Medicina Clinica Practica最新文献_第10页

Escala pronóstica de Glasgow como predictor de mortalidad en pacientes oncológicos críticos 格拉斯哥预后量表作为危重肿瘤患者死亡率的预测指标

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100395

Melissa Lorena Vasquez-Cabrera , Gustavo Adolfo Vásquez-Tirado , María del Carmen Cuadra-Campos , Claudia Vanessa Quispe-Castañeda , Edinson Dante Meregildo-Rodríguez

{"title":"Escala pronóstica de Glasgow como predictor de mortalidad en pacientes oncológicos críticos","authors":"Melissa Lorena Vasquez-Cabrera , Gustavo Adolfo Vásquez-Tirado , María del Carmen Cuadra-Campos , Claudia Vanessa Quispe-Castañeda , Edinson Dante Meregildo-Rodríguez","doi":"10.1016/j.mcpsp.2023.100395","DOIUrl":"10.1016/j.mcpsp.2023.100395","url":null,"abstract":"<div><h3>Objective</h3><p>To determine if the Glasgow Prognostic Scale (EPG) is a predictor of mortality in critically ill cancer patients at the Instituto Especializado en Enfermedades Neoplásicas (IREN), Trujillo, Peru during 2022.</p></div><div><h3>Material and methods</h3><p>A cohort study was carried out. retrospective with 191 patients who were admitted to the Intensive Care Unit (ICU) of IREN, Trujillo, Peru during the previous 3 years. Clinical and laboratory variables, EPG and their association with mortality were evaluated through chi2, T-Student and multivariate analysis with binomial logistic regression.</p></div><div><h3>Results</h3><p>Of the 191 patients included in the study, 100 died (52.4%), with a mean age of 62.7 years and 51% were female. The variables that were associated with mortality in the multivariate analysis were BMI, days spent in the ICU, hemoglobin, and LDH.</p></div><div><h3>Conclusions</h3><p>The LDH component of the EPG is associated with mortality in critical cancer patients. In addition, they are variables associated with mortality, BMI, days of stay in the ICU, hemoglobin.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"6 4","pages":"Article 100395"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46822401","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}

引用次数: 0

Echocardiographic findings in tension pneumothorax 张力性肺气肿的超声心动图表现

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100399

Daniel Manzur-Sandoval, José Luis Elizalde-Silva, José Octavio Salazar-Delgado, Cristhian Josué Gaytán-García, Gian Manuel Jiménez-Rodríguez, Gustavo Rojas-Velasco

引用次数: 0

Successful antihypertensive treatment using sacubitril/valsartan alone in a patient with obstructive sleep apnoea syndrome 栓皮栎/缬沙坦单用抗高血压治疗阻塞性睡眠呼吸暂停综合征1例

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100393

Ryuta Sugihara , Yuusaku Sugihara , Itsuko Sugihara , Yasushi Sakata

{"title":"Successful antihypertensive treatment using sacubitril/valsartan alone in a patient with obstructive sleep apnoea syndrome","authors":"Ryuta Sugihara , Yuusaku Sugihara , Itsuko Sugihara , Yasushi Sakata","doi":"10.1016/j.mcpsp.2023.100393","DOIUrl":"10.1016/j.mcpsp.2023.100393","url":null,"abstract":"<div><p>Obstructive sleep apnoea syndrome (O-SAS) induces excessive activity of the sympathetic nervous system, resulting in secondary hypertension. Although continuous positive airway pressure (CPAP) is the first-line therapy for O-SAS, poor adherence to CPAP induces uncontrollable resistant hypertension. We present a case of O-SAS-related hypertension successfully treated with sacubitril/valsartan alone. Polysomnography before treatment showed a markedly increased apnoea-hypopnoea index (44.8/hour). While receiving treatment with CPAP and azilsartan, his in-office blood pressure remained within the acceptable range (120–130/80–85 mmHg). However, his blood pressure increased again after quitting CPAP. Subsequently, we switched to sacubitril/valsartan alone and succeeded in improving his blood pressure from 145/95 to 120/80 mmHg. Furthermore, sacubitril/valsartan improved sleep quality in terms of blood pressure (from non-dipper type to dipper type) and apnoea-hypopnoea index (38.3/hour). This case indicates that sacubitril/valsartan has great potential for antihypertensive effects in patients with severe O-SAS, even without CPAP.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"6 4","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49088677","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}

