Medicina-buenos Aires最新文献_第4页

[Congenital tuberculosis: diagnosis based on puerperal febrile syndrome]. 【先天性肺结核：基于产褥热综合征的诊断】。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Marianela Garofalo, Ana Fernandez Stepa, Andrés Benchetrit, Roxana Paul, Mario Matteo, Rubén Solari, Julián García

引用次数: 0

[Flu vaccination coverage in the Hospital Italiano de Buenos Aires: Cross-sectional study]. [布宜诺斯艾利斯意大利医院流感疫苗接种覆盖率：横断面研究]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Marcelina Carretero, María L Posadas Martínez, Miriam Rosenek, Jose Benso, Gustavo G Vidal, Karina E Alvarez, Maria Del Lujan Sanchez, María C Puga, Luis A Di Giuseppe

{"title":"[Flu vaccination coverage in the Hospital Italiano de Buenos Aires: Cross-sectional study].","authors":"Marcelina Carretero, María L Posadas Martínez, Miriam Rosenek, Jose Benso, Gustavo G Vidal, Karina E Alvarez, Maria Del Lujan Sanchez, María C Puga, Luis A Di Giuseppe","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Influenza represents a global public health challenge. Influenza vaccination is crucial for preventing complications. The World Health Organization recommends a coverage rate of at least 75% for the at-risk population. The aim of this study was to evaluate vaccination coverage among members of the Health Plan of the Hospital Italiano de Buenos Aires.Materials and methods: Cross-sectional study nested within a dynamic cohort. All members of the Health Plan during the influenza vaccination campaigns of 2022 and 2023 were included. The influenza vaccination rate was calculated and reported as a percentage with its respective 95% confidence interval (CI95%). Demographic variables and comorbidities were analyzed.Results: The influenza vaccination rate was 12% in 2022 and 10% in 2023. Subjects aged between 6 and 23 months had the highest vaccination rates in both periods, at 43% (CI95% 41-46) in 2022 and 48% (CI95% 45-51) in 2023, followed by the population over 65 years old with a rate of 23% (CI95% 23-24) in 2022 and 18% (CI95% 18-19) in 2023. The most common comorbidities were hypertension and dyslipidemia.Discussion: Influenza vaccination coverage in our population fell below the recommendations of the World Health Organization, highlighting the presence of barriers to influenza immunization.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"8-15"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123220","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

[Negative pressure-assisted esophagogastroduodenoscopy in the management of esophageal anastomotic fistula]. [负压辅助食管胃十二指肠镜治疗食管吻合口瘘]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Ariel J Siles Vasquez, Ruby Martínez, Nelson Mejía, Nahuel Gnavi, Cristian J Mengoni, Ángel Nadales, Fernando Iudica, Mario E Donatelli

引用次数: 0

Duchenne muscular distrophy in Tafí del Valle, Tucumán, Argentina. 阿根廷Tafí del Valle的杜氏肌萎缩症。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

María Eugenia Sarandría, Roberto Rey, Rodrigo De Rosa, Vanesa Corbalán, Lilia Mesa

引用次数: 0

[Rare pathological anatomy of pancreatic cancer]. [少见的胰腺癌病理解剖]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

María Florencia Visentin, Leandro Pierini, Iván Fendrich, Oscar D Brosutti

引用次数: 0

[Transjugular portosystemic shunt and left gastric embolization]. [经颈静脉门静脉系统分流术和左胃栓塞术]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Carlos F Paz Mamani, María Laura Garrido, Carlos G Eisele

引用次数: 0

[Detection of Histoplasma capsulatum antigen in urine as a prognostic tool in patients with advanced HIV infection]. [尿中荚膜组织浆体抗原检测作为晚期HIV感染患者的预后工具]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Belén M Domecq, Claudia E Frola, Mariana Andreani, Liliana Guelfand, Alicia E Sisto, María J Rolón

{"title":"[Detection of Histoplasma capsulatum antigen in urine as a prognostic tool in patients with advanced HIV infection].","authors":"Belén M Domecq, Claudia E Frola, Mariana Andreani, Liliana Guelfand, Alicia E Sisto, María J Rolón","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The main objective of this study was to evaluate the association between the baseline level of Histoplasma capsulatum urinary antigen (AgU) and the severity of histoplasmosis in the context of HIV, as well as its utility for treatment monitoring. Secondary objectives included determining the appropriate cutoff point for AgU detection for the diagnosis of proven histoplasmosis.Materials and methods: The study was an analytical, retrospective cohort study in adults diagnosed with HIV, with at least one determination of AgU using ELISA. Sociodemographic, clinical, and laboratory variables were collected. Statistical analysis was performed using R-project® software.Results: A total of 452 individuals with AgU were included from March 2018 to July 2022, with 42 (9.3%) positive results (25 proven histoplasmosis and 17 probable cases). An statistically significant correlation was found between the baseline concentration of AgU and positive cultures. However, the utility of AgU as a followup tool could not be evaluated. The optimal cutoff point for detecting proven histoplasmosis was an AgU value ≥2.2 ng/mL (specificity: 96.3% and sensitivity: 100%).Discussion: Further studies are needed to evaluate the utility of AgU as a tool for monitoring antifungal treatment. A value of AgU ≥2.2 ng/mL could potentially correspond to a diagnosis of proven histoplasmosis.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"86-95"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123215","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

[SWOT analysis: implementation of dengue circuit in spontaneous demand, Buenos Aires, Argentina]. [SWOT分析：在自发需求中实施登革热电路，布宜诺斯艾利斯，阿根廷]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Javier Sánchez Doncell, Sandra Menéndez Veloz, Antonella Galante Becerra, Natalia S Masci, Noelia S Echenique, Sandra Zabala, Romina Denis

