Efectividad del uso del propóleos en el tratamiento de la enfermedad aftosa recurrente en pacientes con afecciones reumáticas

Introduction: the illnesses gingivae’s and periodontal they are classified among the affections more common of the mankind. Diverse investigators in the world report about the effectiveness of the propoleos in the cure of wounded septic, and in diverse medical affections.Objective: to describe the effectiveness of the use from the propoleos dye in the treatment of the recurrent aphthous stomatitis in the patients with rheumatic illnesses assisted in the stomatology service of the policlinic educational Siblings Ruiz Aboy.Methodology: he/she was carried out a randomized experimental study, not masked, of cases and controls. A sample of 52 patients was selected with rheumatic illnesses that presented illness recurrent aphthous. Two groups in a random way were made: a group study, treaty with propoleos dye and another group control, to which was applied conventional treatment, both with 26 patients, to those that were evaluated during 7 days.Results: i prevail the feminine sex, 78.85 % of the patients presents cure of the illness recurrent aphthous.  The patients that used propoleos in their treatment evidenced 88.46 % cure with regard to those that used conventional treatment that alone they reached 69.23 % cure.Conclusions: the use of the propoleos in the treatment of the recurrent aphthous stomatitis in patient with rheumatic illnesses contributes significant advantages as for cure elements he/she refers.Introducción: Las enfermedades gingivales y periodontales están catalogadas entre las afecciones más comunes del género humano. Diversos investigadores en el mundo reportan acerca de la efectividad del propóleos en la cura de heridas sépticas, y en diversas afecciones médicas. Objetivo: Describir la efectividad del uso de la tintura de propóleos en el tratamiento de la estomatitis aftosa recurrente en los pacientes con enfermedades reumáticas atendidos en el servicio estomatológico del policlínico docente Hermanos Ruiz Aboy.Metodología: Se realizó un  estudio experimental aleatorizado, no enmascarado, de casos y controles. Se seleccionó una muestra de 52 pacientes con enfermedades reumáticas que presentaron enfermedad aftosa recurrente. Se confeccionaron dos grupos de forma aleatoria: un grupo estudio, tratado con tintura de propóleos y otro grupo control, al que se le aplicó tratamiento convencional, ambos con 26 pacientes, a los que se evaluaron durante 7 días.Resultados: Predomino el sexo femenino, El 78.85 % de los pacientes presento curación de la enfermedad aftosa recurrente.  Los pacientes que usaron propóleos en su tratamiento evidenciaron un 88.46 % de curación con respecto a los que usaron tratamiento convencional que solo alcanzaron un 69.23 % de curación.Conclusiones: La utilización del propóleos en el tratamiento de la estomatitis aftosa recurrente en pacientes con enfermedades reumáticas aporta ventajas significativas en cuanto a elementos de curación se refiere

Rasgos demográficos en la osteoartritis de rodilla

Introducción: La osteoartrosis es la afección articular más frecuentemente observada en la población adulta de cualquier región del mundo, aunque sus cifras de prevalencia varían según la localización geográfica, los distintos grupos étnicos, el sexo, la edad de las poblaciones estudiadas y la articulación afectada, para el 2020 se estima que sea la cuarta causa morbilidad más frecuente. Objetivo: Determinar las características socio demográficas de los pacientes con osteoartritis de rodilla atendidos en el centro de reumatología Metodología: Estudio descriptivo. Para el diagnóstico positivo se tuvieron en cuenta los criterios de la ACR. Se describió las variables socio demográficas obtenidas a través de una encuesta que contenía tanto elementos clínicos como radiológicos útiles para confirmar el diagnóstico de la enfermedad Resultados: La edad promedio fue de 51.16 años. La mayor frecuencia de género correspondió al femenino con un 74.96 %. El tiempo de evolución más frecuente fue el comprendido entre 1 y 5 años. El 62.52 % de los pacientes presentó al menos una comorbilidad y/o hábito nocivo. Conclusiones: La presencia de deformidades angulares, así como de comorbilidades y/o hábitos nocivos influye negativamente en la aparición de la osteoartrosis de rodilla

Percepción de calidad de vida relacionada con la salud en pacientes con osteoartritis de manos

