Medicina Clinica Practica最新文献

{"title":"La convivencia entre la tecnología y el humanismo médico","authors":"Josep E. Baños Díez,&nbsp;Elena Guardiola Pereira","doi":"10.1016/j.mcpsp.2024.100437","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100437","url":null,"abstract":"<div><p>Technology has become an essential element for the progress of medicine as it applies the scientific knowledge to professional practice. In recent years, it has grown significantly and has occupied important places in medical practice. As a result, it has been raised whether it could aggravate the current process of medical dehumanization experienced that has been repeatedly denounced. In fact, the traditional dilemma arises as to whether medicine is only an applied science that solves strictly biological problems and that the elements of medical humanism could be ignored. This situation is complicated by the widespread access to medical information that patients use to better understand their illnesses. This article analyzes the relationship between new technologies applied to medicine and their influence on medical humanism. It concludes that technology offers a possibility of defining an improved model of doctor-patient relationship if it is implemented considering the principles of traditional medical humanism.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100437"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000120/pdfft?md5=9c3f0a17a9a7e96d41225f63204c7411&pid=1-s2.0-S2603924924000120-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140813643","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":"Dolor abdominal por trombosis de la arteria renal","authors":"Daniel Suárez Hernández ,&nbsp;Elena Pascual Roquet Jalmar ,&nbsp;Javier Urios Durá ,&nbsp;Ramón Munera Escolano","doi":"10.1016/j.mcpsp.2024.100444","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100444","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100444"},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000193/pdfft?md5=344edfdc520d263fcbe00665999c5206&pid=1-s2.0-S2603924924000193-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140807241","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":"Utilidad de la ecografía torácica ante la sospecha de hernia diafragmática","authors":"Raúl Montero-Yéboles,&nbsp;Susana Jaraba Caballero,&nbsp;Sara Gutiérrez Fernández,&nbsp;Maria José Lorenzo-Montero,&nbsp;Juan Luis Pérez-Navero","doi":"10.1016/j.mcpsp.2024.100441","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100441","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000168/pdfft?md5=e89e679dcb35fc32974f9e039fdcc4df&pid=1-s2.0-S2603924924000168-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140619131","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":"Vía accesoria septal revelada por fibrilación auricular preexcitada","authors":"Alejandro Lara García,&nbsp;Lucía Canales Muñoz,&nbsp;Ricardo Martínez González,&nbsp;Sergio Castrejón Castrejón","doi":"10.1016/j.mcpsp.2024.100443","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100443","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100443"},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000181/pdfft?md5=a6a8560fc7228325ae3bbd34247fe7ea&pid=1-s2.0-S2603924924000181-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140606812","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":"ABO blood group is related to the prevalence, severity, and mortality rate of COVID-19","authors":"Mehran Kouchek ,&nbsp;Mir Mohammad Miri ,&nbsp;Kamran Aghakhani ,&nbsp;Azadeh Memarian","doi":"10.1016/j.mcpsp.2024.100442","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100442","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic is attributed to SARS-COV-2 virus rapidly spreading around the world as a global health emergency. The difference in the rate of infection and disease severity has raised doubts about the impact of genetic predisposition on the COVID-19 severity. Previous studies have proposed the relationship between blood group antigens as one of genetic risk factors involved in susceptibility to COVID-19. Herein, we aimed to delve into the association between ABO blood group and COVID-19 infection, severity, and mortality rate.</p></div><div><h3>Methods</h3><p>In this cohort study, the patients who referred to university-based referral hospital (Hazrat Rasool) in Tehran, Iran, with the positive PCR test for COVID-19 were followed up during 2021. They were classified as: (1) mild, (2) moderate, (3) severe, and (4) death based on disease severity. The demographic information including age, gender, and underlying disease and the patient's medical record such as blood type, intubation, and severity of illness was recorded. Then, the predefined variables were recorded in each group and compared with each other. Finally, the obtained findings were analyzed by SPSS version-22 software.