do semen "in vitro".Com relacao a motilidade e a coloracao supravital, melhores resultados foram obtidos com as centrifugacoes do que com o semen que nao foi centrifugado (congelado)
Asunto(s)
Centrifugación , Preservación de SemenRESUMEN
Three hundred and eighty eight patients from the out-patient service of the "10 de Octubre" Maternal-Infantile Hospital were studied and 126 (32,46%) out of them were infected with Candida genus organisms. Ninety nine (78,57%) patients had C. albicans; 16 (12,69%) patients had C. tropicalis; 9 (7,14%) patients had C. parakrusei; 1 (0,79%) patient had C. krusei; and 1 (0,79%) patient had C. guilliermondi. Leukorrhea predominated in 42% of patients; vaginal pruritus predominated in 22%; and low abdominal pain predominated in 16%. 80% of patients over 50 years had diabetes mellitus. The concurrent flora was as follows: flora 1 in 14,49% of patients; flora II in 2,91%; and flora III in 82,60%. 7,14% of the 126 infected women also had Trichomonas vaginalis.
Asunto(s)
Candidiasis Vulvovaginal/epidemiología , Adolescente , Adulto , Anciano , Niño , Cuba , Femenino , Humanos , Persona de Mediana EdadRESUMEN
Three hundred and twenty one patients with multiple myeloma were studied. The most frequent age at presentation was between 60--69 years both in males and females. A predominance in white patients as well as in males in comparison to females was found. These findings are compared with those reported in the reviewed world medical literature.