{"id":23722,"date":"2018-03-09T09:14:23","date_gmt":"2018-03-09T09:14:23","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/saturnismo-impregnacion-por-plomo-estudio-epidemiologico\/"},"modified":"2018-03-09T09:14:23","modified_gmt":"2018-03-09T09:14:23","slug":"saturnismo-impregnacion-por-plomo-estudio-epidemiologico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/saturnismo-impregnacion-por-plomo-estudio-epidemiologico\/","title":{"rendered":"Saturnismo. impregnaci\u00f3n por plomo. estudio epidemiol\u00f3gico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jorge Groiss Buiza <\/strong><\/h2>\n<p>Estudio de 102 personas con plumbemia igual o superior a 20 mcg\/dl originada por la ingesta de agua \u00e1cida a su paso por tuberias domiciliarias de plomo.  la sintomatolog\u00eda m\u00e1s frecuentemente referida es la neurol\u00f3gica. Con plumbemias superiroes a 40 mcg\/dl todos los pacientes tuvieron tres o m\u00e1s s\u00edntomas neurol\u00f3gicos. Los pacientes con menos de tres s\u00edntomas neurol\u00f3gicos o asintom\u00e1ticos tuvieron plumbemias inferiores a 40 mcg\/dl.  el s\u00edndrome de hta-hiperuricemia-da\u00f1o renal es una tr\u00edada frecuente en la intoxicaci\u00f3n por plomo, aunque pude presentarse tambi\u00e9n de forma incompleta.  se evidencia en nuestros casos una disminuci\u00f3n significativa de la hemoglobina con plumbemia superior 40 mcg\/dl.  se descarta la hem\u00f3lisis como etiolog\u00eda principal de la anemia del saturnismo en nuestros casos. A la vista de nuestros resultados, podemos interpretar que esta es debida a una eritropoyesis disminuida, a la que podr\u00eda contribuir una respuesta compensadora insuficiente en la s\u00edntesis de eritropoyetina.  el aclaramiento de la plumbemia inicial hasta un 50% de la misma se consigue con una mediana de 8 meses. Es m\u00e1s r\u00e1pido en las mujeres (mediana: 6,4 meses) que en los hombres (mediana: 12,1 meses) y, dentro de aquellas, se aclara m\u00e1s r\u00e1pidamente en las que tuvieron anemia ferrop\u00e9nica (mediana: 3,1 meses) que en las dem\u00e1s (mediana: 6,9 meses).  el aclaramiento de la plumbemia inicial hasta el nivel legal permitido o \u00abinocuo\u00bb de menos de 20 mcg\/dl se consigue con una mediana de 4 meses, siendo m\u00e1s r\u00e1pido en las mujeres (mediana: 2,8 meses) que en los hombres (mediana: 4,9 meses) y, dentro de aquellas, m\u00e1s r\u00e1pidamente en las que tuvieron anemia ferrop\u00e9nica (mediana: 2,1 meses) que en las dem\u00e1s (mediana: 3,2 meses).  la r\u00e1pidez en el aclaramiento de la plumbemia depende inversamente del nivel inicial de la misma, pero tambi\u00e9n se ve dependencia inversa de la uricemia. Ello puede interpretarse admitiendo que el plomo p<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Saturnismo. impregnaci\u00f3n por plomo. estudio epidemiol\u00f3gico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Saturnismo. impregnaci\u00f3n por plomo. estudio epidemiol\u00f3gico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jorge Groiss Buiza <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Extremadura<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/06\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Manuel Perez Miranda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: guillermo S\u00e1nchez salgado <\/li>\n<li>pedro Bureo dacal (vocal)<\/li>\n<li>julio Benitez rodriguez (vocal)<\/li>\n<li> Cabrera mar\u00edn Jos\u00e9 Rafael (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jorge Groiss Buiza Estudio de 102 personas con plumbemia igual o superior a 20 mcg\/dl originada por [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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