Revista Medica del Hospital General de Mexico最新文献

{"title":"Use of hyperbaric oxygen therapy in T2 diabetics with pelvic lesions. Clinical experience","authors":"R.E. Castro-López ,&nbsp;J.M. Chávez-Mayol ,&nbsp;O.M. Rodríguez-Piñeyro ,&nbsp;G. Melendez-Mier ,&nbsp;M.L. Cervantes-Molina","doi":"10.1016/j.hgmx.2017.06.002","DOIUrl":"10.1016/j.hgmx.2017.06.002","url":null,"abstract":"<div><h3>Background</h3><p>The World Health Organisation indicates that the number of people with type 2 diabetes mellitus is more than 366 million and is expected to increase to 552 million by 2030, i.e., 8.3% of the total adult population. Each year, 14.9% of patients with this disease experience plantar ulcers, which in most cases are resistant to standard treatments. Of these, 15–20% require radical amputation within five years of diagnosis.</p></div><div><h3>Material and methods</h3><p>This is a retrospective study reviewing the records of patients with type 2 diabetes mellitus and complications from lower limb injuries. We selected 220 records of patients with type 2 diabetes mellitus and lower limb injuries, undergoing hyperbaric oxygen therapy. We grouped wounds according to the Wagner Grading System and classified them according to the Skeik Modified Scale to determine the effect of hyperbaric oxygen therapy (HBOT) on the healing time of wounds. By way of comparison, the study was divided a second time, adjusting the initial population so as to include only cases that benefited from HBOT.</p></div><div><h3>Results</h3><p>Overall improvement was achieved in 149 patients (67.7%), with a greater response in Wagner stages II and III. In patients who received 16–30 sessions, it was found that 77 (64.16%) maintained their improvement and only 43 (28.85%) had a relapse.</p></div><div><h3>Conclusions</h3><p>At the end of the study, we found that HBOT is favourable and permanent in 52.72% of patients, seeing temporary improvement in 15%. This opens up the possibility of new developments that successfully determine suitable selective parameters and lead to a speedy recovery.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 4","pages":"Pages 204-211"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2017.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48130192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediastinitis, a model of care. Experience in the General Hospital of Mexico over 34 years (1982–2016)","authors":"F.P. Navarro-Reynoso ,&nbsp;B. Vargas-Abrego ,&nbsp;A. Pérez-Romo ,&nbsp;R. Cicero-Sabido","doi":"10.1016/j.hgmx.2016.10.002","DOIUrl":"10.1016/j.hgmx.2016.10.002","url":null,"abstract":"<div><h3>Background</h3><p>Mediastinitis is a potentially fatal condition. In addition to timely diagnosis, its prognosis depends on an early and systematic approach.</p></div><div><h3>Objective</h3><p>To describe the results of mediastinitis treatment over a period of 34 years in a teaching hospital, its evolution and the current model of care.</p></div><div><h3>Materials and methods</h3><p>Cross-sectional, retrospective and descriptive study of patients with mediastinitis admitted from 1 June 1982 to 30 July 2016. The analysed variables were demographic, classification and aetiology of mediastinitis, comorbidities, complications, length of hospital and intensive care unit stay and mortality.</p></div><div><h3>Results</h3><p>1880 patients were included of which 1496 (79.6%) were men. The mean age was 39.4<!--> <!-->±<!--> <!-->17.8 years. According to the classification of Endo, 603 (32.1%) corresponded to type I and 1277 (67.9%) to types IIA and IIB. According to the aetiology, in 910 cases the origin was odontogenic (48.4%), 526 due to retropharyngeal abscess (28%), 147 secondary to submandibular abscess (7.8%), 49 due to cervical lymphadenectomy (2.6%), 36 due to pharyngeal trauma (1.9%), 14 due to post-intubation tracheal rupture (0.7%) and 198 were of undetermined origin (10.6%). Mediastinotomy with right thoracotomy was performed in 86% and mediastinotomy with left thoracotomy was performed in 14%. Simultaneous tracheostomy was performed in 83% of cases, standardising this procedure since 2005. Mortality varied between periods and was 50% in 1982–1992, 41% in 1992–2001, 35% in 2002–2011 and 17% in 2012–2016.</p></div><div><h3>Conclusion</h3><p>Along with the standardisation of the management of mediastinitis, a fall in mortality from this cause has been observed over the years. The maturity of the proposed model of care is a result of, among other things, medical and scientific advances and the experience gained in this pathology over more than three decades.