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Id: biblio-1124056
Autor: Calvo-Betancourt, Lauren Sofía; Ardila-Ardila, Diego José; García-Peña, Ángel; Muñoz-Velandia, Oscar Maurício; Ruiz, Álvaro.
Título: Total cholesterol in dyslipidemias. Is it a useful measure? / Colesterol total en dislipidemias. ¿Útil medirlo?
Fonte: Acta méd. colomb;44(4):11-13, Oct.-Dec. 2019. tab.
Idioma: en.
Resumo: Abstract Introduction: the relationship between lipid fractions and cardiovascular risk is clear. However, the operational characteristics of total cholesterol (TC) for the diagnosis of dyslipidemias due to elevated LDL cholesterol (LDLC), hypertriglyceridemia and low HDL cholesterol (HDLC) are not clear. Objective: to establish the sensitivity (Sen) specificity (Spe) and predictive values (PPV and NPV) of TC (>200 mg/dL) for diagnosing various types of dyslipidemias. Materials and methods: a study of diagnostic tests using all the lipid profiles processed at the Hospital Universitario San Ignacio in Bogotá (Colombia) from January 2006 to January 2017. Sensitivity, Spe, PPV and NPV were calculated for each dyslipidemia and for each LDLC goal. Results: in 25,754 profiles, the average age was 53.6±18 years. The prevalence of elevated LDLC (based on the goals of 160, 130, 100, 70 or 55 mg/dL) was: 19.9%, 44.5%, 72.7%, 92.1% and 96.8%, respectively; for hypertriglyceridemia (>150 mg/dL) it was 44.7%, and for low HDLC (< 40 mg/dL) it was 33.9%. The sensitivity of TC (>200 mg/dL) for elevated LDLC according to the same goals was: 100%, 95%, 70%, 56% and 53%, with a specificity of: 59%, 81%, 94%, 95% and 92%; PPV=37%, 80%, 97%, 99% and 99%; and NPV=100%, 95%, 54%, 15% and 5.8%. For hypertrygliceridemia: Sen=61%, Spe=61%, PPV=55% and NPV=66%. For low HDLC: Sen=36%, Spe=42%, PPV=26% and NPV=54%. Conclusions: given the operational characteristics of TC>200 mg/dL, it should not be used as an isolated tool for diagnosing dyslipidemia due to LDLC, HDLC or hypertriglyceridemia. (Acta Med Colomb 2019; 44. DOI:https://doi.org/10.36104/amc.2019.1320).

Resumen Introducción: es clara la relation entre las fracciones lipídicas y riesgo cardiovascular, sin embargo, no son claras las características operativas del colesterol total (CT) para el diagnóstico de dislipidemias por colesterol LDL (C-LDL) elevado, hipertrigliceridemia y colesterol HDL (C-HDL) bajo. Objetivo: establecer sensibilidad (S), especificidad (E), y valores predictivos (VPP y VPN) del CT (>200 mg/dL) para diagnóstico de diferentes tipos de dislipidemias. Material y métodos: estudio de pruebas diagnosticas a partir de la totalidad de perfiles lipídicos procesados en el Hospital Universitario San Ignacio de Bogotá (Colombia), desde enero de 2006 hasta enero de 2017. Se calcularon S, E, VPP y VPN para cada dislipidemia y para cada meta de C-LDL. Resultados: en 25 754 perfiles, la edad promedio fue 53.6±18 años. Las prevalencias de C-LDL elevado (según metas de 160, 130, 100, 70 o 55 mg/dL) fueron: 19.9%, 44.5%, 72.7%, 92.1% y 96.8% respectivamente; hipertrigliceridemia (>150 mg/dL) 44.7% y C-HDL bajo (< 40 mg/dL) 33.9%. Las sensibilidades del CT (>200 mg/dL) para C-LDL elevado según las mismas metas fueron: 100%, 95%, 70%, 56% y 53% y especificidades: 59%, 81%, 94%, 95% y 92%. VPP=37%, 80%, 97%, 99% y 99%, y VPN=100%, 95%, 54%, 15% y 5.8%. Para hipertrigliceridemia: S=61%, E=61%, VPP=55% y VPN=66%. Para C-HDL bajo: S=36%, E=42%, VPP=26% y VPN=54%. Conclusiones: dadas las características operativas del CT>200 mg/dL, éste no debe ser utilizado como herramienta aislada para el diagnóstico de dislipidemia por C-LDL, por C-HDL, ni para hipertrigliceridemia. (Acta Med Colomb 2019; 44. DOI:https://doi.org/10.36104/amc.2019.1320).
Descritores:
Colesterol
Dislipidemias
-Sensibilidade e Especificidade
Diagnóstico
Testes Diagnósticos de Rotina
LDL-Colesterol
Limites: Humanos
Masculino
Feminino
Adulto
Responsável: CO70 - Asociación Colombiana de Medicina Interna


