8 research outputs found

    Biliary peritonitis due to a ruptured amebic liver abscess mimicking a periampullary tumor and liver metastases with the elevation of CA 19-9 and CA 125: a case report

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    Introduction: An amebic liver abscess is the most common presentation of extraintestinal amebiasis. This condition is the result of a parasite infection caused by Entamoeba histolytica. Materials and Methods: We report a case of a 53-year-old male who presented with abdominal pain in the right upper quadrant, jaundice, and a 10-kg weight loss within a 1-month span. Results and Conclusion: A wide range of symptoms and findings in the imaging tests suggestive of neoplasia, elevated levels of CA 19-9 and CA 125, and the presentation of biliary peritonitis as a complication makes this case a challenge for its approach and management.RevisiΓ³n por pare

    Π§Π΅Ρ‚Ρ‹Ρ€Π΅ Ρ€Π°Π΄ΠΈΠΎΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ злокачСствСнныС ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ, ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠ°Ρ болСзнь сСрдца, атСросклСроз ΠΈ констриктивный ΠΏΠ΅Ρ€ΠΈΠΊΠ°Ρ€Π΄ΠΈΡ‚ Ρƒ больной с Π»ΠΈΠΌΡ„ΠΎΠΌΠΎΠΉ Π₯ΠΎΠ΄ΠΆΠΊΠΈΠ½Π°, ΠΏΠΎΠ»ΡƒΡ‡Π°Π²ΡˆΠ΅ΠΉ Π»ΡƒΡ‡Π΅Π²ΡƒΡŽ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ: клиничСский случай

