Abstract:
:A clinical epidemiological study of reported leptospirosis cases in adults in the period 1984-1988 in the province Ciego de Avila, Republic of Cuba, was conducted. The most frequent symptoms and signs were: fever, headache and arthralgia. Eighty-two percent of patient were anicteric. The most frequent presumptive diagnosis included leptospirosis, virosis, and febrile syndrome. Sporadic cases predominated over cluster cases. The incidence of cases was higher from October to December. Sixty-five percent of patients were 36 years old or less. The serogroups detected more frequently were Leptospira interrogans var. Australia and Leptospira interrogans var Pomona. The high range of diagnostic and presumptive approaches with cases show that most cases would go undetected if an active surveillance is not implemented.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Suárez Hernández M,Santisteban Mota R,Cabrera Cabrera J,del Risco Alard,Pelaéz Martínez Rsubject
Has Abstractpub_date
1995-07-01 00:00:00pages
459-62issue
7eissn
0014-2565issn
1578-1860journal_volume
195pub_type
杂志文章abstract::After recognizing smoking habit as a relevant problem in our media, the complex implications of this type of lifestyle are commented. After revising the main obstacles for achieving primary health care preventive measures not only for the patient, who frequently looks for a "treatment", but also for the professional w...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 00:00:00
abstract::Results of clinical studies are contradictories, with different results in adults and children. Some studies detected a beneficial effect of Omega 3 (w3) fatty acid dietary intake in the risk of asthma and other studies have demonstrated a beneficial effect on clinical symptoms. In our area, a low intake of w3 fatty a...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1157/13098496
更新日期:2007-01-01 00:00:00
abstract::Correct functioning of the Ethics Committee (EC) guarantees respect to the rights of the subjects participating in clinical research. The European transposition of the clinical trial guidelines by the Royal Decree (RD) 223/2004 February 6 speeds up and simplifies the administrative procedures for the authorization of ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13079764
更新日期:2005-10-01 00:00:00
abstract::The name fetus-in-fetu designates the presence of a tumoral mass containing a homunculus. Fewer than 70 cases have been reported in the literature since its first description about 1800. This entity usually presents in childhood and it is exceptional in adult life. There is an interesting debate regarding its origin a...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1996-11-01 00:00:00
abstract::Given the increasing interest in Lyme borreliosis in our community, and the lack of epidemiological studies in our country, we have considered convenient to analyze the presence of anti-Borrelia burgdorferi antibodies in a group of workmen who we have considered at high risk since they carry out their everyday work in...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Quantification of stroke risk is not always performed in hypertensive patients in Primary Care. METHODS:This was an epidemiological study in hypertensive patients aged 55 years and older attending primary care centres in Spain. The D'Agostino Stroke Risk Scale, using data from the Framingham ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13128673
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:To study the prevalence of hepatitis delta and hepatitis C viruses (HDV and HCV) in patients infected with hepatitis B virus (HBV) with and without risk behaviors for the infection by these viruses and by the human immunodeficiency virus (HIV). MATERIALS AND METHODS:Clinical and serological study (January 19...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract:INTRODUCTION:Pyrosis symptoms and their impact on the quality of life related with health (QLRH) are frequently evaluated in clinical trials. When a questionnaire is translated into a language other than the original, it is necessary to have a linguistic validation, although this is not sufficient unless the psychometr...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(05)72651-5
更新日期:2005-12-01 00:00:00
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::Thirty-eight hepatitis B virus (HBV) carriers, AgHBs and anti-HBe positive, with histologic diagnosis of chronic hepatitis have been periodically revised for three years. Three of them were homosexuals. Fourteen patients presented reactivation of viral replication characterized by the appearance in serum of HBV-DNA an...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::Hereditary hemorrhagic telangiectasia (HHT) is a hereditary dominant autosoma clinical entity characterized by repeated hemorrhages (being epistaxis the more frequent) and telangiectasia in skin, mucosa and internal organs. Incidence in Europe is 1,2 per 100,000 pop. We discuss the experience of an Internal Medicine D...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Blood pressure (BP) control is inadequate among treated hypertensive patients in Spain. Control rates are lower than 40% of all treated patients and the cause of this problem is multifactorial. Despite the fact that possible solutions to this problem have been repeatedly suggested by expert groups along the last 10 ye...
