Martínez y Martínez R, Martínez-Carboney R
Centro de Investigaciones Biomédicas, IMSS, Guadalajara, Jal., México.
Gac Med Mex. 1997 May-Jun;133(3):195-202.
We attempted here the delineation of the natural history of the disease and corresponding prevention levels (NHD and PL) of the Wiedemann-Beckwith syndrome according to the classical model of Leavell and Clark for infectious-contagious diseases. This proposal was based on our own series of 39 patients and our previous reports on the didactics of the NHD and PL model, as well as on the relevant literature; with this approach we obtained an useful model which includes the health-disease status, the analysis of risk factors and the integration of the clinical practice with socio-epidemiological medicine. Furthermore, the NHD and PL model allow the selection of the preventive management depending on the clinical stage, namely health or disease. This approach to a Mendelian condition emphasizes that the Leavell and Clark concepts can be advantageously applied to any genetic disease.
我们在此尝试根据莱维尔和克拉克针对传染性疾病的经典模型,描绘威德曼-贝克威思综合征的自然病史及相应的预防级别(自然病史和预防级别)。该提议基于我们自己的39例患者系列以及我们之前关于自然病史和预防级别模型教学法的报告,还有相关文献;通过这种方法,我们获得了一个有用的模型,其中包括健康-疾病状态、风险因素分析以及临床实践与社会流行病学医学的整合。此外,自然病史和预防级别模型允许根据临床阶段(即健康或疾病)选择预防性管理措施。这种针对孟德尔疾病的方法强调,莱维尔和克拉克的概念可以有效地应用于任何遗传性疾病。