Medicina-buenos Aires最新文献_第8页

[Visual inspection with acetic acid and the control of cervical cancer in primary care]. [用醋酸进行目视检查和基层医疗机构对宫颈癌的控制]。

IF 0.6 4区医学

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

Bladimir Becerra-Canales, Medalith Campos-Sobrino, Morayma Campos-Sobrino, Ricardo D Martinez-Muñante

{"title":"[Visual inspection with acetic acid and the control of cervical cancer in primary care].","authors":"Bladimir Becerra-Canales, Medalith Campos-Sobrino, Morayma Campos-Sobrino, Ricardo D Martinez-Muñante","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Visual inspection with acetic acid (VIA) is a primary alternative to reduce cervical cancer (CaCu) incidence and mortality. The study aimed to determine the proportion of women aged 30-49 years who used VIA in the last two years and the factors associated with the use of the test in the primary care setting.Methods: Cross-sectional, multicenter study. Seven hundred and six women aged 30 to 49 years participated, users of primary health care centers in a region of Peru. The dependent variable was the use of the VIA test in the last two years and the independent variables were sociodemographic, socio-health, information and attitudinal factors.Results: The proportion of women who used the VIA test was 30.6%. The following factors were associated with greater use of the test: urban area of residence, having received a recommendation for VIA, feeling worried about acquiring CaCu, having heard about CaCu and the human papilloma virus. Also, considering having a greater or equal probability of developing CaCu compared to women of the same age, and with lower use of the test, coming from the highlands and considering it risky to undergo VIA.Conclusion: The VIA screening program for CaCu would not be achieving the desired impact. There is a need to strengthen strategies and interventions in primary care to improve screening behaviors and rates.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 3","pages":"526-533"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440624","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 of hereditary hemorrhagic telangiectasia in a medical care program organization in Buenos Aires, Argentina. 遗传性出血性毛细血管扩张症在阿根廷布宜诺斯艾利斯一个医疗项目组织中的流行率。

IF 0.8 4区医学

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

Marcelo M Serra, Melina Papi, Candelaria Serrano

{"title":"Prevalence of hereditary hemorrhagic telangiectasia in a medical care program organization in Buenos Aires, Argentina.","authors":"Marcelo M Serra, Melina Papi, Candelaria Serrano","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant vascular dysplasia that might affect 1/5000-10 000 individuals worldwide. It is a rare and underdiagnosed condition. Population-based epidemiological studies are crucial for comprehending and quantifying the impact of this disease. We aim to estimate the prevalence in a Prepaid Health Care System of Buenos Aires, Argentina.Methods: A descriptive cross-sectional study was designed, which included all patients over 18 years of age affiliated with the Hospital Italiano Medical Care Program (IHMCP), a prepaid health maintenance organization (HMO) of Buenos Aires. For case inclusion, individuals were required to have a clinical diagnosis of HHT. Case detection included the search in our Institutional Registry. The prevalence was calculated by dividing the number of cases of HHT by the total number of all active affiliates at January 2023. Age and gender specific prevalence rates were estimated.Results: 48 cases were reported. The prevalence was 3.2 in 10 000 (IC 95% 2.4-4.2). Specific prevalence in women was 3.9 in 10 000 (IC 95% 2.8-5.5) and in men 2.1 in 10 000 (IC 95% 1.2-3.6). The average age was 54.8 (19), 35 patients were women (72.9%) with an average age of 55 (19.9), and 55 (17.2) for men. The most common referrals were physicians (60.4%) followed by family history (18.7%). The 48 patients corresponded to 39 families.Discussion: The prevalence identified in our study is higher than the one documented in other studies.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 2","pages":"221-226"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851860","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

[Necrosis and intestinal perforation associated with feeding by jejunostomy]. [与空肠造口术进食有关的坏死和肠穿孔]。

IF 0.8 4区医学

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

Mauricio A Gonzalez, Alejandro García Hevia, Pablo M Fernández, Aida V Canga, Jorge A Obeid

引用次数: 0

[Calciphylaxis, risk factors, treatment and outcomes. Retrospective study of 39 patients]. [钙化症、风险因素、治疗和结果。对 39 名患者的回顾性研究]。

IF 0.8 4区医学

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

Ana C Torre, Dolores P Bastard, Maria Diehl, Guillermo Rosa-Diez, Victoria Volonteri, Luis D Mazzuoccolo, Anahi L Belatti