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    Introduction. Radiation therapy (RT) has been widely used since the 1970s in the treatment of Hodgkin’s lymphoma. RT increases the risk of secondary malignancies and heart disease including coronary artery disease, noncoronary atherosclerotic valvular disease, valvular dysfunction, pericardial disease and radiation induced vasculopathy.Case Presentation. We describe a case of a patient with 4 secondary malignancies due to previous RT including parotid mucoepidermoid carcinoma, breast multicentric infiltrating ducta, thyroid papillary microcarcinoma with follicular pattern and lung adenocarcinoma that later presented with severe constrictive pericarditis, which led to an emergency pericardiectomy – all of these were complications of her previous radiotherapy. She received a prompt diagnosis and treatment.\Discussion. Radiation-induced vascular disease (RIVD) occurs due to endothelial injury following RT; patients have up to 3–4 fold increase in risk of myocardial infarction due to CAD, therefore screening of CAD with a CT coronary angiography is recommended to begin 5 years after receiving RT in patients 45 and older and 10 years after RT in patients <45 years old. Radiation induced secondary malignancies (RISM) are seen in 17–19 % of cases and the risk increases by time since last RT session. Many factors contribute to the risk severity of developing RISM such as age of radiation, dosage and size of the area irradiated, and radiation technique. Lung and breast cancer are the most common forms of second malignancy. A prompt screening, diagnosis and treatment of the RT complications are vital and should be prioritized in every control.ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ. ЛучСвая тСрапия (Π›Π’) для лСчСния Π»ΠΈΠΌΡ„ΠΎΠΌΡ‹ Π₯ΠΎΠ΄ΠΆΠΊΠΈΠ½Π° ΡˆΠΈΡ€ΠΎΠΊΠΎ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΠ΅Ρ‚ΡΡ с 1970-Ρ… Π³Π³. Π›Π’ ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ²Π°Π΅Ρ‚ риск развития злокачСствСнных Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ ΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ сСрдца, Π²ΠΊΠ»ΡŽΡ‡Π°Ρ ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΡƒΡŽ болСзнь сСрдца, Π½Π΅ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½ΠΎΠ΅ атСросклСротичСскоС ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ ΠΊΠ»Π°ΠΏΠ°Π½ΠΎΠ², Π΄ΠΈΡΡ„ΡƒΠ½ΠΊΡ†ΠΈΡŽ ΠΊΠ»Π°ΠΏΠ°Π½ΠΎΠ², Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ ΠΏΠ΅Ρ€ΠΈΠΊΠ°Ρ€Π΄Π° ΠΈ Π²Π°ΡΠΊΡƒΠ»ΠΎΠΏΠ°Ρ‚ΠΈΡŽ, ΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΡƒΡŽ Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠ΅ΠΉ.ОписаниС клиничСского случая. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½ клиничСский случай ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠΈ с 4 злокачСствСнными новообразованиями, возникшими вслСдствиС Π›Π’: мукоэпидСрмоидная ΠΊΠ°Ρ€Ρ†ΠΈΠ½ΠΎΠΌΠ° ΠΎΠΊΠΎΠ»ΠΎΡƒΡˆΠ½ΠΎΠΉ слюнной ΠΆΠ΅Π»Π΅Π·Ρ‹, ΠΌΡƒΠ»ΡŒΡ‚ΠΈΡ†Π΅Π½Ρ‚Ρ€ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€ΠΈΡ€ΡƒΡŽΡ‰ΠΈΠΉ ΠΏΡ€ΠΎΡ‚ΠΎΠΊΠΎΠ²Ρ‹ΠΉ Ρ€Π°ΠΊ ΠΌΠΎΠ»ΠΎΡ‡Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹, папиллярная ΠΌΠΈΠΊΡ€ΠΎΠΊΠ°Ρ€Ρ†ΠΈΠ½ΠΎΠΌΠ° Ρ‰ΠΈΡ‚ΠΎΠ²ΠΈΠ΄Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹ с фолликулярным Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠΌ ΠΈ Π°Π΄Π΅Π½ΠΎΠΊΠ°Ρ€Ρ†ΠΈΠ½ΠΎΠΌΠ° Π»Π΅Π³ΠΊΠΎΠ³ΠΎ, с Ρ€Π°Π·ΠΈΡ‚ΠΈΠ΅ΠΌ ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰Π΅Π³ΠΎ тяТСлого констриктивного ΠΏΠ΅Ρ€ΠΈΠΊΠ°Ρ€Π΄ΠΈΡ‚Π°, Ρ‡Ρ‚ΠΎ ΠΏΡ€ΠΈΠ²Π΅Π»ΠΎ ΠΊ экстрСнной пСрикардэктомии. ВсС эти ослоТнСния Π±Ρ‹Π»ΠΈ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠΌ ΠΏΡ€Π΅Π΄Ρ‹Π΄ΡƒΡ‰Π΅ΠΉ Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρƒ Π»ΠΈΠΌΡ„ΠΎΠΌΡ‹ Π₯ΠΎΠ΄ΠΆΠΊΠΈΠ½Π°. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ° ΠΏΠΎΠ»ΡƒΡ‡ΠΈΠ»Π° ΡΠ²ΠΎΠ΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½ΡƒΡŽ диагностику ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅.ΠžΠ±ΡΡƒΠΆΠ΄Π΅Π½ΠΈΠ΅. Π Π°Π΄ΠΈΠΎΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ сСрдСчно-сосудистыС заболСвания Π²ΠΎΠ·Π½ΠΈΠΊΠ°ΡŽΡ‚ ΠΈΠ·-Π·Π° поврСТдСния эндотСлия послС Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ. Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π˜Π‘Π‘ риск развития ΠΈΠ½Ρ„Π°Ρ€ΠΊΡ‚Π° ΠΌΠΈΠΎΠΊΠ°Ρ€Π΄Π° ΠΏΠΎΠ²Ρ‹ΡˆΠ°Π΅Ρ‚ΡΡ Π² 3–4 Ρ€Π°Π·Π°, поэтому скрининг Π˜Π‘Π‘ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ КВ-ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€ΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ рСкомСндуСтся Π½Π°Ρ‡ΠΈΠ½Π°Ρ‚ΡŒ Ρ‡Π΅Ρ€Π΅Π· 5 Π»Π΅Ρ‚ послС Π›Π’ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π² возрастС 45 Π»Π΅Ρ‚ ΠΈ ΡΡ‚Π°Ρ€ΡˆΠ΅ ΠΈ Ρ‡Π΅Ρ€Π΅Π· 10 Π»Π΅Ρ‚ послС Π›Π’ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π² возрастС <45 Π»Π΅Ρ‚. Π Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ Ρ€Π°Π΄ΠΈΠΎΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… злокачСствСнных Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ Π½Π°Π±Π»ΡŽΠ΄Π°Π΅Ρ‚ΡΡ Π² 17–19 % случаСв; риск ΠΈΡ… развития растСт с ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ΠΌ Π²Ρ€Π΅ΠΌΠ΅Π½ΠΈ, ΠΏΡ€ΠΎΡˆΠ΅Π΄ΡˆΠ΅Π³ΠΎ послС Π·Π°Π²Π΅Ρ€ΡˆΠ΅Π½ΠΈΡ Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ. МногиС Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ Π²Π»ΠΈΡΡŽΡ‚ Π½Π° риск возникновСния злокачСствСнных ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅ΠΉ: возраст, Π΄ΠΎΠ·Π°, Ρ€Π°Π·ΠΌΠ΅Ρ€ ΠΏΠΎΠ»Π΅ΠΉ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ облучСния. Π Π°ΠΊ Π»Π΅Π³ΠΊΠΎΠ³ΠΎ ΠΈ Ρ€Π°ΠΊ ΠΌΠΎΠ»ΠΎΡ‡Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹ ΡΠ²Π»ΡΡŽΡ‚ΡΡ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ частыми локализациями Ρ€Π°Π΄ΠΈΠΎΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ. БвоСврСмСнная диагностика ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ ослоТнСний Π›Π’ Π΄ΠΎΠ»ΠΆΠ½Ρ‹ Π±Ρ‹Ρ‚ΡŒ ΠΏΡ€ΠΈΠΎΡ€ΠΈΡ‚Π΅Ρ‚ΠΎΠΌ ΠΏΡ€ΠΈ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎΠΌ обслСдовании

