Resumen Introduccion y objetivo El dolor miofascial pelvico cronico es una patologia con una elev... more Resumen Introduccion y objetivo El dolor miofascial pelvico cronico es una patologia con una elevada prevalencia, y de etiologia muy diversa, al igual que su tratamiento. No se ha establecido un protocolo de tratamiento, y hasta el momento, se recomienda un abordaje multidisciplinar. El objetivo es evaluar el efecto de un protocolo basado en 10 sesiones de tecnicas de induccion miofascial (TIM) en pacientes con dolor miofascial pelvico cronico (DMPC). Material y metodos Se realizo un estudio cuasi experimental (antes-despues), con una intervencion basada en TIM adaptadas a la localizacion del dolor de los pacientes. Se evaluo la intensidad del dolor mediante la escala visual analogica (EVA) y la calidad de vida, tanto fisica como mental, mediante el cuestionario de salud SF-12v2. Para valorar el efecto de las TIM, se compararon los resultados preintervencion-postintervencion mediante la prueba t de Student para datos apareados y el test no parametrico de Wilcoxon. Resultados Se incluyeron 50 pacientes en el estudio (27 mujeres y 23 hombres), con una edad media de 44,8 anos (desviacion estandar [DE] 12,1) y una duracion media de los sintomas de 58,3 meses (DE 60,5). El analisis por protocolo mostro que la intensidad del dolor disminuyo en 3,99 puntos al final de la intervencion y la calidad de vida mejoro en los sumatorios fisico y mental en 5,45 y 5,87 puntos, respectivamente (p Conclusiones En un grupo de pacientes con dolor miofascial pelvico cronico, las TIM parecen tener un efecto beneficioso significativo, reduciendo el dolor y mejorando la calidad de vida.
How one responds to treatment of lupus nephritis (LN) is based on clinical features, but the acti... more How one responds to treatment of lupus nephritis (LN) is based on clinical features, but the activity in renal biopsy (RB) is uncertain. We have described the therapeutic decisions after performing a repeated RB on the assessment of response to intravenous cyclophosphamide (IC) and the possible prognostic role of this repeated RB. Clinical, laboratory and histological features at the initial RB and repeated RB were analyzed in 35 patients. Data in the initial versus the repeated RB were serum creatinine 1.23 ± 1.08 and 0.96 ± 0.45 mg/dl (p < 0.05), glomerular filtration rate <60 ml/min in 12 and 5% patients and proteinuria 4.1 ± 2.8 vs. 0.6 1.1 g/day (p < 0.05). Significant differences were detected in hematuria, nephrotic syndrome and serological immune features. Complete renal remission was reached in 60% (n = 21) at the time of the repeated RB, partial remission in 31.4% (n = 11), and no response IC in 8.6% (n = 3). Nine patients showed proliferative forms in the repeate...
The development of the geographic information systems has improved the interest in analyzing the ... more The development of the geographic information systems has improved the interest in analyzing the characteristics of the population, taking into account the place where they live. The health of the population, measured as the risk of morbidity or mortality, is conditioned by the variety of risk factors characteristic of the region which cannot be measured. Analysis of spatial models considers the dependence of the health indicators between close regions. This dependence is due to the existence of the risk factors that are not measured but are shared by the region. Thus, the spatial distribution of these indicators depends on the geographic pattern of these risk factors. In this study, some limitations of the standardized methods and the Poisson regression used to model the spatiality are discussed and the advantages of the spatial models are shown. The methodology is illustrated by the insulin-dependent diabetes type 1 data from Catalonia during 1989 and 1998.
Resumen Introduccion y objetivo El dolor miofascial pelvico cronico es una patologia con una elev... more Resumen Introduccion y objetivo El dolor miofascial pelvico cronico es una patologia con una elevada prevalencia, y de etiologia muy diversa, al igual que su tratamiento. No se ha establecido un protocolo de tratamiento, y hasta el momento, se recomienda un abordaje multidisciplinar. El objetivo es evaluar el efecto de un protocolo basado en 10 sesiones de tecnicas de induccion miofascial (TIM) en pacientes con dolor miofascial pelvico cronico (DMPC). Material y metodos Se realizo un estudio cuasi experimental (antes-despues), con una intervencion basada en TIM adaptadas a la localizacion del dolor de los pacientes. Se evaluo la intensidad del dolor mediante la escala visual analogica (EVA) y la calidad de vida, tanto fisica como mental, mediante el cuestionario de salud SF-12v2. Para valorar el efecto de las TIM, se compararon los resultados preintervencion-postintervencion mediante la prueba t de Student para datos apareados y el test no parametrico de Wilcoxon. Resultados Se incluyeron 50 pacientes en el estudio (27 mujeres y 23 hombres), con una edad media de 44,8 anos (desviacion estandar [DE] 12,1) y una duracion media de los sintomas de 58,3 meses (DE 60,5). El analisis por protocolo mostro que la intensidad del dolor disminuyo en 3,99 puntos al final de la intervencion y la calidad de vida mejoro en los sumatorios fisico y mental en 5,45 y 5,87 puntos, respectivamente (p Conclusiones En un grupo de pacientes con dolor miofascial pelvico cronico, las TIM parecen tener un efecto beneficioso significativo, reduciendo el dolor y mejorando la calidad de vida.
How one responds to treatment of lupus nephritis (LN) is based on clinical features, but the acti... more How one responds to treatment of lupus nephritis (LN) is based on clinical features, but the activity in renal biopsy (RB) is uncertain. We have described the therapeutic decisions after performing a repeated RB on the assessment of response to intravenous cyclophosphamide (IC) and the possible prognostic role of this repeated RB. Clinical, laboratory and histological features at the initial RB and repeated RB were analyzed in 35 patients. Data in the initial versus the repeated RB were serum creatinine 1.23 ± 1.08 and 0.96 ± 0.45 mg/dl (p < 0.05), glomerular filtration rate <60 ml/min in 12 and 5% patients and proteinuria 4.1 ± 2.8 vs. 0.6 1.1 g/day (p < 0.05). Significant differences were detected in hematuria, nephrotic syndrome and serological immune features. Complete renal remission was reached in 60% (n = 21) at the time of the repeated RB, partial remission in 31.4% (n = 11), and no response IC in 8.6% (n = 3). Nine patients showed proliferative forms in the repeate...
The development of the geographic information systems has improved the interest in analyzing the ... more The development of the geographic information systems has improved the interest in analyzing the characteristics of the population, taking into account the place where they live. The health of the population, measured as the risk of morbidity or mortality, is conditioned by the variety of risk factors characteristic of the region which cannot be measured. Analysis of spatial models considers the dependence of the health indicators between close regions. This dependence is due to the existence of the risk factors that are not measured but are shared by the region. Thus, the spatial distribution of these indicators depends on the geographic pattern of these risk factors. In this study, some limitations of the standardized methods and the Poisson regression used to model the spatiality are discussed and the advantages of the spatial models are shown. The methodology is illustrated by the insulin-dependent diabetes type 1 data from Catalonia during 1989 and 1998.
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