journal_title:Revista clinica espanola
pub_type: 共识发展会议,杂志文章
doi:10.1157/13094902
更新日期:2006-11-01 00:00:00
abstract:INTRODUCTION:In decompensated heart failure (HF), both acute kidney injury (AKI) and high Galectina-3 (Gal-3) levels have been associated with poorer outcomes. Plasma Gal-3 levels are affected by renal function; however, the potential role of Gal-3 as a predictor of AKI has not been established. METHODS:We measured Ga...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2018.10.004
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To describe the complications and the diagnostic yield of percutaneous liver biopsies performed under ultrasonographic control in an Internal Medicine department. PATIENTS AND METHODS:A total of 750 percutaneous liver biopsies were performed at the Internal Medicine department of our institution during the ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(03)71251-x
更新日期:2003-05-01 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::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::More than 100 million people ascend to high mountainous areas worldwide every year. At nonextreme altitudes (<5500 m), 10-85% of these individuals are affected by acute mountain sickness, the most common disease induced by mild-moderate hypobaric hypoxia. Approximately 140 million individuals live permanently at heigh...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1016/j.rce.2019.12.013
更新日期:2020-03-17 00:00:00
abstract:OBJECTIVE:To identify the main characteristics in patients with COPD exacerbation, capables to predict the short-term COPD mortality. MATERIALS AND METHODS:This is a case-control retrospective study of admitted patients with COPD to identify risk factors of mortality. The control group was constituted by alive patient...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2010.02.008
更新日期:2010-07-01 00:00:00
abstract::The use of anti-lymphocyte globulins (ATG, ALG, OKT3) for the control or organ rejection in humans, has been of major importance both in preventing and treating organ rejection resistant to other treatments. We present here the results of our immunosuppression protocol using two different therapeutic associations. To ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract::A case of hemispheric medulloblastoma of cerebellum in a 22 male patient is presented. The patient complained of headache and an intracranial hypertension syndrome progressively appeared. Diagnosis was established by CT scan. Treatment consisted of radical surgery associated to radiotherapy and chemotherapy. Present s...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Clinical management for terminal patients should consider various aspects, particularly the patient's functional assessment, which correlates well with the short-term prognosis. The prognosis could improve if the presence of symptoms strongly associated with a poorer progression were included....
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.01.003
更新日期:2019-01-01 00:00:00
abstract::The antibiotherapy resistance evolution and the appearance of new enterobacter in our ICU's flora have been studied. A total of 638 bacterial samples were studied. The most frequent isolated pathogens were: Pseudomonas aeruginosa (182 strands), Escherichia coli (108 strands), Staphylococcus epidermidis (99 strands) an...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:C-reactive protein (CRP) is considered a marker of subclinical atherosclerosis. The aim of the study was to assess whether the metabolic syndrome (MS) and parameters involved in its diagnosis might influence serum CRP values. PATIENTS AND METHOD:Cross-sectional study in outpatients of a HTA and Vascular Risk...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13090502
更新日期:2006-09-01 00:00:00
abstract::We have studied a group of 33 (27 female and 6 male) patients suffering pure essential arterial hypertension, with a mean age of 54.06 years, and who received a daily monodose of chlortalidone. Arterial pressure, blood viscosity at different shearing levels, as well as those parameters capable of modifying this viscos...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::The watermelon stomach is a vascular malformation at the gastric antrum which is responsible for chronic bleeding. We report here nine patients (5 females and 4 males) referred to our Department from December 1990 to May 1995 with ferropenic anemia resulting from chronic gastrointestinal bleeding and with the diagnosi...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract:INTRODUCTION:The day hospital is an alternative to hospitalization. This alternative improves accessibility and comfort of the patients, and avoids hospitalizations. Nevertheless, the efficacy of the polyvalent medical day hospital in avoiding hospitalizations has not been evaluated. OBJECTIVE:To analyze hospital stay...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2011.08.003
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:To ascertain the correlation between the partial pressure of oxygen (PaO2) and oxyhaemoglobin saturation by pulse oximetry (SpO2) in patients who were admitted to the emergency department with suspected acute respiratory failure. MATERIAL AND METHODS:A prospective, observational multicentre study was conduc...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.08.006
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Diagnosis of acute kidney injury (AKI) during acute decompensations of heart failure (ADHF) remain challenging. We analysed the incidence and prognosis of AKI, and the significance of small increases of creatinine, during ADHF and after stabilization. PATIENTS AND METHODS:Patients admitted for ADHF were pro...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.11.008
更新日期:2019-12-24 00:00:00
abstract:OBJECTIVE:To summarise the evidence on interventions aimed at optimising the drug treatment of hospitalised elderly patients. MATERIAL AND METHODS:We conducted a search in the main medical literature databases, selecting prospective studies of hospitalised patients older than 65 years who underwent interventions aimed...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2016.01.005
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To determine the bacterial etiology of bacteremic episodes recorded at our hospital during 1995 and their antimicrobial susceptibility patterns. METHODS:The microbiological records of all bacteremic episodes detected at our hospital from January to December 1995 were analysed. The susceptibility patterns of ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1999-08-01 00:00:00