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Cavitating mesenteric lymph node syndrome: a rare complication of celiac disease. Departments of 1 Digestive Disease and 2 Pathology. University General Hospital. Ciudad Real. Among the many complications of celiac disease, mesenteric lymph node syndrome cavitated is considered one of the rarest, there is few case series published in the literature. Key words: Celiac disease.

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Analysis of epidemiological and clinical characteristics of patients admitted diagnosed with acute ischemic cerebrovascular event in internal medicine services and neurology of the Hospital Mexico in March to March ; Analisis de las caracteristicas epidemiologicas y clinicas de los pacientes ingresados con diagnostico de evento cerebrovascular isquemico agudo en los servicios de medicina interna y neurologia del Hospital Mexico de marzo a marzo The average overall stay has been 13 days.

Del total de pacientes 46 eran hombres y 54 eran mujeres. La edad promedio en general era de 69 anos, para los hombres ha sido de 66 anos y para las mujeres de En cuanto a las manifestaciones clinicas iniciales documentadas en la primera exploracion fisica, las 6.

Colorectal cancer clinical epidemiological characteristics in patients attended at Oncology service; Caracteristicas clinicas epidemiologicas del cancer colorrectal en un grupo de enfermos atendidos en consulta de Oncologia. A study of series of cases from January to December was carried out in patients with colorectal cancer. They were attended at Oncology Service at Lenin Hospital, and were diagnosed at different health areas of the province. The age group between 40 and 69 years old was the most affected one The main risk factors were the family history of the illness, chronic constipation, bleeding polyps and vesicular lithiasis.

The most frequent clinical manifestations were rectal hemorrhage and anemia. La filosofia clinica di Wittgenstein. Directory of Open Access Journals Sweden. Seguiremo inizialmente i cambiamenti nella concezione del linguaggio e del significato del filosofo austriaco utilizzandoli come traccia per registrare le corrispondenti revisioni degli obiettivi, delle tecniche e delle forme del far filosofia da lui proposte.

Cercheremo poi di analizzare la pratica filosofica prospettata dal Wittgenstein maturo evidenziandone alcuni aspetti che ci consentiranno di qualificarla come clinica.

Endoscopic, epidemiologic and clinic characterization of the colorectal cancer in geriatric patients;Caracterizacion clinica , epidemiologica y endoscopica del cancer colorrectal en pacientes geriatricos. The colorectal cancer is a serious health problem because of its high incidence.

In Cuba, this disease is the fourth neoplasm in order of frequency with a rate of With the objective of determining the precocious diagnosis of this complaint we carried out a prospective, longitudinal and descriptive study among geriatric patients with colorectal disease assisting to consultation at the policlinic 'Carlos Verdugo' of Matanzas in the period from January to December The studied parameters were age, genre, risk facts, presentation forms, localization, and endoscopic diagnosis of the disease.

We concluded that generally there is not a precocious diagnosis of the colorectal cancer among geriatric patients, leading to a decrease of the healing possibilities and surviving of these patients. Ricerca clinico- epidemiologica sullo stato di salute del cavo orale nei pazienti tossicodipendenti. I soggetti sono stati sottoposti a visite clinico-anamnestiche adottando una cartella clinica da noi stessi costruita. Risultati: Dei 71 soggetti tossicodipendenti, 42 facevano uso di eroina e 39 assumevano droghe per v Cruetzfieldt Jakob Disease e sindromi correlate Il centro di riferimento Piemontese e la sua sorveglianza epidemiologica.

In sede vengono effettuati anche il prelievo, la raccolta, la conservazione di tessuti e altri materiali biologici e si svolgono successive indagini neurobiologiche quali:. Book review. Semeiologia Clinica Veterinaria.