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Id: biblio-1130703
Autor: Fierro-Maya, Luis Felipe; González-Clavijo, Angélica María; Álvarez-Lozano, Miguel Ángel; Moreno-Soler, Gonzalo Alejandro; Rodríguez-Paz, Sebastián; Rincón, Daniela Tarquino-.
Título: Síndrome de Cushing exógeno de difícil diagnóstico / Exogenous Cushings syndrome with a difficult diagnosis
Fonte: Acta méd. colomb;45(3):75-77, jul.-set. 2020. tab, graf.
Idioma: es.
Resumo: Resumen Introducción: el síndrome de Cushing (SC) es un grupo de signos y síntomas causados por la exposición crónica al exceso de glucocorticoides. El uso de fármacos con glucocorticoides es la causa más frecuente, pero algunos productos vendidos como suplementos nutricionales o medicamentos naturistas para el control de los dolores articulares pueden contenerlos de forma oculta, lo cual dificulta el enfoque diagnóstico Presentación del caso: paciente de 40 años con signos clínico típicos de síndrome de Cushing con resultados discordantes en las pruebas diagnósticas para identificar su origen. Finalmente se logra establecer que el paciente consumía de forma crónica un producto "naturista" conocido como artrin®, el cual fue analizado en el laboratorio de la institución con resultados positivos para cortisol. Conclusión: la exposición crónica a glucocorticoides exógenos, ya sea subrepticia, desconocida o prescrita, causa SC y debe distinguirse tempranamente de las formas endógenas para evitar la realización de pruebas diagnósticas y tratamientos inadecuados.(Acta Med Colomb 2020; 45. DOI:https://doi.org/10.36104/amc.2020.1500).

Abstract Introduction: Cushing's syndrome (CS) is a group of signs and symptoms caused by chronic exposure to excessive glucocorticoids. The use of medications containing glucocorticoids is the most common cause, but they may be hidden in some products sold as nutritional supplements or naturopathic medications, which makes the diagnostic approach more difficult. Case presentation: this was a 40-year-old patient with typical clinical signs of Cushing's syndrome and discordant results of diagnostic tests to identify its origin. It was ultimately determined that the patient had been chronically taking a "naturopathic" product known as artrin®, which was analyzed in the institution's lab and found to contain cortisol. Conclusion: chronic exposure to exogenous glucocorticoids, whether surreptitious, unknown or prescribed, causes CS and should be promptly distinguished from endogenous forms to avoid inappropriate diagnostic tests and treatments.(Acta Med Colomb 2020; 45. DOI:https://doi.org/10.36104/amc.2020.1500).
Descritores: Síndrome de Cushing
-Síndrome
Suplementos Nutricionais
Testes Diagnósticos de Rotina
Glucocorticoides
Limites: Humanos
Adulto
Tipo de Publ: Relatos de Casos
Responsável: CO70 - Asociación Colombiana de Medicina Interna


