Revista de la Facultad de Ciencias Medicas de Cordoba最新文献

{"title":"influencia de científicos británicos a lo largo del siglo XX en la consolidación de la epidemiología","authors":"Oscar Bottasso","doi":"10.35305/fcm.v3i.108","DOIUrl":"https://doi.org/10.35305/fcm.v3i.108","url":null,"abstract":"El manuscrito hace referencia a los acontecimientos más salientes que se fueron dando a lo largo del siglo XX, gestados por un grupo de investigadores británicos, cuyos desarrollos y aportes le dieron un gran espaldarazo a la epidemiología; la cual desde una mirada originalmente descriptiva pasó a alcanzar un notable componente analítico. Logros que a su vez han incidido favorablemente sobre otros campos disciplinares fomentando la realización de investigaciones clínicas aplicadas con gran impacto en salud humana.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"54 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431190","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}

{"title":"Telemedicina","authors":"Lucas Fernando De Candia, Ricardo Cordone, Valeria Bulla, Mariana Quignard","doi":"10.35305/fcm.v3i.99","DOIUrl":"https://doi.org/10.35305/fcm.v3i.99","url":null,"abstract":"La telemedicina se presenta como una modalidad de trabajo clínico que creció en los últimos años en magnitud, difusión y aceptación, especialmente a partir de la pandemia por el virus SARS-CoV-2. Las publicaciones sobre el tema han aumentado en la última década y señalan que se trata de un tema de interés científico con plena actualidad. Su historia es breve: las primeras experiencias tuvieron lugar en la década del ´60 en la carrera espacial. Fundamentalmente, la telemedicina nace como una modalidad de atención no presencial aprovechando las posibilidades ofrecidas por la tecnología en contextos donde la distancia entre equipos de salud y usuarios significaba un problema. Las empresas del Complejo Médico Industrial (CMI) identifican las modalidades de telemedicina como una posibilidad de un contacto más fluido y menos regulado entre usuarios-consumidores y empresas de servicio del campo de la salud. A su vez, la necesidad de distanciamiento social para prevenir contagios entre personas en la emergencia sanitaria por el SARS-CoV-2 ofreció un contexto acorde para el desarrollo de la telemedicina. Probablemente, la pandemia estimuló la masificación abrupta de diferentes modos de atención a distancia. Sin embargo, aún no se han revisado profundamente en términos éticos y legales muchas de las formas de uso actual de la telemedicina. Se plantean interrogantes respecto de la influencia de este proceso en la profundización de la biomedicina como modelo dominante de la práctica médica actual.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"54 s49","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431193","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}

{"title":"Análisis del tratamiento durante 7 y 10 días con el extracto enriquecido en proantocianidinas de Ligaria cuneifolia sobre la fluidez sanguínea","authors":"Juan Francisco Alonso, Paula Santiago Rahlf, Carolina Galiasso, Leda Urli, Sebastián Galliano, Diego Crosetti, Daniel Francés, María Teresa Ronco, Marcelo Wagner, Cristina Carnovale, Alejandra Luquita","doi":"10.35305/fcm.v3i.97","DOIUrl":"https://doi.org/10.35305/fcm.v3i.97","url":null,"abstract":"La infusión de Ligaria cuneifolia o “muérdago criollo” es utilizada en medicina popular para dar mayor fluidez a la sangre disminuyendo el exceso de Colesterol plasmático. Del extracto crudo se purificó Proantocianidina (PLc). Nuestro objetivo fue analizar los factores celulares y plasmáticos que afectan la fluidez sanguínea a bajas velocidades de flujo, estimada por la cinética de la agregación eritrocitaria en ratas hiperlipémicas durante 7 días y 10 días de tratamiento con PLc. Fueron utilizadas ratas Wistar machos de 70 días de edad (n = 24), alimentadas con dieta rica en grasa. Las ratas controles recibieron por vía intraperitoneal solución fisiológica cada 24 horas y las tratadas PLc 3mg /100g peso corporal, durante 7 días y 10 días (n= 6 cada grupo). El día 8 y 11 respectivamente, los animales fueron anestesiados obteniéndose sangre por punción cardíaca. Se determinaron en plasma: colesterol (total, HDL y LDL) y triglicéridos por métodos enzimáticos; en sangre: se evaluó la cinética de la agregación eritrocitaria por método óptico, obteniéndose 2 parámetros: tamaño de los agregados y velocidad de la agregación eritrocitaria. Factores celulares: Se calculó el índice morfológico según clasificación de Bessis e índice de rigidez por método de filtración. El tratamiento con PLc mostró un efecto hipolipemiante en ratas tratadas durante 7 y 10 días, con una disminución significativa de la agregación eritrocitaria mejorando la fluidez sanguínea, sin cambios en los factores celulares que afectan la capacidad de agregarse de los eritrocitos. De acuerdo con estos resultados podemos concluir que se ha logrado obtener una fracción de Lc, enriquecida en Proantocianidinas que es capaz de disminuir el colesterol y triglicéridos plasmático favoreciendo la fluidez sanguínea a bajas velocidades de flujo, disminuyendo la velocidad de agregación eritrocitaria.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"53 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431046","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}

