{"title":"Caracterización de las peritonitis agudas secundarias según la escala de Mannheim sometidas a tratamiento quirúrgico en el Servicio de Cirugía General en el Hospital Central del Instituto de Previsión Social en el año 2020","authors":"Pablo Enrique Schaerer Elizeche, Andrea Ramirez","doi":"10.18004/rdn2023.jun.01.035.046","DOIUrl":"https://doi.org/10.18004/rdn2023.jun.01.035.046","url":null,"abstract":"Introducción: la peritonitis secundaria, ya sea localizada o generalizada, es una entidad capaz de generar un síndrome de respuesta inflamatoria sistémica, que trae como consecuencia, a pesar de los múltiples avances en diagnóstico, procedimientos quirúrgicos, antibioticoterapia y cuidados intensivos, aún presenta índices de morbilidad y mortalidad altos, esta última, de manera global, ronda alrededor del 20 - 35 %. En el Hospital Central del Instituto de Previsión Social, se realizan aproximadamente tratamiento quirúrgico de 20 - 25 casos mensuales de peritonitis, siendo los principales orígenes el apendicular, colónica, biliares, gástricos, intestinales. Objetivo: caracterizar los casos de peritonitis aguda secundaria según el Índice de Mannheim sometidos a procedimientos quirúrgicos en el Hospital Central del Instituto de Previsión Social, de enero del 2020 a diciembre del 2020. Metodología: estudio descriptivo, retrospectivo, de corte transversal, muestreo no probabilístico. Resultados: se incluyeron 206 pacientes con peritonitis aguda secundaria, el promedio de edad fue de 49 años, la incidencia en el sexo femenino es del 45,63 % y en el sexo masculino 54,37 %, la mortalidad fue del 16,5 %. La etiología más frecuente es la de origen apendicular seguida por la de origen colónico. La mortalidad fue más elevada en los casos de origen colónico. Los pacientes con Índice de Mannheim mayor a 26 tuvieron un porcentaje de mortalidad del 50 %. Conclusión: el promedio de edad de la población en estudio fue de 45 años y se observa con más frecuencia en el sexo masculino. La etiología más frecuente fue la de rigen apendicular. La mortalidad es relativamente baja. Los pacientes con índice de Mannheim por encima de 26, tienen mayor riesgo de mortalidad. La mortalidad es mayor en los casos de peritonitis aguda secundaria cuya etiología es colónica. Los pacientes con patología neoplásica de base representan un numero bajo.","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125251981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. S. Celi Simbaña, Washington Medardo Baca Mancheno, V. C. Naranjo Arboleda
{"title":"Large submucosal leiomyoma. An unusual presentation. Case Report","authors":"S. S. Celi Simbaña, Washington Medardo Baca Mancheno, V. C. Naranjo Arboleda","doi":"10.18004/rdn2022.dic.02.094.103","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.094.103","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"2008 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125979037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitude towards the Anita Law in students of the Facultad de Ciencias de la Salud Universidad Nacional of Caaguazú, year 2021","authors":"Jorge Rodrigo Chávez Chávez, Venancia Olguin, Guiomar Viveros, R. Espínola, Gloria González Vázquez, Giselle Martínez, Julieta Méndez-Romero","doi":"10.18004/rdn2022.dic.02.004.017","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.004.017","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121069593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Early thromboprophylaxis and evolution in pregnant women with COVID-19","authors":"Mario Echeverría","doi":"10.18004/rdn2022.dic.02.056.066","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.056.066","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127910582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Teresa Cáceres, Fulgencio González, Mauricio González, L. González, Natalia G. Cristaldo, Ariel Miranda, D. Perez Bejarano
{"title":"Risk assessment of obstructive sleep apnea and adherence to pharmacological treatment in patients with arterial hypertension","authors":"Teresa Cáceres, Fulgencio González, Mauricio González, L. González, Natalia G. Cristaldo, Ariel Miranda, D. Perez Bejarano","doi":"10.18004/rdn2022.dic.02.067.082","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.067.082","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124128454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nycolle Calvo, Sabina Godek, Mauricio Gabriel Ribeiro Martins, Telmo Raúl Aveiro Robalo, M. Samudio
{"title":"COVID-19 in medical students at a private university in the 2020-2021 academic period. Frequency and clinical characteristics","authors":"Nycolle Calvo, Sabina Godek, Mauricio Gabriel Ribeiro Martins, Telmo Raúl Aveiro Robalo, M. Samudio","doi":"10.18004/rdn2022.dic.02.030.043","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.030.043","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122088615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post-COVID-19 laryngotracheal stenosis balloon laryngoplasty","authors":"A. Santos, FR Pires, R. González","doi":"10.18004/rdn2022.dic.02.108.110","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.108.110","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123629607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relation between skeletal class and foot type in children from Asunción and Luque, Paraguay","authors":"Stela Mary Benítez de Forcadell, M. Samudio","doi":"10.18004/rdn2022.dic.02.044.055","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.044.055","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116201478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Albert Rafael Barrail Hellman, Eva Azucena González Duarte
{"title":"Mediastinal emphysema as a complication of asthmatic crisis in a young patient with COVID-19","authors":"Albert Rafael Barrail Hellman, Eva Azucena González Duarte","doi":"10.18004/rdn2022.dic.02.083.087","DOIUrl":"https://doi.org/10.18004/rdn2022.dic.02.083.087","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"100 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122502726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}