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Id: biblio-973460
Autor: Astudillo, Osvaldo Germán; Bava, Amadeo Javier.
Título: Evaluación de la prueba rápida VIRAPID® Hidatidosis / Evaluation of the VIRAPID® Hydatidosis rapid test / Avaliação do teste rápido VIRAPID® Hidatidose
Fonte: Acta bioquím. clín. latinoam;52(3):355-360, set. 2018. tab.
Idioma: es.
Resumo: El diagnóstico presuntivo de la equinococosis quística (EQ) se basa en estudios clínicos e imagenológicos, en particular aquellos que aplican ultrasonido, en datos epidemiológicos, y se confirma con la serología específica. En las zonas endémicas rurales, donde los procedimientos imagenológicos no siempre se encuentran disponibles, al igual que la serología convencional debido a la falta de laboratorios suficientemente equipados, las pruebas de diagnóstico rápido (TDRs) pueden ser una herramienta de gran utilidad. Se evaluó aquí la precisión diagnóstica de VIRAPID® Hidatidosis (Vircell, España), comparado con dos métodos comerciales usados frecuentemente en este laboratorio, para el diagnóstico de la Hidatidosis: HIDATEST (Laboratorio Lemos, Argentina) y ELISA IgG Echinococcus (Vircell, España). El análisis se realizó sobre 224 muestras de igual número de pacientes; 48 (21,4%) pertenecían a pacientes con quistes probablemente hidatídicos, mientras que 10 (4,5%) a pacientes con quistes no parasitarios. Se agregaron a ellos, 166 (74,1%) muestras que resultaron previamente negativas en la casuística de este laboratorio. Para los tres métodos antes mencionados, la concordancia entre los resultados obtenidos fue evaluada por el estadístico Kappa, donde en todos los casos pudo apreciarse un grado de acuerdo casi excelente. La sensibilidad y especificidad de VIRAPID fueron de 94,1%, 98,9%, ELISA 90,6%, 99,4% e HIDATEST 96,0%, 96,2%, respectivamente. Los TDRs para hidatidosis pueden ser útiles en aquellos entornos con escasos recursos para establecer la certeza diagnóstica. La prueba VIRAPID® Hidatidosis demostró tener un muy buen rendimiento, aunque sería interesante evaluar la sensibilidad del test en presencia de quistes inactivos, lo cual, se supone podría plantear problemas para el diagnóstico.

The presumptive diagnosis of cystic echinococcosis (EQ) is based on clinical and imaging studies, particularly those that apply Ultrasound, in epidemiological data, and is confirmed with specific serology. In rural endemic areas, where imaging procedures are not always available, as with conventional serology due to the lack of sufficiently equipped laboratories, rapid diagnostic tests (TDRs) can be a very useful tool. The diagnostic accuracy of VIRAPID® Hydatidosis (Vircell, Spain) was evaluated here, compared with two commercial methods frequently used in the Laboratory, for the diagnosis of Hydatidosis: HIDATEST (Laboratorio Lemos, Argentina) and ELISA IgG Echinococcus (Vircell, Spain). The analysis was performed on 224 samples from the same number of patients; 48 (21.44%) belonged to patients with probable hydatid cysts, while 10 (4.46%) belonged to patients with non-parasitic cysts. A total of 166 (74.10%) samples that were previously negative in the casuistry of our Laboratory were added. For the three methods mentioned above, the agreement between the results obtained was evaluated by the Kappa statistics, where in all the cases an almost excellent degree of agreement could be appreciated. The Sensitivity and Specificity of VIRAPID® was 94.12%, 98.88%, ELISA 90.57%, 99.44% and HIDATEST 96.00%, 96.17%, respectively. TDRs for hydatidosis may be useful in settings with limited resources to establish diagnostic certainty. The VIRAPID® test showed a very good performance, although it would be interesting to evaluate the sensitivity of the test in the presence of inactive cysts, which can pose problems for the diagnosis.

