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Search Results: 1 - 10 of 80551 matches for " José Gabriel Franco "
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Síndrome de Charles Bonnet: Manejo con haloperidol en paciente nonagenaria. Caso clínico
Valencia,Camila; Franco,José Gabriel;
Revista médica de Chile , 2008, DOI: 10.4067/S0034-98872008000300010
Abstract: charles bonnet syndrome is an underrecognized condition characterized by complex visual hallucinations, ocular problems causing visual deterioration and preserved cognitive status. its prevalence is 5/1000 in ambulatory ophthalmologic patients. generally occurs in elderly people in whom it may be confused with delirium or dementia. the first management step is to improve vision, if possible. hallucinations may be managed pharmacologically. we report a 94 year-old woman with the characteristic clinical picture of the syndrome that improved with haloperidol
Síndrome de Charles Bonnet: Manejo con haloperidol en paciente nonagenaria. Caso clínico Charle Bonnet syndrome: Report of one case managed with haloperidol
Camila Valencia,José Gabriel Franco
Revista médica de Chile , 2008,
Abstract: Charles Bonnet syndrome is an underrecognized condition characterized by complex visual hallucinations, ocular problems causing visual deterioration and preserved cognitive status. Its prevalence is 5/1000 in ambulatory ophthalmologic patients. Generally occurs in elderly people in whom it may be confused with delirium or dementia. The first management step is to improve vision, if possible. Hallucinations may be managed pharmacologically. We report a 94 year-old woman with the characteristic clinical picture of the syndrome that improved with haloperidol
Perfil epidemiológico y clínico de los pacientes hospitalizados en la Clínica Psiquiátrica Nuestra Se?ora del Sagrado Corazón, durante septiembre de 2003 (Medellín)
Franco Vásquez,José Gabriel; Gaviria Gómez,Ana Milena;
Revista Colombiana de Psiquiatría , 2004,
Abstract: introduction and objective: hospitalization is fundamental in the treatment of severe psychiatric disorders, the health service';s knowledge about it';s target population is basic for planning attention, education and investigation. information from every institution is useful to conform the national epidemiological map. this paper describes the sociodemographic and clinical characteristics of acute patients hospitalized in a psychiatric hospital. materials and methods: descriptive research, using secondary information sources (clinical histories) of patients hospitalized in september of 2003. spss 10 software was used for data analysis. results: the mean age was 36,9 years (de 15,1), 22 (32,4%) patients were men and 46 (67,6%) women, mostly (63,2%) from medellín. the most frequent diagnosis were: major depressive disorder, 22 (23,4%) patients; bipolar disorder, 27 (39,7%); psychotic disorders, 14 (20,6%). the mean length of stay was 8,8 days (de 5,3). conclusion: most of the patients were adult middle age women with major depressive disorder or bipolar disorder, from medellín, making it easier to include them in out-patient care programs including cognitive behavior therapy and psycho-education.
Perfil epidemiológico y clínico de los pacientes hospitalizados en la Clínica Psiquiátrica Nuestra Se ora del Sagrado Corazón, durante septiembre de 2003 (Medellín) Epidemiological and Clinical Profile of Hospitalized Patients in the Psychiatric Clinic “Nuestra Se ora del Sagrado Corazón” during September 2003-Medellín.
José Gabriel Franco Vásquez,Ana Milena Gaviria Gómez
Revista Colombiana de Psiquiatría , 2004,
Abstract: Introducción y objetivo: La hospitalización es fundamental para el tratamiento de enfermedades psiquiátricas graves; por ello es importante el conocimiento que los servicios de salud tengan sobre la población que atienden, a fin de que puedan planear la atención, la docencia y la investigación. Así, la información de cada institución ayuda a conformar el panorama epidemiológico nacional. Este trabajo describe las características sociodemográficas y clínicas de pacientes agudos hospitalizados en una clínica psiquiátrica. Materiales y métodos: estudio observacional, descriptivo, con fuentes secundarias de información (historias clínicas) de los ingresos de septiembre de 2003. Se usó en el programa SPSS 10 para el análisis de datos. Resultados: la edad promedio fue 36,9 a os (DE 15,1); 22 pacientes (32,4%) eran hombres y 46 (67,6%), mujeres. La mayoría (63,2%) era de Medellín. Los diagnósticos más frecuentes fueron: trastorno depresivo mayor (22 = 23,4%), trastorno bipolar (27 = 39,7%) y trastornos psicóticos (14 = 20,6%). El promedio de estancia fue 8,8 días (DE 5,3). Conclusión: la mayoría de pacientes fue mujeres, de edad adulta media, con trastorno depresivo mayor o trastorno bipolar, de Medellín, lo cual facilitaría su inclusión en programas ambulatorios que incluyan terapia cognitivo-conductual y psicoeducación. Introduction and objective: Hospitalization is fundamental in the treatment of severe psychiatric disorders, the health service';s knowledge about it';s target population is basic for planning attention, education and investigation. Information from every institution is useful to conform the national epidemiological map. This paper describes the sociodemographic and clinical characteristics of acute patients hospitalized in a psychiatric hospital. Materials and methods: Descriptive research, using secondary information sources (clinical histories) of patients hospitalized in September of 2003. SPSS 10 software was used for data analysis. Results: The mean age was 36,9 years (DE 15,1), 22 (32,4%) patients were men and 46 (67,6%) women, mostly (63,2%) from Medellín. The most frequent diagnosis were: major depressive disorder, 22 (23,4%) patients; bipolar disorder, 27 (39,7%); psychotic disorders, 14 (20,6%). The mean length of stay was 8,8 days (DE 5,3). Conclusion: Most of the patients were adult middle age women with major depressive disorder or bipolar disorder, from Medellín, making it easier to include them in out-patient care programs including cognitive behavior therapy and psycho-education.
