RESUMO
OBJECTIVE: To characterize the AMH levels in Puerto Rican women presenting to a fertility clinic. METHODS: This was a cross-sectional study involving the acquisition of measured AMH levels from patient records dating October 2012- October 2014 (N=250). AMH levels determined by laboratory values were obtained. Data were stratified by age groups (25-29, 30-35, 35-39, 40+). Each dataset was represented as an AMH value at a single time point to determine median, mean and standard deviation for each group. Percentage of change for values were calculated comparing to previous corresponding age group and each group to 25-29 (subset 1) to evaluate declining trend. RESULTS: A total of 250 records were evaluated. The data was segregated into 4 different age groups and their means, medians, and standard deviations were calculated individually. Age group 25-29 AMH values with a mean of 4.94, a standard deviation of 3.17, and a median of 4.75. Age group 30-34 AMH values: mean 4.30, standard deviation 5.63, and median 3.2. Age group 35-39 AMH values: mean 2.58, standard deviation 4.83, median 1.3. Age group 40 + AMH values: mean 1.29, standard deviation 1.54, median 0.85. Results showed a reduction of 47.7% and 73.8% when values of AMH were calculated for ages 35-39 and 40+ and compared to 25-29 years, respectively. CONCLUSION: The results demonstrate AMH levels among Puerto Rican women presenting to a fertility clinic supporting a decline of AMH with advancing age.
Assuntos
Hormônio Antimülleriano/sangue , Fertilidade/fisiologia , Infertilidade Feminina/sangue , Adulto , Fatores Etários , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Porto RicoRESUMO
The purpose of this communication is to present the statistical information of the medical and hospital professional liability situation in Puerto Rico from 1990 to 1996. The Medical Institutional liability is a topic of great relevancy and importance to the people of Puerto Rico and the leaders responsible for establishing policies for the health care services. The Reports on Medical and Hospital Professional Liability from 1991 to the 1996 produced by the Examining Physicians Board were reviewed. The liability claims from 1991 to the 1996 totaled 4054. During the seven years analyzed, 3506 cases were closed against physicians and institutions, a payment was issued in 1272 cases (36.3 percent), for a total compensation of $56,268,053. The risk of a legal claim is greater for the group of Plastic Surgeons and Emergency Medicine. The probability of a plaintiff receiving a compensation payment in a case of medical malpractice is approximately 36 percent, usually receiving a third of the total of the award as suggested by the medical literature. A thoughtful analysis of the current medical liability situation and defensive medicine should be done with the purpose of protecting the fiduciary function of the physicians with respect to the health of their patients, this is the function that guarantees a physician-patient relationship that is healthy, righteous and empathic