La semeiotica insegna ad allenare i propri sensi: a guardare attraverso l'osservazione diretta e indiretta, a sentire ascoltando suoni o rumori, a percepire sensazioni tattili e, non da ultimo, a saper discernere con cognizione e competenza quando ricorrere alle indagini strumentali e di laboratorio; sempre e comunque nella consapevolezza che non possono in nessun modo sostituire l'esame fisico diretto del paziente. Scientific communication knowledge is specifically based in the analysis of the bibliographic references inside the publications.

Pattern and laws determining the information consumption in the items of the journal Medicina Clinica are investigated in the present study as its own aim. An analysis was performed on the 13, references downloaded from papers published by the journal in With dBASE IV was generated a database for the management of the information; data was distributed in several tables through criteria of age, documentary types, countries, journals and Bradford zones.

The analysed references belong to 1, different journals, from Spain. Being two thirds of the total sum, the publications from United States and United Kingdom have received more citations than those from Spain.

The publications from european countries, like France, Germany and Italy, are scarcely present. Bradford core is constituted by the journals Medicina Clinica and The Lancet. Pier Diego Siccardi and the " Clinica del Lavoro" in the trench warfare.

The year marks the centenary of the death of the Italian scientist Pier Diego Siccardi , one of Luigi Devoto's assistants at the " Clinica del Lavoro" in Milan. To commemorate Siccardi and to describe the activities of the physicians of the " Clinica del Lavoro" during World War I. A comprehensive analysis was conducted on scientific papers written by Pier Diego Siccardi and by other physicians belonging to the Clinica del Lavoro, in the period During the Great War, the Clinica del Lavoro became a military hospital, even though it indirectly maintained a role in Occupational Health, assisting women who had started to work to replace the men sent to the front.

Devoto and his assistants were drafted as Army doctors, but continued their research activities while at the front; focusing on the diseases that affected the soldiers, mainly infections. Bleeding fevers and jaundice were endemic among Italian troops, but their etiology was unknown. Pier Diego Siccardi identified this syndrome as an infection caused by a spirochete, and was the first one to isolate the infectious agent. Siccardi prematurely died of the same disease as a consequence of a laboratory accident, which provided further confirmation for his research.

The heroic life of Siccardi and his tragic death testify the important activities of the scientists of the " Clinica del Lavoro" in the years of the Great War.

Solitary pulmonary nodule: radiologic features and diagnostic approach; Nodulo pulmonar solitario: caracteristicas radiologicas y abordaje diagnostico. A literature review is conducted on the solitary pulmonary nodule, to determine the diagnostic methods and specific characteristics. The diagnostic methods used have been: chest radiography, computed tomography, positron emission tomography and magnetic resonance imaging. The radiological features are defined: location, size, definition of contours or edges margins , densitometric and attenuation characteristics, cavitation, air bronchogram, growth, doubling time, satellite nodules, nutrient vessels [Spanish] Una revision bibliografica es realizada sobre el nodulo pulmonar solitario, para determinar los metodos de diagnostico y caracteristicas especificas.

Los metodos de diagnostico utilizados han sido: la radiografia de torax, tomografia computarizada, tomografia por emision de positrones y resonancia magnetica. Las caracteristicas radiologicas son definidas: localizacion, tamano, definicion de los bordes o contornos margenes , caracteristicas densitometricas y de atenuacion, cavitacion, broncograma aereo, crecimiento, tiempo de duplicacion, nodulos satelite, vasos nutrientes.

Oncology patients hospitalized in the Clinicas Hospital Dr. Manuel Quintela. Arostegui, M. This work was carried out by a nursery licensed group in the Clinicas Hospital - Dr.

The nature and functioning of Services and the allocation of resources, are essential for the analysis of the Survey of the hospitalized oncology patients in the Institution. To develop a model of care that constitutes a health care as well as teaching and research in the country regarding the quality of care was defined the following topics: lower risks for the patient, safer care, personal trained and specialized to promote relationship between the offering and the person receiving the service.

