9 research outputs found
Niveles de HDL colesterol y colesterol total en pacientes con hemorragia intracerebral espontánea : Hospital Nacional Daniel Alcides Carrión, 2002-2005
Los niveles de colesterol total (CT) han sido fuertemente relacionados a enfermedad cerebrovascular isquémica; no obstante, los diferentes reportes sobre la asociación de los niveles CT y lipoproteínas de alta densidad (HDL) y el riesgo hemorragia intracerebral espontánea (HIE) es controversial.
Se realizó un estudio retrospectivo con el objetivo de determinar los niveles de colesterol total CT y de HDL en los pacientes con HIE hospitalizados en el servicio de neurología del Hospital Nacional Daniel A. Carrión del 01 de enero del 2002 al 31 de diciembre del 2005 para lo cual se utilizó una ficha de recolección de datos y para el procesamiento de la información se aplicó el programa estadístico Epi Info 2000 v.1.1.
Se estudió 54 pacientes. La relación hombre: mujer es de 1,8:1. La edad promedio de los pacientes es de 58,92 años. El 81,50% procede del Callao. Todos los pacientes presentaron hipertensión arterial.
El 79,60% tuvieron niveles de CT menores de 200 mg %. De este grupo el mayor porcentaje (40,73%) registraron edades comprendidas entre los 45 y 55 años siendo, el sexo masculino, el más frecuente (51,86%).
El 55,60% tuvieron niveles de HDL menores de 40 mg%. De ellos el 31,48% tuvieron edades entre 45-55 años. La distribución según sexo en este grupo también estuvo a favor de los hombres (35,19%) en comparación el de las mujeres (20,37%).Tesis de segunda especialida
Melanoma intracraneal primario en un paciente adulto con melanosis neurocutánea
La melanosis neurocutánea es un desorden congénito de escasa frecuencia, caracterizado por nevos cutáneos congénitos y compromiso del sistema nervioso central. Ocurre más comúnmente durante la infancia y rara vez en la edad adulta. Se presenta el caso de un hombre de 30 años de edad con melanosis neurocutánea que luego desarrolla melanoma intracraneal. En conjunción con los hallazgos del examen físico de la piel, la resonancia magnética nuclear juega un rol crucial en el diagnóstico de esta entidad clínica
Structured headache services as the solution to the ill-health burden of headache: 1. Rationale and description
In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles. High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary. The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded. It is, according to evidence and argument presented, an efficient and cost-effective model, but these are claims to be tested in formal economic analyses
Structured Q1 headache services as the solution to the ill-health burden of headache: 1. Rationale and description
In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles. High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary. The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded
Structured Q1 headache services as the solution to the ill-health burden of headache: 1. Rationale and description
In countries where headache services exist at all, their focus is
usually on specialist (tertiary) care. This is clinically and
economically inappropriate: most headache disorders can effectively and
more efficiently (and at lower cost) be treated in educationally
supported primary care. At the same time, compartmentalizing divisions
between primary, secondary and tertiary care in many health-care systems
create multiple inefficiencies, confronting patients attempting to
navigate these levels (the “patient journey”) with perplexing
obstacles. High demand for headache care, estimated here in a
needs-assessment exercise, is the biggest of the challenges to reform.
It is also the principal reason why reform is necessary. The structured
headache services model presented here by experts from all world regions
on behalf of the Global Campaign against Headache is the suggested
health-care solution to headache. It develops and refines previous
proposals, responding to the challenge of high demand by basing headache
services in primary care, with two supporting arguments. First, only
primary care can deliver headache services equitably to the large
numbers of people needing it. Second, with educational supports, they
can do so effectively to most of these people. The model calls for
vertical integration between care levels (primary, secondary and
tertiary), and protection of the more advanced levels for the minority
of patients who need them. At the same time, it is amenable to
horizontal integration with other care services. It is adaptable
according to the broader national or regional health services in which
headache services should be embedded. It is, according to evidence and
argument presented, an efficient and cost-effective model, but these are
claims to be tested in formal economic analyses