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  1 / 4503 MEDLINE  
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Fotocopia
[PMID]:29220062
[Au] Autor:Colón-López V; González D; Vélez C; Fernández-Espada N; Feldman-Soler A; Ayala-Escobar K; Ayala-Marín AM; Soto-Salgado M; Calo WA; Pattatucci-Aragón A; Rivera-Díaz M; Fernández ME
[Ad] Dirección:Division of Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico; Department of Health Services Administration, Evaluation Program, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Ri
[Ti] Título:Community-Academic Partnership to Implement a Breast and Cervical Cancer Screening Education Program in Puerto Rico.
[So] Fuente:P R Health Sci J;36(4):191-197, 2017 Dec.
[Is] ISSN:0738-0658
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:OBJECTIVE: To describe how a community-academic partnership between Taller Salud Inc., a community-based organization, and the Puerto Rico Community Cancer Control Outreach Program of the University of Puerto Rico was crucial in the adaptation and implementation of Cultivando La Salud (CLS), an evidencebased educational outreach program designed to increase breast and cervical cancer screening among Hispanic women living in Puerto Rico. This collaboration facilitated the review and adaptation of the CLS intervention to improve cultural appropriateness, relevance, and acceptability for Puerto Rican women. METHODS: A total of 25 interviewers and 12 Lay Health Workers (LHWs) were recruited and trained to deliver the program. The interviewers recruited women who were non-adherent to recommended screening guidelines for both breast and cervical cancer. LHWs then provided one-on-one education using the adapted CLS materials. RESULTS: A total of 444 women were recruited and 48% of them were educated through this collaborative effort. CONCLUSION: Our main accomplishment was establishing the academic-community partnership to implement the CLS program. Nevertheless, in order to promote better collaborations with our community partners, it is important to carefully delineate and establish clear roles and shared responsibilities for each partner for the successful execution of research activities, taking into consideration the community's needs.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:180307
[Lr] Fecha última revisión:180307
[St] Status:In-Data-Review


  2 / 4503 MEDLINE  
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Fotocopia
[PMID]:29220063
[Au] Autor:Sepúlveda-Rivera V; Donato-Santana C; Diaz-Vega G
[Ad] Dirección:Department of Internal Medicine, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico; Geriatric Section, Department of Internal Medicine, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
[Ti] Título:Preventive Care Screening in the Puerto Rican Geriatric Population: A Formative Evaluation of Patient Knowledge.
[So] Fuente:P R Health Sci J;36(4):198-204, 2017 Dec.
[Is] ISSN:0738-0658
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:OBJECTIVE: This study was meant to be the first step in bridging a gap in the literature concerning Puerto Rican geriatric patients' levels of knowledge concerning 4 preventive care screening tests: mammography, bone densitometry, colonoscopy, and lipid panels. METHODS: Patients 65 years old and older were interviewed at the University of Puerto Rico (UPR), Medical Sciences Campus, primary care clinics. Fisher's exact test was used to assess knowledge status for each screening test. RESULTS: Fifty-three participants, 53% being women, took part in the study. All the women (100%) reported having knowledge about mammography screening as well as about bone densitometry scans (71%); 91% of the participants reported having knowledge concerning colonoscopy. Only 34% understood what information results from a lipid panel. The majority of the participants were not aware of precisely when each of the screening tests under discussion should be undertaken. For all the screenings, level of education and provider recommendation were associated with increased levels of knowledge (though statistically significant only for bone densitometry and lipid panels). CONCLUSION: Elderly Puerto Ricans appear to have knowledge about screening tests; however, there is an overall lack of knowledge about the timing of screening. Risk factors for this lack of knowledge are having a relatively lower level of education, the lack of healthcare-provider recommendation, and the lack of patient education. Understanding when to have tests is vital for interventions, in order to improve patient outcomes, which can include death from treatable conditions or diseases. Future research should include larger samples as well as studies of outcomes associated with these screening tests. These will help researchers and policymakers better understand this issue and aid in the development and implementation of interventions for both patients and physicians.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:180227
[Lr] Fecha última revisión:180227
[St] Status:In-Data-Review