{"title":"[SWOT analysis: implementation of dengue circuit in spontaneous demand, Buenos Aires, Argentina].","authors":"Javier Sánchez Doncell, Sandra Menéndez Veloz, Antonella Galante Becerra, Natalia S Masci, Noelia S Echenique, Sandra Zabala, Romina Denis","doi":"","DOIUrl":"","url":null,"abstract":"In Argentina, dengue is an emerging health problem, with high morbidity during epidemic periods, which generates a significant burden on the population. Despite the efforts that have been made to control it, the disease has managed to spread rapidly due to the favorable conditions for its development. Faced with this situation, there is a need, in a private outpatient care center, for adequate control and clinical management of dengue cases, which is why the objective of carrying out a SWOT analysis (strengths, opportunities, weaknesses and threats) was established to develop a model that improves operational-care results. This SWOT analysis covered two areas: a) institutional and b) laboratory, in which the internal situation of the institution was evaluated to determine the characteristics presented after the last dengue outbreak, and thus develop strategies for future outbreaks. The results include trained personnel, the possibility of early diagnosis and timely control generated from spontaneous demand, which is why we determined that the institution has the capacity to respond to outbreaks, epidemics and pandemics. This analysis presents a strengthening activity between different areas through a comprehensive approach and the identification of new cases, which can respond to the needs of the population with dengue. By this means, valid and reliable information is provided for the approach and strategy of possible new outbreaks.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"197-204"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122685","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

Clinical and epidemiological characteristics of the 2022-2023 Mpox outbreak in Buenos Aires, Argentina. 阿根廷布宜诺斯艾利斯2022-2023年麻疹暴发的临床和流行病学特征

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Romina Mauas, María José Rolón, Fabiana Montaldo, Gustavo Lopardo, Agustina Fiori, Ángeles Tisné, Elena Obieta, Sofía Pelaez, Rosana Cuini, Verónica Cacciari, María Marta Greco, Gastón Copertari, Liliana Calanni, Pablo Parenti, Gustavo Castro, Anabella Erviti, Martín Brizuela, María Fernanda Rombini, Edgardo Bottaro, Diego Cecchini, Isabel Cassetti

{"title":"Clinical and epidemiological characteristics of the 2022-2023 Mpox outbreak in Buenos Aires, Argentina.","authors":"Romina Mauas, María José Rolón, Fabiana Montaldo, Gustavo Lopardo, Agustina Fiori, Ángeles Tisné, Elena Obieta, Sofía Pelaez, Rosana Cuini, Verónica Cacciari, María Marta Greco, Gastón Copertari, Liliana Calanni, Pablo Parenti, Gustavo Castro, Anabella Erviti, Martín Brizuela, María Fernanda Rombini, Edgardo Bottaro, Diego Cecchini, Isabel Cassetti","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The 2022-2023 Mpox outbreak in Argentina presented unique challenges due to the lack of vaccination and antiviral therapy. This study analyzed the epidemiological and clinical characteristics of cases in the Buenos Aires Metropolitan Area (MABA), examining temporal trends, HIV status, and concomitant sexually transmitted infections (STIs).Materials and methods: An ambispective, analitic, and multicenter study was conducted between September 2022 and May 2023 in HIV/STI clinics and hospitals in MABA. Cases were classified as confirmed (positive PCR) or possible (clinical and epidemiological criteria). Patients infected with MPox with and without HIV were compared.Results: 247 patients were included, 95.5% were confirmed cases. The median age was 36 years; 98% were men; 93.7% were men who have sex with men. Sexual exposure was the main transmission route (91%). The 25.2% presented concomitant STIs. The 74% were people living with HIV (PLWH), with good immuno-virological control. Common clinical manifestations included papular, pustular, and vesicular lesions; 59.4% presented >20 lesions. Rectal involvement occurred in 25.6%. Complications were observed in 9.3%, hospitalization in 6.6%, and mortality was 0.4%. PLWH showed a higher prevalence of perianal lesions and proctitis, without differences in complications and hospitalization.Discussion: The outbreak in Argentina, mainly affecting men who have sex with men living with HIV, had low mortality. No significant differences were observed in complications and hospitalization between people with and without HIV.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"64-77"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122945","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

[Management strategies to improve primary health care]. [改善初级保健的管理战略]。

IF 0.6 4区医学

Medicina-buenos Aires Pub Date : 2025-01-01

Marvin Beltrán-Castro, Ana León-Forero

{"title":"[Management strategies to improve primary health care].","authors":"Marvin Beltrán-Castro, Ana León-Forero","doi":"","DOIUrl":"","url":null,"abstract":"Management in primary health care (PHC) focuses on system design, improvement policies, and implementation of evidence-based interventions. This review identifies and describes management strategies used to improve PHC in terms of quality, accessibility, efficiency, and satisfaction of health professionals and patients. A review of the literature published in PubMed, Ovid/Medline, Cochrane Library, ScienceDirect, and Google Scholar was conducted. Research focused on management models, open access, and published in the last 5 years was selected. Validity was determined, results were described, and a thematic discussion of the content was conducted. Eighteen studies were included, most of which were narrative reviews (38.9%) (n = 7). The most frequently studied management strategies corresponded to the quality domain (94.4%) (n = 17), followed by efficiency (61.1%) (n = 11) and accessibility (38.9%) (n = 7). Strategies to improve the satisfaction of healthcare professionals and patients were the least studied, at 16.7% (n = 3) each. Strategies to improve management in PHC should cover several dimensions and adapt to the needs of the environment. It is recommended to emphasize optimizing quality, accessibility, efficiency, ensuring the well-being of professionals and improving the user experience, while fostering the ability to withstand challenges and innovate.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"165-181"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123228","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