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 4","pages":"Pages 228-232"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49085184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of membranoproliferative glomerulonephritis at Hospital General de México “Dr. Eduardo Liceaga” over a 5-year period","authors":"C.A. Mendoza-Cerpa ,&nbsp;M.V. Soto-Abraham","doi":"10.1016/j.hgmx.2017.05.008","DOIUrl":"10.1016/j.hgmx.2017.05.008","url":null,"abstract":"<div><h3>Background</h3><p>Membranoproliferative glomerulonephritis is a pattern of glomerular lesion with a variety of causes. It can be classified by using direct immunofluorescence into immune complex-mediated membranoproliferative glomerulonephritis and complement-mediated membranoproliferative glomerulonephritis.</p></div><div><h3>Objective</h3><p>Determine the prevalence of membranoproliferative glomerulonephritis by biopsy (light microscopy, direct immunofluorescence and electron microscopy), categorise them according to the most recent classification, identify possible causes and determine certain epidemiological and clinical characteristics.</p></div><div><h3>Material and method</h3><p>A descriptive, cross-sectional study was carried out, selecting renal biopsies with a membranoproliferative pattern at 5 years at Hospital General de México. Age, gender, clinical syndrome and immunofluorescence and electron microscopy results were obtained. Biopsies lacking immunofluorescence or electron microscopy results were excluded.</p></div><div><h3>Results</h3><p>133 biopsies diagnosed as membranoproliferative glomerulonephritis were obtained. The average annual rate was 3.37%, while average age was 31.35<!--> <!-->±<!--> <!-->16 years. The disorder affected mostly women (60.15%, <em>n</em> <!-->=<!--> <!-->80). Nephrotic syndrome was the most common clinical presentation (48.12%, <em>n</em> <!-->=<!--> <!-->64), while autoimmune disease was the most common cause (77.77%, <em>n</em> <!-->=<!--> <!-->91).</p></div><div><h3>Conclusions</h3><p>Direct immunofluorescence is indispensable for classifying membranoproliferative glomerulonephritis.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 4","pages":"Pages 197-203"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2017.05.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48459892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a single dose of pre-operative pravastatin on C-reactive protein levels and neutrophil/lymphocyte ratio in patients undergoing mastectomy for breast cancer","authors":"J.A. Morantes Acevedo ,&nbsp;J.C. Álvarez Vega ,&nbsp;J. Sánchez Vergara","doi":"10.1016/j.hgmx.2017.02.003","DOIUrl":"10.1016/j.hgmx.2017.02.003","url":null,"abstract":"<div><h3>Introduction</h3><p>In Mexico, breast cancer is the leading cause of death from malignant tumours in women over 25 years of age. Cancer patients present pro-inflammatory status which, added to the inflammatory response to surgery, worsens their prognosis, not only from a cardiovascular perspective but also by increasing the risk of tumour relapse and the onset of metastases. The objective of this study is to determine the role of pravastatin in the modulation of the systemic inflammatory response to surgical trauma by measuring C-reactive protein (CRP) levels and the neutrophil/lymphocyte ratio (NLR) in breast cancer patients undergoing radical mastectomy.</p></div><div><h3>Methods</h3><p>Randomised, single-blind, prospective clinical trial in breast cancer patients undergoing mastectomy, divided into two groups of 15 patients each. One of the groups was administered a pre-operative dose of pravastatin 20<!--> <!-->mg and the other was not and the pre- and post-surgical inflammatory biomarker levels were measured. The numerical variables are expressed as means and with standard deviation. The comparison between groups was performed with Student's <em>T</em>-test.</p></div><div><h3>Results</h3><p>A total of 30 patients subject to radical mastectomy were enrolled in the study and divided into 2 groups. The mean age was 56.9 years in the control group and 53.4 years in the pravastatin group. It was found that the patients who received a 20<!--> <!