Medicina-buenos Aires最新文献_第7页

Caduceus of the heart. 卡杜修斯的心脏。

IF 0.6 4区医学

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

Mesut Engin, Abdulkerim Özkan

引用次数: 0

[Persistent symptoms in healthcare workers recovered from COVID-19]. [COVID-19康复后医护人员的持续症状]。

IF 0.6 4区医学

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

Martín Durlach, Agustín Manchado Bruno, Julio C Rotondaro, Marina Khoury, Juan P Suarez

{"title":"[Persistent symptoms in healthcare workers recovered from COVID-19].","authors":"Martín Durlach, Agustín Manchado Bruno, Julio C Rotondaro, Marina Khoury, Juan P Suarez","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: There is no consensus on the definition of post-acute COVID-19 syndrome. Current definitions do not consider the number, severity or prior chronic symptoms. Our aims were to describe the frequency of \"new\" persistent symptoms (without taking into account those already present before pandemic) following acute COVID-19 and compare with those who did not present the disease.Materials and methods: We collected Information on 19 symptoms at two points: pre-pandemic and at survey time, through a self-administered survey targeted at health workers working in person during the pandemic.Exclusion criteria: acute COVID-19 (or within 21 days of the initial symptom). All COVID-19 participants had previous PCR-confirmed diagnosis.Results: Among 249 participants, 73 (29.3%) had had a diagnosis of COVID-19 and 176 (70.7%) had not. 43.8% reported at least one pre-pandemic symptom, with no significant differences between groups (44.3% vs. 42.5%, p=0.789). The median interval between COVID-19 acute illness and survey was 137 (range 38-164). The COVID-19 group reported higher frequency of \"new\" symptoms (39.7% vs. 12.5%, p=0.000, RR 3.17; 95% CI 1.96-5.14) with a risk difference of 27.2% (95% CI 14.98-39.46). 89% of the COVID-19 group with persistent symptoms had = 2 symptoms, and 69%, had = 3.Discussion: The 39.7% of the COVID-19 group had persistent \"new\" symptoms, 27% more than the nonCOVID group. It is important to unify current definitions of post-COVID syndrome and consider including other aspects such as number, severity prior chronic symptoms.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 4","pages":"734-742"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821927","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

[Prevalence study of sexually transmitted infections in the voluntary interruption of pregnancy]. [自愿中止妊娠中性传播感染的流行研究]。

IF 0.6 4区医学

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

Margarita Barris, Laura Figueras, Laura Abojer, Claudia Diez Beltran, Lucila Rossi, Cynthia Menendez, Valeria Silenzi, Andrea Conesa, Pamela Bertolini, Jhoanna Sisuela, Mauro Andreu, María Lucía Gallo Vaulet, Marcelo Rodríguez Fermepin

{"title":"[Prevalence study of sexually transmitted infections in the voluntary interruption of pregnancy].","authors":"Margarita Barris, Laura Figueras, Laura Abojer, Claudia Diez Beltran, Lucila Rossi, Cynthia Menendez, Valeria Silenzi, Andrea Conesa, Pamela Bertolini, Jhoanna Sisuela, Mauro Andreu, María Lucía Gallo Vaulet, Marcelo Rodríguez Fermepin","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Sexually transmitted infections (STIs) affect sexual health and most cases are asymptomatic. The voluntary termination of pregnancy (VTP) care setting could be an opportunity to offer and perform STI screening tests. This study seeks to determine the prevalence of STIs in women who consult for VTP and to explore the association between STIs and sociodemographic variables.Materials and methods: Between April 2022 and June 2023, an observational, analytical, prospective, and cross-sectional study with an interdisciplinary approach was conducted. Women with =14.6 weeks of gestation who consulted for VTP were invited to participate. HIV, HCV, HBV, -and syphilis test were performed. Endocervical swabs were taken for the detection of Trichomonas vaginalis, Neisseria gonorrhoeae, and Chlamydia trachomatis.Results: Of 662 women who consulted for VTP, 160 (24.2%) decided to participate. A total of 154 cases were analyzed, identifying 36 cases of STI (23.38%). Within this group, 24 cases were new diagnoses (66.7%). In the subgroup of 24 new cases of STI, 27 new infections were detected, of which 13 corresponded to Chlamydia trachomatis, 8 to Trichomonas vaginalis and 6 to Syphilis (4 new diagnoses of syphilis and 2 reinfections). Three cases with co-infections were identified.Discussion: Despite the lack of significant associations in identified sociodemographic variables, the prevalence rate highlights the need to implement new strategies for the detection of STIs in this population.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 4","pages":"692-703"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821928","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

[Left atrial myxoma as a cause of syncope and angina]. [左心房黏液瘤是晕厥和心绞痛的病因]。

IF 0.6 4区医学

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

Juan Diego Vallejos, Eugenia Arce, Agustina Parnisari, María Fernanda Gonzalez, Verónica Volberg, Marcelo Damonte, Ana A Pisarevsky

引用次数: 0

Home hospitalization: first year of experience in a public hospital. 家庭住院：第一年在公立医院的经验。

IF 0.6 4区医学

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

Matías Mirofsky, Gisella Gregori, Marianela Garrido, Irina Casariego, Julia Fernandes Seixo, Viviana Martinez, Diego Brunet, Gabriela Harguindeguy

{"title":"Home hospitalization: first year of experience in a public hospital.","authors":"Matías Mirofsky, Gisella Gregori, Marianela Garrido, Irina Casariego, Julia Fernandes Seixo, Viviana Martinez, Diego Brunet, Gabriela Harguindeguy","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Home Hospitalization (HH) is a modality of home care with benefits for the health system, patients, families, and with few experiences in our country. In this paper, we present the results of the first year in a public hospital.Materials and methods: Cross-sectional study. Patients older than 17 years with acute and clinically stable diseases were included. We analyzed their clinical characteristics, days of hospitalization, mortality, readmission, and patient and family satisfaction surveys. The cost analysis is general, per day/bed, and variable due to the progressive incorporation of human resources and increase of available beds.Results: A total 276 patients were hospitalized, 51% women, median age 65 years, median number of days of hospitalization 4 and mean Charlson Index 4. The percentage of readmissions was 17.2% and mortality 6.7% at 30 days. Satisfaction surveys were completed by 28.6% of patients and 13.1% of family members: 96-100% reported that they considered all the points evaluated as very good/good. 90-95% stated that they would choose this modality again, that they would recommend this modality, and that they preferred it to hospitalization. The HH cost per bed day was 70% higher than the medical clinic cost per bed day.Discussion: HH is feasible to implement and accepted in our setting. Its initial costs were higher than those in the medical clinic, but should be re-evaluated in the long term, if bed capacity and human resources remain constant.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 4","pages":"682-690"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821991","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

[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

[Coinfection with two dengue serotypes during the 2024 outbreak]. [在 2024 年登革热爆发期间同时感染两种登革热血清型]。

IF 0.6 4区医学

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

Karen A Poccia, Maria F Rugani, Jacqueline M Galiano

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。