Medicina Clinica Practica最新文献

{"title":"Atypical cutaneous leishmaniasis in a patient under anti-TNF-α therapy","authors":"Inés Tortajada Torralba , Miguel Saro Buendía , Miguel Mansilla-Polo , Miguel Armengot Carceller","doi":"10.1016/j.mcpsp.2024.100466","DOIUrl":"10.1016/j.mcpsp.2024.100466","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100466"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000417/pdfft?md5=989254486f02636c877a0316e29cdbde&pid=1-s2.0-S2603924924000417-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098242","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":"The observance of maternal rights charter in labor with postpartum anxiety in mothers delivering at maternity hospitals","authors":"Marziye Shahpari ,&nbsp;Mahnaz Zarshenas ,&nbsp;Marzieh Akbarzadeh","doi":"10.1016/j.mcpsp.2024.100464","DOIUrl":"10.1016/j.mcpsp.2024.100464","url":null,"abstract":"<div><h3>Introduction</h3><p>One of the effective factors in reducing postpartum mental illnesses, such as anxiety, is observing maternal rights and mothers' positive attitude about childbirth. The present study aimed to determine the relationship between maternal rights charter observance during labor and postpartum anxiety.</p></div><div><h3>Materials and methods</h3><p>This was a cross-sectional study. We investigated the observance of maternal rights charter using a researcher-made questionnaire. Postpartum anxiety was investigated using Spielberger questionnaire. The relationship between these 2 factors was investigated via studying 160 eligible pregnant mothers admitted in Hazrat Zeinab, Hafez, and Shooshtari hospitals. Data were analyzed through SPSS software (version 16), using one-way ANOVA and Pearson correlation coefficient at the significant level of 5%.</p></div><div><h3>Results</h3><p>There a was a significant relationship between the delivery team members in terms of dimensions in the maternal rights charter (<em>p</em> <!-->=<!--> <!-->.003) and general dimensions (<em>p</em> <!-->=<!--> <!-->.001). This difference was in emotional (<em>p</em> <!-->=<!--> <!-->.001) and informational (<em>p</em> <!-->=<!--> <!-->.013) dimensions. There was no significant difference in physical dimension (<em>p</em> <!-->=<!--> <!-->.070). Among the participants, 93.75% had implicit anxiety and 83.75% had explicit anxiety.</p></div><div><h3>Conclusions</h3><p>Failure to observe maternal rights charter was associated with an increase in explicit and implicit postpartum anxiety. Maternal rights in the physical aspect were observed equally by the midwife instructor, staff, and residents. However, there was a difference in the emotional and informational dimensions of the members of the delivery team.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100464"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000399/pdfft?md5=283bb92a995b7d7358f3922e761746de&pid=1-s2.0-S2603924924000399-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083132","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":"‘Cascade Sign’ revealing a Behçet's disease","authors":"Mariem Essouri Dr MD,&nbsp;Zeineb Teyeb MD,&nbsp;Souha Khfifi intern,&nbsp;Imen Mariem Abbassi MD,&nbsp;Naziha Khammassi PHD","doi":"10.1016/j.mcpsp.2024.100462","DOIUrl":"10.1016/j.mcpsp.2024.100462","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100462"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000375/pdfft?md5=4d960baa1406f73ae2aef25b97920084&pid=1-s2.0-S2603924924000375-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083133","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":"Double orifice mitral valve associated with bicuspid aortic valve","authors":"Consuelo Orihuela-Sandoval ,&nbsp;Edgar García-Cruz ,&nbsp;José Miguel Torres-Martel ,&nbsp;Daniel Manzur-Sandoval","doi":"10.1016/j.mcpsp.2024.100467","DOIUrl":"10.1016/j.mcpsp.2024.100467","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100467"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000429/pdfft?md5=5eb0572a603245101e46ec1c7c8e5d9d&pid=1-s2.0-S2603924924000429-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083134","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":"Flourishing through continuous medical education: Empowering medical educators","authors":"Heather A. Billings ,&nbsp;Juliana M. Kling ,&nbsp;Devyani Lal ,&nbsp;Jon T. Nordrum ,&nbsp;Mira T. Keddis","doi":"10.1016/j.mcpsp.2024.100460","DOIUrl":"10.1016/j.mcpsp.2024.100460","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100460"},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000351/pdfft?md5=b9fc8d288af598d4432696bf73091f5c&pid=1-s2.0-S2603924924000351-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950141","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":"Cutaneous sarcoidosis","authors":"Jullio C. Salas-Alanís ,&nbsp;Mauricio Salas-Garza ,&nbsp;María G. Moreno-Treviño ,&nbsp;Luis C. Mata-Meléndez ,&nbsp;Raymundo Garza-Martínez ,&nbsp;Gerardo Rivera-Silva","doi":"10.1016/j.mcpsp.2024.100455","DOIUrl":"10.1016/j.mcpsp.2024.100455","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100455"},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000302/pdfft?md5=7ea391955c1a0171f8fdf974f78d4f23&pid=1-s2.0-S2603924924000302-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141729255","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":"Neurofibromatosis tipo 1 en paciente puérpera","authors":"Sergia Daniela Rosales Castro ,&nbsp;Olman Daniel Gradis Santos ,&nbsp;Ana María Enríquez Martínez ,&nbsp;Shirley Andino Moya","doi":"10.1016/j.mcpsp.2024.100454","DOIUrl":"10.1016/j.mcpsp.2024.100454","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100454"},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000296/pdfft?md5=6e1ddb9714a19c56a3dc536f18d986c9&pid=1-s2.0-S2603924924000296-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141729256","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":"Experiencia