Iberoamerican Journal of Medicine最新文献_第6页

Alzheimer’s disease after a major surgery: are we prepared? 大手术后的阿尔茨海默病:我们准备好了吗?

Iberoamerican Journal of Medicine Pub Date : 2022-06-02 DOI: 10.53986/ibjm.2022.0023

Kaushik Bhattacharya, N. Bhattacharya

引用次数: 0

Research activity during the residency program. Are we in the good way? 实习期间的研究活动。我们在好的方向上吗?

Iberoamerican Journal of Medicine Pub Date : 2022-04-27 DOI: 10.53986/ibjm.2022.0021

E. Esteban-Zubero, C. García-Muro

引用次数: 0

Rising incidence of carbapenem resistant isolates: an Argentinian hospital’s experience. More trouble in the aftermath of the COVID-19 pandemic 碳青霉烯耐药分离株发病率上升:阿根廷一家医院的经验。2019冠状病毒病大流行带来更多麻烦

Iberoamerican Journal of Medicine Pub Date : 2022-04-12 DOI: 10.53986/ibjm.2022.0020

Maximiliano Gabriel Castro, L. Ubiergo, Macarena Vicino, G. Cuevas, F. Argarañá

{"title":"Rising incidence of carbapenem resistant isolates: an Argentinian hospital’s experience. More trouble in the aftermath of the COVID-19 pandemic","authors":"Maximiliano Gabriel Castro, L. Ubiergo, Macarena Vicino, G. Cuevas, F. Argarañá","doi":"10.53986/ibjm.2022.0020","DOIUrl":"https://doi.org/10.53986/ibjm.2022.0020","url":null,"abstract":"Introduction: During COVID-19 outbreaks, disproportionate use of antibiotics, high Intensive Care Units burden and longer in-hospital stays may have aggravated the emergency posed by carbapenem-resistant isolates. Therefore, we set out to determine whether the incidence of carbapenem-resistant isolates rose in a tertiary care center in Santa Fe, Argentina during the period with active cases of COVID-19. Material and methods: In this retrospectively designed analytic epidemiologic study, two periods were defined: Period 1 (without active cases of COVID-19) from September 2019 to August 2020 and Period 2 (starting at the onset of the first wave of COVID-19 in this Institution) from September 2020 to June 2021. All clinically relevant microbiological samples taken during these periods in the Internal Medicine, Surgical and Intensive Care Unit wards were included. The primary analysis of interest was the differential incidence between the two periods, overall and in the Intensive Care Units wards in particular. Results: 9,135 hospitalizations, 50,145 patient-days of analysis. 7,285 clinical samples were taken, with an overall positivity for carbapenem-resistant isolates of 12.1% (n=883). Overall carbapenem-resistant isolates incidence during Period 2 was 2.5 times higher than in Period 1 (2.52 vs 0.955/100 patient-days, p<0.001). Intensive Care Units’ carbapenem-resistant isolates incidence raised from 6.78 to 8.69/100 patient-days in Period 2 (p=0.006). Conclusions: We found alarming rates of carbapenem-resistant isolates in our center, 2.5 times higher in the period following the first wave of COVID-19. This rise was due to a higher amount of clinically relevant microbiological samples taken and to a higher carbapenem resistance among Enterobacteria and non-fermentative Gram-negative bacilli. To our knowledge, this is one of the few Latin-American reports on the effect of the COVID-19 pandemic on carbapenem-resistant isolates incidence.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81479611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Sympathovagal equilibrium analysis in patients with COVID-19 COVID-19患者交感迷走神经平衡分析

Iberoamerican Journal of Medicine Pub Date : 2022-04-07 DOI: 10.53986/ibjm.2022.0019

H. Musacchio, Florencia Cogliano, Hugo J Miño, G. Romagnoli, Florencia Debona, Delfina Godano, F. Barbone

{"title":"Sympathovagal equilibrium analysis in patients with COVID-19","authors":"H. Musacchio, Florencia Cogliano, Hugo J Miño, G. Romagnoli, Florencia Debona, Delfina Godano, F. Barbone","doi":"10.53986/ibjm.2022.0019","DOIUrl":"https://doi.org/10.53986/ibjm.2022.0019","url":null,"abstract":"Introduction: With the increase of COVID-19 cases, an unusual manifestation for this type of virus began to appear anosmia and dysgeusia, which could indicate a neurologic alteration. In this context, it seems likely that subclinical manifestations of baroreflex involvement occur. The vegetative nervous system carries out the regulation of the baroreflex through the balance between sympathetic and parasympathetic activity. The objective of this study is to verify whether patients with COVID-19 present alteration of this equilibrium. Material and methods: Patients included had a confirmed diagnosis of COVID-19 admitted to the Internal Medicine Department of JB Iturraspe Hospital. A Holter recording was performed at rest for 5 minutes, determining the variables in the frequency domain using Fourier transform analysis. We excluded patients with diabetes, medicated with drugs that modify heart rate or with a history of irradiation to the neck. Results: 68 patients were studied. The mean age was 49±13 years. The median systolic blood pressure was 120 mmHg and the diastolic blood pressure 80 mmHg. The heart rate was 76±13 beats per minute and the median respiratory rate was 24 (16 to 40). Anosmia was observed in 22% and dysgeusia in 19% The variables in the frequency domain were: Low-frequency power (LF) 135.8ms2 (13.7-2861.7); High-frequency power (HF), 89.04ms2 (4.1-5234.4), LFnu 57.5±22.3, HFnu 43.1±22.6. LF:HF 2.1±2. 41.2% of the patients had a high LF:HF. Conclusions: LF and HF components can be obtained through frequency analysis. The relationship between these two elements would thus represent the sympathovagal balance and is expressed as the LF/HF ratio. We observed that 41.2% of the studied patients showed elevated LF/HF ratio. The 41.2% of the patients presented an increased LF:HF ratio, which could be interpreted as an alteration in autonomic function.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85116572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of Aluminum Phosphide poisoning managed successfully in Nepal: A Case Report 尼泊尔成功处理的一例磷化铝中毒:一例报告