Psiquiatría de enlace: descripción de las interconsultas en una clínica universitaria Liaison psychiatry: Referrals in a University Clinic in Colombia
José Gabriel Franco,Antonio Carlos Toro,Lina María Escobar
Revista médica de Chile , 2009,
Abstract:
Correspondencia
Adalberto Campo,José Gabriel Franco,Carlos Alberto Velasco
Colombia Médica , 2005,
Abstract: Prevalencia de trastornos mentales en pacientes medicoquirúrgicos: Son válidos los resultados? Es alta la prevalencia de trastornos mentales entre los pacientes hospitalizados en hospitales generales por enfermedades medicoquirúrgicas. Por ejemplo, Mogollón et al.1 encontraron que 38% de los pacientes mayores de 50 a os atendidos en un servicio de medicina interna de un hospital de Bucaramanga (Colombia) reunían criterios para un episodio depresivo mayor mediante el uso de una entrevista estructurada. En un estudio publicado recientemente en Colombia Médica Franco et al.2 informaron que 120 (44.5%) de los pacientes de una institución hospitalaria presentaban trastornos psiquiátricos. Sin embargo, algunas limitaciones en el método, más allá de las presentadas por los autores, hacen dudar de la validez interna del hallazgo. Primero, el método presentado sugiere que no es posible determinar la prevalencia de trastornos mentales en este grupo de personas incluidas en el estudio, y menos aún extrapolar los resultados a todos los pacientes que se atienden en la institución. El método utilizado es una forma de evaluar el valor predictivo positivo de un instrumento de tamización como el miniexamen mental (Minimental) o la escala para ansiedad y depresión en pacientes hospitalizados (HAD). Es decir, sólo incluyeron sistemáticamente los pacientes que fueron positivos, o que puntuaron por encima del punto de corte, en la HAD y el Minimental. Esto quiere decir que se excluyeron un número indeterminado de posibles casos de trastornos mentales, porque todos los instrumentos de este tipo dan igualmente falsos negativos, así como dan falsos positivos. Sin duda, este procedimiento sobreestima la posible prevalencia de trastornos psiquiátricos, al buscar sólo trastornos en los más sintomáticos. En este aspecto, es capital resaltar los hallazgos de Herrero et al.3 quienes observaron que la concordancia no explicada por el azar (kappa de Cohen) entre la HAD y una entrevista estructurada para trastornos depresivos o de ansiedad se encontraba para los mejores puntos de corte (11 y 14) en un rango considerado como aceptable para esta prueba estadística en algunas de las categorías diagnósticas investigadas. Segundo, en relación con los instrumentos usados, el Minimental y la HAD, es muy importante tener en cuenta, por un lado, que la primera de estas herramientas tiene utilidad para identificar posibles casos de trastornos cognoscitivos (demencia y delirium), y la segunda, posibles casos de trastornos depresivos (particularmente trastorno depresivo mayor) y trastorno de ansie
Relationship of Polymorphisms of Glutathione S-Transferase GSTT1 and GSTM1 With the Response to Chemotherapy In Mexican Women with Advanced Breast Cancer  [PDF]
Odeth Soto-Quintana, Paula Cabrera-Galeana, Gabriel Téllez-Trevilla, José Luis Barrera-Franco, Alejandro Juárez-Ramiro, Julieta Castillo-Cadena
Journal of Cancer Therapy (JCT) , 2011, DOI: 10.4236/jct.2011.23048
Abstract: Introduction: Breast cancer is a common disease diagnosed in Mexican women and the first leading cause of death [1]. Heterogeneity in patients’ response to treatment is consistently observed across populations. Glutathione S-transferases (GSTs) are involved in the metabolism of environmental carcinogens, reactive oxygen species and chemotherapeutic agents by catalyzing the glutathione with electrophilic compounds. The deletion of GSTT1 and GSTM1 genes result in loss of enzyme activity. A few studies evaluated the response to treatment and the polymorphisms of GSTT1 and GSTM1. The aim of this work is to make the association of the null polymorphisms of GSTT1 and GSTM1 with the response to chemotherapy basically doxorubicin and cyclophosphamide. Methods: The genotyping of thirty patients with breast cancer was made with the Polymerase chain reaction, to identify the polymorphisms of GSTT1 and GSTM1. We determine the status of Her-2 neu, estrogen and progesterone receptors, then the response to treatment was made with an ultrasound and pathological data. We made the association with the χi2 statistics using a p≤0.05. Results: Using the Sigma Stat 3.5 program and the chi-squared analysis, we do not observe a significant association with the GSTT1+/GSTM1+, GSTT1-/GSTM1+ and GSTT1-/GSTM1-polymorphisms and the better or worse response to cyclophosphamide and doxorubicin. With the Her-2 neu, estrogen and progesterone receptors status, we neither found an association with the response to the therapy. Conclusion: This study suggests that GSTT1 and GSTM1 polymorphisms have no statistical significance between the genotype of women with advanced breast cancer and the response to neoadjuvant chemotherapy, but we can see a clear tendency toward better response with the null genotype.
