Browsing by Autor "Diana Villamizar"

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Caracterizacion de los factores de riesgo para osteoporosis en los pacientes del servicio de reumatologia del IAHULA Mérida 2016-2017
(2019) Luis Dulcey; Héctor Moreno; William Gonzales; Rodolfo Martheyn; Jonathan Pineda; José Sampayo; Diana Villamizar; A.O. Rosas; Vicente Martínez Rodríguez; Humberto Riera
Osteoporosis affects 20% of postmenopausal women in E.E.U.U. The lifetime risk of suffering a fracture after 50 years is 40% for women and 13% for men. In view of the fact that patients with rheumatological diseases present a higher risk for the development of osteoporosis, we set out to develop this study. Retrospective study aimed at determining the presence of risk factors in patients over 50 years of age who attend the IAHULA Rheumatology service in the period from 2016 to 2017. The main group of patients was the female gender and the ages between 50 and 65 years. The main rheumatological pathology was RA, followed by SLE, Arthrosis in 3 place and finally in the last cell other entities than those indicated. The 2 main risk factors for the development of osteoporosis were the use of steroids followed by obesity. The main type of osteoporosis of the 2 categories described was the non-serious one. Those with rheumatoid arthritis were the main group of rheumatological patients that was most associated with osteoporosis. 12% of patients with rheumatic disease and osteoporosis did not have appropriate therapy. There is a large percentage of patients with rheumatic disease who suffer from osteoporosis and as a special population, measures should be taken to prevent its appearance and to treat it in cases that suffer from it.
Hemorragia intracerebral espontanea revisión de la literatura
(Universidad Internacional de La Rioja, 2020) Luis Dulcey; Jonathan Pineda; José Sampayo; Héctor Moreno; Diana Villamizar; Raimondo Caltagironne
Spontaneous Intracerebral Hemorrhage remains a cause of significant morbidity and mortality around the world. After the cerebrovascular accident of ischemic origin, it constitutes the second cause of morbidity and mortality associated with vascular brain pathology. It has been shown that excellent medical care is associated with a favorable prognosis in the case of these patients. An important deterioration occurs in the first hours of development of the condition. More than 20% of patients will show a deterioration of more than 2 points in the Glasgow comma scale from diagnosis to arrival at the hospital. In view of the repercussions that this condition presents, a search of the literature was conducted in order to update the clinician on the management of this pathology in the topics related to arterial hypertension, surgical intervention, management of seizures and finally the prevention of recurrence which is very important especially in the first year of the event.
Papel de la ortesis en el manejo del pie plano estudio intervencional
(2022) Luis Dulcey; Juan Theran; J. Castillo; Raimondo Caltagironne; Andrés Visintini; Rafael Parales; Melissa Aguas; Diana Villamizar; Andreina Araujo; Héctor Moreno
El pie plano favorece la aparición de trastornos generalizados de miembros inferiores por sobre-carga. El objetivo del estudio es monitorear los cambios en los parámetros biomecánicos del pie plano durante una intervención compleja. El estudio incluyó un grupo experimental de 20 partici-pantes (edad promedio: 12 años, peso promedio: 48,18 kg) diagnosticados con pie plano bilateral. Los parámetros biomecánicos del pie plano se evaluaron con la placa de presión RS scan que se utilizó para medir el área de contacto activo y la fuerza máxima (Fmax) para 10 áreas del pie. Los participantes fueron evaluados en dos momentos (T1 y T2), a los 6- intervalo de meses. El trata-miento consistió en una intervención ortésica y un programa de fisioterapia realizado durante todo este período. Hay valores promedio más altos en el momento T1 para el pie derecho en las siguien-tes áreas de contacto: Mediopié - 33,6 cm2, Talon medio - 15,42 cm2, Metatarsiano 2 - 10,67 cm2 , Metatarsiano 1 - 11,14 cm2 ; en T2, se nota una disminución del 2% para todas las áreas de contacto. En el momento T1, se registran valores promedio más altos para el pie izquierdo en las siguientes áreas de contacto: Mediopié - 36,42 c, mT2acón medio - 14,55 cm2, Metatarsiano 2 - 9,15 cm2 , Metatarsiano 1 - 8,62 cm2 ; en T2, se nota una disminución del 6% para todas las áreas de contacto. Los resultados indican un desarrollo bilateral favorable. Existen diferencias significa-tivas entre los dos momentos. El análisis de parámetros biomecánicos ayuda a monitorear los cam-bios en el pie plano bajo la intervención de tratamiento específico.