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artículo
Publicado 2022
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Objective: To determine the relationship between osteoarticular pain and depression in older adults treated in a geriatric hospital in Lima, Peru. Materials and methods: An observational and descriptive study. A sample of 74 older adults treated in the outpatient department of a geriatric hospital in Lima, Peru, in 2021 was selected. A survey was used as technique and a questionnaire as instrument. Using the IBM SPSS Statistics statistical software, a chi-square test was performed with a significance level of 5 %. Results: Concerning the older adults’ general characteristics, 51.35 % were over 70 years of age, 55.41 % were women, 60.81 % had secondary education and 86.49 % were married or cohabiting. Regarding the characteristics of pain, 32.43 % stated that the pain decreased when they were not alone, 20.27 % pointed out that the pain was more intense at home, 81.08 % had moderate pai...
2
artículo
Publicado 2015
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We report two cases of well differentiated thyroid carcinoma (DTC) in two girls who showed their first symptoms at 4 years 6 months and 7 years 2 months. Both underwent total thyroidectomy and removal of metastatic lymph nodes. In the first case pathology informed a mixed DTC (papillar/follicular). In the first case we discuss the difficulties that may arise due to the unspecified signs and symptoms that led to an initial diagnosis of goiter and thyroiditis. We emphasize the importance of age, sex, the presence of cervical adenopathy and associated hoarness in order to establish the diagnosis of DTC. In the second case we point out the diagnostic importance of the progressive growth of the cold thyroid nodule. We review the different surgical approaches of resection supporting the advantages of the total over the subtotal thyroidectomy we had done on our patients. We analyze the ...