  3 / 4503 MEDLINE  
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Fotocopia
[PMID]:29220067
[Au] Autor:Gonzalez VJ; Saligan LN; Fridley BL; Ortiz-Zuazaga H; Aaronson LS
[Ad] Dirección:College of Nursing, University of South Florida, Tampa, FL, United States, UPR/ MDACC Partnership for Excellence in Cancer Research U54 CA096297.
[Ti] Título:Gene Expression, and Fatigue in Puerto Rican Men during Radiotherapy for Prostate Cancer: an Exploratory Study.
[So] Fuente:P R Health Sci J;36(4):223-231, 2017 Dec.
[Is] ISSN:0738-0658
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:OBJECTIVE: To examine the trajectory of fatigue experienced by 26 Puerto Rican (PR) men over the course of External Beam Radiation Therapy (EBRT) and to assess gene expression changes from baseline to midpoint of EBRT using microarray technology. Design/Research Approach- Prospective exploratory and comparative design study. Setting- RT facility located in San Juan, PR. Sample/Participants-26 PR men with non-metastatic prostate cancer. METHODS: Participants completed 2 paper forms: demographics and the Spanish version of the 13-item FACT-fatigue at baseline, midpoint, and end of EBRT. Wholeblood samples were collected at baseline and at midpoint of EBRT. Descriptive data was analyzed using t-test, Wilcoxon, and Friedman test for repeated measures. Gene expression data was analyzed using the LIMMA package in R; the functional network analysis was conducted using Ingenuity Pathway analysis. Main Research Variable-Fatigue scores, gene expression. RESULTS: Subjects were of ages 52-81 with fatigue scores that remained unchanged during EBRT (baseline=42.38, SD=9.34; midpoint=42.11, SD=8.93, endpoint=43.04, SD=8.62). Three hundred seventy-three genes (130-up regulated and 243-down regulated) were differentially expressed from baseline to mid-point of EBRT (FDR<0.01). The top distinct canonical pathways of the differentially expressed probesets (p<0.0001) were: "Phospholipase C Signaling," "Role of NFAT in Regulation of the Immune Response," and "Gαq Signaling." CONCLUSION: While fatigue did not worsen over the course of EBRT for this sample as a group, there was variability in fatigue across the sample. It is possible that the over expression of the SESN3 gene, known to suppress oxidative damage, may have contributed to the attenuation of fatigue in this clinical population.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:180209
[Lr] Fecha última revisión:180209
[St] Status:In-Data-Review


  4 / 4503 MEDLINE  
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Fotocopia
[PMID]:29220064
[Au] Autor:Castro EM; Asencio G; Quinn GP; Brandon T; Gwede CK; Vadaparampil S; Simmons V; McIntyre J; Jiménez J
[Ad] Dirección:School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce Research Institute; Department of Psychiatry, Ponce Health Sciences University, Ponce Research Institute.
[Ti] Título:Importance of and Satisfaction with Psychosocial Support among Cancer Patients and Survivors in Puerto Rico: Gender, Health Status, and Quality of Life Associations.
[So] Fuente:P R Health Sci J;36(4):205-211, 2017 Dec.
[Is] ISSN:0738-0658
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:OBJECTIVE: To assess needs perceptions regarding the importance of and satisfaction with psychosocial support among cancer patients and survivors in Puerto Rico. METHODS: A cross-sectional study was conducted in 181 participants (70 men and 111 women) who were either undergoing cancer treatment (patients) or had completed cancer treatment (survivors). Participants completed a sociodemographic and clinical characteristics questionnaire, and the Psychosocial Needs Inventory (PNI). RESULTS: The participants reported having or having had prostate (36%) or breast (32%) cancer or some other cancer type (32%). Of the 149 participants reporting cancer type, 130 were classified as having a high perceived level of health and quality of life, and 19 were classified as having a low perceived level of health and quality of life. In terms of perceived needs, the highest level of importance were assigned to the Support Network (e.g. family, friends, neighbors, care professionals; M = 2.88, SD = 0.43) and Health Professional (e.g., patient-health professional relationship, etc.; M = 2.80, SD = 0.50) categories, and the Emotional and Spiritual category was given the lowest importance (e.g., help managing negative emotions and spiritual counseling, etc.; M = 2.62, SD = 0.66). These perceptions varied by gender, perceived health status, and date of diagnosis. Women assigned more importance to the Health Professional and Information categories. CONCLUSION: The results reflect the importance of considering psychosocial needs when providing psychosocial support to cancer patients and survivors. These findings are anticipated to inform services provided by psychosocial oncology support programs in Puerto Rico.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:180207
[Lr] Fecha última revisión:180207
[St] Status:In-Data-Review