O diagnóstico presuntivo de equinococose cística (EQ) baseia em estudos clínicos e de imagem, em particular aqueles que aplicam ultrasom, em dados epidemiológicos, e é confirmado com a sorologia específica. Em áreas endêmicas rurais, onde os procedimentos de imagens nem sempre estão disponíveis, como acontece com a sorologia convencional devido à falta de laboratórios suficientemente equipamentados, os testes de diagnóstico rápido (TDRs) podem ser uma ferramenta de grande utilidade. A precisão do diagnóstico de VIRapid® hidatidose (Vircell, Espanha) foi avaliada aqui, em comparação com dois métodos comerciais frequentemente usados neste laboratório, para o diagnóstico de Hidatidose: HIDATEST (Laboratório Lemos, Argentina) e ELISA IgG Echinococcus (Vircell, Espanha). A análise foi realizada em 224 amostras do mesmo número de pacientes; 48 (21,4%) pertenciam a pacientes com cistos provavelmente hidatídicos, enquanto 10 (4,5%) pertenciam a pacientes com cistos não parasitários. Adicionaram-se a eles 166 (74,1%) amostras que resultaram previamente negativas na casuística desse Laboratório. Para os três métodos citados acima, a concordância entre os resultados obtidos foi avaliada pela estatística Kappa, onde em todos os casos um grau de concordância quase excelente pôde ser apreciado. Sensibilidade e especificidade de VIRapid® foi de 94,1%, 98,9%, ELISA 90,6%, 99,4% e HIDATEST, 96,0% e 92,6%, respectivamente. Os TDRs para hidatidose podem ser úteis em ambientes com recursos limitados para estabelecer a certeza diagnóstica. O teste VIRAPID® Hidatidose mostrou ter desempenho muito bom, apesar de que seria interessante avaliar a sensibilidade do teste em presença de cistos inativos, o que se supõe pode causar problemas para o diagnóstico.
Descritores: Equinococose
Equinococose/diagnóstico
Métodos
-Sorologia
Ultrassom
Cromatografia de Afinidade
Cistos
Casuísmo
Testes Diagnósticos de Rotina
Echinococcus
Eficiência
Recursos em Saúde
Responsável: AR144.1 - CIBCHACO - Centro de Información Biomedica del Chaco


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Id: biblio-1126302
Autor: Cañadas-Garrido, Raúl Antonio.
Título: Rendimiento de las pruebas diagnósticas en el sangrado del intestino delgado / Performance of diagnostic tests on bleeding from the small intestine
Fonte: Rev. colomb. gastroenterol;35(2):154-158, abr.-jun. 2020.
Idioma: es.
Descritores: Testes Diagnósticos de Rotina
Hemorragia
Intestino Delgado
Limites: Humanos
Tipo de Publ: Editorial
Responsável: CO354 - Sociedad Colombiana de Gastroenterología


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Id: lil-271200
Autor: Lacerda Gallardo, Angel J; Estenoz Esquivel, Juan C; Borroto Pacheco, Rigoberto.
Título: Metástasis cerebral: estudio clinicoquirúrgico y anatomopatológico / Brain metastasis: clinicosurgical and anatopathological study
Fonte: Rev. cuba. cir;39(2):103-107, 2000. tab, graf.
Idioma: es.
Resumo: Se realizó un estudio observacional-descriptivo de 23 pacientes fallecidos en el Hospital General Docente "Capitán Roberto Rodríguez" de Morón, con el diagnóstico de metástasis cerebral, en el período comprendido entre enero de 1986 y diciembre de 1996. Los signos de focalización neurológica constituyeron la forma de presentación más encontrada, 47,83 porciento; mientras que la angiografía carotídea (AGC), 43,48 porciento y la tomografía axial computadorizada (TAC), 26,09 porciento, fueron los exámenes diagnósticos más utilizados. La metástasis en su forma de presentación por focos múltiples, 56,52 porciento, predominó, a la vez que el cáncer de pulmón, constituyó el sitio primitivo más hallado, 52,17 porciento. El tratamiento quirúrgico combinado mostró el mayor período de sobrevida en nuestra casuística (10,5 meses)(AU)