引用次数: 0

Mejoría en el pronóstico renal con el uso de análogos del receptor GLP-1 使用GLP-1受体类似物改善肾脏预后

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100392

Juan de Dios López-González Gila , María del Pilar Aguilar Jaldo , Carlos Alberto Mañero Rodríguez

{"title":"Mejoría en el pronóstico renal con el uso de análogos del receptor GLP-1","authors":"Juan de Dios López-González Gila , María del Pilar Aguilar Jaldo , Carlos Alberto Mañero Rodríguez","doi":"10.1016/j.mcpsp.2023.100392","DOIUrl":"10.1016/j.mcpsp.2023.100392","url":null,"abstract":"<div><p>Diabetes is currently the leading cause of chronic kidney disease and end-stage renal disease worldwide. Diabetic kidney disease is a complex and heterogeneous disease with numerous overlapping etiologic pathways leading to kidney damage.</p><p>We present the case of a 57-year-old man suffering from multiple diseases and cardiovascular risk factors with stage IIIb chronic renal failure with proteinuria close to 3 g/24 h. A complete study of the entity was carried out, ruling out systemic, hematological and/or urological aetiology, nor was the presence of secondary hypertension evident, with control of the same by means of quadruple therapy. Despite comprehensive hygienic-dietary and pharmacological management, no clinical improvement or control of the nephropathy was achieved. It was decided to reinforce treatment with subcutaneous semaglutide, with a very good metabolic response together with significant improvement in proteinuria and stabilization of renal function: both maintained during follow-up. The relevance of this case does not lie in the diagnostic difficulty or in being considered a atypical case, but rather in the existence of new therapeutic weapons that could alter the prognosis of the entity with a drastic reduction in cardiovascular morbidity and mortality and entry into renal replacement therapy.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"6 4","pages":"Article 100392"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47903723","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}

引用次数: 0

Linfangits superficial inmunoalérgica reactiva a picadura de insecto 昆虫咬伤反应性免疫过敏性浅表淋巴管

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100402

Pablo Kessler Saiz, Lucía de Jorge Huerta

引用次数: 0

Scalp alopecia in sarcoidosis 结节病引起头皮脱发

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100396

Mohamed Abselam Suliman , Domingo Albín Dolors

引用次数: 0

Brain natriuretic peptide as a prognostic factor in COVID-19 脑钠尿肽作为新冠肺炎的预后因素

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100385

Irving Elliot Ortiz y Cruz , Valeria Juárez García , Israel Nayensei Gil Velázquez , Pedro José Curi Curi

{"title":"Brain natriuretic peptide as a prognostic factor in COVID-19","authors":"Irving Elliot Ortiz y Cruz , Valeria Juárez García , Israel Nayensei Gil Velázquez , Pedro José Curi Curi","doi":"10.1016/j.mcpsp.2023.100385","DOIUrl":"10.1016/j.mcpsp.2023.100385","url":null,"abstract":"<div><h3>Introduction</h3><p>COVID-19 is a disease that affects the respiratory tract and can potentialy lead to multiple organ failure and death. Due to its the high mortality, different prognostic indexes have been proposed in order to indentify which patients are more prone to develope complications and death. We aimed to determine if BNP, wich is a peptide hormone used as an indicator of heart failure and as a prognostic factor in patients with septic shock, may be used as well as a prognostic factor in patients with COVID-19.</p></div><div><h3>Materials and methods</h3><p>A retrospective case-control study was carried out at a single medical center, including 100 patients with SARS-CoV-2 infection diagnosed by PCR-RT. From the electronic clinical récords, data was obtained in order to compare survivors with the died patients in terms of blood BNP levels.</p></div><div><h3>Results</h3><p>Of the 100 patients studied, 50 were discharged home and 50 died during their hospital stay. There was a statistically significant difference between both groups regarding age, male gender, oxygen saturation, leukocyte and neutrophil count, lactic dehydrogenase, and C-reactive protein. Regarding BNP, it was found that a cut-off point > 32 pg/ml can be used as a predictor of in-hospital mortality (AUC 0.751) with a sensibility of 60% and sensitivity of 90%; as well as an odds ratio of 13.5 (95% CI; 4.6–39.9).</p></div><div><h3>Discussion</h3><p>An admission BNP level > 32 pg/ml is associated with a higher in-hospital mortality in patients with COVID-19 and can be considered as a prognostic factor for this disease.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"6 4","pages":"Article 100385"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47879902","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}

