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Existen importantes similitudes entre la vasculatura retiniana y cerebral, de forma tal que los cambios detectados en la primera podrían ser útiles para predecir la probabilidad de deterioro cognitivo y, en este contexto, adoptar las estrategias apropiadas de prevención. OBJETIVO: Evaluar la función cognitiva de los pacientes con retinopatía diabética. MATERIAL Y MÉTODO: Estudio Observacional Descriptivo Transversal que incluyó a pacientes con Diabetes tipo II, de 60 y 75 años, con diagnóstico de retinopatía diabética, evaluados mediante la Versión Peruana del Mini-Mental State Examination. Se usó tablas de frecuencias y medidas de tendencia central, adicionalmente Ji cuadrado. RESULTADOS: Se encontró deterioro cognitivo leve (22.1%) y moderado (6.6%). Hubo mayor alteración en la atención (89.7%), la memoria (69.1%) y el registro (66.2%), y Ji cuadrado de p>0.05. DISCUSI...

BACKGROUND: Acute exacerbation of COPD is considered one of the main causes of hospitalization and contributes significantly to mortality among patients with COPD. Neutrophilia, an indicator of inflammation associated with lymphocytopenia, an indicator of decreased immune competence, leads to postulate that the neutrophil / lymphocyte index (INL) would reflect the severity and prognosis. OBJECTIVE: To identify whether the elevated neutrophil / lymphocyte index is a predictor of in-hospital mortality in nonsmokers with acute exacerbation of chronic obstructive pulmonary disease. MATERIAL AND METHOD: An observational analytical, prospective cohort study aimed at non-smoking patients with acute exacerbation of chronic obstructive pulmonary disease, with a neutrophil / peripheral blood lymphocyte index greater than 4, and whose clinical records include data corresponding to the mortality. AN...

Objective: To identify risk factors for depression after and ischemic ictus (DII) in adults. Methods: A non-matched case-control study was carried-out including 81 cases and controls, respectively recruited from the neurologic outpatient clinic of Hospital Santa Rosa de Lima from September to December of 2018. Clinical and epidemiological data were gathered and stored in a data base. The Hamilton Depression Rating Scale was used to diagnose depression. Odds rations and 95% CI were calculated and a multivariate logistic regression analysis was used. Results: smoking (OR=4.67; IC95%, 1.99-10.92, p<0.001), lesion located on the left hemisphere (OR=3.11; IC95%, 1.41-6.84, p=0.005) and cognitive deterioration (OR=3.18; IC95%, 1.42-7.10, p=0.005) were independently associated with DII. Conclusions: Smoking, lesions located on the left hemisphere and cognitive deterioration were associated w...