Iberoamerican Journal of Medicine Pub Date : 2022-04-02 DOI: 10.53986/ibjm.2022.0018

S. Jha, Angela Basnet, Sabin Chaulagain, S. Ojha

引用次数: 1

Corynebacterium endocarditis in a patient with a cardiac implantable electronic device 心脏植入式电子装置患者的棒状杆菌心内膜炎

Iberoamerican Journal of Medicine Pub Date : 2022-04-02 DOI: 10.53986/ibjm.2022.0017

S. Alkan, U. Küçük, S. Şahin, T. Önder

引用次数: 0

Peripartum cardiomyopathy: A 2022 update 围产期心肌病:2022年更新

Iberoamerican Journal of Medicine Pub Date : 2022-03-28 DOI: 10.53986/ibjm.2022.0016

D. Dash, R. Mody, Sugandhna Malan, Naveed Ahmed, Bhavya Mody

{"title":"Peripartum cardiomyopathy: A 2022 update","authors":"D. Dash, R. Mody, Sugandhna Malan, Naveed Ahmed, Bhavya Mody","doi":"10.53986/ibjm.2022.0016","DOIUrl":"https://doi.org/10.53986/ibjm.2022.0016","url":null,"abstract":"Peripartum cardiomyopathy (PPCM) is a rare but life-threatening condition defined by left ventricular dysfunction and heart failure (HF), occurring in late pregnancy or, more commonly, the early postpartum period. In African American women, women with pre-eclampsia, advanced maternal age, and numerous gestation pregnancies, there is a greater incidence. Although the pathophysiology of PPCM is still undetermined, the importance of vasculo-hormonal pathways has been suggested in research over the past decades. Sarcomere genetic polymorphisms are found in at least some women with the disorder. More than 50% of the patients recover systolic function, albeit some are left with chronic cardiomyopathy, and a small minority of patients requires mechanical support or cardiac transplantation, or both. For the diagnosis of PPCM, electrocardiographic findings of decreased myocardial function are essential. Currently, the management of PPCM is limited to standard treatments for HF with reduced ejection fraction, with attention to minimizing the potential adverse effects on the fetus in women who are still pregnant. As a result, the outcome might range from full recovery to persistent HF, arrhythmia, thromboembolic events, or death. Research on PPCM is examined in this review, as are potential future paths for further study.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83387806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of COVID-19 Vaccine Coverage on Deaths Outcome in Africa, Subregional Differences and the need for a Renewed Multi-level Effort COVID-19疫苗覆盖率对非洲死亡结局的影响、次区域差异以及重新开展多层次努力的必要性

Iberoamerican Journal of Medicine Pub Date : 2022-03-17 DOI: 10.53986/ibjm.2022.0015

A. F. Setubi, Esther Nakoya, Annie-Flore K. Tchougene, X. Fopokam

{"title":"The Impact of COVID-19 Vaccine Coverage on Deaths Outcome in Africa, Subregional Differences and the need for a Renewed Multi-level Effort","authors":"A. F. Setubi, Esther Nakoya, Annie-Flore K. Tchougene, X. Fopokam","doi":"10.53986/ibjm.2022.0015","DOIUrl":"https://doi.org/10.53986/ibjm.2022.0015","url":null,"abstract":"Introduction: SARS-CoV-2 continues to raise health and socio-economical concerns globally. The recent discovery of the B.1.1.529 (Omicron) variant with its critical mutations has heightened the debate about the need for a better global vaccination rollout to prevent the emergence of new SARS-CoV-2 strains. Optimizing vaccine rollout in Africa is crucial for the management of the pandemic and preventing the rise of new strains. To better direct efforts and interventions it is important to know what parts of the continent necessitate more attention. Material and Methods: 30 African countries were grouped in five geographical subregions, six countries for each subregion. Data on confirmed cases, doses administered, fully vaccinated, and deaths were extracted from the Johns Hopkins Coronavirus Resource Center database. The ANOVA test evaluated differences in means for these variables classified by subregions. The correlation test and the linear regression examined the relationship between these independent variables and total deaths. Results: There was a significant regional difference in confirmed cases (P<0.0001), and in fully vaccinated (P=0.01) across the five subregions. The overall model showed that there is a significant regional difference in the three variables’ effect on total deaths (P<0.0001). The linear regression indicated an association between the total number of deaths in relation to the confirmed cases, doses administered, and fully vaccinated (P<0.0001). Discussion: This study indicates that a relation exists between total deaths and the variables confirmed cases, doses administered, and fully vaccinated. More importantly, African countries grouped in geographical subregions perform differently in terms of vaccine rollout, and that offers insights for better and oriented interventions.","PeriodicalId":13190,"journal":{"name":"Iberoamerican Journal of Medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75990756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant Epiphrenic Diverticulum: A Challenging Case 巨大的肾上腺憩室:一个具有挑战性的案例

Iberoamerican Journal of Medicine Pub Date : 2022-03-10 DOI: 10.53986/ibjm.2022.0014

R. Uzdenov, Sukhrob Atakhadzhaev, M. Asim, S. Covantev

引用次数: 1

https://www.iberoamjmed.com/article/doi/10.53986/ibjm.2022.0013 https://www.iberoamjmed.com/article/doi/10.53986/ibjm.2022.0013

Iberoamerican Journal of Medicine Pub Date : 2022-02-26 DOI: 10.53986/ibjm.2022.0013

Satvinder Bakshi

引用次数: 0