引用次数: 0

Comparison of the knowledge and attitudes of final year students and general dentists regarding the use of anesthesia in pediatric dentistry 四年级学生与普通牙医对小儿牙科麻醉使用的知识和态度比较

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100389

Masoumeh Khataminia , Razie Meshki , Milad Soruri , Atousa Marzban

{"title":"Comparison of the knowledge and attitudes of final year students and general dentists regarding the use of anesthesia in pediatric dentistry","authors":"Masoumeh Khataminia , Razie Meshki , Milad Soruri , Atousa Marzban","doi":"10.1016/j.mcpsp.2023.100389","DOIUrl":"10.1016/j.mcpsp.2023.100389","url":null,"abstract":"<div><h3>Purpose</h3><p>Many children do not cooperate for their dental work. Therefore, there would be a delay in dental treatments and cause severe pain and even loss of some teeth. The present study was conducted to compare the knowledge and attitudes of final year students and that of general dentists toward the use of anesthesia in pediatric dentistry.</p></div><div><h3>Methods</h3><p>This descriptive cross-sectional study was performed on 77 individuals in 2 groups (38 final year dental students and 39 general dentists) in Ahvaz. Data were collected using a questionnaire consisting of 3 sections of demographic data, questions related to knowledge of general anesthesia (including 20 indicators with yes or no answers), and those related to attitude (including 20 items with completely agree, agree, disagree, and completely disagree answers). Comparing the knowledge and attitudes of the studied groups regarding the use of anesthesia and providing the necessary solutions for the optimal and correct use presented. SPSS was used to analyze the obtained data.</p></div><div><h3>Results</h3><p>The present study showed that students and dentists had intermediate knowledge and attitude about the use of general anesthesia in pediatric dentistry, its complications, and its indications. However, they expressed concerns about the complications of general anesthesia or the lack of sufficient information provided by the dental education system to students.</p></div><div><h3>Conclusion</h3><p>It is necessary to review the educational curriculum to increase students' information and equip dental schools, anesthesia facilities, and provide courses for general dentists.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"6 4","pages":"Article 100389"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45848021","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}

引用次数: 0

Improvement of otologic symptoms associated with mRNA COVID-19 vaccines with corticosteroid treatment 皮质类固醇治疗改善mRNA - COVID-19疫苗相关耳科症状

Medicina Clinica Practica Pub Date : 2023-10-01 DOI: 10.1016/j.mcpsp.2023.100390

Marek Ma

引用次数: 0

Investigating the relationship between emotional intelligence and self-esteem with educational performance in paramedical students 护理学生情商、自尊与教育成绩的关系研究

Medicina Clinica Practica Pub Date : 2023-09-25 DOI: 10.1016/j.mcpsp.2023.100398

Nasim Alipour , Siavash Sangi , Mohammad Babamiri , Pegah Arman

{"title":"Investigating the relationship between emotional intelligence and self-esteem with educational performance in paramedical students","authors":"Nasim Alipour , Siavash Sangi , Mohammad Babamiri , Pegah Arman","doi":"10.1016/j.mcpsp.2023.100398","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100398","url":null,"abstract":"<div><h3>Background</h3><p>Emotional intelligence means the \"ability\" of a person to express, recognize, and manage \"emotions\" in themselves and others. Self-confidence means seeing oneself as capable, competent, lovable, and unique. Emotional intelligence can be effective in advancing goals for a person. Academic performance is one of the important indicators in student evaluation, which can also measure the extent to which a person has achieved the goal of acquiring knowledge. The aim of this study was to investigate the emotional intelligence of paramedical students of Hamedan University of Medical Sciences and its relationship with their academic performance.</p></div><div><h3>Methods</h3><p>The present study is a cross-sectional study of correlation. And it was done on 300 students of the School of Medical Sciences, who have passed at least two semesters of their studies and were selected by random sampling. In this study, students' demographic information was collected and Shering's standard questionnaire was used for emotional intelligence, Rosenberg's self-esteem questionnaire was used.</p></div><div><h3>Results</h3><p>There was a positive and significant relationship between students' academic performance and self-esteem (p ≥ 0.01<strong>).</strong> The results of the study also showed that there was no significant relationship between students' academic performance and emotional intelligence (p = 0.01).</p></div><div><h3>Conclusion</h3><p>The results of our research showed that among the predicted variables, only self-esteem was able to predict academic performance in students. Self-esteem is the best predictor of academic performance.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100398"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50185450","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}

引用次数: 0