An observational-descriptive study of 23 patients diagnosed with brain metastasis who died in Captain Roberto Rodríguez General Teaching Hospital from January 1986 to December 1996 was undertaken. The neurological focalization signs were the most found way of presentation accounting for 47.83 percent of patients whereas carotid angiography, 43.48 percent and CT with 26.09 percent of patients were the most used diagnostic tests. Metastasis in the form of multiple foci prevailed in 56.52 percent of cases and lung cancer was the most found primitive site accounting for 52.17 percent. The combined surgical treatment showed the highest survival rate in these cases (10.5 months)(AU)
Descritores: Testes Diagnósticos de Rotina/métodos
Neoplasias Pulmonares/secundário
Metástase Neoplásica/diagnóstico
-Epidemiologia Descritiva
Estudos Observacionais como Assunto
Limites: Humanos
Feminino
Pessoa de Meia-Idade
Responsável: CU1.1 - Biblioteca Médica Nacional


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Cerri, Giovanni Guido
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Id: biblio-1133362
Autor: Farias, Lucas de Pádua Gomes de; Fonseca, Eduardo Kaiser Ururahy Nunes; Strabelli, Daniel Giunchetti; Loureiro, Bruna Melo Coelho; Neves, Yuri Costa Sarno; Rodrigues, Thiago Potrich; Chate, Rodrigo Caruso; Nomura, Cesar Higa; Sawamura, Márcio Valente Yamada; Cerri, Giovanni Guido.
Título: Imaging findings in COVID-19 pneumonia
Fonte: Clinics;75:e2027, 2020. tab, graf.
Idioma: en.
Resumo: The coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in Wuhan city and was declared a pandemic in March 2020. Although the virus is not restricted to the lung parenchyma, the use of chest imaging in COVID-19 can be especially useful for patients with moderate to severe symptoms or comorbidities. This article aimed to demonstrate the chest imaging findings of COVID-19 on different modalities: chest radiography, computed tomography, and ultrasonography. In addition, it intended to review recommendations on imaging assessment of COVID-19 and to discuss the use of a structured chest computed tomography report. Chest radiography, despite being a low-cost and easily available method, has low sensitivity for screening patients. It can be useful in monitoring hospitalized patients, especially for the evaluation of complications such as pneumothorax and pleural effusion. Chest computed tomography, despite being highly sensitive, has a low specificity, and hence cannot replace the reference diagnostic test (reverse transcription polymerase chain reaction). To facilitate the confection and reduce the variability of radiological reports, some standardizations with structured reports have been proposed. Among the available classifications, it is possible to divide the radiological findings into typical, indeterminate, atypical, and negative findings. The structured report can also contain an estimate of the extent of lung involvement (e.g., more or less than 50% of the lung parenchyma). Pulmonary ultrasonography can also be an auxiliary method, especially for monitoring hospitalized patients in intensive care units, where transfer to a tomography scanner is difficult.
Descritores: Pneumonia Viral/diagnóstico por imagem
Infecções por Coronavirus/diagnóstico por imagem
Coronavirus/isolamento & purificação
Pandemias
Pulmão/diagnóstico por imagem
-Pneumonia Viral/complicações
Pneumonia Viral/epidemiologia
Radiografia Torácica
Tomografia Computadorizada por Raios X
Infecções por Coronavirus/complicações
Infecções por Coronavirus/diagnóstico
Infecções por Coronavirus/epidemiologia
Técnicas de Laboratório Clínico
Tosse/etiologia
Testes Diagnósticos de Rotina
Febre/etiologia
Betacoronavirus
Teste para COVID-19
SARS-CoV-2
COVID-19
Limites: Humanos
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


