oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Any time

2019 ( 365 )

2018 ( 499 )

2017 ( 544 )

2016 ( 745 )

Custom range...

Search Results: 1 - 10 of 419354 matches for " Rigau-Pérez José G. "
All listed articles are free for downloading (OA Articles)
Page 1 /419354
Display every page Item
Manifestaciones clínicas del dengue hemorrágico en Puerto Rico, 1990-1991
Rigau-Pérez,José G.; ,;
Revista Panamericana de Salud Pública , 1997, DOI: 10.1590/S1020-49891997000600003
Abstract: the aim of the study reported here was to demonstrate that dengue hemorrhagic fever (dhf) occurs in puerto rico, that it is underreported, and that this underreporting is due partly to underdiagnosis in hospitals. surveillance for severe dengue identified 986 hospitalizations for suspected dengue in 1990-1991. at the time, the surveillance system routinely identified 20 dhf cases, including three with dengue shock syndrome (dss). our subsequent review of these 986 patients' hospital records identified 102 whose records supported a clinical diagnosis of dhf (88) or dss (14). of these 102, 57 had positive virologic or serologic results for dengue and met the world health organization criteria for dhf (fever, hemorrhagic manifestations, thrombocytopenia, and excessive capillary permeability). this group of 57 patients had a mean age of 38 years, contained a preponderance of males (34, 59.3%), included eight cases of dss, and involved two (3.5%) fatalities (in females 16 and 55 years old). hemorrhagic manifestations were mild; hemoconcentration, hypoalbuminemia, and elevated aspartate and alanine aminotransferase levels were frequently encountered. the median duration of hospitalization was five days. the clinical description of these laboratory-positive dhf cases in puerto rico is consistent with previous descriptions of dhf in the medical literature; but the patients' age distribution is similar to the pattern typically found in the americas (where all age groups tend to be affected), as opposed to southeast asia (where mostly small children are affected). the number of dhf cases identified by our study was nearly three times that reported through the established surveillance system. our findings indicate that recognition and reporting of dhf by local clinicians needs to be improved.
Clinical manifestations of dengue hemorrhagic fever in Puerto Rico, 1990-1991
Rigau-Pérez,José G.; ,;
Revista Panamericana de Salud Pública , 1997, DOI: 10.1590/S1020-49891997000500007
Abstract: the aim of the study reported here was to demonstrate that dengue hemorrhagic fever occurs in puerto rico, that it is underreported, and that this underreporting is due partly to underdiagnosis in hospitals. surveillance for severe dengue identified 986 hospitalizations for suspected dengue in 1990-1991. at the time, on the basis of available clinical and laboratory data, the surveillance system routinely identified 20 dhf cases, including three with dengue shock syndrome (dss). our subsequent review of these 986 patients' hospital records identified 102 whose records supported a clinical diagnosis of dhf (88) or dss (14). of the 102, there were 57 with positive virologic or serologic results for dengue and that met the world health organization criteria for dhf (fever, hemorrhagic manifestations, thrombocytopenia, and excessive capillary permeability). this group of 57 patients had a mean age of 38 years, contained a preponderance of males (34, 59.3%), included eight cases of dss, and involved two (3.5%) fatalities (in females 16 and 55 years old). hemorrhagic manifestations were mild; hemoconcentration, hypoalbuminemia, and elevated aspartate and alanine aminotransferase (ast and alt) levels were frequently encountered. the median duration of hospitalization was five days. the clinical description of these laboratory-positive dhf cases in puerto rico is consistent with previous descriptions of dhf in the medical literature; but the patients' age distribution is similar to the pattern typically found in the americas (where all age groups tend to be affected), as opposed to southeast asia (where mostly younger children are affected). the number of dhf cases identified by our study was nearly three times that reported through the established surveillance system. our findings indicate that recognition and reporting of dhf by local clinicians needs to be improved.
Clinical manifestations of dengue hemorrhagic fever in Puerto Rico, 1990-1991
Rigau-Pérez José G.
