{"id":53590,"date":"2018-03-09T22:41:16","date_gmt":"2018-03-09T22:41:16","guid":{"rendered":""},"modified":"2018-03-09T22:41:16","modified_gmt":"2018-03-09T22:41:16","slug":"estudio-de-la-relacion-cla%c2%adnica-radiologica-y-evolutiva-en-una-amplia-muestra-de-pacientes-con-tuberculosis-en-un-area-sanitaria-de-castilla-la-mancha-evaluacion-de-una-consulta-especa%c2%adfic","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/enfermedades-pulmonares\/estudio-de-la-relacion-cla%c2%adnica-radiologica-y-evolutiva-en-una-amplia-muestra-de-pacientes-con-tuberculosis-en-un-area-sanitaria-de-castilla-la-mancha-evaluacion-de-una-consulta-especa%c2%adfic\/","title":{"rendered":"Estudio de la relaci\u00f3n cl\u00ednica, radiol\u00f3gica y evolutiva en una amplia muestra de pacientes con tuberculosis en un \u00e1rea sanitaria de castilla-la mancha. evaluaci\u00f3n de una consulta espec\u00edfica de neumolog\u00eda."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Nu\u00f1ez Ares Ana Mar\u00eda  Del Rosario <\/strong><\/h2>\n<p>En el a\u00f1o 1989 se crea una consulta especializada de neumolog\u00eda para facilitar el manejo de los pacientes con tuberculosis en albacete.  Con este estudio pretendemos analizar las caracter\u00edsticas epidemiol\u00f3gicas de estos pacientes con tuberculosis, sus formas cl\u00ednico-radiol\u00f3gicas, r\u00e9gimen de estudio, m\u00e9todo y demora diagn\u00f3stica, conocer la resistencia a f\u00e1rmacos, presencia de micobacterias ambientales, el tratamiento aplicado y su cumplimiento, los efectos colaterales y resultados y, en definitiva, evaluar dicha consulta. Realizamos un estudio prospectivo, de los casos seguidos en esta consulta desde enero de 1989 a diciembre de 2002. Todos los pacientes presentaban diagn\u00f3stico microbiol\u00f3gico, histol\u00f3gico y\/o cl\u00ednico-epidemiol\u00f3gico de tuberculosis o enfermedad por micobacterias ambientales (criterios separ\/ats) y fueron seguidos durante al menos 2 a\u00f1os. Realizamos an\u00e1lisis descriptivo y comparativo bivariante y multivariante mediante regresi\u00f3n de cox, lineal m\u00faltiple para variables continuas y log\u00edstica para las dicot\u00f3micas. Analizamos 201 pacientes con edad media 37.7, de 21.4, con menos factores de riesgo que las series m\u00e1s globales, escasa advp e inmigrantes, sin vih y comorbilidad m\u00e1s frecuente epoc. Las mujeres fueron m\u00e1s j\u00f3venes, con menos factores de riesgo, m\u00e1s afectaci\u00f3n extrator\u00e1cica y menos grave. La edad mostr\u00f3 una curva bimodal, con predominio en los pacientes de edad m\u00e1s avanzada de factores de riesgo, cuadro constitucional, afectaci\u00f3n pulmonar y peor pron\u00f3stico. El tabaquismo, presente en 53%, se asoci\u00f3 a mayor comorbilidad y enfermedad pulmonar m\u00e1s avanzada y el alcohol, en 25%, con mayor proporci\u00f3n de bacil\u00edferos y cavitaci\u00f3n.  La localizaci\u00f3n fue mayoritariamente tor\u00e1cica de predominio pulmonar, con s\u00edntoma m\u00e1s frecuente tos y como patr\u00f3n radiol\u00f3gico m\u00e1s significativo el infiltrado alveolo-intersticial. El m\u00e9todo diagn\u00f3stico cl\u00ednico-radiol\u00f3gico estuvo constituido por pacientes m\u00e1s j\u00f3venes, con histor<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la relaci\u00f3n cl\u00ednica, radiol\u00f3gica y evolutiva en una amplia muestra de pacientes con tuberculosis en un \u00e1rea sanitaria de castilla-la mancha. evaluaci\u00f3n de una consulta espec\u00edfica de neumolog\u00eda.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la relaci\u00f3n cl\u00ednica, radiol\u00f3gica y evolutiva en una amplia muestra de pacientes con tuberculosis en un \u00e1rea sanitaria de castilla-la mancha. evaluaci\u00f3n de una consulta espec\u00edfica de neumolog\u00eda. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Nu\u00f1ez Ares Ana Mar\u00eda  Del Rosario <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/06\/2006<\/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>Fernando S\u00e1nchez Gasc\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: elvira Ramos garcia <\/li>\n<li>tomas Rodriguez gonzalez (vocal)<\/li>\n<li>Rafael Blanquer oliver (vocal)<\/li>\n<li>Juan  Antonio Ruiperez abizanda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Nu\u00f1ez Ares Ana Mar\u00eda Del Rosario En el a\u00f1o 1989 se crea una consulta especializada de neumolog\u00eda [&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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