    Association between social media use (Twitter, Instagram, Facebook) and depressive symptoms: Are Twitter users at higher risk?

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    El texto completo de este trabajo no estΓ‘ disponible en el Repositorio AcadΓ©mico UPC por restricciones de la casa editorial donde ha sido publicado.Background: The purpose of this study was to determine the association between social media dependence and depressive symptoms and also, to characterize the level of dependence. It was a transversal, analytical research. Subjects and Methods: The stratified sample was 212 students from a private university that used Facebook, Instagram and/or Twitter. To measure depressive symptoms, Beck Depression Inventory was used, and to measure the dependence to social media, the Social Media Addiction Test was used, adapted from the Internet Addiction Test of EcheburΓΊa. The collected data were subjected for analysis by descriptive statistics where STATA12 was used. Results: The results show that there is an association between social media dependence and depressive symptoms (PR [Prevalence Ratio] = 2.87, CI [Confidence Interval] 2.03–4.07). It was also shown that preferring the use of Twitter (PR = 1.84, CI 1.21–2.82) over Instagram (PR = 1.61, CI 1.13–2.28) is associated with depressive symptoms when compared to the use of Facebook. Conclusion: Excessive social media use is associated with depressive symptoms in university students, being more prominent in those who prefer the use of Twitter over Facebook and Instagram.RevisiΓ³n por pare

    Tuberculosis Treatment and Prevention Center

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    Un Centro de Tratamiento y PrevenciΓ³n de Tuberculosis es aquel equipamiento arquitectΓ³nico que promueve cura y tratamiento de la enfermedad si como la capacitaciΓ³n para la poblaciΓ³n para evitar la propagaciΓ³n de la tuberculosis en Lima. Mediante el presente proyecto de tesis se presenta la propuesta del primer Centro especializado en el Tratamiento y PrevenciΓ³n de Tuberculosis, proyecto que nace de un previo anΓ‘lisis de la problemΓ‘tica y la fijaciΓ³n de objetivos, y del estudio del lugar donde este se emplazarΓ‘, para lo que se buscaron referentes existentes a nivel mundial y nacional. Posteriormente, se procederΓ‘ con el anΓ‘lisis tΓ©cnico del lote, y con la programaciΓ³n arquitectΓ³nica del proyecto.A Tuberculosis Treatment and Prevention Center is that architectural equipment that promotes cure and treatment of the disease and training for the population to prevent the spread of tuberculosis in Lima. Through this thesis project is presented the proposal of the first Center specialized in the Treatment and Prevention of Tuberculosis, a project that is born from a previous analysis of the problem and the setting of objectives, and the study of the place where it will be located, for that existing references were sought at a global and national level. Subsequently, we will proceed with the technical analysis of the lot, and with the architectural programming of the projectTesi

    A comment on β€œBody image and paranoia”

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    El texto completo de este trabajo no estΓ‘ disponible en el Repositorio AcadΓ©mico UPC por restricciones de la casa editorial donde ha sido publicado.Cartas al EditorRevisiΓ³n por pare

    Biliary Peritonitis due to a Ruptured Amebic Liver Abscess Mimicking a Periampullary Tumor and Liver Metastases with the Elevation of CA 19-9 and CA 125: A Case Report

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    Introduction: An amebic liver abscess is the most common presentation of extraintestinal amebiasis. This condition is the result of a parasite infection caused by Entamoeba histolytica. Materials and Methods: We report a case of a 53-year-old male who presented with abdominal pain in the right upper quadrant, jaundice, and a 10-kg weight loss within a 1-month span. Results and Conclusion: A wide range of symptoms and findings in the imaging tests suggestive of neoplasia, elevated levels of CA 19-9 and CA 125, and the presentation of biliary peritonitis as a complication makes this case a challenge for its approach and management
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