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

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[An 80-year legacy and firm steps into the future] [80 年的传承和迈向未来的坚定步伐]
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.43883
Andrea Martínez, Natalia Traversaro, Viviana Patricia Dugatto
{"title":"[An 80-year legacy and firm steps into the future]","authors":"Andrea Martínez, Natalia Traversaro, Viviana Patricia Dugatto","doi":"10.31053/1853.0605.v80.n4.43883","DOIUrl":"10.31053/1853.0605.v80.n4.43883","url":null,"abstract":"","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"314-320"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040634","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}
引用次数: 0
[Non-Hodgkin large B-cell lymphoma of the bile duct mimicking a Klatskin tumor: case report]. [胆管非霍奇金大 B 细胞淋巴瘤模仿 Klatskin 肿瘤:病例报告]。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42808
Clara María Cascio Baccanelli, Andrea Melissa Sian, Pedro Vicente Uad, Jeremias Goransky Patiño
{"title":"[Non-Hodgkin large B-cell lymphoma of the bile duct mimicking a Klatskin tumor: case report].","authors":"Clara María Cascio Baccanelli, Andrea Melissa Sian, Pedro Vicente Uad, Jeremias Goransky Patiño","doi":"10.31053/1853.0605.v80.n4.42808","DOIUrl":"10.31053/1853.0605.v80.n4.42808","url":null,"abstract":"<p><p>The obstruction of the bile duct secondary to non-Hodgkin lymphoma is extremely rare. That's why we present the case of a 63-year-old female patient who sought medical attention due to jaundice, dark urine, acholia, and weakness. Laboratory results showed a cholestatic pattern, and an ultrasound revealed dilation of the intra and extrahepatic bile ducts, for which a cholangio resonance was ordered. It showed an expansive formation with ill-defined borders compromising the common hepatic duct associated with its stenosis. The initial suspicion was a Klatskin tumor, for which a biopsy was performed, which reported infiltration of a double expressor large B-cell lymphoma as a primary neoplasm of the bile duct. The patient underwent chemotherapy treatment with R-CHOP regimen (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone) and went into remission. Due to continuous episodes of cholangitis, a Roux-en-Y hepatic jejunal anastomosis with biliary tract reconstruction was performed. Currently, she remains in remission, seven years after the diagnosis.\u0000This case highlights the rarity of large B-cell non-Hodgkin lymphoma in the bile duct and emphasizes the importance of biopsy for effective treatment, combining chemotherapy for the underlying disease and surgery for obstructive complications.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"510-522"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040637","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}
引用次数: 0
Habilidades funcionales de niños, niñas y adolescentes con parálisis cerebral y su relación con el compromiso motor y la discapacidad intelectual en Argentina. 阿根廷脑瘫儿童和青少年的功能能力及其与运动障碍和智力残疾的关系。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.40834
Maria de Las Mercedes Ruiz Brunner, L Johana Escobar Zuluaga, E Federico Sánchez, M Elisabeth Cieri, Ana Laura Condinanzi, Natalia Herrera Sterren, Ana Carolina Zinni, Marcelo Francisco Barilla, Mailen Araceli Cernadas, Eduardo Cuestas
{"title":"Habilidades funcionales de niños, niñas y adolescentes con parálisis cerebral y su relación con el compromiso motor y la discapacidad intelectual en Argentina.","authors":"Maria de Las Mercedes Ruiz Brunner, L Johana Escobar Zuluaga, E Federico Sánchez, M Elisabeth Cieri, Ana Laura Condinanzi, Natalia Herrera Sterren, Ana Carolina Zinni, Marcelo Francisco Barilla, Mailen Araceli Cernadas, Eduardo Cuestas","doi":"10.31053/1853.0605.v80.n4.40834","DOIUrl":"10.31053/1853.0605.v80.n4.40834","url":null,"abstract":"<p><strong>Introduction: </strong>Motor compromise characterizes cerebral palsy (CP), and is often associated with intellectual disability (ID). Standardized classification systems have been developed to describe the functions of people with CP. The aim was to functionally characterize children and adolescents aged 0 to 18 years with CP in Argentina and to investigate the association between motor compromise (GMFCS), ID and functional classifications.