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E Carrillo

Publications and source records attributed to E Carrillo.

80 records · Page 5Linked to original sources
PubMedDate not supplied

[Minimum sets of data in primary care: an exploration of their feasibility].

OBJECTIVE: To evaluate the different "costings" of several different strategies for gathering a Minimum Set of Data (MSD) at the Primary Care level. DESIGN: A simulation study using a hypothetical MSD with 16 items together with the findings on demand and interventions made by General Physicians in an observational study in Andorra. Different gathering strategies were applied using these data and with the MSD register covering visits as the starting-point. Measurement of the "costing" or work-load involved in the gathering and transmission of each of the items was carried out by means of a nominal group. SITE. General and paediatric consulting-rooms. PATIENTS OR OTHERS PARTICIPANTS: The simulation was carried out among the catchment population of PAMEM and used data on what was done in 1988. MAIN MEASUREMENTS AND RESULTS: Strategies based on sampling of visits or individuals are those which show a greater reduction in cost (99.3% and 98.1% respectively). Sampling individuals additionally allows for the MSD to be added to during periods of illness. Other options with their respective results are: "gathering information from alternative sources", with a reduction of 22%, "reduction of the number of data to record", with 20% reduction and "separation of stable information" with 18%. CONCLUSIONS: The systematic collection of data on each visit has important and much more efficient alternatives. The choice of one of them will depend on how feasible it is to introduce, on the available resources and above all on objectives.

Data Collection↗
PubMedDate not supplied

[Clinical aspects of ventricular fibrillation in the development of myocardial infarction].

We report 13 patients who suffered ventricular fibrillation (VF) during the in-hospital course of an acute myocardial infarction (AMI). We compare the clinical features of this patients with other two groups; patients without VF and patients with intraventricular conduction defects. In 38% of the cases VF appeared after 5th day of the AMI. The group of patients with VF was characterized by an increased incidence of heart failure, supra-ventricular and ventricular premature beats, and also intra-ventricular conduction defects. In 2 patients VF appeared during the course of treatment with therapeutic doses of lidocaine. Sixty two percent of the patients with VF were discharged alive. We recommend that patients with AMI who display the above mentioned risk factor, should remain in the coronary care unit for a more prolonged period of time. By proceeding in this way, we had the opportunity to observe and immediately treat 5 further patients with AMI and VF. All of them recovered.

Aged↗
PubMedDate not supplied

[Gastric leiomyoblastoma. Histomorphologic and immunologic analysis of 3 cases].

We present three cases of Leiomioblastomas of stomach, diagnosed at the unit of Pathology of the Gastrointestinal Cancer Center "Dr Luis E. Anderson" -San Cristóbal-Táchira State Venezuela. The lesions are analyzed from the clinical, morphological and immunohistological points of view, utilizing Queratine and Vimentin techniques. This neoplasm is not frequent but it is interesting because its biologic behavior not always correspond to its histology-pattern.

Humans↗
PubMedDate not supplied

[Inflammatory response associated with Helicobacter pylori infection in gastric mucosa with intestinal metaplasia in a population in high risk for gastric cancer].

Intestinal Metaplasia (IM) and Helicobacter Pylori (HP) infection had been related to gastric carcinogenesis. With the intention to know the relationship among HP infection, IM and inflammatory response of the mucosa in an area of high prevalence of gastric cancer, we studied 800 persons that attended the Gastric Cancer Mass Survey, ongoing in the State Tachira, Venezuela, since 1981. Out of these subjects, 259 had histology diagnosis of IM (32.4%) 52.1% were IM type Y, 19.3% type II and 22.8% type III (sulfomucin secretory). Histology demonstrated with Giemsa stain HP in 94.6% of the cases. Association between HP and inflammation response in gastric mucosa with IM, was statistically significant (p = 0.001). The are heavier bacteria overload in IM type I than in type III although it is not statistically significant. We ponder if gastric mucosa inflammation due to HP, conditions development of IM as a hostile way of the gastric environment to restrain bacterial growth. This phenomenon ally with other oncogeneous factors could induce to premalignant lesions and eventually gastric cancer.

Adult↗