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Id: biblio-1250840
Autor: Gaspar, Pâmela Cristina; Bigolin, Álisson; Alonso Neto, José Boullosa; Pereira, Esdras Daniel dos Santos; Bazzo, Maria Luiza.
Título: Brazilian protocol for sexually transmitted infections 2020: syphilis diagnostic tests
Fonte: Rev. Soc. Bras. Med. Trop;54(supl.1):e2020630, 2021. graf.
Idioma: en.
Resumo: Abstract The recommendations for diagnostic tests for investigating syphilis are part of the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections and the Technical Manual for Syphilis Diagnosis, published by the Brazilian Ministry of Health. These recommendations were developed based on scientific evidence and discussions with a panel of experts. This article presents direct tests to detect Treponema pallidum in lesions and algorithms that combine treponemal and non-treponemal antibody tests to assist in syphilis diagnosis, with the aim of contributing to the efforts of health service managers and health professionals in qualifying health care. The article also covers the use of non-treponemal tests to investigate neurosyphilis and guidelines for interpreting non-treponemal antibody titers in monitoring the treatment and diagnosis of congenital syphilis, as well as prospects for innovations in diagnosis. The critical role of rapid immunochromatographic treponemal tests for public health and for addressing syphilis is also highlighted.
Descritores: Sífilis/diagnóstico
Doenças Sexualmente Transmissíveis
-Brasil
Sorodiagnóstico da Sífilis
Testes Diagnósticos de Rotina
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: biblio-957471
Autor: Castro, Anália Zuleika de; Moreira, Adriana Rezende; Oliveira, Jaqueline; Costa, Paulo Albuquerque; Graça, Carolyne Lalucha Alves Lima Da; Pérez, Mauricio de Andrade; Kritski, Afrânio; Vater, Maria Claudia.
Título: Clinical impact and cost analysis of the use of either the Xpert MTB Rif test or sputum smear microscopy in the diagnosis of pulmonary tuberculosis in Rio de Janeiro, Brazil
Fonte: Rev. Soc. Bras. Med. Trop;51(5):631-637, Sept.-Oct. 2018. tab, graf.
Idioma: en.
Projeto: Conselho Nacional Pesquisa (CNPq) /Institutos Nacionais de Ciência e Tecnologia (INCT).
Resumo: Abstract INTRODUCTION: The molecular test Xpert MTB/RIF (Xpert) has been recommended for use in the diagnosis of pulmonary tuberculosis (PTB); however, data on the cost of incorporating it under routine conditions in high-burden countries are scarce. The clinical impact and costs incurred in adopting the Xpert test in routine PTB diagnosis was evaluated in a prospective study conducted from November 2012 to November of 2013, in the City of Rio de Janeiro, Brazil. METHODS: The diagnostic and therapeutic cascade for TB treatment was evaluated using Xpert in the first stage (S1), and sputum smear microscopy (SSM) in the second stage (S2). The mean costs associated with each diagnostic test were calculated including equipment, human resources, supplies, and infrastructure. RESULTS: We included 232 subjects with probable TB (S1 = 87; S2 = 145). The sensitivities of Xpert and SSM were 91.7% (22/24) and 79.1% (34/43), respectively. The median time between triage and TB treatment initiation in S1 (n = 24) was 14.5 days (IQR 8-28.0) and in S2 (n = 43) it was 8 days [interquartile range (IQR) 6-12.0]. The estimated mean costs per examination in S1 and S2 were US$24.61 and US$6.98, respectively. CONCLUSIONS: Compared with SSM, Xpert test showed a greater sensitivity, but it also had a time delay with respect to treatment initiation and a higher mean cost per examination.
Descritores: Escarro/microbiologia
Tuberculose Pulmonar/diagnóstico
Mycobacterium tuberculosis/isolamento & purificação
-Valor Preditivo dos Testes
Sensibilidade e Especificidade
Custos e Análise de Custo
Testes Diagnósticos de Rotina/economia
Limites: Humanos
Masculino
Feminino
Adulto
Responsável: BR1.1 - BIREME


