Medicina-buenos Aires最新文献_第10页

[Perceived self-efficacy scale on shared care planning (ACP-SEs) Argentina]. [阿根廷共同护理规划（ACP-SEs）自我效能感量表]。

IF 0.6 4区医学

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

Stella Di Gennaro, Julia Fila, Verónica Veloso, Cristina Lasmarías, Vilma A Tripodoro

{"title":"[Perceived self-efficacy scale on shared care planning (ACP-SEs) Argentina].","authors":"Stella Di Gennaro, Julia Fila, Verónica Veloso, Cristina Lasmarías, Vilma A Tripodoro","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Shared care planning (ACP) is a reflective, deliberative and structured process involving the sick person and his or her caring environment. Health professionals recognize barriers to initiating ACP.Perceived self-efficacy is one of the main predictors of success in learning processes.Objectives: 1) To crossculturally adapt the ACP self-efficacy scale in Spanish for Argentina (ACP-SEs); 2) To explore the reliability and validity of the scale; and 3) To explore self-efficacy in ACP in Argentinean professionals.Method: Exploratory instrumental study carried out on health professionals who assist patients with advanced chronic diseases, interdisciplinary through a comprehension test of the ACP-SEs instrument and psychometric validation in a purposive sample of professionals. Sociodemographic variables and previous experience were analyzed.Results: After the comprehension test and linguistic adaptation of the scale through cognitive testing with eight professionals with experience with advanced chronic patients, the ACP-SEs Ar version of the scale was achieved. 236 professionals participated in the exploration, 83% attended patients with advanced chronic disease, 52.9 % were physicians, 52% received informal training in ACP, and 11% had a personal advance directive document. The scale's internal consistency was high (Cronbach's alpha = 0.89). Questions about prognosis, treatment options, goals, treatment preferences, and reassessment of goals of care showed significant differences between physicians and nonphysicians.Conclusion: We explored PCA self-efficacy in health professionals with the ACP-SEs Ar scale validated for the first time in Argentina.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036322","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

Neurosarcoidosis as a rapidly progressive dementia associated with normal pressure hydrocephalus. 神经肉芽肿病是一种伴有正常压力脑积水的快速进展性痴呆症。

IF 0.6 4区医学

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

Fernando Jabif, Máximo Rousseau-Portalis, Claudia Burbano, Diego Andresik, Bernardo Martínez

{"title":"Neurosarcoidosis as a rapidly progressive dementia associated with normal pressure hydrocephalus.","authors":"Fernando Jabif, Máximo Rousseau-Portalis, Claudia Burbano, Diego Andresik, Bernardo Martínez","doi":"","DOIUrl":"","url":null,"abstract":"Neurosarcoidosis (NS) is a rare subtype of sarcoidosis with a poor prognosis and diverse clinical presentations that often poses a diagnostic and therapeutic challenge. We describe the case of a 53-year-old male with an initial diagnosis of lingual sarcoidosis, who subsequently developed ataxia and rapidly progressive cognitive impairment. A lumbar puncture revealed hypoglycorrhachia, hyperproteinorrachia, lymphocytic pleocytosis, and elevated IL-6 levels (600 pg/ml). Cerebrospinal fluid flow cytometry showed an elevated CD4 lymphocyte concentration and a CD4+/CD8+ ratio of 3.91, indicative of NS. Brain MRI showed hyperintense periventricular and subcortical lesions on FLAIR/T2 resembling progressive multifocal leukoencephalopathy (PML), although negative PCR for JC virus ruled out the differential diagnosis. Following a favorable evolutionary course with corticosteroid pulses, the patient relapsed with normotensive hydrocephalus, treated with immunosuppressants and ventriculoperitoneal shunting with a good response to date. This case underscores the importance of maintaining a high index of suspicion for NS in individuals with sarcoidosis and neurologic symptoms. In these cases, cerebrospinal fluid biomarkers such as IL-6 and CD4+/CD8+ ratio are essential to guide the diagnosis. Furthermore, it highlights that hydrocephalus is a rare complication and requires a multidisciplinary approach, including medical and neurosurgical treatment.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036336","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

[Dengue encephalitis in Argentina]. [阿根廷的登革热脑炎]。

IF 0.6 4区医学

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

Melany Berdiñas Anfuso, María Victoria Gonzalez, Sofía Schverdfinger, Carlos G Videla, Nicolás M Ciarrocchi

引用次数: 0

[Register-based controlled trials: a new stage in clinical research?] [登记对照试验：临床研究的新阶段？］

IF 0.6 4区医学

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

Carlos D Tajer

引用次数: 0

[About impetigo: a brief historical overview]. [关于脓疱疮：历史概述】。］