{"title":"Recorrido histórico de la carrera de Terapia Ocupacional de la Universidad de Rosario","authors":"María Laura Armoa, María Cristina Dagatti, María Belén Frigerio, Gimena Cecilia Príncipe","doi":"10.35305/fcm.v3i.101","DOIUrl":"https://doi.org/10.35305/fcm.v3i.101","url":null,"abstract":"Se realiza el presente recorrido desde un enfoque histórico sobre la Carrera de Terapia Ocupacional en la Facultad de Ciencias Médicas, Universidad Nacional de Rosario. Situándose entre los años 1970 a 1977, desde su inició hasta el cierre de la misma y eventos posteriores que se desarrollaron. Con el objetivo de difundir a la comunidad universitaria como surge la disciplina en Rosario se sintetiza cronológicamente su historia académica, recordando a los diferentes protagonistas y egresadas. En la actualidad se continúa bregando para reinstalar la carrera de TO en la universidad pública, por tal motivo dentro del escrito, se describe el estado del último proyecto de reapertura de la Licenciatura en Terapia Ocupacional en Facultad de Ciencias Médicas de la Universidad Nacional de Rosario.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"54 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431191","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}

{"title":"[Circulation dynamics of respiratory syncytial virus and its relationship with ambient temperature. 25-year series in Buenos Aires]","authors":"Fernando Torres, Rosana Abrutzky, Paula Domínguez, Javier Potasznik, Gabriela Sanluis Fenelli, María José Rial, María Fabiana Ossorio, Fernando Ferrero","doi":"10.31053/1853.0605.v80.n3.40438","DOIUrl":"10.31053/1853.0605.v80.n3.40438","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate changes in RSV seasonality in the last 25 years and their correlation with the mean annual temperature.</p><p><strong>Methods: </strong>Cross-sectional study, based on RSV and temperature data from the City of Buenos Aires (1995-2019). For each year, we describe the beginning, end, and duration of the RSV season and the correlation with the mean annual temperature.</p><p><strong>Results: </strong>We identified 10,183 RSV infections. The duration of the RSV season decreased significantly (1995: 29 weeks vs. 2019: 18 weeks; R: 0.6 (p< 0.001)), due to an earlier ending (1995: week 45 vs. 2019: week 34; 0.6 (p<0.001)). No correlation was observed between mean annual temperature and the duration, start, or end of the RSV season.</p><p><strong>Conclusion: </strong>In the last 25 years, the duration of the RSV season has been significantly shortened due to an earlier ending, without correlation with temperature.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 3","pages":"239-251"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147436","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":"Motor cortical stimulation for the treatment of trigeminal neuropathic pain secondary to an arteriovenous malformation. A case report.","authors":"Fernando Padilla-Lichtenberger,&nbsp;Florencia Casto,&nbsp;Federico Garavaglia,&nbsp;Miguel Villaescusa,&nbsp;Carlos Ciraolo","doi":"10.31053/1853.0605.v80.n3.41142","DOIUrl":"10.31053/1853.0605.v80.n3.41142","url":null,"abstract":"<p><strong>Introduction: </strong>Trigeminal neuropathic pain (TNP) is a syndrome of severe, disabling, constant facial pain arising from the trigeminal nerve or ganglion. Arteriovenous malformations (AVM) are a rare cause of TNP. The limited choices of intervention of TNP include peripheral nerve stimulation, trigeminal nucleotomy and motor cortex stimulation.</p><p><strong>Case report: </strong>We present a 56-year-old man who suffered from trigeminal neuropathic pain secondary to nerve compression due to a giant posterior fossa AVM. The pain was refractory to drug treatment. From all the therapeutic options available we declined the microvascular decompression of the trigeminal nerve due to the presence of the giant AVM, or stereotactic radiosurgery because of the AVM´s diffuse nidus. After a multidisciplinary discussion we proposed a minimally invasive, safe and reversible treatment: Motor Cortical Stimulation (MCS). We placed a 16-pole epidural electrode on the right precentral gyrus. The patient had satisfactory pain control with some supplemental medication. No complications or side effects such as seizures, sensory disturbances or infections were presented.</p><p><strong>Discussion: </strong>The limited choices of intervention of TNP include peripheral nerve stimulation, trigeminal nucleotomy and MCS. Henssen et al performed a systematic review where they investigated the effectiveness of MCS and discovered that this is significantly different among different chronic neuropathic orofacial pain disorders. A visual analogue scale (VAS) measured median pain relief of 66.5% was found.</p><p><strong>Conclusion: </strong>MCS should be one more tool to consider in highly selected cases, when other treatments are unfeasible.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 3","pages":"275-288"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146334","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":"[Factors associated with the perception of discrimination: ageism and quality of life of the geriatric population from a bioethical approach]","authors":"Germán Brito Sosa, Ana María Iraizoz Barrios, Viviana García Mir, Jovanny Angelina Santos Luna, Gisela de Los Ángeles León García, Raquel Magali Jaramillo Simbaña","doi":"10.31053/1853.0605.v80.n3.38107","DOIUrl":"10.31053/1853.0605.v80.n3.38107","url":null,"abstract":"<p><strong>Introduction: </strong>There are a set of conditions that directly affect the quality of life of older adults, causing marginalization and discrimination of this age group.</p><p><strong>Objective: </strong>Determining the factors that affect the perception of discrimination and quality of life of older adults in the province of El Oro, Ecuador.