  5 / 4503 MEDLINE  
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Fotocopia
[PMID]:29193953
[Au] Autor:Dávila PJ; Pilar-Fernandez M; Ulloa-Padilla JP; Villegas VM; Lopez V; Rivera L; Santos CA; Santiago-Cabán LA
[Ti] Título:Clinical profile, bacterial isolates, and antibiotic resistance of corneal ulcers in Puerto Rico.
[So] Fuente:Bol Asoc Med P R;108(1):45-50, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Mh] Términos MeSH primario: Antibacterianos/farmacología
Úlcera de la Córnea/tratamiento farmacológico
Infecciones Bacterianas del Ojo/tratamiento farmacológico
[Mh] Términos MeSH secundario: Adolescente
Adulto
Anciano
Anciano de 80 o más Años
Bacterias/efectos de los fármacos
Bacterias/aislamiento & purificación
Niño
Preescolar
Úlcera de la Córnea/microbiología
Farmacorresistencia Bacteriana
Infecciones Bacterianas del Ojo/microbiología
Femenino
Seres Humanos
Lactante
Masculino
Mediana Edad
Puerto Rico
Estudios Retrospectivos
Factores de Riesgo
Adulto Joven
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Nm] Nombre de substancia:
0 (Anti-Bacterial Agents)
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:171214
[Lr] Fecha última revisión:171214
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:171202
[St] Status:MEDLINE


  6 / 4503 MEDLINE  
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Fotocopia
[PMID]:29193928
[Au] Autor:Allison IE; Velez-Maymí S; Hernán Martínez AE; Trinidad R; Mangual M; Sanchez A; Gutierrez M; Mansilla P; Rivera C; Palermo C; Lourdes Miranda M; Brau R
[Ti] Título:Secondary Resistance to dopamine agonist after thirteen months of successful treatment in a 42 years old man.
[So] Fuente:Bol Asoc Med P R;108(1):29-34, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:Prolactinomas are the most common hormone-secreting pituitary tumors and represents approximately 40% of all pituitary adenomas. Pharmacology therapy with dopamine agonists is the mainstay treatment for prolactinomas. Usually, patients respond to these drugs with decreased level of the serum prolactin and with time, by tumor shrinkage. Less than 10% of patients with prolactinomas exhibit resistance to the action of dopamine agonists, as defined by the lack of normalization of the serum prolactin levels despite long- term treatment at high doses of these drugs. However secondary resistance to dopamine agonists therapy has also been described in patients who were initially responsive to treatment, either with Cabergoline or Bromocriptine but later develop dopamine agonist resistance, with elevated prolactin levels and sometimes an enlarging tumor volume several years afterwards. We report a case of a male patient with prolactinoma who developed drug resistance 13 months after initial dopamine agonist therapy.
[Mh] Términos MeSH primario: Agonistas de Dopamina/uso terapéutico
Ergolinas/uso terapéutico
Neoplasias Hipofisarias/tratamiento farmacológico
Prolactinoma/tratamiento farmacológico
[Mh] Términos MeSH secundario: Adulto
Agonistas de Dopamina/administración & dosificación
Resistencia a Medicamentos
Ergolinas/administración & dosificación
Seres Humanos
Masculino
Neoplasias Hipofisarias/patología
Prolactinoma/patología
Factores de Tiempo
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nombre de substancia:
0 (Dopamine Agonists); 0 (Ergolines); LL60K9J05T (cabergoline)
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:171214
[Lr] Fecha última revisión:171214
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:171202
[St] Status:MEDLINE


