Abstract:
:BACKGROUND. In 1997, The Fourth International Workshop-Conference on Gestational Diabetes Mellitus (GDM) recommended the use of Carpenter and Coustan diagnostic criteria instead of those of Sullivan and Mahan used until then. The objective of this work was to study the incidence of GDM in the southeast Madrid area by applying both the classical and new criteria, as well as to determine whether patients diagnosed of GDM by the new criteria present a higher materno-fetal morbidity than treated GDM patients or non diabetic pregnant patients.Methods. Review of a cohort of 1,293 pregnant women from September 1998 to August 1999 who were screened for GDM. The annual cumulated incidence of GDM was estudied by using both diagnostic criteria and materno-fetal evolution of four groups of patients classified according to glucose intolerance degree. RESULTS. The annual cumulated incidence of GDM was 4.8% and 7.3% using the classical criteria and the new criteria, respectively. GDM patients fulfilling only the new criteria and not treated as such had children with a significantly higher birth-weight than the other groups, and a trend towards a higher percentage of macrosomies, instrumental deliveries and cesarean sections in such group was observed, although they were not statistically significant. CONCLUSIONS. The incidence of GDM in the southeast Madrid area was similar to that among other Caucasian populations and increased by 52% when the new diagnostic criteria were used. It is our opinion that a study with a larger number of patients should be conducted before the new diagnostic criteria are applied in our country.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Gorgojo Martínez JJ,Almodóvar Ruiz F,López Hernández E,Donnay Candil Sdoi
10.1016/s0014-2565(02)71008-4keywords:
subject
Has Abstractpub_date
2002-03-01 00:00:00pages
136-41issue
3eissn
0014-2565issn
1578-1860pii
13028764journal_volume
202pub_type
杂志文章abstract:OBJECTIVES:The aim of this study was to assess the available evidence on the validity, diagnostic accuracy and clinical utility of the multitarget DNA test in faeces (Cologuard™) for screening for colorectal cancer (CRC). MATERIAL AND METHODS:A systematic review was performed by consulting MedLine, EMBASE and Web of S...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2015.08.002
更新日期:2015-12-01 00:00:00
abstract::Two cases are reported of women aged 18 and 36 years respectively who developed a typical picture of hyperthyroidism by Graves Basedow disease (primary hyperthyroidism, diffuse goiter with increased uptake, positive stimulating thyroid antibodies, exophthalmos). These women had taken drugs for obesity which were prepa...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
abstract::Polymicrobial endocarditis (PE) is uncommon, whether in series of cases of polymicrobial bacteriemia or of endocarditis. Among the 201 cases of infective endocarditis seen between 1986 and 1995 by an infectious diseases service, 12 patients had PE (6%). Nine were males, mean age was 28 years and ten were active intrav...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The aging population is resulting in an increasing number of patients with multiple diseases that require treatment by various specialties. We examined the evolution of consultations and of the percentage of patients treated by several medical specialties. METHODS:We analysed internal medicine...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.03.005
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:Miglitol belongs to the group of the inhibitors of the alpha-glucosidases and in several studies has demonstrated its usefulness in the improvement of the glycemic control in the different types of diabetic patients. The goal of our study was to analyze the usefulness of miglitol in the blood glucose and lipi...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13056791
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:There is a great variability in the prevalence of anemia in heart failure (HF) according to cohort based studies where the majority of patients have depressed left ventricular ejection fraction (LVEF). Our study has aimed to evaluate the prevalence of anemia in HF within the usual hospital c...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13119912
更新日期:2008-05-01 00:00:00
abstract::A study was carried out during five months in La Paz Hospital with the objective to know the proportion of admissions due to an adverse reaction to pharmaceutical drugs (RAM) or due to an acute drug intoxication. For this purpose the reports of all patients seen at the Medical Emergency Room were analyzed on a daily b...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::Psychology shows that what is free is poorly valued. Free of cost national health systems may become blocked due to misuse and may even become unfeasible. Copayment already exist in Spain. It was introduced in pharmaceutical prescriptions as a solidarity measure. This copayment has generated abuses. Its introduction h...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2012.05.011
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:To report the clinical and epidemiologic characteristics of 19 patients diagnosed of tularemia at our hospital following an epidemic outbreak occurred in our health area. METHODS:Retrospective analysis of clinical records of patients admitted to our hospital who were examined at the Infectious Diseases Clini...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(01)70854-5
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVE:To prospectively and comparatively study the usefulness of urine (viruria) and blood (antigenemia pp65 and culture) (viremia) for the diagnosis of cytomegalovirus (CMV) infection in renal transplant (RT) recipients. MATERIAL AND METHODS:All RT recipients at our hospital were studied from January 1995 to Dece...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Fibromyalgia or fibromyalgic syndrome (FMS) is a clinical picture of unknown origin that is characterized by generalized, incapacitating and chronic pain together with the demonstration in the physical examination of previously defined points in which moderate pressure causes pain, called fibromyalgia tender points (F...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13077119
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Description of the patients admitted in the general Internal Medicine (IM) departments of the Public Health System in Andalusia (Spain) (PHSA) during 2002. PATIENTS AND METHODS:It is an analysis of the Minimum Basic Set of Data (MBSD) and its management by the Diagnostic Related Groups (DRG) of admission ep...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13084760
更新日期:2006-01-01 00:00:00