clínica con la combinación de cinarizina y dimenhidrinato en el tratamiento del vértigo de origen diverso en atención primaria: una serie de casos","authors":"David Martín-Enguix ,&nbsp;Amara Helena Aladel Ponce ,&nbsp;Sandra Albamonte Navarro ,&nbsp;José Miguel Álvarez Cabo ,&nbsp;José Miguel Fernández Rodríguez ,&nbsp;José Ignacio González Lillo ,&nbsp;Judith Norma Montoya Fernández del Campo ,&nbsp;Manuel Ruiz Cuetos","doi":"10.1016/j.mcpsp.2024.100457","DOIUrl":"10.1016/j.mcpsp.2024.100457","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Dizziness, including vertigo, imbalance, and presyncope, affects 15–20% of adults, increasing the risk of falls, especially in the elderly. The interaction between signals from the peripheral vestibular system, vestibular nuclei, and the central nervous system, modulated by neurotransmitters such as glutamate, acetylcholine, and glycine, along with histamine, adrenaline, and noradrenaline, is crucial for balance. Dizziness arises when vestibular information does not match other sources and can be associated with various neurological, psychiatric, respiratory, or infectious conditions. Current treatment is based on rest, particle replacement maneuvers and medications such as betahistine and sedatives, but the fixed combination of cinnarizine and dimenhydrinate has proven effective in clinical trials, effectively treating vertigo of various origins by acting on peripheral and central vestibular systems.</p></div><div><h3>Patients</h3><p>We present 7 clinical cases, in which we have used the same treatment with cinnarizine and dimenhydrate at fixed doses of 20/40 mg.</p></div><div><h3>Results</h3><p>The combination of cinnarizine and dimenhydrinate proved effective in managing a variety of vestibular disorders, including recurrent benign paroxysmal positional vertigo, vestibular migraine, Meniere's syndrome, and presbivestibulopathy. Patients experienced improvement in vestibular symptoms, such as dizziness, vertigo, and imbalance, proving to be a safe and effective drug, demonstrating in some cases the resolution of symptoms in patients previously treated with other therapies.</p></div><div><h3>Conclusion</h3><p>The versatility of the combination allows its use in the treatment of vertigo of various origins, making it a comprehensive and valuable option for situations where the precise diagnosis of the causes of vertigo is not clear.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100457"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000326/pdfft?md5=3a7a612e1cfcd3c3038e79318fd550ee&pid=1-s2.0-S2603924924000326-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141622654","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":"Comparing clonidine and dexmedetomidine effects in the treatment of opiate withdrawal syndrome in poisoned patients","authors":"Azadeh Memarian ,&nbsp;Mahdiye Abiyarghamsari ,&nbsp;Shahin Shadnia ,&nbsp;Babak Mostafazadeh ,&nbsp;Peyman Erfan Talab Evini ,&nbsp;Mahdiye Golestani Fard ,&nbsp;Mitra Rahimi","doi":"10.1016/j.mcpsp.2024.100458","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100458","url":null,"abstract":"<div><h3>Background</h3><p>While opiate withdrawal syndrome (OWS) typically resolves within a few weeks, the discomfort in the initial days after discontinuing opioid use is intense. In this study, we compared the effects of 2 drugs, clonidine and dexmedetomidine, for treating OWS in patients admitted to the Toxicology ICU at Loghman-e Hakim Hospital.</p></div><div><h3>Methods</h3><p>We collected patient information for individuals diagnosed with OWS in this clinical trial study. Fifty-two patients, matched based on the type of drug use (methadone, opiate, heroin), were included and divided into 2 groups. We compared the clinical effects of 2 drugs, dexmedetomidine and clonidine, on OWS symptoms using the Clinical Opiate Withdrawal Scale (COWS). The dexmedetomidine group received a dosage of 0.5 mcg/kg/h continuous IV infusion; not to exceed 24 h, while the clonidine group received 1.2 mg per day for 24 h. We completed the COWS standard checklist and compared the results after 0, 12, and 24 h.</p></div><div><h3>Results</h3><p>At Zero hours' patients who were administered dexmedetomidine had a significantly higher average COWS score of 0.684, compared to a score of 0.053 for patients who received clonidine (<em>p</em>-value<!--> <!-->=<!--> <!-->.000201). At the 12-h, the distinction between the 2 treatment groups was no longer statistically significant, as evidenced by a <em>p</em>-value of .162829 (dexmedetomidine: 0.105 vs. clonidine: 0.000).</p></div><div><h3>Conclusions</h3><p>The results suggest that dexmedetomidine is superior to clonidine in reducing withdrawal symptoms. The study found that both medications had a significant decrease in COWS scores over time, indicating their effectiveness in alleviating withdrawal symptoms as time passed.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100458"},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000338/pdfft?md5=6f499a35c0bf5fa0b77610e3df49f399&pid=1-s2.0-S2603924924000338-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593474","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":"Apocrine miliaria","authors":"Jullio C. Salas-Alanís ,&nbsp;Mauricio Salas-Garza ,&nbsp;María G. Moreno-Treviño ,&nbsp;Raymundo Garza-Martínez ,&nbsp;José G. Silva-Hernández ,&nbsp;Gerardo Rivera-Silva","doi":"10.1016/j.mcpsp.2024.100456","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100456","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 4","pages":"Article 100456"},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000314/pdfft?md5=1607694fe5a168611b700a74ef8f9483&pid=1-s2.0-S2603924924000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593475","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}