-->mg pre-op dose of pravastatin presented less CRP elevation, with a mean of 12.6 95% CI (8.34–16.9) vs 43.8 95% CI (34.3–53.37) in the control group, <em>p</em> 0.0000. Although the changes in the neutrophil/lymphocyte ratio were not statistically significant, <em>p</em> 0.2337, it was less elevated in the pravastatin group, with a mean of 3.57 95% CI (2.02–5.11) vs 7.17 95% CI (3–17.42) in the control group.</p></div><div><h3>Conclusions</h3><p>The pre-surgical administration of a single dose of pravastatin 20<!--> <!-->mg significantly reduced inflammatory biomarker elevation, especially C-reactive protein, making it the ideal drug for routine use in patients undergoing radical mastectomy.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 4","pages":"Pages 223-227"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2017.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49134822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with admission to the intensive care unit in patients undergoing nephrectomy","authors":"L.D. Carrillo-Córdova ,&nbsp;J. Vitar-Sandoval ,&nbsp;J. Rodríguez-Robles ,&nbsp;A. Rosas-Ramírez ,&nbsp;J.F. Virgen-Gutiérrez ,&nbsp;J. Jaspersen-Gastelum ,&nbsp;J.R. Carrillo-Córdova ,&nbsp;R. Carrillo-Esper ,&nbsp;M.L. Garduño-Arteaga","doi":"10.1016/j.hgmx.2017.04.001","DOIUrl":"10.1016/j.hgmx.2017.04.001","url":null,"abstract":"<div><h3>Background</h3><p>At present, there is no known risk factor analysis in patients undergoing nephrectomy secondary to lithiasis that favor their entry into the intensive care unit. There is no consensus in methods that report post-surgical complications. As a consequence, the reported incidence of complications in renal surgery ranges from 2% to 54%, regardless of the surgical approach.</p></div><div><h3>Methodology</h3><p>A total of 58 patients with diagnosis of renal exclusion confirmed by renal scintigraphy, and lithiasis, were submitted to simple nephrectomy by a group of expert surgeons. A total of 58 patients were evaluated. Descriptive statistics were measured for the demographic variables. Inferential statistics were evaluated in quantitative variables using the Student's <em>T</em> test, with a <em>p</em> <!-->&lt;<!--> <!-->0.005. Chi square test was used for the qualitative variables.</p></div><div><h3>Results</h3><p>When the multivariate analysis was carried out between the variables: age, weight, height, diabetes mellitus, systemic hypertension, smoking, abscess and transfusion, it was not possible to identify correlation between these and the development of complications or admission to the intensive care unit. However, when assessing by logistic regression the relationship between transfusing a patient and developing complications, a positive relationship was found with a <em>p</em> <!-->=<!--> <!-->0.003, and an OR 13.45 CI [2.4–72]. Patients who suffered complications required a longer stay in the intensive care unit (<em>p</em> <!-->=<!--> <!-->0.002).</p></div><div><h3>Conclusions</h3><p>It was observed that patients with comorbidities such as hypertension, diabetes mellitus and anemia are more likely to require handling per unit of intensive care, even greater in those requiring transsurgical transfusion. Because there are not enough studies that relate the different risk factors that require intensive care unit management, a risk classification or transsurgical transfusion indications in these patients cannot yet be mentioned.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 4","pages":"Pages 218-222"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2017.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44082245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complete pathological response after neoadjuvant therapy in patients with rectal adenocarcinoma","authors":"E.A. Sánchez-Pérez,&nbsp;J.A. Villanueva-Herrero,&nbsp;M.D. Sandoval-Martínez,&nbsp;B. Jiménez-Bobadilla","doi":"10.1016/j.hgmx.2017.06.001","DOIUrl":"10.1016/j.hgmx.2017.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Colorectal cancer is the fourth most common cancer and the second leading cause of death from cancer in the United States. Preoperative neoadjuvant therapy (chemotherapy and radiotherapy) is the gold standard in the management of rectal cancer before surgical resection. The literature includes reports of absence of neoplastic cells after neoadjuvant therapy. There are no reports on complete pathological response to this type of therapy in Mexico.</p></div><div><h3>Objectives</h3><p>Determine the percentage of patients with rectal adenocarcinoma with complete pathological response after neoadjuvant therapy. All patients were treated in a colorectal surgery department of a tertiary care hospital.