Revista Panamericana de Salud Pública , 1997,
Abstract: The aim of the study reported here was to demonstrate that dengue hemorrhagic fever occurs in Puerto Rico, that it is underreported, and that this underreporting is due partly to underdiagnosis in hospitals. Surveillance for severe dengue identified 986 hospitalizations for suspected dengue in 1990-1991. At the time, on the basis of available clinical and laboratory data, the surveillance system routinely identified 20 DHF cases, including three with dengue shock syndrome (DSS). Our subsequent review of these 986 patients' hospital records identified 102 whose records supported a clinical diagnosis of DHF (88) or DSS (14). Of the 102, there were 57 with positive virologic or serologic results for dengue and that met the World Health Organization criteria for DHF (fever, hemorrhagic manifestations, thrombocytopenia, and excessive capillary permeability). This group of 57 patients had a mean age of 38 years, contained a preponderance of males (34, 59.3%), included eight cases of DSS, and involved two (3.5%) fatalities (in females 16 and 55 years old). Hemorrhagic manifestations were mild; hemoconcentration, hypoalbuminemia, and elevated aspartate and alanine aminotransferase (AST and ALT) levels were frequently encountered. The median duration of hospitalization was five days. The clinical description of these laboratory-positive DHF cases in Puerto Rico is consistent with previous descriptions of DHF in the medical literature; but the patients' age distribution is similar to the pattern typically found in the Americas (where all age groups tend to be affected), as opposed to Southeast Asia (where mostly younger children are affected). The number of DHF cases identified by our study was nearly three times that reported through the established surveillance system. Our findings indicate that recognition and reporting of DHF by local clinicians needs to be improved.
Manifestaciones clínicas del dengue hemorrágico en Puerto Rico, 1990-1991
Rigau-Pérez José G.
Revista Panamericana de Salud Pública , 1997,
Abstract: Este estudio se realizó con el fin de mostrar que el dengue hemorrágico (DH) se da en Puerto Rico, si bien es una enfermedad subnotificada, lo que se debe en parte a su subdiagnóstico en los hospitales. La vigilancia de casos graves de dengue permitió determinar que hubo 986 hospitalizaciones por sospecha de dengue en el período de 1990-1991. En esa época, el sistema de vigilancia identificó 20 casos de DH, incluidos tres de síndrome de choque por dengue (SCD). Nuestra subsecuente revisión de los expedientes de los 986 pacientes reveló que en 102 de ellos había razones para apoyar el diagnóstico clínico de DH (88) y de SCD (14). Entre estos 102 había 57 que dieron resultados virológicos o serológicos positivos a dengue y que reunían los criterios de caso de dengue establecidos por la OMS (fiebre, manifestaciones hemorrágicas, trombocitopenia y excesiva permeabilidad capilar). En el grupo de 57 pacientes, la media de edad era de 38 a os y preponderaban los hombres (34, o sea 59,3%), incluidos ocho casos de SCD y dos (3,5%) defunciones (en mujeres de 16 y 55 a os de edad). Los síntomas hemorrágicos fueron leves y con frecuencia se observaron hemoconcentración, hipoalbuminemia y concentraciones elevadas de aspartato y alanina aminotransferasas. Las hospitalizaciones duraron unos 5 días en término medio. La descripción clínica de estos casos de DH en Puerto Rico coincide con descripciones anteriores de la enfermedad en la literatura médica, pero la distribución por edad de los pacientes es similar al patrón que se suele encontrar en las Américas (donde afecta a todos los grupos de edad), en contraste con el de Asia Sudoriental (donde afecta principalmente a ni os peque os). El número de casos identificados en nuestro estudio fue casi tres veces mayor que el número notificado por el sistema de vigilancia establecido. Nuestros resultados indican que es necesario mejorar la capacidad de los clínicos locales para reconocer y notificar los casos de DH.
