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jueves, diciembre 24, 2015
Plasmodium vivax cerebral malaria complicated with venous sinus thrombosis in Colombia.
Por: Dr.Pinzón Miguel Alejandro, Dr. Pineda JC, Dr. Rosso F, Dr Shinchi M, Dr Bonilla-Abadía F.
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Complicated malaria is usually due to Plasmodium falciparum. Nevertheless, Plasmodium vivax is infrequently related with life-threatening complications. Few cases have been reported of severe Plasmodium vivax infection, and most of them from Southeast Asia and India. We report the first case of cerebral malaria due to Plasmodium vivax in Latin America, complicated with sagittal sinus thrombosis and confirmed by a molecular method. Ver texto completo
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"Strongyloides Pneumonia"
Strongyloides Pneumonia
32-year-old man presented to the emergency department with a 5-day history of dry cough, progressive dyspnea, nausea, and diarrhea. He gave no history of fever or other significant symptoms. The patient had human immunodeficiency virus (HIV) infection but was intermittently adherent to therapy. On examination, he appeared acutely ill, dehydrated, and cachectic. Vital signs showed a blood pressure of 100/60 mmHg, pulse 120/min, respiratory rate 49/min, and oxygen saturation 56% on room air, which improved to 92% with 50% oxygen by mask. Chest auscultation revealed occasional bilateral crackles. Liver was enlarged (span, 14 cm) but not tender. The remainder of the exam was normal. Ver texto completo
Authors’ addresses: Juan Carlos Catan˜ o and Miguel Alejandro Pinzo´ n, Infectious Diseases Section, Internal Medicine Department, University of Antioquia Medical School, Medellı´n, Antioquia, Colombia, E-mails: kataju@hotmail.com and alejandropinzon01@yahoo.es.
** Dr. Miguel Alejandro Pinzón. Socio fundador y socio activo de la Fundación Alejandria.
Differences in the Clinical Outcome of Osteomyelitis by Treating Specialty: Orthopedics or Infectology
Differences in the Clinical Outcome of Osteomyelitis by Treating Specialty: Orthopedics or Infectology
Por:
Carolina Arias Arias ,Maria Carolina Tamayo Betancur ,Miguel Alejandro Pinzón ,
Osteomyelitis is a heterogeneous infection with regard to etiology and treatment, and currently no single management protocol exists. Management of the condition is typically an interdisciplinary approach between orthopedics and infectious disease; however, the orthopedist is often the person who manages treatment. The aim of the study was to determine differences in the outcome of osteomyelitis according to its treating specialty and to identify factors associated with the recurrence of the disease. An ambispective cohort study of 129 patients with osteomyelitis was conducted and the proportions for qualitative variables and central tendency and dispersion measures for quantitative variables were calculated; the latter were tested for normality using the Shapiro-Wilk test. A bivariate analysis was conducted with measures of association based on the chi square test and crude relative risk. A logistic regression model was applied and statistical significance was set at p < 0.05, including the model of relevant clinical variables that fit the Hosmer-Lemeshow test. We found that 70% of patients were treated either by orthopedics or infectious disease. Patients who were treated by an orthopedist alone presented a greater risk of relapse or reinfection (RR = 4.6; 95% CI 2.3;8.9). Risk factors of osteomyelitis recurrence as determined in the regression model included the following: age of 57 years or older (RR = 1.3; 95% 0.3;5.2), long bones (RR = 1.9; 95% CI 0.5;7.1), fracture (RR = 5.0; 95% CI 0.4;51.4), monotherapy (RR = 3.0; 95% CI 0.6;14.5), receiving less than 4 weeks of antibiotics (RR = 1.5; 95% CI 0.2;10.1), inadequate treatment (RR = 3.1; 95% CI 0.4;20.1), and receiving orthopedics treatment (RR = 5.5; 95% CI 1.6;18.2). Most patients evaluated jointly by orthopedics and infectious disease received adequate treatment for osteomyelitis and had fewer relapses. Ver Texto original
Por:
Carolina Arias Arias ,Maria Carolina Tamayo Betancur ,Miguel Alejandro Pinzón ,
- Published: December 17, 2015
- DOI: 10.1371/journal.pone.0144736
Osteomyelitis is a heterogeneous infection with regard to etiology and treatment, and currently no single management protocol exists. Management of the condition is typically an interdisciplinary approach between orthopedics and infectious disease; however, the orthopedist is often the person who manages treatment. The aim of the study was to determine differences in the outcome of osteomyelitis according to its treating specialty and to identify factors associated with the recurrence of the disease. An ambispective cohort study of 129 patients with osteomyelitis was conducted and the proportions for qualitative variables and central tendency and dispersion measures for quantitative variables were calculated; the latter were tested for normality using the Shapiro-Wilk test. A bivariate analysis was conducted with measures of association based on the chi square test and crude relative risk. A logistic regression model was applied and statistical significance was set at p < 0.05, including the model of relevant clinical variables that fit the Hosmer-Lemeshow test. We found that 70% of patients were treated either by orthopedics or infectious disease. Patients who were treated by an orthopedist alone presented a greater risk of relapse or reinfection (RR = 4.6; 95% CI 2.3;8.9). Risk factors of osteomyelitis recurrence as determined in the regression model included the following: age of 57 years or older (RR = 1.3; 95% 0.3;5.2), long bones (RR = 1.9; 95% CI 0.5;7.1), fracture (RR = 5.0; 95% CI 0.4;51.4), monotherapy (RR = 3.0; 95% CI 0.6;14.5), receiving less than 4 weeks of antibiotics (RR = 1.5; 95% CI 0.2;10.1), inadequate treatment (RR = 3.1; 95% CI 0.4;20.1), and receiving orthopedics treatment (RR = 5.5; 95% CI 1.6;18.2). Most patients evaluated jointly by orthopedics and infectious disease received adequate treatment for osteomyelitis and had fewer relapses. Ver Texto original
viernes, julio 31, 2015
El Ya tul en la comunidades indígenas Guambianas y Kizgüeñas en el Municipio de Silvia, Cauca
La Fundación Alejandría en convenio con Visión Mundial, desde el año 2014, viene desarrollando Estrategias educativas conjuntamente con los maestros, maestras, niños y niñas y jóvenes, en las Instituciones educativas del Municipio del Cauca como El Cacique, El Tranal, Bujios, Las Delicias, El Tengo, San Pedro Peña de Corazón, haciendo visible en el currículo el Ya tul (huerta casera y escolar) como un medio pedagógico que en forma transversal dinamiza la cultura de las comunidades Guambiana y Kizgueña. El Ya-tul esta lleno de contenidos y es la esencia de la vida de estos dos pueblos.Es en esta relación e interacción entre distintas comunidades educativas que nace esta página, aúnen construcción, con un primer registro fotográficos devela la relevancia del Ya tul en la cotidianidad de estas comunidades en este contexto Caucano. Ver más
sábado, enero 24, 2015
El juego de los niños y niñas en la escuela
Reflexionar acerca del juego de los niños y niñas en la escuela dentro o fuera del aula resulta ser para los maestros y maestras no solamente un tema apasionante, sino que también es un ejercicio que invita a reivindicar y a comprender el juego como parte esencial y constitutiva del ser humano.
Dice Vigoskii (1998)* que la riqueza acumulada de experiencias es la que posibilita el crear e imaginar. Así en la relación necesaria entre la realidad y fantasía se potencia la creatividad inherente al ser humano.
Leer más en este artículo (PDF) ( Crespillo Alvarez E.)
*Vigoskii. La imaginación y el arte en la infancia. Ed Akal S.A. Madrid. 1998
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