</p><p><strong>Methods: </strong>Observational, descriptive, qualitative-phenomenological, cross-sectional, cross-sectional study in older adults aged 65 years, between September 2019 and November 2020. The sample consisted of 399 older adults. The questionnaire \"Biopsychosocial assessment of older adults from a bioethical approach\" was used. The following variables were measured: discrimination and self-perception of quality of life. Multiple correspondence analysis was used to examine the association between discrimination, quality of life and the variables under study.</p><p><strong>Results: </strong>61.7% of the respondents considered that discrimination exists, with ageism predominating. The variable most related to the perception of discrimination of the MAs was the treatment in health care, and the family environment. The quality of life in a significant percentage was unsatisfactory due to: their family environment, poor social integration and dissatisfaction with their health.</p><p><strong>Conclusions: </strong>The quality of life of older adults was unsatisfactory in almost half of the respondents, influenced by the relationship with the family, social integration, and health status. The older adults reported that there is discrimination and ageism in the treatment perceived in the health services and the family environment, in violation of the principles of bioethics.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 3","pages":"221-238"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158474","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":"[Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears. A systematic review.]","authors":"Ignacio Carbonel Bueno, Jorge Hernando Sacristán, Roberto García Pérez, Pablo Navarro López, Isabel Hernández Fernández, Jorge Ripalda Marín","doi":"10.31053/1853.0605.v80.n3.41161","DOIUrl":"10.31053/1853.0605.v80.n3.41161","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to perform a systematic review of the scientific literature to compare single and double row techniques for rotator cuff tears in terms of functional, pain improvement and structural healing of the tendon.</p><p><strong>Methods: </strong>In order to carry out the research, a systematic selection of scientific articles has been made by consulting PubMed and The Cochrane Library databases. The articles included in the present study compare the single-row and double-row techniques, with publication date between 2016 and 2021.</p><p><strong>Results: </strong>Diverse results are observed in the UCLA, SST, Constant and ASES assessment scales and in the range of mobility, therefore, the superiority of one technique in terms of functional results is not established. The double row technique may show superiority in the strength variable, although there is a methodological variability in its measurement. The double-row technique may be related to more intense postoperative pain, while the single-row technique to residual shoulder pain. However, the variables strength and pain show non-homogeneous or coincident data. The superiority of the double row repair in the structural healing of the tendon and a lower re-tear rate than the single row technique is established with statistically significant results, being the most homogeneous and coincident studies.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 3","pages":"252-274"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160030","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":"[Accessible science outreach]","authors":"Rosario Pérez Garcia, Manuela Pérez García","doi":"10.31053/1853.0605.v80.n3.42438","DOIUrl":"10.31053/1853.0605.v80.n3.42438","url":null,"abstract":"<p><p>The organization in hospital medicine services is characterized by its hierarchy, where the difference in knowledge and status between medical directors, heads of service, specialist doctors and residents implicitly entail a power dynamic that generates abuse. According to Bourdieu's symbolic theory, the framework that underlies abuse is formed by symbolic violence that materializes in complex relationships in which each person knows their hierarchical position and does not question it. But this symbolic violence is experienced unconsciously, where abuse is perceived as an attitude that is part of an established order where the abuser and the abused act without questioning the abuse and perpetuating the historically inherited model. To eradicate abuse of residents, it is necessary to become aware of the symbolic foundation of abuse that legitimizes and perpetuates it to unmask the relationship between the abuser and the abused, proposing a new relational framework based on respect and dialogue.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 3","pages":"301-305"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153286","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":"Papillary thyroid carcinoma with desmoid fibromatosis: a case report and review of literature.","authors":"Luis Agustín Ramírez Stieben,&nbsp;Daniel Pozzi","doi":"10.31053/1853.0605.v80.n3.40408","DOIUrl":"10.31053/1853.0605.v80.n3.40408","url":null,"abstract":"<p><p>Desmoid-type fibromatosis (DF) is a rare monoclonal, fibroblastic proliferation characterized by an unpredictable and variable clinical course. We present the case of a 56-year-old woman who underwent total thyroidectomy for papillary thyroid carcinoma in 2012 and who developed a cervical mass at the left laterocervical level during follow-up, raising the diagnosis of tumor recurrence. Computed tomography of the neck showed solid formations with heterogeneous contrast uptake in the right lateral region of the neck. At the level of the thoracic operculum, a second 26-mm formation was observed that medially contacted the left lateral wall of the trachea. Lateral lymphadenectomy was performed, which was incomplete. Histology showed findings consistent with desmoid-type fibromatosis. DF are slowly proliferating, non-metastatic tumors with a highly invasive capacity that are usually present in familial adenomatous polyposis (FAP)-Gardner syndrome. Our case had a history of massive colonic polyposis and first-degree relatives of colorectal cancer.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 3","pages":"289-300"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10594980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162695","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}