Regresión logística en la literatura psiquiátrica: evaluación de los artículos publicados entre 2002 y 2005 en una prominente revista
Franco, José Gabriel;Gaviria, Ana Milena;Torres, Yolanda;Cotes, José Miguel;
Revista Brasileira de Epidemiologia , 2007, DOI: 10.1590/S1415-790X2007000300008
Abstract: introduction: many articles in journals that specialize in psychiatry use logistic regression to identify the effect of independent variables on the probability of occurrence of an event. assessments of articles published in other medical specialties have shown that the report of logistic regression is incomplete in many cases and this leads to difficulties in interpretation. objective: assess the quality related to logistic regression analysis and accomplishment of internal validity criteria of articles published in a high impact journal specialized in psychiatry. methods: two independent reviewers selected (manual search) articles that used logistic regression published in the archives of general psychiatry (2002-2005) and evaluated them with the internal validity criteria of the journal of the american medical association (jama) and a tool designed to value the quality of logistic models (cml). results: of 121 articles assessed, 85 (70.2%) met jama's criteria of internal validity. in relation to the cml tool, the most frequently reported criterion was coding of independent variables (90.9%), followed by the report of the selection process of independent variables included at the beginning of the study (87.6%) and by the inclusion of the rr or or of the model and its respective ci (82.6%). the less frequently reported criterion was the goodness of fit (9.1%), followed by the report of the adjustment process of the model (24.8%). conclusions: although most articles reach high editorial standards, the reporting of logistic regression should be improved.
Medical conditions and body pain in patients presenting orofacial pain
Franco, Ana Lúcia;Runho, Gabriel Henrique Farto;Siqueira, José Tadeu Tesseroli de;Camparis, Cinara Maria;
Arquivos de Neuro-Psiquiatria , 2012, DOI: 10.1590/S0004-282X2012000500008
Abstract: objective: to verify the frequency of self-reported medical conditions and pain areas in orofacial pain patients, comparing them with patients from the routine dental care. methods: data were collected from archives of the orofacial pain clinic (group a, n=319) and of the routine dental care clinics (group b, n=84) at faculdade de odontologia de araraquara, s?o paulo, in brazil. all individuals answered a standardized clinical questionnaire and completed a body map indicating their pain areas. results: the mann-whitney's test demonstrated that group a presented a higher mean number of medical reports than group b (p=0.004). in both groups, pearson's correlation test showed that the highest frequencies of medical conditions were positively correlated to highest frequencies of painful areas (0.478, p=0.001 and 0.246, p=0.000, respectively). conclusions: group a tended to report more medical conditions and there was a positive correlation between the number of medical conditions and the one of pain areas for both groups.
Mapas de dor corporal aprimoram os relatos das queixas dolorosas em pacientes com dor orofacial
Franco, Ana Lúcia;Runho, Gabriel Henrique Farto;Siqueira, José Tadeu Tesseroli de;Camparis, Cinara Maria;
Revista Dor , 2012, DOI: 10.1590/S1806-00132012000100002
Abstract: background and objectives: assessing patients′ pain complaints is essential for determining adequate diagnosis and therapeutic interventions in orofacial pain (ofp). thus, the aim of this study was to verify the frequency of reported pain complaints compared to those marked on patients′ body pain maps. method: data was collected from the orofacial pain clinic archives (532 patients) of araraquara dental school. all individuals answered a standardized clinical questionnaire to report their chief complaints and completed a body map indicating their pain areas. the frequency of reported pain complaints was compared to the frequency of painful sites identified on body maps. nine anatomic regions were considered: head, face, neck, shoulders, arms, chest, abdomen, back, and legs. in addition, sensitivity, specificity and kappa values were calculated comparing the pain reports to body pain drawings, the latter being considered as gold standard. results: the mean age of total sample was 33.5 ± 13.8 years, 33.9 ± 13.9 years for women and 31.7 ± 13.1 years for men. higher prevalence of pain was observed among female patients. overall, the regions of greater pain reports were located in the upper body areas, both for women and men. a significant difference between the pain reports and the pain drawings was observed for the body regions below the neck, in both genders. the body pain maps demonstrated superiority against pain reports in assessing patients′ painful complaints during the anamnesis. conclusion: pain reports were not an efficient method for diagnosing all patient′s painful complaints, because body pain maps evidentiated additional pain complaints in ofp patients.
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