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Id: lil-388364
Autor: Mirabal Rodríguez, Cristina; González Sánchez, Edelmira; Aragón Palmero, Felipe J.
Título: Discriminación diagnóstica de las pruebas de predicción de la vía aérea difícil / Diagnostic screening of the difficult airways prediction tests
Fonte: Rev. cuba. cir;42(2), abr.-jun. 2003. tab.
Idioma: es.
Resumo: Con el objetivo de determinar la validez pronóstica de las pruebas predictivas de la vía aérea difícil, se realizó un estudio observacional-descriptivo que involucró a todos los pacientes mayores de 15 años operados con anestesia general orotraqueal en condiciones electivas, en el Hospital Provincial General Docente "Antonio L. Luaces Iraola" de Ciego de Ávila, en un período de 1 año. A cada paciente se le aplicaron preoperatoriamente 3 pruebas predictivas de vía aérea difícil, a saber: la prueba de Mallampati, extensión atlantooccipital y distancia mentotiroidea. Luego de la inducción anestésica se le aplicó la última de estas pruebas que es la de visión directa (Cormack y Lehane). Se evaluó la capacidad discriminativa diagnóstica de cada una de estas pruebas. De las pruebas estudiadas la de visión directa resultó ser el mejor predictor de entubación difícil. Las pruebas diagnósticas de Mallampati, extensión atlantooccipital y distancia mentotiroidea tienen una baja sensibilidad y especificidad, así como poco valor predictivo(AU)

In order to determine the prognostic value of the difficult airways predictive tests, an observational and descriptive study of all patients over 15 operated on with general orotracheal anesthesia under elective conditions at "Antonio L. Luaces Iraola" Provincial General Teaching Hospital, in Ciego de Avila, in a one-year term, was conducted. 3 predictive tests of the difficult airways were preoperatively applied to each patient: Mallampati's test, atlanto-occipital extension and mentothyroid distance., The last of these tests, which is that of direct vision (Cormack and Lehane) was used after the anesthesia induction. The discriminatory diagnositc capacity of each of these tests was evaluated. Among the studied tests, the direct vision test proved to be the best predictor of difficult entubation. The diagnostic tests of Mallampati, atlantoocipital extension and mentothyroid distance have low density and specificity and little predicitive value(AU)
Descritores: Valor Preditivo dos Testes
Técnicas e Procedimentos Diagnósticos/efeitos adversos
Intubação Intratraqueal/métodos
Anestesia Geral/métodos
-Epidemiologia Descritiva
Testes Diagnósticos de Rotina/métodos
Estudos Observacionais como Assunto
Limites: Humanos
Adolescente
Adulto
Responsável: CU1.1 - Biblioteca Médica Nacional


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Alecrim, Maria das Graças Costa
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Id: biblio-1041567
Autor: Costa, Monica Regina Farias; Barcelos, Ana Luísa Rubert; Camargo, Maria Angélica de; Melo, Gisely Cardoso de; Almeida, Anne Cristine; Costa, Allyson Guimarães da; Sousa, Jose Diego de Brito; Melo, Marly Marques de; Alecrim, Maria das Graças Costa; Lacerda, Marcus Vinicius Guimarães de; Monteiro, Wuelton Marcelo.
Título: Performance of an immuno-rapid malaria Pf/Pv rapid diagnostic test for malaria diagnosis in the Western Brazilian Amazon
Fonte: Rev. Soc. Bras. Med. Trop;52:e20170450, 2019. tab, graf.
Idioma: en.
Resumo: Abstract INTRODUCTION: Rapid diagnostic tests (RDTs) for detecting Plasmodium antigens have become increasingly common worldwide. We aimed to evaluate the accuracy of the Immuno-Rapid Malaria Pf/Pv RDT in detecting Plasmodium vivax infection compared to standard thick blood smear (TBS) under microscopy. METHODS: Hundred and eighty-one febrile patients from the hospital's regular admissions were assessed using TBS and RDT in a blinded experiment. RESULTS: RDT showed a sensitivity of 98.9%, specificity of 100%, and accuracy of 99.5% for P. vivax infection when compared to TBS. CONCLUSIONS: The RDT is highly accurate, making it a valuable diagnostic tool for P. vivax infection.
Descritores: Plasmodium falciparum/imunologia
Plasmodium vivax/imunologia
Malária Vivax/diagnóstico
Malária Falciparum/diagnóstico
Testes Diagnósticos de Rotina/métodos
Antígenos de Protozoários/imunologia
-Brasil
Estudos Prospectivos
Sensibilidade e Especificidade
Limites: Humanos
Masculino
Feminino
Adulto
Tipo de Publ: Estudo Comparativo
Responsável: BR1.1 - BIREME



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