abstract::Toxic shock syndrome (TSS) is a potentially fatal acute disease preferentially affecting menstruating women and is related to the use of vaginal tampons seems to be due to an specific exotoxin produced by some Staphylococcus aureus strains. We present here the case of a male patients suffering cavitated pneumonia who ...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1990-05-01 00:00:00
abstract::Pneumonia due to Pneumocystis carinii (PC) is characterized, in most cases, by the existence of infiltrates of interstitium or bilateral interstitium-alveolar type on the thorax radiography. However atypical radiological findings associated with this type of opportunistic infection are being described more and more fr...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the scientific output in Biomedicine and Health Sciences in Andalusia in the context of the published works on the national scientific output in the last few years. MATERIAL:Descriptive study with seven different information sources: a) final Report of the Experts Committee on Documentation from...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:The increase in intraabdominal pressure (IAP) has been correlated with increased creatinine levels in patients with heart failure with severely reduced left ventricular ejection fraction (HFrEF). However, IAP has not been examined in more stable patients or those with heart failure with preserved ejection fr...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2020.01.011
更新日期:2020-07-09 00:00:00
abstract::A study was conducted to know the rate of non-compliance of antituberculosis therapy among HIV-infected patients, the factors associated with non-compliance and the evolution of these patients. The therapy compliance in 276 tuberculous HIV infected patients diagnosed in two Madrid hospitals was analyzed. Fifty-one pat...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::The polyacrylamide gel electrophoresis of spinal fluid from 488 patients suffering neurological diseases and from a control group are reviewed. One hundred and eleven cases (22.7%) showed oligoclonal bands (OB). The highest percentage of OB appeared in the group of patients with definite multiple sclerosis (84%), foll...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::We have screened a population of newborn babies without any previous apparent pathology in order to discover the distribution of alpha 1-anti-trypsin phenotypes (AAT) in our community. The research has been done on 457 babies born in the province of Valladolid, determining the plasma levels of AAT and the correspondin...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::The presence of macroamylasemia should be considered in the differential diagnosis of hyperamylasemia associated with acute abdominal pain, with suspect of pancreatitis. This uncommon and poorly known abnormality is defined as a blinding of serum amylase to certain proteins forming a circulating macrocomplex which pre...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1999-07-01 00:00:00
abstract::The aim or our study was to evaluate the main clinical and etiological features or primary acute pericarditis with severe pericardial effusion without cardiac tamponade. Our experience included 35 patients with this problem diagnosed in the last 5 years. Patients with a previous potential etiology for acute pericardit...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(06)72744-8
更新日期:2006-03-01 00:00:00
abstract::Diabetes mellitus (DM) is characterized by a hypercoagulability state and many of these disorders are corrected with adequate metabolic control. The goal of this study was to assess diverse hemostatic and fibrinolytic parameters in 12 insulin-dependent (IDDM) metabolically controlled patients without vascular lesions ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::Aluminium is a toxic metal of known importance in patients with chronic renal failure on hemodialysis, with a gastrointestinal absorption modulated by several factors including gastric pH which modifies the solubility of Aluminium hydroxide and can increase its absorption. We studied twenty six patients with normal re...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::Pancreas transplantation offers the possibility of preventing the development and progression of diabetic lesions by adequate control of hydrocarbon metabolism. Moreover, the diabetic patient is freed from dietary and physical restrictions, as well as from insulin treatment. However, this is achieved at the expense of...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVES:Elderly patients with acute myocardial infarction constitute a population that is not adequately represented in clinical trials or medical registries. Our objective was to compare the clinical characteristics, treatments administered and mortality among patients younger and older than 75 years. MATERIAL AND...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2014.11.003
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:Several studies have reported that a higher degree of hemoconcentration in patients admitted for the treatment of acute heart failure (HF) constitutes a favorable prognostic factor in the year following the index episode. The objective of this study was to evaluate whether the highest degree of hemoconcentrat...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2018.07.003
更新日期:2019-01-01 00:00:00
abstract::Antibodies (type IgG) against the A 60 antigen (Mycobacterium bovis, BCG) and an antigen of Mycobacterium tuberculosis were studied by ELISA in 79 patients with not tuberculous disease: 16 lung carcinoma, 16 hepatic cirrhosis and 47 patients with pulmonary disease. 59.5% and 50.6% of the patients showed antibodies aga...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::The reactive hemophagocytic syndrome is a rare clinical-pathological entity which usually has a benign evolution and which is characterized by the systemic proliferation of mature histiocytes, with a great phagocytosis ability and which occurs in a secondary form in some infections and neoplasias and after the adminis...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:To determine which factors are associated with a functional gain above 19 on Barthel's index (CSFG) and also factors associated with a new post-discharge institutionalisation (NPDI) in patients who a underwent rehabilitation intervention whilst admitted to a medium long term care unit. PATIEN...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2009.06.004
更新日期:2010-01-01 00:00:00
abstract::The clinical records of patients attended at emergency hospitals in fifteen hospitals in Madrid, Valencia and Gran Canaria during 1994 were retrospectively analyzed. Seventy-three emergencies related to the consumption of design drugs, hallucinogens or amphetamines (100 times lower than because of opiates or cocaine) ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00