</p></div><div><h3>Results</h3><p>Overall, 101 patients were included among which 51.5% (52 cases) were male and the rest were female. Their average age was 64.14<!--> <!-->±<!--> <!-->16.37 years (ranged from 20 to 94 years). The most common blood group in affected cases was O<!--> <!-->+ (37.6%) and then A<!--> <!-->+ (35.6%). Also, the most underlying disease was hypertension and diabetes with a prevalence of 45.5% and 35.6%, respectively. 66.3% of cases died and 76.2% and 22.8% of cases presented severe and moderate form of COVID19, respectively. The average hospitalization time was 19.77<!--> <!-->±<!--> <!-->18.34 days (the longest time of 150 days) compared to the 12.79<!--> <!-->±<!--> <!-->10.45 days in ICU (the longest time of 55 days). In addition, the most common blood group amongst the hospitalized cases was O<!--> <!-->+ which were significantly associated with the lower severity and mortality rate of COVID19 (<em>p-</em>value ≤<!--> <!-->.0001).</p></div><div><h3>Conclusions</h3><p>The findings of current study suggest that A<!--> <!-->+ blood group might be more susceptible to COVID-19 with significantly higher severity or mortality rate of disease while O<!--> <!-->+ blood group might be less susceptible with longer survival and less severity of disease. Our results add to the growing body of evidences suggesting the blood group types may pave the way for early preventive measures and management approaches of COVID-19.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100442"},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S260392492400017X/pdfft?md5=52a0b9d732518ef969922b2b38b80661&pid=1-s2.0-S260392492400017X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140551243","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":"Successful treatment of electric burns in young patients with nano-zinc dressings: A case report","authors":"Mhd Taisier Dirwan ,&nbsp;Marwan Al-Raeei ,&nbsp;Reham Alwis ,&nbsp;Razan Alwis ,&nbsp;Chadi Azmeh","doi":"10.1016/j.mcpsp.2024.100440","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100440","url":null,"abstract":"<div><p>Burns are the consequence of tissue harm caused by extended exposure to extreme heat, sunlight radiation, other types of radiation, chemicals, or electricity. Burns can vary from minor to life-threatening, and the appropriate treatment depends on the seriousness and location of the burn. Severe and extensive burns necessitate immediate medical attention, and some individuals may need specialized care centers and ongoing medical check-ups for several months. Electric burns occur when the skin is exposed to a weak or strong electric shock, and they can be categorized as mild or severe depending on the length and intensity of the shock. In this case study, we present the treatment of a severe electric burn on a 10-year-old boy's right leg using nano-zinc bandages. The use of these bandages proved to be highly effective in healing the child's injured leg. This case study discusses the treatment of a severe electric burn in a 10-year-old boy using zinc nanoparticles. The authors observed positive outcomes in terms of skin healing after the application of nano-zinc bandages. Zinc nanoparticles have attracted attention due to their antimicrobial properties and ability to aid wound healing. The main significant clinical output is that the case suggests the potential of zinc nanoparticles in aiding wound healing for burns and emphasizing the need for further research on their effectiveness and safety on a larger scale. However, it is important to note that this is a single case study for burning treatments and further research is required to determine the effectiveness and safety of zinc nanoparticles in burn treatment.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100440"},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000156/pdfft?md5=5c66dd72bce3a22a3ac3abeeb013a434&pid=1-s2.0-S2603924924000156-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140548576","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":"Estudio comparativo del control de nuestros pacientes diabéticos tipo 2 antes y después del confinamiento producido por la pandemia COVID-19","authors":"Daniel Suárez Hernández ,&nbsp;Elena Pascual Roquet Jalmar ,&nbsp;Jose Luis Gea González ,&nbsp;Maria Isabel Gea González ,&nbsp;Beatriz Soler Sánchez ,&nbsp;Majda Idrisi ,&nbsp;Javier Urios Durá","doi":"10.1016/j.mcpsp.2024.100438","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100438","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the impact of the alterations of continuity of care on diabetic patients in our health department during the confinement that caused the pandemic. Check whether or not confinement mean tan alteration in the degree of control of our type 2 diabetic patients. Know whether our diabetic patients were adequately coontrolled before the pandemic began. Know if the pandemic has led to a deterioration in its degree of control.