Medicina-buenos Aires最新文献_第9页

Giant primary pancreatic echinococcosis. 巨大原发性胰腺包虫病。

IF 0.6 4区医学

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

Lucas M Garcias, Santiago Reimondez, Enzo Giordano, Álvaro Alcaraz, Marcos Marani, Ana V Sánchez, Martín Maraschio

{"title":"Giant primary pancreatic echinococcosis.","authors":"Lucas M Garcias, Santiago Reimondez, Enzo Giordano, Álvaro Alcaraz, Marcos Marani, Ana V Sánchez, Martín Maraschio","doi":"","DOIUrl":"","url":null,"abstract":"Hydatid disease, a zoonosis caused by Echinococcus granulosus (EG), primarily affects the liver and lungs. Pancreatic involvement is exceedingly rare, representing only 0.2% of cases. In the reported case of a giant pancreatic hydatid cyst in a 22-year-old female patient. This patient from La Rioja, Argentina, presented with abdominal pain, distension, and early satiety. A CT scan revealed a 16 x 12 cm cyst in the pancreatic head. Preoperative albendazole was administered, followed by a cephalic duodenopancreatectomy due to cyst contact with the superior mesenteric vein. The postoperative period was uneventful, and the patient was discharged on postoperative day five. Pathological examination confirmed a hydatid cyst, with no recurrence at eight months' follow-up. Pancreatic hydatid cysts are rare, with most cases being asymptomatic due to the slow growth of the cysts. Imaging modalities like CT and MRI are crucial for diagnosis, while serological tests can help, although their sensitivity is limited. The treatment approach depends on the cysts location and size. In this case, surgical intervention was necessary due to the size and symptomatic nature of the cyst. The patient's preoperative and postoperative management included albendazole to minimize recurrence risk. Primary pancreatic echinococcosis is a rare manifestation of hydatid disease. This case represents the largest pancreatic cyst reported to date in our knowledge, successfully managed with surgical intervention and albendazole therapy, with no disease recurrence during follow-up. Surgical treatment remains the gold standard for giant or symptomatic cysts.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 4","pages":"846-850"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821990","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

[Hemodynamic monitoring during anesthetic induction in a patient with myasthenia gravis in septic shock]. [脓毒性休克重症肌无力患者麻醉诱导期间血流动力学监测]。

IF 0.6 4区医学

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

Eduardo M Prado, Carolina Coronel, Jorge F Sinner

引用次数: 0

[Synthesis of artificial life]. [人工生命合成]。

IF 0.6 4区医学

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

Sebastián A Correa

引用次数: 0

[Previous dengue infection, severity of a second infection and the possible role of DENV-2]. [以前的登革热感染，第二次感染的严重程度和DENV-2的可能作用]。

IF 0.6 4区医学

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

Isabel N Kantor

引用次数: 0

[Acute lung edema due to laryngospasm]. [喉痉挛引起的急性肺水肿]。

IF 0.6 4区医学

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

Hugo Páez Pastor, Matías Rodríguez Molaro, Bibiana Dieta, Vanesa Pantano, Pablo Young

引用次数: 0

[Spinal cord infarction]. [脊髓梗塞]。

IF 0.6 4区医学

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

Luciano Cristani

引用次数: 0

Argentinian validation of the attitudes Towards Euthanasia Scale. 阿根廷对安乐死态度量表的验证。

IF 0.6 4区医学

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

Agustina Senese, Gabriel Goldraij, Débora Lema, Juan José Fernández Muñoz, Pilar Barenstein-Fonseca, Vilma A Tripodoro

