Medicina Universitaria最新文献_第2页

Open repair of abdominal aortic dissection. Case report 腹主动脉夹层开放性修复术。病例报告

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/J.RMU.2017.10.007

L. O. Flores-Salazar, R. A. Audiffred-Guzmán, M. F. Pacheco-Patiño, M. López-Chávez, J. F. Ibanez-Rodriguez, G. Muñoz-Maldonado

引用次数: 1

Use of the Stop-bang questionnaire for the population determination of obstructive sleep apnea in surgical patients Stop-bang问卷用于外科患者阻塞性睡眠呼吸暂停人群的测定

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.09.002

C. Garza-Garibay, A.M. Espinosa-Galindo, D. Palacios Ríos

{"title":"Use of the Stop-bang questionnaire for the population determination of obstructive sleep apnea in surgical patients","authors":"C. Garza-Garibay, A.M. Espinosa-Galindo, D. Palacios Ríos","doi":"10.1016/j.rmu.2017.09.002","DOIUrl":"10.1016/j.rmu.2017.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>Determine if patients undergoing elective surgery have risk factors for obstructive sleep apnea syndrome (OSAS), using the Stop-bang questionnaire.</p></div><div><h3>Material and methods</h3><p>Patients who entered a university hospital for surgery and met the inclusion criteria were asked to be weighed, measure, and answered questions about their sleep habit. They were measured and weighed on a stationary SECA scale with a maximum capacity of 220kg. The neck was measured in inches with a tape measure. The questionnaire was answered and given a risk measured by the same scale, and the data was collected in the capture sheet.</p></div><div><h3>Results</h3><p>A power of 80% was used, considering a <em>p</em>-value that registered below 0.05 statistically significant. Data was collected from 222 patients undergoing surgical procedures at a teaching hospital in northeastern México. The average age was 57 years (24–87 years). The body mass index presented an average of 29.6kg/m<sup>2</sup>. We found that 19.8% of the patients had normal BMI, with 80.2% of the sample being overweight or obese (<em>n</em>   <!-->in. was recorded.</p></div><div><h3>Conclusions</h3><p>It was found that 68% of the sample posed an intermediate or high risk for OSAS, compared to other literature that marked 30%. Also, 80% of the preoperative population was found to be overweight or obese.</p></div>","PeriodicalId":34640,"journal":{"name":"Medicina Universitaria","volume":"19 77","pages":"Pages 154-158"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmu.2017.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77848519","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}

引用次数: 1

Open repair of abdominal aortic dissection. Case report 腹主动脉夹层开放性修复术。病例报告

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.10.007

L.O. Flores-Salazar , R.A. Audiffred-Guzmán , M.F. Pacheco-Patiño , M.J. López-Chávez , J.F. Ibáñez-Rodríguez , G.E. Muñoz-Maldonado

{"title":"Open repair of abdominal aortic dissection. Case report","authors":"L.O. Flores-Salazar , R.A. Audiffred-Guzmán , M.F. Pacheco-Patiño , M.J. López-Chávez , J.F. Ibáñez-Rodríguez , G.E. Muñoz-Maldonado","doi":"10.1016/j.rmu.2017.10.007","DOIUrl":"https://doi.org/10.1016/j.rmu.2017.10.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Aortic dissection occurs when the layers of the aortic wall separate as the result of an entrance of blood through a tear in the intima. The mean frequency reported for primary dissection of the abdominal aorta is less than 2%, compared with the ascending aorta (70%), the descending aorta (20%), and the aortic arch (7%).</p></div><div><h3>Clinical case</h3><p>A 74-year-old man begins his illness with sudden and intense lumbar and abdominal pain. An angiotomography showed an infrarenal abdominal aortic dissection extending to both primitive iliac arteries just before their bifurcation. An aortobifemoral bypass was performed with a bifurcated Dacron graft with a good postoperative result.</p></div><div><h3>Conclusion</h3><p>Primary abdominal aortic dissection is a rare pathology that in symptomatic patients can be treated with an open or endovascular repair. If the open technique is decided on, excision plus an aortobifemoral bypass can be carried out with good results as in this case.</p></div>","PeriodicalId":34640,"journal":{"name":"Medicina Universitaria","volume":"19 77","pages":"Pages 189-193"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmu.2017.10.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91746858","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}

引用次数: 1

An exploratory qualitative study on the social representation of HIV/AIDS in young men who have sex with men 男男性行为人群HIV/AIDS社会表征的探索性质的研究

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.10.006

P.A. Luévano-Flores , J. Moral-de la Rubia

{"title":"An exploratory qualitative study on the social representation of HIV/AIDS in young men who have sex with men","authors":"P.A. Luévano-Flores , J. Moral-de la Rubia","doi":"10.1016/j.rmu.2017.10.006","DOIUrl":"10.1016/j.rmu.2017.10.006","url":null,"abstract":"<div><h3>Background</h3><p>Social representations are the meanings and beliefs built into the processes of social communication about a significant object in the collective life of a group, and these influence the behavior of the group members. Men who have sex with men (MSM) are a risk group for HIV/AIDS. Therefore, knowing their social representation of HIV/AIDS will help to plan strategies for prevention and adherence to treatment.</p></div><div><h3>Objective</h3><p>To know the social representation of HIV-AIDS among young men who have sex with men (MSM).</p></div><div><h3>Method</h3><p>An exploratory qualitative study with a trans-sectional non-experimental design was performed. A non-probability sampling was used. The convenience sample consisted of 25 MSM, who ranged in age from 18 to 29 years and resided in the metropolitan area in a city in northeastern México at the time of application of a free association test and a questionnaire with eight open-ended questions. Data were collected through social networks and a non-governmental organization and were analyzed using a thematic content analysis.</p></div><div><h3>Results</h3><p>The category most associated with HIV-AIDS was “disease,” followed by the categories “acquisition forms” and “death.” These three categories represented 59% of the associations.</p></div><div><h3>Conclusions</h3><p>Young MSM who participated in the study had a social representation of HIV/AIDS as a deadly disease, caused by a virus (HIV) that is spread during sex. This representation was strongly burdened with images, beliefs or fears of getting infected or being socially condemned.</p></div>","PeriodicalId":34640,"journal":{"name":"Medicina Universitaria","volume":"19 77","pages":"Pages 170-177"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmu.2017.10.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72414426","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}

