Medicina-buenos Aires最新文献_第10页

Inhaled sedation with sevoflurane in a critically ill pediatric patient. 危重儿科患者吸入七氟醚镇静1例。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

María Florencia Courtois, Indalecio Carboni Bisso, Ignacio Fernandez Ceballos, Pablo Eulmesekian, Solange Vidal, Marcos Las Heras

引用次数: 0

[Monkeypox: characteristics in female population, Buenos Aires, Argentina]. [猴痘：阿根廷布宜诺斯艾利斯女性人群的特征]。

IF 0.8 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Javier Sánchez Doncell, Melina Lemos, José L Francos J, Pablo González Montaner

{"title":"[Monkeypox: characteristics in female population, Buenos Aires, Argentina].","authors":"Javier Sánchez Doncell, Melina Lemos, José L Francos J, Pablo González Montaner","doi":"","DOIUrl":"","url":null,"abstract":"Monkeypox is a zoonotic viral disease caused by a virus of the genus Orthopoxvirus. As of January 1, 2022, it has been reported in 110 WHO Member States. It presents with fever, fatigue, painful lymphadenopathy, and rash. It lasts between 2 and 4 weeks. It is usually self-limited, but severe cases have been described in immunocompromised people. This study describes cases of monkeypox in women, diagnosed between June 2022 and February 2023, and it reports epidemiology, clinical aspects, and complications after infection. A retrospective observational study was carried out in the Febrile Emergency Unit (UFU), reviewing positive cases (RT-PCR) for monkeypox and the population with female biological sex was selected. They were questioned about gynecological complications, menstrual pattern, dyspareunia and pelvic pain. 340 consultations for monkeypox were made, 214 (63%) were positive, 211 cases (99%) male and 3 cases (1%) female. Among these cases is a trans woman, who was not included. The average age is 31 years, immunocompetent, with a negative serology report for HIV, syphilis, hepatitis B and C. Both cases had sexual intercourse without a barrier method. The most frequent symptoms are asthenia and skin lesions, especially in the upper and lower limbs, perianal and genital region. As a risk factor they presented unprotected sexual contact. Within the differential diagnoses, other sexually transmitted infections (STIs) should be considered. There were no gynecological complications reported during follow-up.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 1","pages":"143-147"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Herpesvirus 6 tracheobronchitis. 疱疹病毒 6 型气管支气管炎

IF 0.8 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Indalecio Carboni Bisso, Leiniker Navarro Rey, Julieta González Anaya, Paola X de la Iglesia Niveyro, Ignacio Fernández Ceballos, Marcos Las Heras

引用次数: 0

Physiological effect of high flow oxygen therapy measured by electrical impedance tomography in single-lung transplantation. 用电阻抗断层扫描测量单肺移植手术中大流量供氧疗法的生理效应。

IF 0.8 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Ignacio Fernández Ceballos, Emilio Steinberg, Joaquin Ems, Juan Martín Nuñez Silveira, Matías Madorno, Indalecio Carboni Bisso, Marcos Las Heras, Rodrigo Cornejo

{"title":"Physiological effect of high flow oxygen therapy measured by electrical impedance tomography in single-lung transplantation.","authors":"Ignacio Fernández Ceballos, Emilio Steinberg, Joaquin Ems, Juan Martín Nuñez Silveira, Matías Madorno, Indalecio Carboni Bisso, Marcos Las Heras, Rodrigo Cornejo","doi":"","DOIUrl":"","url":null,"abstract":"In patients with chronic obstructive pulmonary disease (COPD), single lung transplantation (SLT) is sometimes performed as an alternative to bilateral lung transplantation due to limited organ availability. However, the postoperative management of SLT presents challenges, including complications related to the distinct compliance of each lung. This case report presents the case of a 65-year-old male patient who underwent SLT and was in the weaning period from mechanical ventilation. High-flow oxygen therapy (HFOT) was administered, and the physiological effects were measured using electrical impedance tomography (EIT). The results demonstrated that the application of HFOT increased air trapping and overdistention in the native lung without benefiting the transplanted lung. HFOT through a tracheostomy tube or nasal cannula resulted in a more heterogeneous distribution of ventilation, with increased end expiratory lung impedance, prolonged expiratory time constants, and an increase in silent spaces. The drop in tidal impedance after applying HFOT did not indicate hypoventilation but rather overdistention and air trapping in the native lung, while the transplanted lung showed evidence of hypoventilation. These findings suggest that HFOT may not be beneficial for SLT patients and could potentially worsen outcomes. However, due to the limited scope of this case report, further prospective studies with larger patient cohorts are needed to confirm these results.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 1","pages":"148-152"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[De Robertis. Seventy years since the first structural image of a synapse]. [德-罗伯蒂斯：第一幅突触结构图像问世七十年]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Basilio A Kotsias