  7 / 4503 MEDLINE  
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Fotocopia
[PMID]:29193927
[Au] Autor:Alvarado M; Ramirez-Vick M; Allende-Vigo M; Mendez-Latalladi W; Agosto M; Gonzalez R; Martinez M; Vega M; Fernandez M; Velez R; Méndez K
[Ti] Título:Pheochromocytoma in pregnancy: A case Report.
[So] Fuente:Bol Asoc Med P R;108(1):93-6, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:This is the case of a 38 year-old female patient with an intrauterine pregnancy, in which a previous incidentally identified adrenal mass proved to be a pheochromocytoma during the antenatal period. The patient was started on α-and ß-adrenergic blockade to maintain hemodynamic stability, and surgical removal of the lesion was performed during the second trimester without major complications. In view of the rarity of this disorder in pregnancy, it is imperative to have a high index of suspicion for a prompt and dedicated management, since this tumor, if unrecognized, is associated with high fetal and maternal mortality.
[Mh] Términos MeSH primario: Neoplasias de las Glándulas Suprarrenales/diagnóstico
Feocromocitoma/diagnóstico
Complicaciones Neoplásicas del Embarazo/diagnóstico
[Mh] Términos MeSH secundario: Neoplasias de las Glándulas Suprarrenales/cirugía
Antagonistas Adrenérgicos alfa/uso terapéutico
Antagonistas Adrenérgicos beta/uso terapéutico
Adulto
Femenino
Seres Humanos
Feocromocitoma/cirugía
Embarazo
Complicaciones Neoplásicas del Embarazo/cirugía
Segundo Trimestre del Embarazo
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nombre de substancia:
0 (Adrenergic alpha-Antagonists); 0 (Adrenergic beta-Antagonists)
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:171214
[Lr] Fecha última revisión:171214
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:171202
[St] Status:MEDLINE


  8 / 4503 MEDLINE  
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Fotocopia
[PMID]:29193926
[Au] Autor:Zierenberg García C; Beaton Comulada D; Pérez López JC; Lamela Domenech A; Rivera Ortiz G; González Montalvo HM; Reyes-Martínez PJ
[Ti] Título:Acute Shortening and re-lengthening in the management of open tibia fractures with severe bone of 14 CMS or more and extensive soft tissue loss.
[So] Fuente:Bol Asoc Med P R;108(1):89-92, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:INTRODUCTION: A traumatic event to the tibia with more than 14 cm of bone and soft tissue loss represents a challenge to most orthopedic surgeons and is considered a limb-threatening condition. Few solutions are available in such clinical situations and among them is the acute shortening and re-lengthening of bone and soft tissue. MATERIALS AND METHODS: Our study presents the management of 7 patients with grade III B open fractures (according to the Gustillo-Anderson classification) of the tibia who underwent resection of all the devitalized tissues, acute limb shortening to close the defect, application of an external fixator, and metaphyseal osteotomy for re-lengthening. The patient outcomes were based on different parameters using the evaluation system established by Paley et al. RESULTS: Results acquired during the study show an average bone loss of 19cm (with a minimum of 14 cm and a maximum of 31.50cm). The average time to full recovery of all patients was 19 months with a minimum of 14 months and a max of 34 months. Patient presented with excellent bony union and none existent or small refractory leg length discrepancy and did not require bone grafts or free flaps. Complications that the patients had were contractures, which required secondary procedures such as Achilles tendon re-lengthening and recurrent infections. DISCUSSION: Overall patients had excellent bone union and were able to perform activities of their daily living. The Ilizarov technique of compression-dis- traction osteogenesis is an elegant treatment option that should be considered in patients suffering such traumatic events providing excellent bony union and good functional outcomes for the patient.
[Mh] Términos MeSH primario: Fracturas Abiertas/cirugía
Diferencia de Longitud de las Piernas/cirugía
Traumatismos de los Tejidos Blandos/etiología
Fracturas de la Tibia/cirugía
[Mh] Términos MeSH secundario: Adolescente
Adulto
Fijadores Externos
Fijación de Fractura/métodos
Curación de Fractura/fisiología
Seres Humanos
Técnica de Ilizarov
Diferencia de Longitud de las Piernas/etiología
Osteotomía/métodos
Recuperación de la Función
Traumatismos de los Tejidos Blandos/patología
Fracturas de la Tibia/complicaciones
Factores de Tiempo
Adulto Joven
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:171214
[Lr] Fecha última revisión:171214
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:171202
[St] Status:MEDLINE


