Gac Med Mex
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Lobular capillary hemangioma (pyogenic granuloma) has been reported more frequently in the skin (88%) than in the mucous membranes (12%). Granuloma gravidarum is a pyogenic granuloma that develops during pregnancy, often in the oral mucosa. Estrogens apparently increase the inflammatory response of mucous membranes. In this article, we describe the first case of a granuloma gravidarum of the scalp.
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Mortality due to cervical cancer (CC) has decreased in developed countries given extensive screening and effective coverage. In developing countries mortality rates due to CC remain high. Since the mid-nineties there has been a decrease in mortality due to CC in Mexico, which can be attributed to the increase in coverage of the Papanicolaou (PAP) (beta -.195, IC95% -.274, -.117) and the decrease in the birth rate (beta -.407, IC95% -.632, -.182). ⋯ Primary prevention of CC is possible with the HPV vaccine. This vaccine will be an additional tool for reducing CC-related morbidity and mortality, but will not replace screening and treatment. To adopt a prevention policy that includes an HPV vaccine we will need to: determine the burden of HPV-related disease; have sufficient epidemiological evidence and data about technical aspects of the vaccine; take into account the psyschosocial and ethical aspects of the vaccine and guarantee good organization of vaccine implementation.
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Glycated hemoglobin values are a good indicator of metabolic control of the diabetic patients; however the levels can be influenced by analytic, clinic and biological variability. In the first, it is important to know that the variation coefficient between-laboratory should be < 3-4%; the second, depends on the metabolic control of the patients, while the third is determined by internal and external factors. Family studies had shown that genetic factors are involved in the biological variability of glycated hemoglobin. In order to have a correct interpretation of the glycated hemoglobin levels, it is important to know the causes of variability.