</p></div><div><h3>Subject and method</h3><p>Retrospective study between the years 2019 and 2020 of type 2 diabetic patients in our health area. Through the “Alumbra” application of our health area, a random sample of our patients diagnosed with type 2 diabetes from 18 to 100 years of age was obtained. The patients was informed if they wanted to enter the study and after the patient´s express consent, the patient was asked about their lifestyle, habits and a review of the medical history was carried out with the data recorded before the confinement (year 2019) and during the months of confinement of 2020.</p></div><div><h3>Results</h3><p>There were 882 patients (88.28%) with HbA1c determinations in 2019 with a mean of 7,08. There were 800 patients (88.98%) with HbA1c deteminations in 2020 with a mean of 7,02. There was a reduction in alcohol, tobacco and soft drink consumption habits, but there was also a reduction in physical exercise (33% to 22%) and is following a diabetic diet (34% to 24%). In the sample analyzed, there was a reduction in a alcohol consumption from the data obtained in 2019 to those obtained in 2020 (22% to 13%). There was an increase in obesity, which goes from 77,7% to 90,4%. It is observed that there is no change in the percentages in pathologies such as dislipemia, atrial fibrilation, osteoarthritis, and stroke.</p></div><div><h3>Conclussion</h3><p>The consequences associated with the pandemic on health are worrying, the decrease in acute consultation, preventive activities and the delay in controls for chronic patients will have a profound impact on the psychological and socioeconomic well being of populations. The holistic view of the Primary Care and the need to strengthen and rethink the system to increase its effciency are of particular importance.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100438"},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000132/pdfft?md5=63109c406f8b41f366c043873ab3b37c&pid=1-s2.0-S2603924924000132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140339364","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":"Calcinosis cutis","authors":"Julio C. Salas-Alanís ,&nbsp;Gerardo Rivera-Silva ,&nbsp;Jose G. Silva-Hernández ,&nbsp;María G. Moreno-Treviño","doi":"10.1016/j.mcpsp.2024.100439","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100439","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100439"},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000144/pdfft?md5=da5fee46149281bacb444b5fc3b41a4a&pid=1-s2.0-S2603924924000144-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327829","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 medicine of the past, present, and future generations: From Sir William Osler to ChatGPT","authors":"Caterina Delcea ,&nbsp;Catalin Adrian Buzea","doi":"10.1016/j.mcpsp.2024.100433","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100433","url":null,"abstract":"<div><p>Innovation and discovery are the drivers of progress in medicine, which is an ever-changing science. Core concepts in current medical practice include patient-centered and high-value care, evidence-based and personalized medicine, and digital health, that is gaining momentum. Rampant progress is seen in technology development, artificial intelligence, machine learning, large language models such as ChatGPT. Their use in medicine has promising perspectives, conditioned by adequate regulations, based on ethical principles and human-rights, to ensure safety of patient data, fact accuracy, and general applicability.</p><p>The future of medicine should aim for universal health coverage, facilitated by digital medicine and guided by empathy and compassion. Human interaction will remain a mainstay in medical practice, and ideally technology will provide the much-needed time for doctor–patient bonding. Climate change, cyber security, and access to basic care are some of the challenges to be resolved in the years to come.</p><p>Future medical care should find the balance between high tech and high touch and aim to for global availability.</p></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100433"},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000089/pdfft?md5=e2b31e8a59f2068846715a23d603428f&pid=1-s2.0-S2603924924000089-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145377","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":"Seizure at middle age: Meningioma","authors":"André Mendes,&nbsp;Ana Paula Rezende,&nbsp;Emanuel Fernandes,&nbsp;Isabel Lavadinho","doi":"10.1016/j.mcpsp.2024.100434","DOIUrl":"https://doi.org/10.1016/j.mcpsp.2024.100434","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"7 3","pages":"Article 100434"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2603924924000090/pdfft?md5=9509bf41dd9eb69ddb5276b5168ef3fc&pid=1-s2.0-S2603924924000090-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122435","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}