  9 / 4503 MEDLINE  
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Fotocopia
[PMID]:29193925
[Au] Autor:Ulloa-Padilla EP; Dávila PJ; Izquierdo NJ
[Ti] Título:Klinefelter Syndrome (49, XXXXY/48, XXXY) associated with narrow angle glaucoma: A case report.
[So] Fuente:Bol Asoc Med P R;108(1):83-8, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:INTRODUCTION: Previous studies have described Klinefelter syndrome as a genetic disorder characterized by at least one extra X chromosome and at least 47 chromosomes. It is the most common sex chromosome aneuploidy among men. Patients may present with large height, gynecomastia, low testosterone levels, infertility, hypogonadism and diseases usually more common in females such as osteoporosis, breast cancer and auto-immune disorders. Other rare ophthalmic associations have been described, such as diffuse choroidal atrophy, microphtalmia, cataracts, juvenile glaucoma, choroid colobomas and goniodysgenesis. OBJECTIVES: To report on the ocular findings in a Puerto Rican patient with Klinefelter syndrome (XXXXY/XXXY). PATIENTS AND METHODS: A patient with Klinefelter syndrome with revious history of elevated intraocular pressure underwent a comprehensive ocular examination, Humphrey visual fields and Stratus optical coherence tomography (OCT) tests. Patient had inreased intraocular pressure, visual field loss and OCT findings compatible with glaucoma. After laser YAG laser iridotomies, high IOP persisted. Brimonidine 0.2 % drops three times a day drops were prescribed to lower IOP. CONCLUSIONS: A patient with Klinefelter syndrome had poor visual acuity, high intraocular pressure, visual fields and OCT results, all compatible with angle closure glaucoma as part of the syndrome.
[Mh] Términos MeSH primario: Glaucoma de Ángulo Cerrado/etiología
Síndrome de Klinefelter/complicaciones
Hipertensión Ocular/etiología
[Mh] Términos MeSH secundario: Adulto
Antihipertensivos/administración & dosificación
Tartrato de Brimonidina/administración & dosificación
Seres Humanos
Masculino
Hipertensión Ocular/tratamiento farmacológico
Puerto Rico
Campos Visuales
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nombre de substancia:
0 (Antihypertensive Agents); 4S9CL2DY2H (Brimonidine Tartrate)
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:171214
[Lr] Fecha última revisión:171214
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:171202
[St] Status:MEDLINE


  10 / 4503 MEDLINE  
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Fotocopia
[PMID]:29193924
[Au] Autor:Rivera Rosado E; Soler Salas A
[Ti] Título:Isolated Rectus Femoris Muscle Tear in a Non-Athletic Patient: A Case Report.
[So] Fuente:Bol Asoc Med P R;108(1):79-81, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicación:Puerto Rico
[La] Idioma:eng
[Ab] Resumen:Quadriceps muscle injuries are common in athletes and middle age patients. Strains and tears of the distal portion of the muscle is the most common presentation of these injuries. Isolated rectus femoris tears are rare and few reports are published that evaluate outcomes in of nonsurgical treatment of these injuries. This article will described an unusual case of isolated distal rectus femoris tear in a patient with no associated risk factors, who initially presented with extensor mechanism weakness and limping, treated conservatively with range of motion therapy and strengthening.
[Mh] Términos MeSH primario: Terapia por Ejercicio/métodos
Fuerza Muscular/fisiología
Músculo Cuádriceps/lesiones
[Mh] Términos MeSH secundario: Seres Humanos
Masculino
Mediana Edad
Rango del Movimiento Articular
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1712
[Cu] Fecha actualización por clase:171214
[Lr] Fecha última revisión:171214
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:171202
[St] Status:MEDLINE



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