引用次数: 5

Factors associated with the level of knowledge about hypertension in primary care patients 与初级保健患者高血压知识水平相关的因素

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.10.008

Á.R. Lugo-Mata , A.S. Urich-Landeta , A.L. Andrades-Pérez , M.J. León-Dugarte , L.A. Marcano-Acevedo , M.H. Jofreed López Guillen

{"title":"Factors associated with the level of knowledge about hypertension in primary care patients","authors":"Á.R. Lugo-Mata , A.S. Urich-Landeta , A.L. Andrades-Pérez , M.J. León-Dugarte , L.A. Marcano-Acevedo , M.H. Jofreed López Guillen","doi":"10.1016/j.rmu.2017.10.008","DOIUrl":"https://doi.org/10.1016/j.rmu.2017.10.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Arterial hypertension is still a public health problem. Knowledge about the disease allows adequate management from prevention to treatment, and a better knowledge has also been associated with better adherence to the treatment.</p></div><div><h3>Objective</h3><p>To determine factors associated with the level of knowledge about arterial hypertension in primary care patients.</p></div><div><h3>Materials and methods</h3><p>A non-experimental, cross-sectional, and analytical study was performed with a convenience sample using a structured survey to measure the level of knowledge about arterial hypertension. Frequency calculations and multivariate analysis were performed to determine the association between several factors with the level of knowledge, is considered statistically significant at <em>p</em>  =0.01), previous diagnosis of hypertension (<em>p</em>  =0.001). No association was found with genders, educational level or body mass index.</p></div><div><h3>Conclusions</h3><p>Some factors are associated with a greater knowledge about arterial hypertension, knowing them allows us to adapt public policies and educational interventions for patients who require it most.</p></div>","PeriodicalId":34640,"journal":{"name":"Medicina Universitaria","volume":"19 77","pages":"Pages 184-188"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmu.2017.10.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90034532","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}

引用次数: 23

Acknowledgment to reviewers 2017 感谢审稿人2017

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.12.001

引用次数: 0

Erratum of “Roberts syndrome - An isolated case” “罗伯茨症候群个案”的勘误表

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2018.01.001

C.G. Borjas-Lucio, B.L. Briones-Bernal, R. Ambriz López, H.E. Tello Gutiérrez, J. Valdez González

引用次数: 0

Another Jack in the box. The “academic cartel”… is just our imagination? 另一个杰克在盒子里。“学术联盟”只是我们的想象?

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.10.001

D. Gómez-Almaguer, J.C. Jaime-Pérez

引用次数: 0

Jack-in-the- (in-)box: Beware of predatory journals 盒子里的Jack-in-the- box:谨防掠夺性期刊

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.10.002

C.E. Medina-De la Garza , M.-C. Koschwitz

引用次数: 0

Exponential law of cardiac dynamics for physical–mathematical evaluation in 16 h 16小时内心脏动力学指数规律的物理数学评价

Medicina Universitaria Pub Date : 2017-10-01 DOI: 10.1016/j.rmu.2017.09.003

J. Rodríguez , M. Sanchez , F. Barrios , N. Velasquez , J. Mora

{"title":"Exponential law of cardiac dynamics for physical–mathematical evaluation in 16 h","authors":"J. Rodríguez , M. Sanchez , F. Barrios , N. Velasquez , J. Mora","doi":"10.1016/j.rmu.2017.09.003","DOIUrl":"10.1016/j.rmu.2017.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>To confirm the applicability of an exponential mathematical law based on dynamic systems in the evaluation of cardiac dynamics, reducing the time of evaluation from 21 to 16h, as has been achieved in the area of cardiology by developing innovative diagnostic methodologies that allow us to establish differences between normal and pathological cardiac dynamics.</p></div><div><h3>Material and methods</h3><p>Starting from 180 ambulatory and continuous electrocardiographic records between normal and pathological patients, a heart rate sequence was simulated for 16 and 21h with values of heart rate and beats per hour of each record, to construct the attractor of each dynamic. Later, the fractal dimension of each attractor and its occupation in the generalized space of Box-Counting was calculated. Finally, the mathematical diagnosis was determined at 16 and 21h and sensitivity, specificity and Kappa coefficient were calculated respectively to the conventional diagnostic taken as the gold standard.</p></div><div><h3>Results</h3><p>It was possible to establish that the values between 206 and 349 for the <em>K</em><sub><em>p</em></sub> grid were associated with normal diagnoses, while values between 36 and 194 were related to disease in 16h. Sensitivity and specificity were 100%, and the Kappa coefficient was 1.</p></div><div><h3>Conclusion</h3><p>The application of the exponential mathematical law to electrocardiographic registers in 16h allowed us to establish correct diagnoses of clinical applicability.</p></div>","PeriodicalId":34640,"journal":{"name":"Medicina Universitaria","volume":"19 77","pages":"Pages 159-165"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmu.2017.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89848849","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}

引用次数: 1