Cómo responder a una epidemia de dengue: visión global y experiencia en Puerto Rico
Rigau-Pérez,José G.; Clark,Gary G.;
Revista Panamericana de Salud Pública , 2005, DOI: 10.1590/S1020-49892005000400012
Abstract: dengue, a viral disease transmitted by mosquitoes, is endemic and frequently epidemic in many tropical countries. because low-incidence periods vary in length, it is difficult to know in advance when an epidemic will occur. response efforts, despite being logical, have been counter-productive at times. furthermore, experience has demonstrated that dengue epidemics last a long time, making it important that government control efforts be sustainable while they last. this article describes priority activities requiring attention in order to minimize the impact of dengue epidemics. such activities, which in many cases can be adapted to combat other types of epidemics as well, are as follows: (1) establishment of an inter-sectoral action committee, (2) formalization of an emergency action plan, (3) epidemiologic surveillance, (4) diagnostic laboratory testing, (5) mosquito control, (6) protection of sources of employment and special populations, (7) patient care, (8) education of medical personnel, (9) research, and (10) transparency before the mass media. the best way to reduce the ravaging effects of dengue epidemics is to anticipate their emergence so that infection can be prevented and steps can be taken to protect the ill. relying on improvisation to solve all the problems that arise in moments of crisis is inefficient and reckless.
Dengue severity in the elderly in Puerto Rico
García-Rivera,Enid J.; Rigau-Pérez,José G.;
Revista Panamericana de Salud Pública , 2003, DOI: 10.1590/S1020-49892003000500004
Abstract: objective: severe dengue affects all age groups in the americas, but little detailed information is available about this disease in the elderly. the objective of this article is to describe the disease in this age group. methods: we reviewed suspected dengue-case investigation forms submitted with diagnostic samples as well as clinical reports from infection control nurses in puerto rico, for the period of 1994 through 1999. results: we assigned the laboratory-positive case-patients to four age groups: infants (1 year: 554), youth (2 to 18 years: 6 857), adults (19 to 64 years: 9 433), and elderly (> 65 years: 822). regardless of infecting serotype, the elderly were more likely to have been hospitalized (48% vs. 33%) (p <0.01) and were less likely to show hemorrhage (26% vs. 33%) (p <0.01). on multivariate analysis, controlling for gender and the presence of hemorrhage, the elderly had a higher risk for hospitalization and death than did the youths and the adults. conclusions: the elderly appear to be more likely than youth and younger adults to develop severe illness when infected with the dengue virus, in a pattern similar to that of infants. the clinical evaluation of elderly patients with dengue must include a careful assessment of increased capillary permeability and occult hemorrhage in order to avoid complications from delayed identification and treatment of severe dengue infection. these findings are of increasing importance for dengue epidemiology and medical care in view of the expanding nature of dengue and dengue hemorrhagic fever in a world that also has a growing number and proportion of elderly persons.
Dengue severity in the elderly in Puerto Rico
García-Rivera Enid J.,Rigau-Pérez José G.
Revista Panamericana de Salud Pública , 2003,
Abstract: OBJECTIVE: Severe dengue affects all age groups in the Americas, but little detailed information is available about this disease in the elderly. The objective of this article is to describe the disease in this age group. METHODS: We reviewed suspected dengue-case investigation forms submitted with diagnostic samples as well as clinical reports from infection control nurses in Puerto Rico, for the period of 1994 through 1999. RESULTS: We assigned the laboratory-positive case-patients to four age groups: infants (1 year: 554), youth (2 to 18 years: 6 857), adults (19 to 64 years: 9 433), and elderly (> 65 years: 822). Regardless of infecting serotype, the elderly were more likely to have been hospitalized (48% vs. 33%) (P <0.01) and were less likely to show hemorrhage (26% vs. 33%) (P <0.01). On multivariate analysis, controlling for gender and the presence of hemorrhage, the elderly had a higher risk for hospitalization and death than did the youths and the adults. CONCLUSIONS: The elderly appear to be more likely than youth and younger adults to develop severe illness when infected with the dengue virus, in a pattern similar to that of infants. The clinical evaluation of elderly patients with dengue must include a careful assessment of increased capillary permeability and occult hemorrhage in order to avoid complications from delayed identification and treatment of severe dengue infection. These findings are of increasing importance for dengue epidemiology and medical care in view of the expanding nature of dengue and dengue hemorrhagic fever in a world that also has a growing number and proportion of elderly persons.
Evaluación de los indicadores epidemiológicos del programa de la tuberculosis: Matanzas. A?os 2002- 2006
Gómez Murcia,Pedro R; Achiong Estupi?án,Fernando; Morales Rigau,José M; Nú?ez Valdés,Leovaldo; Quintana Hernández,Jesús; Pérez Fundora,Carmen Gloria;
Revista M??dica Electr?3nica , 2009,
Abstract: we carried out an investigation on health services and systems with an observational epidemiologic design of transversal descriptive type in the province of matanzas during the period 2000-2006. we covered 100 % of the tuberculosis diagnosed cases, arriving to the conclusion that the epidemiologic indicators were fulfilled adequately at the provincial and health areas levels.
