Stillingwren1320

Alcohol use in college students and related consequences, such as risky sexual behaviors, are a public health issue. Impulsivity is relevant to study alcohol use behaviors. This study aimed to analyze the effect of trait impulsivity (UPPS-P model), age of onset of alcohol use (AOA) and of sexual intercourse (AOS), alcohol use and risky sexual behavior under the influence of alcohol (RSBA).

196 students (71.9% women, M age= 22.46; SD = 2.74) from the National University of Córdoba completed an online survey. We conducted bivariate and multivariate analyzes to examine the relationship between risk factors and RSBA.

AOA and AOS had a negative association with RSBA, while alcohol quantity and trait impulsivity was positively associated with RSBA. At the multivariate level, AOA and alcohol quantity directly influenced RSBA. The AOS and sensation seeking had an indirect effect via alcohol quantity.

This results provide evidence on the role of early initiation in alcohol use, impulsivity and alcohol use on RSBA in college students. This information can be useful for the development of preventive programs specifically designed for this population.

This results provide evidence on the role of early initiation in alcohol use, impulsivity and alcohol use on RSBA in college students. This information can be useful for the development of preventive programs specifically designed for this population.

The study analyzes social and gender health realities regarding access to public health systems in the Argentine interior. Objective to analyze the relationship between social determinants, gender, with inequities of access in frequent users of the public health system in a region of Argentina.

Descriptive, cross-sectional and analytical study, data collected between March and November 2018 by maximum variation sampling, with analysis of absolute, relative frequencies, standard error, confidence intervals; Multivariate logistic regression analysis with 95% CI and statistical significance of p <0.05.

With an n = 345, in an adjusted model, being a woman increased the risk of having problems in accessing the health system 2.2 times more (p = 0.032). People with a primary education level or less are 2.4 times more at risk of paying values ​​equal to or greater than $ 71.4 for health care in the public health system compared to those with a higher educational level (p = 0.000). find more No statistically significant associations were found between urban / rural location, with the variables of inconveniences in access to health care and out-of-pocket spending.

Social inequities measured by level of education and gender have a negative impact on the scope of the right to universal access to health in the analyzed population. It is recommended to review state initiatives that seek to reduce health inequities from a perspective of social and gender determinants.

Social inequities measured by level of education and gender have a negative impact on the scope of the right to universal access to health in the analyzed population. It is recommended to review state initiatives that seek to reduce health inequities from a perspective of social and gender determinants.

Peptic ulcers are acid-induced lesions found in the stomach and duodenum. The prevalence of peptic ulcer disease in the United States is estimated to be 8.4%.

Describe an atypical presentation of complicated duodenal ulcer that causes jaundice and review the literature.

A 42-year-old male patient, who consulted for generalized jaundice and coluria, associated with low back pain treated with non-steroidal anti-inflammatory drugs. In the laboratory, total bilirubin increased to direct prevalence. A magnetic resonance cholangiography was performed that revealed duodenal thickening, with a decrease in its lumen; and a double contrast computed tomography, where thickening of the duodenal walls was observed, without oral contrast leakage. Subsequently, an upper digestive video-endoscopy was performed where a 30 mm duodenal bulb ulcer was observed. The patient presented good evolution with medical treatment, being discharged on the fifth day of hospitalization.

Jaundice can be caused by a duodenal ulcer that causes obstruction of the common bile duct. Medical treatment may specify in selected patients. In the present case, it was established to opt for medical treatment since the patient presented hemodynamic stability, without signs of generalized peritonitis, with complementary studies in favor of a contained duodenal ulcer without free air.

We are dealing with a case of duodenal ulcer complicated with jaundice that presented good evolution with medical treatment.

We are dealing with a case of duodenal ulcer complicated with jaundice that presented good evolution with medical treatment.

Neurologic involvement in hemolytic uremic syndrome related to Shiga toxin–producing Escherichia coli (STEC-HUS) is the main cause of death. In last years has been demonstrated that activation of complement alternative pathway also contributes to organ damage. This finding led to the recognition of decreased C3 levels at admission as a marker of poor prognosis as well as the evaluation of the use of eculizumab in cases with neurologic compromise.

to report a patient with STEC-HUS and hypocomplementemia with neurological involvement treated with eculizumab.

A 17-month-old male was admitted due to seizures and anuria for last 24 h with a history of 48 h of bloody diarrhea. He presented a laboratory profile compatible with STEC-HUS and severe hyponatremia, results of brain tomography were normal. Also there was complement activation C3 73 mg/dl (normal > 90 mg/dL) and C5b-9 778.9 ng/ml (normal 135.8-385.3 ng/ml). Initial treatment includes normal saline solution and anticonvulsants drugs, sodium correction and peritoneal dialysis. On third day of hospitalization, because of progression of the neurologic involvement a dose of eculizumab (300 mg) was given, showing at 24 h a markedly neurologic improvement along with and increasing platelet count and a descending lactic dehydrogenase levels. He was discharged after 14 days in a good condition. Later a STEC O157H7 infection was confirmed and he also normalized the C3 level.

This case shows that decreased C3 level at admission was associated to neurologic involvement and suggests that eculizumab might be a favorable therapeutic option.

This case shows that decreased C3 level at admission was associated to neurologic involvement and suggests that eculizumab might be a favorable therapeutic option.