</p><p><strong>Methods: </strong>Cross-sectional study. Data were collected through family interviews and medical records review. Individuals with CP were included. Data were collected from 19 institutions in different cities of Argentina. Fisher's test and odds ratio [IC95%] were used for data analysis, with significance <0.05.</p><p><strong>Results: </strong>182 children and adolescents with CP participated. According to GMFCS classification, level V prevailed with 36.3%. Those with more severe motor compromise (GMFCS IV-V) were 72 [25.4;206.0] times and 13 [5.9;28.2] times more likely to present a severe level of MACS and CFCS, respectively. But they were 34 [7.9;146.0] times more likely to have a mild to moderate level of EDACS. Those with DI were 10 [5.1;20.5] times more likely to have severe GMFCS, 6 [3.4;13.2] times more likely to have severe MACS and 4 [2.0;7.8] times more likely to have severe CFCS. On the contrary, they are 4 [1.9;9.5] times more likely to present a mild-moderate EDACS level.</p><p><strong>Conclusion: </strong>the level of GMFCS and the presence of DI influence general functionality and increase severity in engagement, manual and communication skills.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"367-384"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040654","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}
引用次数: 0
El autocuidado de salud en adolescentes del interior argentino. 阿根廷内陆地区青少年的自我保健。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.41091
Claudia Mariela Nievas, Bernardo J Gandini, Eugenia Toledo, Johanna Albornoz
{"title":"El autocuidado de salud en adolescentes del interior argentino.","authors":"Claudia Mariela Nievas, Bernardo J Gandini, Eugenia Toledo, Johanna Albornoz","doi":"10.31053/1853.0605.v80.n4.41091","DOIUrl":"10.31053/1853.0605.v80.n4.41091","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescent health is currently undergoing a serious deterioration. The aim of this study was to identify the self-care practices in adolescents between 15 and 18 years of age attending secondary schools in four departments of the interior of the province of La Rioja, Argentina.</p><p><strong>Methodology: </strong>descriptive cross-sectional and analytical study; data collected between October and November 2022 by non-probabilistic convenience sampling, with analysis of absolute and relative frequencies, multivariate logistic regression analysis and Odds ratio with 95% CI statistical significance of p= ˂0.05. Exploratory factor analysis (EFA) using the Principal Components method as extraction and the Orthogonal Varimax method as rotation. Analysis software, SPSS version 26.</p><p><strong>Results: </strong>There are discordances between the self-perception of health care and the practice carried out by the adolescents. Gender disparity in self-care is identified. The factors that increase self-care are the use of digital health applications, annual or shorter medical check-ups, and maintaining positive thinking habits. The main concern in relation to self-care among adolescents was the consumption of alcoholic beverages.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"385-403"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040652","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}
引用次数: 0
[Melatonin reverses oxidative damage in the submandibular gland of rats treated with Cyclophosphamide]. 褪黑素可逆转环磷酰胺治疗大鼠下颌下腺的氧化损伤。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.40930
Evelin Bachmeier, Fernando Martin Wietz, Daniela Josefina Porta, Lorena Moine, Claudio Gastón Dubersarsky, Catalina Melchora Francia, Maria Elena Samar, Maria Angelica Rivoira, Marcelo Adrian Mazzeo