{"title":"[Calciphylaxis, risk factors, treatment and outcomes. Retrospective study of 39 patients].","authors":"Ana C Torre, Dolores P Bastard, Maria Diehl, Guillermo Rosa-Diez, Victoria Volonteri, Luis D Mazzuoccolo, Anahi L Belatti","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Calciphylaxis is a serious vascular disorder characterized by calcification of tunica media, intimal hyperplasia, thrombosis, and skin necrosis. It was described in patients with renal failure (UC), although it can occur in its absence (NUC). Its risk factors are under study and its diagnosis can be complex. Over a decade ago, its mortality was estimated at 60-80%. Recent studies indicate that it has decreased (40%).Methods: A retrospective study was carried out in the period between January 1, 2011 and December 31, 2019. The past medical record, clinical characteristics, laboratory and histopathological findings, and evolution of all patients with calciphylaxis evaluated at the Hospital Italiano de Buenos Aires were reviewed.Results: Thirty-nine patients were included. Sixtyone percent were men and 39% were NUC cases. Eightytwo percent had arterial hypertension, 66% obesity and 46% diabetes. Of those, 49% received coumarin anticoagulants. All patients with NUC and 75% with UC presented ulcers with necrosis, located more frequently on the legs. In 72% of the cases the histological diagnosis was made with one biopsy. In all the treatment was multimodal and mortality at one year was 42%.Conclusion: We observed a high proportion of patients with NUC, in relation to what is reported in the literature, and that half received vitamin K antagonists. The histological diagnosis was made with one biopsy in most of the cases, as the surgical technique for taking the sample, the Von Kossa staining and the evaluation by an expert pathologist were the key of it.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 2","pages":"196-205"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855446","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

[Regarding CONICET, research, and science in Argentina: with pen and word]. [关于阿根廷国家科学技术委员会、研究和科学：用笔和文字]。

IF 0.6 4区医学

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

Eduardo L De Vito

引用次数: 0

Primary hyperparathyroidism in pregnancy: a case report highlighting uncommon complication. 妊娠期原发性甲状旁腺功能亢进症：一份突显不常见并发症的病例报告。

IF 0.8 4区医学

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

Pilar de Las Mercedes Pereyra, María de Los Ángeles Aciar, María Mercedes Fregenal, Gustavo A Ceballos, Luis A Ramírez Stieben

{"title":"Primary hyperparathyroidism in pregnancy: a case report highlighting uncommon complication.","authors":"Pilar de Las Mercedes Pereyra, María de Los Ángeles Aciar, María Mercedes Fregenal, Gustavo A Ceballos, Luis A Ramírez Stieben","doi":"","DOIUrl":"","url":null,"abstract":"Primary hyperparathyroidism (PHPT) is characterized by elevated levels of calcium and parathyroid hormone (PTH). However, the interpretation of diagnostic tests, such as serum calcium and PTH levels, is complex in pregnant women. The aim of this report is to present a case of PHTP in a pregnant adolescent, with a special emphasis on an uncommon complication, as well as diagnostic and treatment strategies. A 17-year-old pregnant female presented with hyperemesis gravidarum and neurological symptoms, leading to the diagnosis of cerebral venous thrombosis. Further investigations revealed hypercalcemia and persistently elevated PTH levels, consistent with PHPT. After localization studies, the patient underwent an emergency parathyroidectomy with a diagnosis of parathyroid adenoma. During follow-up, intrauterine growth restriction and severe preeclampsia developed, necessitating an emergency cesarean section. Both the mother and neonate had favorable outcomes. PHPT is an infrequent condition in the pregnant population, and its diagnosis can be challenging due to the overlap of symptoms with normal physiological changes during pregnancy. The occurrence of uncommon complications, such as thrombotic phenomena, highlights the need for a comprehensive approach to ensure early detection and management. In most cases, parathyroidectomy is the treatment of choice.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 2","pages":"342-346"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864522","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

[Argentinean registry on the management of Helicobacter pylori infection: effectiveness and safety of first line treatment]. [阿根廷幽门螺旋杆菌感染管理登记：一线治疗的有效性和安全性]。

IF 0.6 4区医学

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

Oscar Laudanno, Gabriel Ahumaran, Marcelo Thome, Paola Adami, Fernando Ustares, Oscar Bedini, Javier Bori, Gastón Ahualli, Pablo Rodríguez, Guillermo Fernández, Florencia Dulcich, Gladys Filo, Bianca Laudanno, Marina Khoury

