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Biomedical subjects

I Villamil Cajoto

Publications and source records attributed to I Villamil Cajoto.

11 recordsLinked to original sources
PubMed2006

[Vitamin D treatment in childhood: an evidence based discussion].

Vitamin D treatment during childhood has been recommended in those younger than one. Evidence is not available to recommend this treatment in general population. Solar exposure is enough in most infants younger than 1 year, and this should be taken into account. Data showing optimal doses at this stage is not available to date. Our review suggests, solar exposure in Spain appears sufficient.

Humans↗
PubMed2006

[Erectile dysfunction: an insufficiently valued problem in Internal Medicine. Study of patients and related medication].

INTRODUCTION: Erectile dysfunction (ED) is a common disease and may be due to psychological or organic causes. It might point to a silent disease and its value could not only be in life quality but also directly resolving the health problem laying beneath. The evaluation of ED begins with sexual records and physical examination which have been reported to have a 95 percent sensitivity, and a 50 percent specificity. Additional diagnostic tests are needed to maximize specificity. Sexual impairment in general Internal Medicine patients has not been sufficiently studied yet. PATIENTS AND METHODS: Unselected ambulatory and hospital admitted patients were interviewed during 2003 using the International Index of Erectile Function (IIEF) ad the Sexual Health Interview for Men (SHIM). The cut-off point was 21. RESULTS: A total of 51 male patients were interviewed, middle age was 65 years old (30-88). Of these, 27 denied sexual activity (group I). Middle age in this group was 64 years old. In the 24 patients with sexual activity (group II) middle age was 61 years old. The IIEF score was less than 45 in 11 patients (groups I and II of erectile dysfunction) The SHIM middle score was 26 points. The score was < 21 in 10 patients (41.6%). Concordance between both test was 90.9%. Risk factors included: tobacco (12 patients), alcohol (9), hypertension (8), and diabetes (7) among others. CONCLUSION: Our investigation seems to show that a great number of patients attended by Internists have sexual impairment (41.6%). None of these were under specific therapy nor consulted for this disease. Middle age is lower among patients with sexual activity as compared with the group without sexual activity. This assessment should be included in the medical interview with the aim of prescribing specific therapy to improve patient's quality of life.

Adult↗
PubMed2005

[Health impact of 2003 heat wave at Hospital de Riveira (A Coruña)].

OBJECTIVES: Last summer 2003 took place an atmospheric situation considered as a heat wave. Importance of environmental factors in chronic diseases is well known, but few works analyse those of heat excess as we do in this paper. METHODS: We studied the effects of high temperatures on admission and mortality in Riveira, A Coruña, Spain, during the period from July 15th to August 15th 2003. RESULTS: Mean maximum temperature in this period was 26.1 degrees C. One hundred and thirty seven patients were admitted, age ranges between 16 and 93 years old. Sixteen died. Fifty four admissions (38.7%) were identified as related with heat wave and of those patients, 8 died. No heat stroke cases were identified. Main risk factors in our heat related admitted population, were previous lung disease and overweight. CONCLUSION: Heat related pathology is difficult to evaluate although it is quite important. It seems to be necessary to take measures in order to identify population at risk and reduce the effects related to this environmental factor since high risk patients are quite common in our daily practice.

Adolescent↗
PubMed2005

[Spondylodiskitis caused by Candida albicans. Report of two new cases].

Recently, candidiasis infection is on the increase and several factors have been associated, such us immunodepression, catheters, weakening diseases, prolonged antibiotherapy, HIV infection and IDU. Spondylodiskitis due to Candida sp. is a rare entity. Two cases of spondylodiskitis due to Candida albicans were diagnosed: a 29 year old man and a 35 year old woman. Both were IDUs with a previous history of HIV infection. The most prominent clinical features in both cases were pain, fever and constitutional syndrome. We describe the clinical, diagnostic, and therapeutic features of both cases.

Adult↗
PubMed2005

[Medicine in the adolescent].

UNLABELLED: The biologic, cognitive and sociocultural changes that occur during adolescence include a wide range such as to be best treated by internists, but focus in old ages is increasing and younger are being treated by others specialists. We review the data of those adolescents attended in our Hospital and discuss Internal Medicine interest in adolescents. MATERIAL AND METHODS: Epidemiological data, and clinical status of those patients between 15 and 21 years old admitted in our hospital during the period 1996-2002 were analysed. RESULTS: 5894 admissions of adolescent s patients were made in this period. 1326 (23%) where attended in the Internal Medicine Department. 755 (57%) were male. Main causes of admission were infectious diseases, (mostly urinary tract and respiratory infections). Tobacco and alcohol abuse were present in 160 (6%) patients. DISCUSSION: Adolescence marks the transition from childhood to adulthood. Health problems and deaths among adolescents and young adults result from accidents (mostly from motor vehicle), but there are conditions usually matter of our speciality. A significant number of patients are been attended by Paediatrics Department and such a speciality as Adolescence Medicine is mostly integrated by paediatric specialists. We consider as this paper show, these ages ranges are clearly matter of our specialty and best treated by internists, but probably need a better consideration in our training. The opportunity to incorporate more adolescents into practice if realized, could prove challenging for internists.

Adolescent↗