Acropaquia: valoracion objetiva y subjetiva en trabajadores del asbesto
Clubbing: Objetive and subjective evaluation in asbestos workers
M. Rubio Goday, F. Añaños, C. Picado, R. Rodríguez-Roisin, A. Agusti Vidal
Servicio de Neumología y Alergia Respiratoria. Hospital Clínico y Provincial. Barcelona
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Echanove, A. de Vega, L. Palenciano" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Echanove" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "de Vega" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Palenciano" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615324868?idApp=UINPBA00003Z" "url" => "/03002896/0000001600000002/v1_201509151253/S0300289615324868/v1_201509151253/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Acropaquia: valoracion objetiva y subjetiva en trabajadores del asbesto" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "43" "paginaFinal" => "46" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Rubio Goday, F. Añaños, C. Picado, R. Rodríguez-Roisin, A. Agusti Vidal" "autores" => array:5 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Rubio Goday" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Añaños" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Picado" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Rodríguez-Roisin" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Agusti Vidal" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología y Alergia Respiratoria. Hospital Clínico y Provincial. Barcelona" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clubbing: Objetive and subjective evaluation in asbestos workers" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1979-05-14" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="absec0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Se estudia la incidencia de acropaquia (<span class="elsevierStyleItalic">clubbing</span>) en una serie de 92 sujetos expuestos al asbesto y en un grupo-control de 28 normales, empleando un valoración clínica e instrumental. Esta última (objetiva) quedó definida por el cociente entre el grosor del dedo índice a nivel del lecho ungueal (<span class="elsevierStyleItalic">DPD, distal phalangeal depth</span>) y el de la última articulación interfalángica del mismo dedo (IPD, <span class="elsevierStyleItalic">intephalangeal depth</span>) superior a 1,032.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">De acuerdo con dicho método instrumental, se detectó acropaquia en 11 casos (10%) de la serie-estudio, por ninguno del grupo control y no se pudo establecer un estadio intermedio cuantitativo (<span class="elsevierStyleItalic">precluhbing</span> o «zona gris»).</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Se observa una enorme discrepancia entre la valoración clínica (subjetiva) y la instrumental (objetiva) (p < 0.0005).</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="absec0010" class="elsevierStyleSection elsevierViewall"><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">The incidence of clubbing in a series of 92 workers exposed to asbestos and a control series of 28 normal subjects using clinical and instrumental assessment was studied. Objective clubbing (instrumental) was defined by the ratio of the distal phalangeal depth to the interphalangeal depth (DPD/IPD) above 1.032.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">According to the instrumental method, there was no detection of clubbing in the control group, whereas 10 cases (11%) were noted in the study group; an intermediate State of preclubbing could not be established.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">A clear discrepancy was found (p < 0.0005) between the instrumental and the subjective assessment.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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