Medicina Clinica Practica最新文献

{"title":"Vasculitis cutánea por dengue. Presentación de un caso","authors":"Melissa Ysabel Romero-Díaz ,&nbsp;Luis Ángel Rodríguez-Chávez ,&nbsp;Gustavo Adolfo Vásquez-Tirado ,&nbsp;Víctor Alexander Lozano-Araujo ,&nbsp;Christian Alberto Vargas Machuca-Carranza ,&nbsp;José Guillermo Cabanillas-López","doi":"10.1016/j.mcpsp.2023.100417","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100417","url":null,"abstract":"<div><p>Dengue is a viral disease, with a wide clinical spectrum ranging from mild to severe forms, with involvement of multiple organs including the skin. Skin involvement is diverse from rash to rare forms of leukocytoclastic vasculitis. We present the case of a 44-year-old male patient who was admitted with fever, edema of the lower limbs and rash on the upper limbs that progressed to sloughing, confirming the diagnosis of dengue-associated vasculitis by biopsy. A review of the literature was carried out in order to understand the pathophysiological mechanisms involved, as well as its management.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100417"},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000551/pdfft?md5=c00a08355ab0a007aad9c208a423e607&pid=1-s2.0-S2603924923000551-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100927","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":"Atypical new-onset ascites due to a rare variant of cecal carcinoma in a patient with a ventriculoperitoneal shunt: A case report","authors":"Ricard Prat ,&nbsp;Michelle Villarreal-Compagny ,&nbsp;Néstor López ,&nbsp;Oswaldo Ortiz","doi":"10.1016/j.mcpsp.2023.100416","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100416","url":null,"abstract":"<div><h3>Introduction</h3><p>Malignancy-associated ascites (MAA) is the second cause of new-onset ascites after cirrhosis with portal hypertension (PHT), and is usually related to peritoneal carcinomatosis. Ascitic fluid is an exudate, with low serum-ascites albumin gradient (SAAG), ≥<!--> <!-->500 lymphocytes/mm³ and positive cytology. However, MAA may show atypical patterns. Signet ring cell carcinoma (SRCC) is a poor prognosis adenocarcinoma subtype with special clinical and endoscopic presentation.</p></div><div><h3>Case summary</h3><p>A 68-year-old female, without relevant medical history, with a ventriculoperitoneal shunt (VPS), presented a 1-week increase of abdominal perimeter, loose stools, hyporexia, and fever. In repeated paracentesis, ascites showed transudate properties, high SAAG, low cellularity, negative cultures, and cytologies. She didn’t have neurological impairments nor VPS dysfunctions. Significant PHT and other ascites etiologies were excluded. Ascites persisted despite evacuation paracentesis and diuretics. Further diagnostic workup finally revealed peritoneal carcinomatosis probably originated in a cecal SRCC.</p></div><div><h3>Conclusions</h3><p>We report an atypical presentation of MAA (transudative ascites, SAAG suggesting PHT, low cellularity, and initially negative cytology) due to a rare adenocarcinoma subtype, representing a challenge regarding its unusual characteristics and difficulties to reach a final diagnosis.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100416"},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S260392492300054X/pdfft?md5=edf63a58f4a1284ad323eeda3a2a7947&pid=1-s2.0-S260392492300054X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100926","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":"Disección de la arteria vertebral presentándose como síndrome vestibular agudo aislado","authors":"Miguel Saro-Buendía ,&nbsp;Fernando Más Estellés ,&nbsp;Miguel Armengot Carceller ,&nbsp;Vanesa Pérez Guillén","doi":"10.1016/j.mcpsp.2023.100418","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100418","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100418"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000563/pdfft?md5=08a687cbe92bb8472fcaef8d56ad7dce&pid=1-s2.0-S2603924923000563-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100883","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":"Assessing the professionalism of nursing internship students from the perspective of educational instructors students in Namazi Hospital of Shiraz University of Medical Sciences in 2021","authors":"Sara Shafian ,&nbsp;Maryam Naeem-Zadeh ,&nbsp;Mahmoud-Reza Dehghani ,&nbsp;Batool Amiri ,&nbsp;Azadeh Azemian","doi":"10.1016/j.mcpsp.2023.100409","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100409","url":null,"abstract":"<div><h3>Background</h3><p>Professionalism is a multidimensional and evolving structure with has socio-cultural information that affects patient satisfaction, and health care outcomes. An important part of nurses' professional behavior is formed during their student years and through education and learning. The aim of this study was assessing the professionalism in internship nursing student.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted in Shiraz University of Medical Sciences. The data collection instrument was a nursing professionalism questionnaire that was completed by 2 instructors for 70 final-year nursing students in the internship. Method of sampling used non-probability convenience sampling. The data were analyzed using SPSS, version 16, for Windows (SPSS Inc., Chicago, IL, USA). Descriptive statistics (mean and percentage) were used to describe demographic characteristics and mean scores of professionalisms and its dimensions. Histograms and the bias-kurtosis and Shapiro–Wilk test were used to evaluate the normality. Comparisons between the two groups were made by independent samples <em>t</em>-test. To compare more groups, the Kruskal–Walli’s test was used.</p></div><div><h3>Result</h3><p>The findings of this study show that the mean score of professionalism was 75.26(±<!--> <!-->10.5), the highest mean was related to the dimension of behavior based on professional values and norms (80.36 ± 9.93) and the lowest mean was related to the dimension of professional interactions (75.00 ± 13.72). Students with perfect regular participation in their internship had a significantly higher professionalism score than other students (<em>P</em>-value = .0001). There was no significant relationship between students' gender and score professionalism (<em>P</em> &lt; .571).</p></div><div><h3>Conclusion</h3><p>Given the importance of familiarity of undergraduate students with the concepts of professionalism in theory, providing practical training of these concepts through experienced instructors and role models can be an effective step in developing professionalism in nurses after their graduation.