Medicina-buenos Aires最新文献_第6页

Epidural lipomatosis - the 'Y' sign.

IF 0.6 4区医学

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

Matheus Dal Bosco Macari, Mayara Oliveira Da Silva, Márcio L Duarte

引用次数: 0

[Liver enhancement pattern in "nutmeg"].

IF 0.6 4区医学

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

Karen L Ñacato, Daniel Uribe, Lina Robledo, German Espil Shigeru Kozima, Nebil Larrañaga

引用次数: 0

[Multiple stories. Eleven fictions about multiple myeloma].

IF 0.6 4区医学

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

Basilio A Kotsias

引用次数: 0

Establishing explicit clinical importance thresholds is a tool for authors to enhance transparency in results interpretation.

IF 0.6 4区医学

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

Agustín Bengolea, Hugo N Catalano, Ariel Izcovich

引用次数: 0

[Controversies on Hantavirus]. [关于汉坦病毒的争议]

IF 0.6 4区医学

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

Teresa Strella, Sofía E Echazarreta, Esteban M Couto, M Fernanda Ferrer, Marcelo Quipildor, Enzo Lavarra, M Paula Herrera, Eleonora Cunto, Viviana Chediack, Pablo A Saul, Miriam E Blanco, Carina Balasini, Ana V Lugo, Marcos A Flores M, Ana L González, Mónica B Lares, M Cecilia García, Juan Amico, Ángel M Colque, Yanina Nuccetelli, M Inés Staneloni

{"title":"[Controversies on Hantavirus].","authors":"Teresa Strella, Sofía E Echazarreta, Esteban M Couto, M Fernanda Ferrer, Marcelo Quipildor, Enzo Lavarra, M Paula Herrera, Eleonora Cunto, Viviana Chediack, Pablo A Saul, Miriam E Blanco, Carina Balasini, Ana V Lugo, Marcos A Flores M, Ana L González, Mónica B Lares, M Cecilia García, Juan Amico, Ángel M Colque, Yanina Nuccetelli, M Inés Staneloni","doi":"","DOIUrl":"","url":null,"abstract":"Over the past decades, significant progress has been made on our understanding of the possible mechanisms involved in hantavirus transmission in the southern hemisphere and how to address and treat hantavirus infections. Hantavirus infections have been subject to controversies concerning its prevention, case management and treatment. Some possibly related to the fact that it is a rare disease and there is lack of comprehensive data regarding treatment options. Besides, the possible person-to-person transmission of some genotypes (only proven in certain regions of Argentina and Chile) has proven to be a challenge for infection control. In addition, the dynamic scenario regarding emerging infectious diseases in the region has produced changes in the possible differential diagnoses to be considered. This review intends to summarize the current available scientific evidence on some of the remaining controversies regarding hantavirus infections in Argentina and South America. It is a narrative literature of published evidence reviewed by a group of experts with the unique experience of having faced outbreaks in this region with interhuman transmission. It discusses respiratory precautions adapted to different genotypes/areas, possible transmission through breastfeeding, predictors of severity in laboratory tests, the use of corticosteroids, plasma and ribavirin for treatment, and finally differential diagnoses in Argentina. While most of these aspects of hantavirus infection are still complex to conclude, it is essential to raise awareness in these severe infections of the available scientific evidence in order to prevent and improve the quality of care, optimizing patient outcomes.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 2","pages":"363-375"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803700","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

[Just like old days: "On a case of Paget's disease of the bone"]. [一如往昔："论一例帕吉特骨病"]。

IF 0.6 4区医学

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

Rubén Abdala, Josefina Rosmino

引用次数: 0

[Catheter associated urinary tract infection: 2024 update and intersociety recommendations]. [导尿管相关尿路感染：2024 年更新和学会间建议]。

IF 0.6 4区医学

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

Wanda Cornistein, Yanina Nuccetelli, Viviana M Rodriguez, Ángel Colque, Viviana Chediack, Marco Flores, Adriana Fernández Lausi, Adriana Manzur, Emilio F Huaier Arriazu, Eleonora Cunto, Miriam Blanco

{"title":"[Catheter associated urinary tract infection: 2024 update and intersociety recommendations].","authors":"Wanda Cornistein, Yanina Nuccetelli, Viviana M Rodriguez, Ángel Colque, Viviana Chediack, Marco Flores, Adriana Fernández Lausi, Adriana Manzur, Emilio F Huaier Arriazu, Eleonora Cunto, Miriam Blanco","doi":"","DOIUrl":"","url":null,"abstract":"Representatives of the Argentine Society of Infectious Diseases (SADI) and the Argentine Society of Intensive Therapy (SATI) issued the present recommendations on diagnosis, treatment, and prevention of catheter associated urinary tract infection (CA-UTI). Articles published during 2018-2024 were analyzed in the light of experts' opinion and local data. This document aims to offer basic strategies to optimize the diagnosis based on clinical and microbiological criteria, provide guidance in empirical and targeted antibiotic schemes, and promote effective measures to reduce the risk of CA-UTI. The joint work of both societies highlights the expert's concern about the mismanagement of CA-UTI, which is associated with the indiscriminate use of antimicrobials, and the importance of improving daily practices of CA-UTI management. Through these recommendations, local guidelines are established to optimize the diagnosis, treatment and prevention of CA-UTI in order to reduce morbimortality, days of hospitalization, costs and antibiotic resistance due to the misuse of antimicrobials.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 2","pages":"348-362"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803655","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

[Comprehension of medical terminology in older adults: a cross-sectional study]. [老年人对医学术语的理解：一项横断面研究]。

