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Bogotá, Colombia

Ojeda E.,Health Science University | Ojeda E.,Hospital Universitario Mayor | Diaz-Cortes D.,Health Science University | Rosales D.,Health Science University | And 3 more authors.
Clinical Neurology and Neurosurgery

Multiple sclerosis (MS) in Latin America (LA) is considered to have a low to medium prevalence. However, accurate information on MS in LA is scarce. The aim of this study was to compare clinical characteristics among LA patients through a systematic review of the literature. A systematic search (Spanish, Portuguese and English) was done for all clinical studies of MS in humans (MEDLINE, PubMed, Scielo, BIREME, EMBASE and LILACS) up to May 2011 being focused on a well-defined Latin American population (peer-reviewed journal) following the MOOSE guidelines. The search strategy included combinations of different Mesh terms (two independent researchers). Classification of each article by using the Oxford Centre for Evidence-based Medicine-Levels of Evidence was done. The total number of patients per country for each specific characteristic was compiled. Chi-square test was used to compare the characteristics in the studies retrieved per country. There were 38 articles fulfilling the inclusion criteria, accounting for 4524 patients. Relapsing-remitting form was the most frequent in LA patients and the main initial symptom was motor, followed by optic neuritis and sensorial. A mild expanded disability status scale was the most prevalent in all LA countries. Factors accounting for differences in distribution and clinical course across LA countries include genetics, environment, diagnostic techniques, socioeconomic structure and medical facilities. © 2012 Elsevier B.V. Source

Davila-Ramirez F.A.,Hospital Universitario Mayor | Fajardo-Granados D.E.,El Rosario University | Jimenez-Cruz C.A.,El Rosario University | Florido-Perez C.,Minuto de Dios University Corporation | Vergara-Castellon K.C.,University del Area Andina
Revista Ciencias de la Salud

To explore the frequency and weight that psychosocial risk factors predispose to outcomes of early pregnancy and scholar dropout, a descriptive review was conducted. Materials and Methods: A search and review of the results reported by observational studies in the PubMed database indexed from July 27, 2010 until July 25, 2013 was performed, restricting the search to studies in humans, Spanish or English written, not made in countries in Africa or Asia. Search was widened to LILACS database for the years 2006 to 2013 for Latinamerican countries. For inclusion, all case-control studies comparing different types of interventions and psychosocial risk factors in adolescents were eligible. Results: The review suggests violence experienced dur-ing adolescence, sexual abuse, belonging to a low socioeconomic status, low self-esteem, eating behavior disorders, smoking, alcoholism and drug addiction, mental disorders, early initiation of sex, poor family ties, lack of access to information, and resources for family planning as main psychosocial factors related to early pregnancy and scholar dropout in adolescents. Conclusions: Both risk factors associated with pregnancy and scholar dropout were described, and interventions targeting the described risk factors could potentially contribute to the reduction of these outcomes were described. © 2016, Universidad del Rosario. All rights reserved. Source

Rios A.M.,Lifecenter Hospital | Rosenberg Z.S.,New York University | Bencardino J.T.,New York University | Rodrigo S.P.,Hospital Universitario Ramon jal | Theran S.G.,Hospital Universitario Mayor
American Journal of Roentgenology

OBJECTIVE. Many disorders produce similar or overlapping patterns of bone marrow edema in the ankle. Bone marrow edema may present in a few hindfoot bones simultaneously or in a single bone. The purpose of this pictorial essay is to provide guidelines based on clinical history and specific MRI patterns and locations to accurately identify the cause of ankle bone marrow edema. We will first focus on bone marrow edema in general disease categories involving multiple bones, such as reactive processes, trauma, neuroarthropathy, and arthritides. A discussion of bone marrow edema in individual bones of the ankle and hindfoot including the tibia, fibula, talus, and calcaneus will follow. Helpful hints for arriving at the correct diagnosis will be provided in each section. CONCLUSION. After review of this article, radiologists should be able to use their knowledge of clinical history and specific MRI patterns and locations to accurately distinguish between the various causes of bone marrow edema in the ankle and hindfoot. © American Roentgen Ray Society. Source

Franco J.-S.,El Rosario University | Franco J.-S.,Hospital Universitario Mayor | Anaya J.-M.,El Rosario University | Anaya J.-M.,Hospital Universitario Mayor

Autoimmune diseases (ADs) are often diagnosed according to classification criteria; however, they share similar subphenotypes including signs and symptoms, non-specific autoantibodies and other immune changes, which are prone to taxonomic problems. Polyautoimmunity is defined as the presence of more than one AD in a single patient. The close relationship between antiphospholipid syndrome (APS) and systemic lupus erythematosus has been studied throughout the years. However, APS may coexist with several other ADs confirming polyautoimmunity in this systemic disease. Herein, we summarized the common characteristics shared between APS and others ADs in light of the autoimmune tautology (that is, common mechanisms of autoimmune diseases). © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav. Source

Torregroza Burbano M.T.,National University of Colombia | Romero Pinto J.R.,Hospital Universitario Mayor | Salgado Tovar J.M.,Hospital Universitario Mayor
Urologia Colombiana

Purpose: To describe priapism as an unusual manifestation of metastatic penile lymphoma and review of the available literature. Methods: A cases is presented of a patient with metastatic penile lymphoma. A systematic review of the available literature was performed. Results: The case of an elderly male is presented, who was seen in the emergency department with a priapism. The patient was previously diagnosed with testicular lymphoma. The priapism was treated with a corpora cavernosa shunt, with a partial response. The immunohistochemical study reported: "diffuse lymphoma". The patient died before definitive treatment. Conclusion: Although priapism is a rare manifestation of penile lymphoma, it should be borne in mind. © 2012 Sociedad Colombiana de Urología. Published by Elsevier España, S.L. All rights reserved. © 2014 Sociedad Colombiana de Urología. Source

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