</p></div><div><h3>Materials and methods</h3><p>A total of 64 patients with rectal adenocarcinoma diagnosed by biopsy were treated from January 2010 to December 2015. Demographic data, tumour localisation, pathological report, TNM stage, neoadjuvant therapy, surgical procedure and postoperative pathological report were collected from patient records.</p></div><div><h3>Results</h3><p>Mean patient age was 52.8 years (range of 26–73); 31 were women and 33 men. Twenty-seven patients (27) were stage II and 27 stage III. The preoperative biopsy results were classified as: well differentiated (10); moderately differentiated (48); and poorly differentiated/undifferentiated adenocarcinoma (6). Twenty patients received neoadjuvant therapy (31.2%). In these, 2 tumours were localised in the upper third of the rectum, 6 in the middle third, and 12 in the lower third. Six patients underwent abdominoperineal resection, 10 total mesorectal excision, and four posterior pelvic exenteration. Six patients undergoing neoadjuvant therapy had a complete pathological response.</p></div><div><h3>Conclusions</h3><p>The percentage of patients with a complete pathological response is similar to that in other literature reports. More evidence is needed to define good prognosis factors in patients who might not require surgery after neoadjuvant therapy.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 4","pages":"Pages 212-217"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2017.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42989498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transanal-total mesorectal excision in cadaveric model","authors":"J.D. De León Valdez ,&nbsp;L.E. Salgado Cruz ,&nbsp;A.F. Chapa Lobo ,&nbsp;H.A. Rangel Ríos ,&nbsp;J.A. Villanueva Herrero ,&nbsp;M. García Gómez ,&nbsp;D. Enciso Pérez","doi":"10.1016/j.hgmx.2016.09.005","DOIUrl":"10.1016/j.hgmx.2016.09.005","url":null,"abstract":"<div><p>Cadaveric models offer a realistic surgical procedure simulation platform in the operating theatre, which facilitate the learning of new techniques without inherent risks for the patient. The objective of this study is to report our experience using the TaTME (transanal-total mesorectal excision) approach in a cadaveric model in the Clinical Simulation Department of the Tecnológico de Monterrey School of Medicine, at the Monterrey Campus. A total of 5 laparoscopic abdominal and TaTME procedures were conducted simultaneously using the GelPOINT Path platform^® (Applied Medical, Rancho Santa Margarita, CA, USA). The average time for the abdominal procedure was 71<!--> <!-->min, while the transanal procedure lasted 74<!--> <!-->min. In 4 of the cadavers, a total mesorectal excision was achieved, with a near total mesorectal excision in the remaining cadaver. A conventional transabdominal procedure had to be conducted on one of the cadavers due to technical difficulties experienced in tissue manipulation. We conclude that the cadaveric model offers a suitable platform for learning new surgical techniques, with high a degree of similarity to the surgical procedures performed on living patients. A key factor is the tissue consistency of the cadaver for adequate manipulation.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 3","pages":"Pages 191-195"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.09.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41845190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep architecture in children with arousal disorders","authors":"S. Hernández-Torres,&nbsp;V. Mancebo-Sosa,&nbsp;J. Miranda-Ortiz,&nbsp;V. Mancilla-Hernández,&nbsp;R. Saldaña-Aceves,&nbsp;R. Velasco-Flores,&nbsp;U. Jiménez-Correa","doi":"10.1016/j.hgmx.2016.05.016","DOIUrl":"10.1016/j.hgmx.2016.05.016","url":null,"abstract":"<div><h3>Introduction</h3><p>Arousal disorders (AD) are sleep disorders that primarily involve behaviour typical of being awake (e.g. talking, walking, handling objects, yelling or crying). They present during partial arousal typically during slow wave sleep (SWS). By definition it has been suggested that parasomnias do not cause changes in sleep architecture or insomnia symptoms or daytime drowsiness.