引用次数: 0

[Evolution of the clinical situation in heart transplantation: an analysis of the last decade in Argentina]. [心脏移植临床情况的演变：对阿根廷过去十年的分析]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Lucrecia M Burgos, Juan M Vrancic, Franco N Ballari, Daniel O Navia, Rocío C Baro Vila, Juan C Espinoza, María A De Bortoli, Fernando Piccinini, Mirta Diez

引用次数: 0

[Excess deaths in Argentina during the COVID-19 pandemic: analysis of mortality between 2020 and 2022]. [COVID-19大流行期间阿根廷死亡人数过多：2020年至2022年死亡率分析]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Javier Mariani, Alejandro Macchia

引用次数: 0

[Impact of hepatic resection in the treatment of hepatocellular carcinoma]. [肝切除对肝细胞癌治疗的影响]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Jose G Cervantes, Lourdes Mollard, Rodrigo A Gasque, Magalí Chahdi Beltrame, Marcelo E Lenz, M Eugenia Fernández, Suzuki Ichiro, Emilio G Quiñonez, Francisco J Mattera

{"title":"[Impact of hepatic resection in the treatment of hepatocellular carcinoma].","authors":"Jose G Cervantes, Lourdes Mollard, Rodrigo A Gasque, Magalí Chahdi Beltrame, Marcelo E Lenz, M Eugenia Fernández, Suzuki Ichiro, Emilio G Quiñonez, Francisco J Mattera","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Hepatocellular carcinoma (HCC) is the most common primary liver cancer and the third leading cause of cancer-related deaths worldwide. Hepatic resection is the treatment of choice for non-cirrhotic patients, while in cirrhotic individuals, the choice depends on tumor stage and liver function.Methods: In this retrospective study conducted at Hospital El Cruce between 2015 and 2022, patients with HCC undergoing hepatic resection, both cirrhotic and non-cirrhotic, were evaluated. Morbidity, mortality, recurrence rate, and survival were analyzed.Results: A total of 262 hepatectomies were performed, with 44 for HCC treatment. Among them, 35 were minor hepatectomies, and 9 were major hepatectomies (noncirrhotic patients). The majority were males (77%) with an average age of 58.5 years. Twenty-nine patients had cirrhosis, with hepatitis C (HCV) being the main cause in 48%, HCV with alcohol as a cofactor (21%), and alcohol alone (17%). Morbidity was 47.7%, with predominance of minor complications. Disease recurrence occurred in 59% of patients, and associated factors included tumor size and elevated AFP levels. Survival was better in cirrhotic patients compared to non-cirrhotic ones.Discussion: Results tion 5837 Hepatic resection is an effective option for treating HCC in well-selected cirrhotic and non-cirrhotic patients, with encouraging results in terms of survival and disease control. Additionally, close surveillance for early recurrence detection and timely interventions is suggested.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 4","pages":"662-671"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[On the death of Alexander the Great: between fascination, intrigue and myth for the history of medicine]. [亚历山大大帝之死：医学史的魅力、阴谋与神话]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Eduardo Herrera-Aliaga, Lissett Muñoz-Carrasco, Manuel E Cortés

引用次数: 0

[Sarcopenia: new cut-off value of handgrip in postmenopausal Argentine women]. [肌肉疏松症：绝经后阿根廷妇女手握力的新临界值]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2024-01-01

Vanina S Lerena, Karina Danilowicz, Sabrina P Lucas, Adriana G Diaz

{"title":"[Sarcopenia: new cut-off value of handgrip in postmenopausal Argentine women].","authors":"Vanina S Lerena, Karina Danilowicz, Sabrina P Lucas, Adriana G Diaz","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Sarcopenia is a global health problem, there are currently several criteria for its diagnosis and the implementation of its own cut-off values for each population is recommended. The objective was to evaluate the handgrip strength (HG) in postmenopausal women from Buenos Aires and establish a cut-off value.Methods: A total of 704 women ≥50 years of age were evaluated, who answered a questionnaire on osteoporosis risk and HG was taken. Those with arthritis or pain in the hands were excluded, leaving 678 women for analysis. A subpopulation of 148 healthy women was selected to define the minimum normal value of the HG of our population.Results: The HG was 20.44 ± 5.19 kg, with a significant decrease in values after 70 years. The HG in the group of healthy women was 22.08 ± 5.13 kg. And the cutoff value of 17.5 kg was established in our population (first quintile). 28.6% of the total population presented decreased HG and reached 53.7% in women >80 years. HG <17.5 kg was associated with a 67% increased risk of falls in the total group of women >50 years.Discussion: The HG is a simple tool that is easy to implement in clinical practice and is considered the first step for the diagnosis of sarcopenia. The cut-off value of HG <17.5 kg could be used for the evaluation of sarcopenia in women >50 years of Buenos Aires.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 4","pages":"656-661"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0