{"title":"[Argentinean registry on the management of Helicobacter pylori infection: effectiveness and safety of first line treatment].","authors":"Oscar Laudanno, Gabriel Ahumaran, Marcelo Thome, Paola Adami, Fernando Ustares, Oscar Bedini, Javier Bori, Gastón Ahualli, Pablo Rodríguez, Guillermo Fernández, Florencia Dulcich, Gladys Filo, Bianca Laudanno, Marina Khoury","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The optimal management of Helicobacter pylori (H pylori) infection remains unclear. Updated information concerning local data is needed to design the best strategy to treat H. pylori infection to reach high eradication rates. The Argentinean Registry (Hp-ArgReg) on H. pylori management was launched to monitor the eradication practices of gastroenterologists. The objective was to assess the effectiveness and safety of firstline H. pylori treatment in Argentina.Materials and methods: A multicenter prospective registry of the clinical practice of the Argentinean gastroenterologists concerning H. pylori infection (Hp-ArgReg) was developed. Variables included: patient demographic information, previous eradication attempts, prescribed treatment, adverse events, compliance and outcome.Results: Overall, 800 patients were included and 727 patients received first-line empirical treatment. The most frequent treatment indications were dyspepsia (78%) and gastroduodenal ulcer (12%). Among first-line treatments, quadruple therapies (with or without bismuth) achieved eradication rates of 94.9%, while triple therapies achieved eradication rates of 78.9%. Quadruple therapies were significantly more effective than triple therapies (P < 0.01, OR 5, CI 2.95-8.6). Sequential therapy with zinc showed an effectiveness of 95.6%. Adverse events were reported in 29% of the cases (mainly mild) and tolerance was quite similar among therapies.Conclusion: in Argentina, Quadruple therapies with or without bismuth and sequential therapy with zinc showed an H. pylori eradication effectiveness of over 90% in real clinical practice. Local Registries for H pylori management could help to control the spread of antibiotic resistance.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 5","pages":"884-892"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469535","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

[Benign infant myositis associated to influenza B]. [与乙型流感有关的婴儿良性肌炎]。

IF 0.6 4区医学

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

Jimena Bergilli, Antonella Magnano, Romanette Hurtado Latapiat, Sandra Barreiro, Martín Brizuela

引用次数: 0

[Borges, physics and art]. [博尔赫斯、物理学和艺术］

IF 0.6 4区医学

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

Pablo Young, Alberto Rojo

引用次数: 0

[Disorders in plasmatic levels of potassium, magnesium, and calcium in elderly adults associated with colistin: time series]. [老年人血浆中钾、镁和钙水平的紊乱与可乐定有关：时间序列]。

IF 0.6 4区医学

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

Angélica Tang, Matías Zamudio, Ernesto Federico Sena, María Pía Izaguirre Germain, Diego Caruso

{"title":"[Disorders in plasmatic levels of potassium, magnesium, and calcium in elderly adults associated with colistin: time series].","authors":"Angélica Tang, Matías Zamudio, Ernesto Federico Sena, María Pía Izaguirre Germain, Diego Caruso","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Water and electrolyte disturbances associated with colistin are understudied adverse effects in the medical literature. We aim to evaluate their incidence in hospitalized older adult patients.Materials and methods: A longitudinal retrospective study of the interrupted time series type was conducted on patients admitted to Dr. César Milstein Hospital. We included adults aged 65 and older who received colistin with normal serum potassium, magnesium, and calcium at the outset. Electrolyte values were collected before, during and after suspending the antibiotic. Values were compared using non-parametric tests, and a multivariate linear regression model with robust intervals was performed to assess sociodemographic and clinical characteristics associated with serum concentrations.Results: A total of 89 patients were included. The rate of hypokalemia was 77.5% (n=69), and factors associated with potassium decline included older age, increased creatinine levels, and longer colistin treatment duration. Serum magnesium disturbances were reported in 66 (79.5%) of the 83 patients evaluated. The decrease in both electrolytes was statistically significant in the measured times and both values normalized after 72 hours of stopping antibiotic therapy. The incidence of acute kidney injury during colistin treatment in patients with normal baseline creatinine was 63.6% (n = 42/66), and in those with abnormal baseline creatinine, it was 47.8% (n = 11/23).Conclusion: We report high rates of electrolyte disturbances in patients treated with colistin, with hypokalemia being the most frequent, showing resolution following discontinuation of antibiotic therapy. Continuous monitoring of electrolyte levels and renal function during colistin treatment is crucial.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"84 5","pages":"922-928"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469546","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