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The aim of the present article was to assess PTSD in military health staff, considering the characteristics of this type of environment, and specifically over the COVID-19 pandemic. A Davidson Trauma scale was presented through the SurveyMonkey® platform; digital consent was given by the personnel; respondents answered the questionnaire on their own personal electronic devices. Results showed an incidence of PTSD of 0.9% in a sample of 1422 subjects who work in the Military Central Hospital; the most frequent symptoms, and the most serious, were avoiding the performance of activities and being in situations that reminded them of the event, regardless of gender or age. We found higher PTSD risk among females than in males (odds ratio (OD) = 6.4; 95% confidence interval (CI) = 0.83 - 49.66). However, we did not find a correlation between age, hierarchy or professional group and PTSD risk. [ABSTRACT FROM AUTHOR]

Background: Primary immunodeficiencies are inherited diseases that compromise numerous systems and whose clinical manifestation is varied. It is an underdiagnosed pathology in Colombia. Objectives: To characterize primary immunodeficiencies in patients younger than 16 years who attended the San Rafael Clinical University Hospital, Bogota, between January 1, 2010 and July 1, 2016, as well as to provide information that enriches local, national and international statistics. Methods: Observational study of a cases series. All patients diagnosed with primary immunodeficiencies were analyzed, with a total of 75 patients. Results: Patients between one and five years of age (33% of all cases) were the most affected, followed by patients from six to 11 months, including 17 cases; 21 cases corresponded to patients under 1 year of age; 80% of affected children were males. Antibody deficiency was the most common type of immunodeficiency (56%), followed by T/B lymphocyte deficiency (38%). Conclusions: Patients with primary immunodeficiencies of the analyzed hospital had the same age and gender distribution observed in international studies. The most common primary immunodeficiency was due to antibody defects. [ABSTRACT FROM AUTHOR]

Introduction. Delirium is a neurocognitive disorder, frequently present in advanced cancer patients. It morbidity, mortality, health expenditure, and causes distress to patients, family members, and health care professionals. Despite its impact, the disorder is still underdiagnosed, and consequently, mistreated. Objective. To describe the prevalence, clinical features, impact on the survival and percentage of missed diagnosis of delirium, in palliative care inpatients treated in a tertiary center. Method. We conducted a prospective study, including all the inpatients referred to the Palliative Care Service of the Instituto Nacional de Cancerología in Mexico, from August, 2014 to March, 2015. As a first step, we collected clinical and sociodemographic data, and determined the presence/absence of delirium, using the Confusion Assessment Method. Then, we reviewed the clinical file to determine if a previous delirium diagnosis was stablished by the primary referring team. Finally, thirty days after the initial assessment, we contacted the patients in order to know their survival status (alive/ death). We performed a survival analysis to compare mortality among patients with delirium/non-delirium, and reported the percentage of delirium missed diagnosis. Results. We included 174 patients, 40.2% were diagnosed with delirium. Mean survival time in patients with delirium was 11 days, while in non-delirium patient's mean survival time was 21 days; Log Rank 23.50, p < .001. We found a 73% of missed delirium diagnosis by the primary referring team. Discussion and conclusion. Prevalence of delirium in this population is similar to that observed in other palliative care populations. Also, delirium is the principal determinant of short-term mortality, and it is frequently underdiagnosed. Preventive strategies and early identification could help to reduce its burden. [ABSTRACT FROM AUTHOR]

Background: Atopic dermatitis is a frequent chronic dermatosis in children. Objective: To determine the prevalence of atopic dermatitis in a pediatric population from Morelia, Michoacan. Participants and methods: An observational, descriptive and comparative study was done to estimate the prevalence and underdiagnosis of atopic dermatitis in children and teenagers from Morelia, Michoacan (n = 9578). This study had a sensitivity of 0.87 and a specificity of 0.92. Results: A prevalence of 10.1% and 5.4% was found in children from 6 to 10 years old and teenagers from 11 to 16 years old. The diagnosis was done in only 20% of all cases. The high underdiagnosis suggests taking emergent actions of preventive medicine. Conclusions: The prevalence of atopic dermatitis in pediatric population from Morelia is similar of that reported in the United States and less than of Mexico City. [ABSTRACT FROM AUTHOR]