Browsing by Autor "Daicy Rojas de Rangel"

Now showing 1 - 3 of 3

Adenitis tuberculosa inguinal. Reporte de un caso
(2006) Abdón Rojas; Heriberto Lacruz; Pedro Morelia Salinas; Daicy Rojas de Rangel; Morelia Hernández
La presencia de crecimientos ganglionares asintomaticos vislumbra diagnosticos diferenciales que el medico clinico enfrenta con preocupacion. Se presenta el caso clinico de un preescolar masculino procedente del medio rural con linfadenopatia inguinal derecha, a quien se le diagnostico adenitis tuberculosa y se le trato con rifampicina e isoniacida. El diagnostico se realizo mediante la aplicacion de un algoritmo diagnostico de adenopatias inguinal, modificado por los autores. Se revisaron los contactos intradomiciliarios y ocasionales resultando todos baciliferos negativos razon por la cual se presume que el agente infeccioso provino del consumo de productos lacteos contaminados con micobacterias.
Programa de Rehabilitación de Base Comunitaria (R. B. C.) en el Estado Mérida. 1999-2000
(1999) Daicy Rojas de Rangel; Pedro José Salinas; Yolanda Monzón de Briceño; Jesús Contreras
In the state of Merida there are few medical rehabilitation services, showing their scarce coverture in the whole country. The application of the Community Based Rehabilitation (RBC) program to integrate disabled people to their social, schooling and/or working environment is therefore, a must. The present study (experimental, prospective, longitudinal) consists in capacitation of the health staff and disabled relatives in the community in rahabioitaiton activities from an OMS edited rehabilitation handbook. The study for the identification of the disabled population was carried out in all rural communities of the state of Merida where health primary attention is given. Five communities (5763 inhabitants) where the largest number (298) of disabled people was reported were selected later on for the application of the RBC program. Teachers, health agents, community leaders, families and related persons were trained in the handling of disabled people with the RBC manual. Patients were evaluated with the Formulary No 2 of the RBC Handbook, 6 and 12 months afterwards, and an average percentage of disabled people of 7.075% was observed. The most frequent limitations were the ones of socialization with a 42.2% and motor faculties with 31.8% with a significance of P=0.000 in the area of socialization, motor faculties and personal care. It was shown that the RBC program is an efficacious means to integrate disabled people and, therefore, to decrease the impact of disability and to increase the scope of the rehabilitation service
Un caso de síndrome de Rett
(2000) Daicy Rojas de Rangel; Pedro José Salinas; Atilio Omaña
A case of classic Rett syndrome is reported in a 5 year-old girl. The diagnosis was difficult in the initial phase due to the variation the clinic symptoms in the different phase of the illness. Between 6 and 18 months of age the diagnosis given was hypotimia syndrome, infantile cerebral paralysis. Between 2 and 3 ½ years of age the diagnosis was autism, progressive encephalopathy, mixed retard of cognitive and psychomotor development. At 4 years of age the illness arrived to its third phase and there was no more regression of the illness. The girl was clinically stabilized, the autistic features diminished, and we were able to make an approach to the clinical diagnosis of the classic Rett syndrome, according Baden-Baden. This is an interesting pathology due to its low frequency, for being practically unknown to the health professionals, and due to the great diversity of clinical symptoms through the different phases of the evolution of the illness, necessary to have the diagnosis of the syndrome and in this way to be able to offer the appropriate treatment