IF 0.6 4区医学

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

Milaydis Acuña, Silvana Meek Torres, María Pía Izaguirre Germain, Diego Caruso

{"title":"[Comprehension of medical terminology in older adults: a cross-sectional study].","authors":"Milaydis Acuña, Silvana Meek Torres, María Pía Izaguirre Germain, Diego Caruso","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Health literacy (HL) is the ability to obtain, interpret, and comprehend medical information necessary for decision-making. The objective was to determine the understanding of medical terminology in adults over 60 years old and its predictors.Materials and methods: Adults over 60 years old who were in the waiting room of scheduled clinics were surveyed using the SAHLSA-50 (Short Assessment of Health Literacy for Spanish Adults) questionnaire, validated in Spanish. Comprehension was considered inadequate if the score was 37 or lower. A linear regression model was constructed between sociodemographic predictors and the level of understanding with SAHLSA-50. Regression coefficients with their 95% CIs are presented.Results: A total of 323 participants with a mean age of 72.5 years (SD 6.6) were included, 53.0% had a primary education level. The median SAHLSA-50 score was 45 points (IQR 42-49). The 4.6% of participants had inadequate understanding. In the multivariate model, the only independent predictor of understanding was the educational level, with a coefficient of 0.89 (95% CI 0.68-1.09), acquiring a medical term for each increase in the educational stratum.Discussion: Educational level is a determining factor in the comprehension of medical terminology. Health professionals should adjust the level of their discourse to the population they serve.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 2","pages":"287-295"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803699","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

[Sex differences in hospitalized patients for COVID-19. Argentine Registry of Cardiovascular Complications of COVID-19 (RACCOVID-19)].

IF 0.6 4区医学

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

Lucía R Kazelian, Mariela Tolusso, Stella Maris Pereiro Gonzalez, Lucrecia Secco, Rita B Tepper, Alejandra Garay, Mariano Maydana, Gerardo Zapata, Juan A Gagliardi

{"title":"[Sex differences in hospitalized patients for COVID-19. Argentine Registry of Cardiovascular Complications of COVID-19 (RACCOVID-19)].","authors":"Lucía R Kazelian, Mariela Tolusso, Stella Maris Pereiro Gonzalez, Lucrecia Secco, Rita B Tepper, Alejandra Garay, Mariano Maydana, Gerardo Zapata, Juan A Gagliardi","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: SARS-CoV-2 can cause mild upper respiratory tract involvement to pulmonary disease of varying severity, as well as cardiovascular complications with increased mortality. The prevalence is similar in men and women, although there are sex differences in disease characteristics and outcome. In this study, we analyze the clinical characteristics, progression, and in-hospital outcome by sex of patients included in the RACCOVID-19 registry.Materials and methods: We included data from 2750 patients consecutively admitted to 50 centers in 11 provinces of the country, from May 18 to October 31, 2020.Results: A total of 1541 men (60.2%) and 1018 women (39.8%) were included (p<0.001). The prevalence of cardiovascular risk factors (because of current smoking) was higher in men. During hospitalization, men had a higher incidence of cardiovascular complications (17.9% vs. 12.5%; p=0.0002) and mortality (20.8% vs. 16.8%; p=0.01). Poor performance status on hospital admission was more common in men (53.9% vs. 42.6%, p<0.0001). On multivariate analysis, male sex, the presence of hypertension and diabetes, and a history of other medical conditions were independent predictors of inhospital mortality.Discussion: In the RACCOVID-19 registry, men had worse performance status and higher incidence of cardiovascular complications with higher in-hospital mortality. Male sex, hypertension, diabetes, and history of other diseases were independent predictors of in-hospital mortality.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123148","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

[Evolution of inpatients with diabetes and ischemic strokes: retrospective cohort study].

IF 0.6 4区医学

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

Jimena Soutelo, María Clara Fritz, M Florencia Borghi Torzillo, Jimena Basualdo, Antonella Gallucci, Laura Butler, Guido Di Fonzo, Gabriel Faraj

{"title":"[Evolution of inpatients with diabetes and ischemic strokes: retrospective cohort study].","authors":"Jimena Soutelo, María Clara Fritz, M Florencia Borghi Torzillo, Jimena Basualdo, Antonella Gallucci, Laura Butler, Guido Di Fonzo, Gabriel Faraj","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Type 2 diabetes (T2DM) together (along) with age and the presence of atrial fibrillation, high blood pressure, smoking, dyslipidemia (DLP), carotid stenosis, and an unhealthy lifestyle are risk factors (RF) to develop an ischemic stroke. The objective of this work was to analyze and compare risk factors and evolution of inpatients with ischemic stroke with and without T2DM.Materials and methods: This study was a retrospective and observational analysis. Data on habits, comorbidities, medication and laboratory parameters were collected patients' medical records hospitalized for stroke between January 1, 2022 and December 31, 2022. The sample was divided into patients with and without T2DM.Results: One hundred and ninety three patients experienced stroke. The average age: 73.6 ±11.8 years. Among them, 100 patients had T2DM, displaying a higher prevalence of obesity (p= 0.000), DLP (p=0.000), and chronic kidney disease (p= 0.045). Elevated levels of glycemia (p=0.001), HbA1C (p=0.001), triglycerides (TG) (p=<0.001) and TG/HDL index (p= <0.001) as well as and lower HDL (p=<0.001) were also observed. Patients with T2DM showed lower survival (p= 0.012).Discussion: Patients hospitalized for stroke with T2DM had more risk factors and higher mortality than the population without T2DM.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"78-85"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123218","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