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100409"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000472/pdfft?md5=fb148f18d2aa7907f53f3ac6b19414b4&pid=1-s2.0-S2603924923000472-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139107135","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":"Carcinoma adenoescamoso de laringe","authors":"Miguel Saro-Buendía ,&nbsp;Cecilia López Valdivia ,&nbsp;Joan Carreres-Polo ,&nbsp;Diego Collado Martín ,&nbsp;Carlos de Paula Vernetta ,&nbsp;Miguel Armengot Carceller","doi":"10.1016/j.mcpsp.2023.100412","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100412","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100412"},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000502/pdfft?md5=4e6f2f6e4d0be96c6aa2b740370114a5&pid=1-s2.0-S2603924923000502-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138839717","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":"Tattoo-associated HPV-induced verrucae","authors":"Julio C. Salas-Alanís ,&nbsp;María G. Moreno-Treviño ,&nbsp;Gerardo Rivera-Silva","doi":"10.1016/j.mcpsp.2023.100415","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100415","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100415"},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000538/pdfft?md5=646ead91c3fd4b0210ecf1b539005910&pid=1-s2.0-S2603924923000538-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138839716","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":"Influencia del calcio y colecalciferol en el tratamiento de la osteoporosis","authors":"Manuel Sosa Henríquez,&nbsp;Carmen Murias Henríquez","doi":"10.1016/j.mcpsp.2023.100411","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100411","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 2","pages":"Article 100411"},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000496/pdfft?md5=6dc63a0afe58730a1fc6fa570e8f8f35&pid=1-s2.0-S2603924923000496-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138577650","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":"Insuficiencia renal aguda asociada al manitol","authors":"Miguel Ángel González Martínez,&nbsp;Juan de Dios López-González Gila,&nbsp;Erick Donato Morales Rodríguez","doi":"10.1016/j.mcpsp.2023.100410","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100410","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100410"},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000484/pdfft?md5=561206908775d49e46aaefa740ee4757&pid=1-s2.0-S2603924923000484-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138467339","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":"Dengue como causa de abscesos intrabdominales, presentación de un caso clínico y revisión de la literatura","authors":"Luis Ángel Rodríguez-Chávez ,&nbsp;Gustavo Adolfo Vásquez-Tirado ,&nbsp;Melissa Ysabel Romero-Diaz ,&nbsp;Víctor Alexander Lozano-Araujo ,&nbsp;Christian Alberto Vargas-Machuca Carranza ,&nbsp;José Guillermo Cabanillas-López","doi":"10.1016/j.mcpsp.2023.100408","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100408","url":null,"abstract":"<div><p>A 17-year-old male patient is admitted with an acute episode of dengue fever, during its course presents prolonged fever associated with multiple intrabdominal abscesses (hepatic, splenic). A search for other causes was performed, yielding negative results. The fever spontaneously resolved after 30 days of illness, along with the inflammatory markers. A follow-up imaging at 30 days showed the absence of lesions in the liver and a significant decrease in the abscesses in the spleen. A review is conducted on prolonged dengue associated with intrabdominal complications.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100408"},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000460/pdfft?md5=5691de6789705cfc083c3757228ff93c&pid=1-s2.0-S2603924923000460-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138454092","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":"Efectividad de un programa multidisciplinario para el manejo de la obesidad: cambio en la calidad de vida y en los parámetros clínicos, fisiológicos y antropométricos","authors":"Vanessa Muñoz Gallego ,&nbsp;Javier Mario Jiménez Garcés ,&nbsp;Johanna M. Vanegas ,&nbsp;César Andrés Torres Llano","doi":"10.1016/j.mcpsp.2023.100404","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2023.100404","url":null,"abstract":"<div><h3>Introduction</h3><p>Obesity is a disease that has become a major public health concern. The objective of this research was to analyze the changes in the quality of life and in clinical, physiological, and anthropometric parameters in patients with obesity, belonging to a multidisciplinary program for weight loss.</p></div><div><h3>Materials and methods</h3><p>Observational retrospective cohort study that included obese patients in a multidisciplinary program. The comparison of quantitative variables at admission and discharge from the program was performed with the Wilcoxon signed rank test, while the qualitative variables were compared with the McNemar test. Statistical analysis was performed in the STATA V.15 program.</p></div><div><h3>Results</h3><p>323 patients were analyzed; it was shown that the median weight decreased 4.4 kg (p &lt; 0.001). Adherence to physical activity increased from 30% (n = 97) to 90% (n = 289) (p &lt; 0.001). Similarly, the median VO2 max increased from 23.6 (IQR 19.7-30.4) on admission to 32.9 (IQR 27.8-38) on discharge. Regarding quality of life, self-care was one of the dimensions with the greatest impact during the program, with a decrease in the report of extreme difficulties from 17.7% to 0.3%. Likewise, the visual analogue scale (VAS) increased the median from 50 (RIC 50-70) to 80 (RIC 70-90) (p &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>The multidisciplinary approach to obesity offers a comprehensive approach to the patient, impacting not only physical, but also psychological and emotional aspects of the problem, improving her quality of life.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 1","pages":"Article 100404"},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924923000423/pdfft?md5=a73e71947811fce0d8e3176d3bd3d1ef&pid=1-s2.0-S2603924923000423-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138412240","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}