{"title":"Argentinian validation of the attitudes Towards Euthanasia Scale.","authors":"Agustina Senese, Gabriel Goldraij, Débora Lema, Juan José Fernández Muñoz, Pilar Barenstein-Fonseca, Vilma A Tripodoro","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Although euthanasia is an issue on the Argentinean parliamentary agenda, there is still confusion about its conceptualisation and limitations to its study. Attitudes towards euthanasia among the seriously ill remain under-researched. We aimed to validate the Attitudes Towards Euthanasia scale in Argentina by cross-culturally adapting to the Spanish-Argentine language and exploring psychometric characteristics.Materials and methods: A cross-sectional study used the Attitudes Toward Euthanasia Scale on a non-probabilistic sample of short-life expectancy patients. We selected Argentina's sample from seven healthcare centres to recruit a broad socio-demographic spectrum of patients. Inclusion criteria were patients with advanced disease, over 18 years of age, aware that the disease was probably incurable, and able to sign an informed consent form.Results: The selected sample comprised 167 very sick patients. Among them, 72.5% had cancer. The average age of the participants was 68 (SD= 14.03), and 50.9% were female; 34.7% held university degrees; 58.7% reported being affiliated with a religious organisation. The scale's psychometric properties, including reliability and validity, were assessed using an exploratory and confirmatory factor analysis. The internal consistency throughout Cronbach's Alpha was 0.837. The range of items of homogeneity was from 0.179 to 0.745. The study found no significant differences in perceptions concerning euthanasia between variables such as diagnosis, gender, university studies level, and religious affiliation.Discussion: The validation of the Attitudes Towards Euthanasia scale to a sample of seriously ill Argentinean patients has shown adequate psychometric properties, with some limitations.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 2","pages":"296-304"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803520","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

[Antithrombotic therapy in deep venous thrombosis associated with port-a-cath catheter in patients with cancer: evidence in Argentina]. [抗血栓治疗癌症患者深静脉血栓相关的port-a-cath导管：证据在阿根廷]。

IF 0.6 4区医学

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

Andrea C Muñoz Cárdenas, María M Clavijo, Claudia E Casali, María A Vicente Reparaz, Carolina V Mahuad, María F Aizpurúa, Gonzalo M Garate

{"title":"[Antithrombotic therapy in deep venous thrombosis associated with port-a-cath catheter in patients with cancer: evidence in Argentina].","authors":"Andrea C Muñoz Cárdenas, María M Clavijo, Claudia E Casali, María A Vicente Reparaz, Carolina V Mahuad, María F Aizpurúa, Gonzalo M Garate","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Recommendations for treating catheter-associated deep vein thrombosis (DVT) and cancer are based on studies of lower extremity DVT, due to the lack of direct evidence. The aim of the study was to describe antithrombotic strategies, catheter management, and compare outcomes according to strategy and anticoagulant used, in a subanalysis of patients with port-a-cath-associated DVT from a cancer-related thrombosis cohort.Materials and methods: Retrospective, single-center cohort study, from January 2016 to March 2022. Three strategies were evaluated after 3-6 months of full anticoagulation: A) dose reduction, B) maintenance, and C) discontinuation. Major bleeding (MB), clinically relevant non-major bleeding (CMNMB), and recurrent venous thromboembolism (rVTE) rates were compared by strategy and anticoagulant.Results: A total of 112 patients were included, treated with rivaroxaban (48%), apixaban (2%), and enoxaparin (24%). Eighty-two patients underwent strategy A, B, or C, and 46 underwent catheter removal. The MB/CMNMB rate was 14%, and the MB/CMNMB rate was 1%. The MB/CMNMB rates were 5/42 for A, 6/36 for B, and 1/4 for C (p=0.7). One MB/CMNMB event was recorded in A and B, with no events in C (p=0.94). With apixaban, MB/CMNMB was 3/31; with enoxaparin, 6/27; and with rivaroxaban, 7/54 (p=0.36). The MS/SNMCR rate was 2/31 with apixaban, 0/54 with rivaroxaban and 0/27 with enoxaparin (p=0.06).Discussion: No significant differences were found in ETVr, MS or SNMCR between strategies or anticoagulants.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 2","pages":"305-313"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803651","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