Introduction: the hand osteoarthrosis is a degenerative illness that many times passes in off without knowing the affectation that takes place to the perception of the quality of life related with the health of the patients that you/they suffer it. Objective: To evaluate the perception of the quality of life related with the health in patient with osteoarthrosis of hands. Methodology: study descriptive. For the positive diagnosis they were kept in mind the approaches of the ACR. The demographic variable partner was described obtained through a survey that contained so much clinical elements as radiological useful to confirm the diagnosis of the illness. Questionnaires were applied to determine the perception of the quality of life related with the health and the functional capacity as they were the sheets coop/wonca, the HAQ-CU and the questionnaire Dreiser, modified by Lequesne.  Results: the age average was of 54.74 years with an age of beginning of the 47.23 year-old symptoms, The biggest gender frequency corresponded to the feminine one with 83.33 %. The time of more frequent evolution was the one understood between 1 and 5 years. 47.29 % of the patients presented a comorbility and/or habit noxious associate at least. The global sumatory of the dimensions was of 18.95. Alone 20.15 % of the patients didn't present discapacity and the patients prevailed with slight discapacity. Conclusions: the increase of the time of evolution of the illness as well as the comorbility presence influences negatively in the perception of the quality of life related with the health of the patients with hand arthrosis, which causes physical discapacity in the patients that suffer it. Introducción: la osteoartrosis de mano es una enfermedad degenerativa que muchas veces pasa desapercibida sin conocer la afectación que produce a la percepción de la calidad de vida relacionada con la salud de los pacientes que la padecen. Objetivo: evaluar la percepción de la calidad de vida relacionada con la salud en pacientes con osteoartrosis de manos. Metodología: Estudio descriptivo. Para el diagnóstico positivo se tuvieron en cuenta los criterios de la ACR. Se describió las variables socio demográficas obtenidas a través de una encuesta que contenía tanto elementos clínicos como radiológicos útiles para confirmar el diagnóstico de la enfermedad. Se aplicaron cuestionarios para determinar la percepción de la calidad de vida relacionada con la salud y la capacidad funcional como fueron las láminas coop/wonca, el HAQ-CU y el cuestionario Dreiser, modificado por Lequesne. Resultados:  la edad  promedio fue de 54.74  años con una edad de comienzo de los síntomas de 47.23 años,  La mayor frecuencia de género correspondió al femenino con  un 83.33  %. El tiempo de evolución más frecuente fue el comprendido entre 1 y 5 años. El  47.29  % de los pacientes presentó al menos una comorbilidad  y/o hábito nocivo asociado. La sumatoria global de las dimensiones fue de 18.95. Solo el 20.15 % de los pacientes no presentó discapacidad y predominaron  los pacientes con discapacidad ligera. Conclusiones: el aumento del tiempo de evolución de la enfermedad así como la presencia de comorbilidades influye negativamente en la percepción de la calidad de vida relacionada con la salud de los pacientes con artrosis de mano, la cual provoca discapacidad física en los pacientes que la padecen

Temporal trends and outcomes of heart transplantation in Spain (2002–2021): propensity score matching analysis to compare patients with and without type 2 diabetes

Abstract Background The impact of Type 2 Diabetes (T2D) on the outcomes of heart transplantation (HT) has not yet been clearly established. The objectives of this study were to examine the trends in the prevalence of T2D among individuals who underwent a HT in Spain from 2002 to 2021, and to compare the clinical characteristics and hospitalization outcomes between HT recipients with and without T2D. Methods We used the national hospital discharge database to select HT recipients aged 35 and older. The International Classification of Diseases, Ninth and Tenth Revisions (ICD-9 and ICD-10) were used to identify patients with and without T2D. We also recorded comorbidities, complications of HT, and procedures. Propensity score matching (PSM) and Cox regression were used to analyze the effect of T2D on in-hospital mortality (IHM). Results Between 2002 and 2021, a total of 4429 HTs (T2D, 19.14%) were performed in Spain. The number of HTs in patients with T2D decreased from 2002 to 2005 (n = 171) to 2014–2017 (n = 154), then rose during 2018–2021 (n = 186). Complications of HT increased in patients with and without T2D over the study period (26.9% and 31.31% in 2002–2005 vs. 42.47% and 45.01% in 2018–2021, respectively). The results of the PSM showed that pneumonia and Gram-negative bacterial infections were less frequent in patients with T2D and that these patients less frequently required hemodialysis, extracorporeal membrane oxygenation (ECMO), and tracheostomy. They also had a shorter hospital stay and lower IHM than patients without diabetes. The variables associated with IHM in patients with T2D were hemodialysis and ECMO. IHM decreased over time in people with and without T2D. The Cox regression analysis showed that T2D was associated with lower IHM (HR 0.77; 95% CI 0.63–0.98). Conclusions The number of HTs increased in the period 2018–2021 compared with 2002–2005 in patients with and without T2D. Over time, complications of HT increased in both groups studied, whereas IHM decreased. The presence of T2D is associated with lower IHM

Temporal trends and outcomes of heart transplantation in Spain (2002–2021): propensity score matching analysis to compare patients with and without type 2 diabetes

The impact of Type 2 Diabetes (T2D) on the outcomes of heart transplantation (HT) has not yet been clearly established. The objectives of this study were to examine the trends in the prevalence of T2D among individuals who underwent a HT in Spain from 2002 to 2021, and to compare the clinical characteristics and hospitalization outcomes between HT recipients with and without T2D. METHODS: We used the national hospital discharge database to select HT recipients aged 35 and older. The International Classification of Diseases, Ninth and Tenth Revisions (ICD-9 and ICD-10) were used to identify patients with and without T2D. We also recorded comorbidities, complications of HT, and procedures. Propensity score matching (PSM) and Cox regression were used to analyze the effect of T2D on in-hospital mortality (IHM). RESULTS: Between 2002 and 2021, a total of 4429 HTs (T2D, 19.14%) were performed in Spain. The number of HTs in patients with T2D decreased from 2002 to 2005 (n=171) to 2014-2017 (n=154), then rose during 2018-2021 (n=186). Complications of HT increased in patients with and without T2D over the study period (26.9% and 31.31% in 2002-2005 vs. 42.47% and 45.01% in 2018-2021, respectively). The results of the PSM showed that pneumonia and Gram-negative bacterial infections were less frequent in patients with T2D and that these patients less frequently required hemodialysis, extracorporeal membrane oxygenation (ECMO), and tracheostomy. They also had a shorter hospital stay and lower IHM than patients without diabetes. The variables associated with IHM in patients with T2D were hemodialysis and ECMO. IHM decreased over time in people with and without T2D. The Cox regression analysis showed that T2D was associated with lower IHM (HR 0.77; 95% CI 0.63-0.98). CONCLUSIONS: The number of HTs increased in the period 2018-2021 compared with 2002-2005 in patients with and without T2D. Over time, complications of HT increased in both groups studied, whereas IHM decreased. The presence of T2D is associated with lower IHM.FIS (Fondo de Investigaciones Sanitarias)Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEpu