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Biomedical subjects

J Hermida

Publications and source records attributed to J Hermida.

27 records · Page 2Linked to original sources
PubMed1993

[Association of polycythemia vera and multiple myeloma. Presentation ofa new case and review of the literature].

We present a patient diagnosed of polycythemia vera who developed a multiple myeloma 13 years after the initial diagnosis of polycythemia vera. Although an unusual finding, another 17 patients with polycythemia and myeloma have been described. In some patients the diagnosis of both diseases was simultaneous but in most cases myeloma developed years after polycythemia vera. Some patients received only venipuncture for treatment of polycythemia vera so the appearance of multiple myeloma could not be explained on the grounds of chemotherapy induced second neoplasm. An explanation for this association is suggested.

Aged↗
PubMedDate not supplied

[Acute interstitial pneumonia: favorable outcome with steroid therapy].

We report the case of a 65-year-old man with no history of respiratory disease who came to the emergency room complaining of fever, cough, yellowish sputum and increasing dyspnea of one week's duration. Severe respiratory insufficiency was evident upon examination and a chest film showed diffuse pulmonary infiltrates. Microbiological tests were negative. Lung biopsy gave evidence consistent with diffuse alveolar damage in organizing phase. Evolution of symptoms and blood gases was good after corticosteroid treatment was begun, although pulmonary fibrosis was still evident in a follow-up radiograph.

Acute Disease↗
PubMedDate not supplied

[Preparing ourselves for cholera: a rapid evaluation of the quality of oral rehydration activities in Guatemala].

The directorate of the North Health Area of Guatemala along with the National Nutrition Institute of Centroamérica and Panama in 1991 carried out a rapid evaluation of the quality of care provided to the population for oral rehydration, acute diarrhea and cholera. The purpose was to collect data to facilitate the implementation of efficacious activities to improve quality and optimize the use of resources. The current article contains the results of the evaluation of twenty health centers of the North Health Area of Guatemala, and the consequent activities to improve the process of care. The main failures in performance where: deficient distribution of inputs; errors in the performance of physical exams of the children in the determination of the severity of dehydration; poor use of antibiotics and in the treatment of those with severe dehydration; and specially the failure to educate the mother about the proper feeding for a sick child. The delivery of inputs improved as a outcome of the actions product of the evaluation. Another activity was a workshop, combining theory and practice, of the treatment of cholera. Currently, local authorities prepare and carry out longer term interventions taking into account the results of the evaluation.

Acute Disease↗