Mortalidad por influenza y neumonía en el adulto mayor. Impacto de la vacunación anti influenza en este grupo poblacional. Matanzas 2001-2008 Mortality for influenza and pneumonia in elder people. Impact of the anti-influenza vaccination in this population group. Matanzas 2001-2008
Jana M Fernández Alfonso,José Manue Morales Rigau,Lenia Delgado Pérez,Fernando Achiong Estupi?án
Revista M??dica Electr?3nica , 2010,
Abstract: Teniendo en cuenta el envejecimiento gradual de la población cubana y por ende de la población matancera, cada día son más y más las personas que sobrepasan las barreras cronológicas que el ser humano ha situado como etapa de vejez, lo que ha convertido al envejecimiento de la población en un reto para las sociedades modernas. Las infecciones respiratorias agudas (influenza y neumonía) representan una de las primeras causas de atención médica a nivel mundial, y son impresionantes las cifras de morbilidad y altos índices de mortalidad que provocan, sobre todo, en los países en vías de desarrollo. Un grupo altamente vulnerable a estas enfermedades son las personas mayores de 60 a os, sin embargo, sólo se conoce la contribución de la influenza y la neumonía como causa básica, según las estadísticas vitales, pues existe una mortalidad oculta que no se cuantifica que sería importante conocer, para poder evaluar adecuadamente medidas de prevención y control como la vacunación que se está implementado en este grupo poblacional. Se realizó una investigación descriptiva para conocer con mayor profundidad en qué magnitud participa la influenza y neumonía no sólo como causa básica de muerte en el adulto mayor, sino también en qué medida esta, se oculta tras otras causas. Se revisaron los certificados de defunción de los 32 179 fallecidos de la provincia desde el a o 2001 al 2008. Se encontraron en el estudio un total de 8 473 fallecidos con esta enfermedad, de los cuales 4 659 eran muertes ocultas cifra superior a las muertes por causa básica. La enfermedad como causa básica de muerte se presenta más en los domicilios. Las principales causas básicas de muerte tras las cuales se ocultaron la influenza o neumonía, fueron las enfermedades cerebrovasculares, las cardiovasculares y los tumores malignos. Se concluyó que 1 de cada 4 adultos mayores en la provincia presentan al morir una neumonía. La mortalidad total por influenza y neumonía en el adulto mayor en la provincia es ligeramente descendente en correspondencia con el incremento de las coberturas vacunales en los últimos a os. Taking into account the gradual ageing of the Cuban population and therefore Matanzas population, there are more and more persons over passing the chronologic barriers human being has set as elderliness, making of the population ageing a challenge for the modern societies. Acute respiratory infections (influenza and pneumonia) are one of the first causes of medical care around the world, and the data of morbidity and the high rates of mortality they cause are remarkable, mainly in underdeve
Intervención educativa en diabéticos tipo 2
Pérez Delgado,Anuharys; Alonso Carbonell,Liuba; García Milián,Ana J.; Garrote Rodríguez,Ismary; González Pérez,Sandra; Morales Rigau,José Manuel;
Revista Cubana de Medicina General Integral , 2009,
Abstract: a quasi experimental study was conducted to value the influence of an educational intervention in knowledges, abilities and dexterities development in patients presenting with typo ii diabetes mellitus in cárdenas municipality, admitted in care center for diabetes patients during the second semester of 2007 and during the first one of 2008. sample included 90 patients seen in such center from july to december, 2007 (intervention group), and 90 diabetic patients from primary care (control group). educational intervention had 2 stages. in both groups at the end of the first stage we applied a questionnaire, whereas the second one included knowledge deepening activities and group intervention, and at the same time we search for information in control group. at the end of intervention, participants in basic information course increased their knowledges on diabetes mellitus and showed significant differences as regards the knowledges on the disease in relation to control group. the above mentioned course is effective to develop the knowledges on diabetes mellitus. patients of intervention group showed a appropriate metabolic control at 6 months from the intervention.
Page 1 /419354
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.