The assessment and management performance of the services involved in the operation are the result of the degree of user satisfaction. Objective: To determine the human and material necessary for the care of cancer resources users, considering their number, treatment, complications and nursing care derived from each pathology and stage of disease.

Other instruments used were the clinical history and the daily census staff Patients and Nursing Division. Results and conclusions: A comparative descriptive analysis already mentioned are: increased internships and cancer patients; between 50 and 64 is the highest number of patients; diagnoses Face and Neck and maintain the Digestive System more cases; the number of patients doubles and Hematology Neurological from one to another period.

Chemotherapy is the treatment choice and there is a decrease in the surgical and medical; more patients in the study; in the origin, Montevideo has the largest number of patients followed by Canelones.

Line of nursing intervention will be carried out in short, medium and long term. Imaging and image-based measurements nowadays play an essential role in controlled clinical trials, but electronic data capture EDC systems insufficiently support integration of captured images by mobile devices e. The web application Open Clinica has established as one of the world's leading EDC systems and is used to collect, manage and store data of clinical trials in electronic case report forms eCRFs.

In this paper, we present a mobile application for instantaneous integration of images into Open Clinica directly during examination on patient's bed site. Open Clinica 's web services are used to query context information e. A stable image transfer is ensured and progress information e. The workflow is demonstrated for a European multi-center registry, where patients with calciphylaxis disease are included.

Our approach improves the EDC workflow, saves time, and reduces costs. Furthermore, data privacy is enhanced, since storage of private health data on the imaging devices becomes obsolete. Evaluation of skin entry kerma in radiological examinations at the Hospital de Clinicas , Parana, Brazil.

Porto, Lorena E. This paper evaluates the skin entry dose of pediatric and adults patients when submitted to radiological examinations at the Hospital de Clinicas do Parana, Brazil, as part integrate of the data assessment of International Atomic Energy Agency IAEA for Latin America.

The obtained data demonstrate the necessity of verification of diagnostic analysis standards. The great value amplitudes demonstrate the incompatibility of examination executions with those recommended by the literature.

The dose values presented partially inside the range recommended and the other over the expected for the due examination when compared with the literature. Il Gambling Compulsivo: rilevanza epidemiologica. Esso, pur rappresentando per la maggior parte di queste persone solo un innocuo passatempo, si trasforma talora in una vera e propria malattia gambling compulsivo, con comportamenti che denotano forme estreme di rischio, sino a forme che portano alla distruzione della famiglia e persino della propria vita.

Si tratta un disturbo poco conosciuto e spesso non diagnosticato. Si discute del ruolo nella promozione della salute potenzialmente svolto dai Medici di Medicina Generale. Evaluation of skin entry kerma in radiological examinations at the Hospital de Clinicas , Parana, Brazil; Avaliacao de kerma de entrada na pele em exames radiologicos no Hospital de Clinicas do Parana, Brasil.

Hospital de Clinicas; Khoury, Helen J. Know your audience: analysis of chief complaints at clinica esperanza, a student-run free clinic in memphis, tennessee. To identify the chief complaints and demographics at Clinica Esperanza, a student-run free clinic for an underserved Hispanic population. A retrospective chart review of patient files from through was undertaken, as approved by the University of Tennessee Health Science Center's Institutional Review Board.

From through , Clinica Esperanza fielded patient visits, consisting of unique patients, females and males. Resulting data have led to several improvements. The clinic has remained open weekly to improve patient continuity. With the top 10 chief complaints identified, they are better addressed. More funding is allocated for speculums and proper training of Pap smear technique.

Systematic reporting of lab results is being implemented. Physical therapists and pharmacists now participate to address musculoskeletal and medication-based needs, respectively. A volunteer gastroenterologist has been recruited to provide specialized care for abdominal pain. An electrocardiogram machine is now used to evaluate chest pain. To improve student-patient communication, online language learning modules have been created. Based on these data, improvements in health care services have been made, including better continuity, emphasis on top chief complaints, and provider education in medical Spanish.

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