</p></div><div><h3>Method</h3><p>A comparative and retrospective study was conducted to study the sleep architecture of a group of paediatric patients with clinical and polysomnographic diagnosis of arousal disorders (ADG), paired by age and gender with a group of healthy children (HCG). The research was conducted at the Sleep Disorders Clinic of the Faculty of Medicine of the Universidad Nacional Autónoma de Mexico. The Student's <em>t</em> test for independent samples was used to compare sleep architecture and a value of <em>p</em> <!-->&lt;<!--> <!-->0.05 was used to determine significance.</p></div><div><h3>Results</h3><p>There was a significant increase in rapid eye movement sleep (REM) and REM sleep latency and a significant reduction in light sleep (stages N1 and N2) in the ADG compared to the (HCG).</p></div><div><h3>Conclusions</h3><p>It has been reported that AD first manifests during the pre-school years and that the frequency of events gradually decreases and abate completely during adolescence, which is why AD is believed to be the manifestation of an immature central nervous system (CNS). It may be that the sleep architecture characteristics shown by patients in the ADG would correspond to CNS immaturity in healthy but younger children.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 3","pages":"Pages 125-129"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.05.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43356812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and characteristics of battered child syndrome in patients on a paediatric burns unit: A clinical case review","authors":"M. Gil-Vargas ,&nbsp;Y. Martínez-Tovilla ,&nbsp;E. Martín-Zayago ,&nbsp;C. Llanos-Herrera ,&nbsp;M.Á. Ramírez-Jacinto ,&nbsp;A. Ramírez-Servín","doi":"10.1016/j.hgmx.2016.06.004","DOIUrl":"10.1016/j.hgmx.2016.06.004","url":null,"abstract":"<div><h3>Background</h3><p>Battered child syndrome is any act of physical, sexual or psychological aggression, negligence or intentional neglect against a minor.</p></div><div><h3>Objective</h3><p>To estimate the frequency and characteristics of battered child syndrome in patients on the Paediatric Burns Unit of the Health Services of the State of Puebla.</p></div><div><h3>Materials and methods</h3><p>In a 1 year and 10 month period, 313 patients under 18 years of age admitted to the Paediatric Burns Unit of the Health Services of the State of Puebla with a diagnosis of burns secondary to battered child syndrome were evaluated and a questionnaire to determine the possibility of child abuse was administered.</p></div><div><h3>Results</h3><p>13 patients met criteria for suspected abuse; 9 were female and 4 were male. One was an infant, 4 were preschool-age children, 4 were school-age children and 4 were adolescents. The form of abuse was negligence and/or neglect in 62% of cases, physical abuse in 15% of cases, sexual abuse in 15% of cases and psychological abuse in 8% of cases.</p></div><div><h3>Conclusions</h3><p>Having knowledge of and being able to identify battered child syndrome may prevent fatal injuries. It is important to equip healthcare staff on first-contact care units with the knowledge to establish a presumptive diagnosis of child/adolescent abuse. Only through proper investigation of social events may just solutions be sought and implemented.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 3","pages":"Pages 139-147"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48858653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiofrequency thermocoagulation in chronic low back pain from the facet joints: Literature review","authors":"E. Ariñez-Barahona ,&nbsp;J.L. Navarro-Olvera ,&nbsp;A. Vega-Sosa ,&nbsp;M.A. Esqueda-Liquidano ,&nbsp;A. Muñoz-Cobos ,&nbsp;J. Laredo-Gómez ,&nbsp;A.D. Rivera-Arroyo ,&nbsp;A. Méndez-Viveros","doi":"10.1016/j.hgmx.2016.06.001","DOIUrl":"10.1016/j.hgmx.2016.06.001","url":null,"abstract":"<div><p>Chronic low back pain is the most common reason for seeking medical care for the musculoskeletal system. It is believed that 70–80% of people will experience low back pain at some point in their lives. It is a major cause of work absenteeism. Facet syndrome (FS) has been identified as a cause of chronic low back pain. Drug treatment combined with rehabilitation is often started. When significant pain relief is not achieved in a short period of time, a more selective, minimally invasive treatment, such as percutaneous lumbar facet radiofrequency (RF) thermocoagulation, can be chosen to achieve a more satisfactory outcome.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"80 3","pages":"Pages 185-190"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44153453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}