[High/very high cardiovascular risk diabetes. How much does the cardiologist know?] [高/极高心血管风险糖尿病。心脏病医生知道多少？]

IF 0.6 4区医学

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

Paula Pérez Terns, Ezequiel Forte, Sergio Giménez, Augusto Lavalle Cobo

{"title":"[High/very high cardiovascular risk diabetes. How much does the cardiologist know?]","authors":"Paula Pérez Terns, Ezequiel Forte, Sergio Giménez, Augusto Lavalle Cobo","doi":"","DOIUrl":"","url":null,"abstract":"Type 2 diabetes mellitus (T2D) carries a significant cardiovascular (CV) risk, highlighting the key role of the cardiology specialist in its management. Based on a Spanish publication, Argentine cardiology specialists explored cardiologist knowledge on the diagnosis and treatment of T2D in patients with high/very high CV risk. Ninety-eight clinical cardiologists not expert in T2D were assessed using a self-audit questionnaire before and after watching four educational videos. After the educational intervention, greater attention was observed to key indicators, such as waist circumference, microalbuminuria, and oral glucose tolerance test, to define treatment plans. Likewise, strict control of arterial hypertension and LDL cholesterol levels was emphasized. In addition, a tendency was found to simplify pharmacotherapy and a trend towards simplifying drug therapy for better cardiovascular outcomes emerged. Although knowledge on the diagnosis and treatment of T2D by Argentine clinical cardiologists is adequate in certain aspects, there are areas that can be improved. Transforming these knowledge gaps into intervention opportunities allows for the development of strategies aimed at optimizing the diagnosis, management and prevention of CV complications in patients with T2D.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 2","pages":"404-423"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803706","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 radiological characteristics of patients with low back pain treated in a hospital]. 【住院治疗腰痛患者的临床和放射学特征】。

IF 0.6 4区医学

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

Carla Coca Carrasco, Daniela Pedrón, Magalí Crucci, Enrique Romero Leiva, Agostina Pellegrino, Diego F Baenas, Elisa B Novatti, Pehuén Fernández, Emanuel J Saad

{"title":"[Clinical and radiological characteristics of patients with low back pain treated in a hospital].","authors":"Carla Coca Carrasco, Daniela Pedrón, Magalí Crucci, Enrique Romero Leiva, Agostina Pellegrino, Diego F Baenas, Elisa B Novatti, Pehuén Fernández, Emanuel J Saad","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Low back pain is one of the main causes of medical consultation worldwide, with heterogeneous management in the request for complementary methods. This study sought to determine the frequency and clinical and imaging characteristics of patients with low back pain in a tertiary hospital, considering the presence or absence of red flags.Materials and methods: A retrospective analytical study was carried out at the Private University Hospital of Córdoba. Patients over 18 years of age who consulted for the first time for low back pain between January and June 2021 were included, excluding pregnant and those without complete records.Results: A total of 880 patients were included. Of these, 589 (67%) presented acute low back pain, 112 (13%) subacute and 179 (20%) chronic. Simple low back pain was the most common cause (n=652, 74%), followed by herniated disc (n=179, 20%) and spondylolisthesis (n=33, 4%). Red flags were identified in 190 (22%) patients according to American College of Radiology (ACR) criteria and in 420 (48%) according to the Agency for Health Care Policy and Research (AHCPR). Imaging studies were performed in 314 (75%) patients with AHCPR criteria and 255 (55%) with ACR criteria. Neoplasia/infection and vertebral fracture were diagnosed in 2 (2%) and 5 (9%) patients with red flags, respectively.Discussion: The first consultation for low back pain represented 1.8% of consultations, with acute low back pain being more frequent. Obesity was the most common comorbidity. About half of the patients had red flags according to AHCPR and 21% according to ACR.","PeriodicalId":18419,"journal":{"name":"Medicina-buenos Aires","volume":"85 1","pages":"112-125"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123213","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