{"title":"[Melatonin reverses oxidative damage in the submandibular gland of rats treated with Cyclophosphamide].","authors":"Evelin Bachmeier, Fernando Martin Wietz, Daniela Josefina Porta, Lorena Moine, Claudio Gastón Dubersarsky, Catalina Melchora Francia, Maria Elena Samar, Maria Angelica Rivoira, Marcelo Adrian Mazzeo","doi":"10.31053/1853.0605.v80.n4.40930","DOIUrl":"10.31053/1853.0605.v80.n4.40930","url":null,"abstract":"<p><strong>Objetive: </strong>Cyclophosphamide (Cf) produces oxidative damage in rat submandibular gland (GSM). In the present work we evaluated the antioxidant protective effect of melatonin (MLT) in GSM of rats treated with Cf.</p><p><strong>Methods: </strong>40 adult male Wistar rats were divided into 5 groups (G): G1: control; G2: Control+Ethanol: treated with 1% ethanol for 10 consecutive days. On days 11 and 12 they received a dose of saline; G3: Cf: treated with 1% ethanol for 12 days, days 11 and 12 they received an intraperitoneal (i.p.) dose of Cf 50 mg/Kg/kg of saline. ) of Cf 50 mg/kg bw; G4: Cf + MLT: MLT (5 mg/kg bw, intraperitoneal, dissolved in 1% ethanol) was administered daily, days 11 and 12 received Cf same as G3; G5: MLT: treated 12 consecutive days with MLT (same dose as G4). After 12 hours of fasting, animals were anesthetized to obtain both submandibular glands, then they were sacrificed. Uric acid (UA), lipid peroxides (LPs), aqueous peroxides (APs) and superoxide dismutase (SOD) activity were measured in submandibular gland homogenate. Statistical analysis: we used ANOVA and Bonferroni test pos hoc, considering significant p<0.05.</p><p><strong>Results: </strong>Cf treatment decreased AU concentration and SOD activity (AU, mg/mg prot., G1: 2.50±0.68; G2: 2.18±0.13; G3: 0.54±0.09* G4: 1.95±0.24#, G5: 2.64±0.47, *p<0.01 G3 vs G1, G2, G4; #p<0.01 G4 vs G3 and G5; SOD, U/mg prot, G1: 4.57±0.95, G2: 4.79±0.94, G3: 2.18±0.53*, G4: 5.13±1.10, G5: 5.09±0.39, *p< 0.01 G3 vs G1, G2, G4 and G5). MLT treatment prevented these effects. In addition, Cf increased PL and PA formation.</p><p><strong>Conclusion: </strong>MLT improved the redox status in GSM of Cf-treated rats. MLT could prevent oxidative processes in GSM produced by Cf.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"404-419"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040656","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}
引用次数: 0
[Adverse socio-economic conditions associated with the presence of obesity and its metabolic comorbidities in adults in San Luis, Argentina ]. 阿根廷成年人受教育程度低与肥胖及其代谢并发症的关系。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.40737
Stefano Staurini, Camila Niclis, María Silvina Calcagni, Darío Ramírez, Sandra Esther Gómez-Mejíba, Laura Rosana Aballay
{"title":"[Adverse socio-economic conditions associated with the presence of obesity and its metabolic comorbidities in adults in San Luis, Argentina ].","authors":"Stefano Staurini, Camila Niclis, María Silvina Calcagni, Darío Ramírez, Sandra Esther Gómez-Mejíba, Laura Rosana Aballay","doi":"10.31053/1853.0605.v80.n4.40737","DOIUrl":"10.31053/1853.0605.v80.n4.40737","url":null,"abstract":"<p><p>The prevalence of obesity depends on biopsychosocial and environmental factors and represents a risk factor for communicable and non-communicable diseases. Objectives: To determine the association between demographic, socioeconomic and lifestyle characteristics and the presence of obesity and its metabolic comorbidities (MC) in adults in San Luis City, Argentina.\u0000\u0000Observational population-based cross-sectional study of 306 individuals aged 18-85 years from San Luis, Argentina, selected by multistage random sampling, with an overweight prevalence of 35% and a 0.05 margin of error. Socioeconomic, demographic, and lifestyle variables were assessed, and multiple logistic regression models were fitted with the presence of obesity and MC as outcomes and sociodemographic and lifestyle characteristics as covariates.\u0000\u0000Obesity was found in 17.3% of participants, diabetes in 3%, high blood pressure (HBP) in 11%, dyslipidemia in 3.3% and coronary ischemic complications (CIC) in 13%. The proportion of residents with at least one of these conditions was 26.8%. Low Educational level (EL) was positively associated with the presence of obesity (OR 3.58; IC95% 1.04-12.24; p=0,04), and its MC (OR 5.25; IC95% 1.05-26.23; p=0.04) with respect to high EL. Similarly, the possibility of presenting CIC was increased in people with medium EL (OR 5.8; IC95% 1.12-30.19; p=0.03). On the other hand, the possibility of presenting diabetes increased by 17% with increasing body mass index (BMI) (OR 1.17; IC95% 1.03-1.34; p=0.01). Finally, women were more likely to present HBP (OR 3.71; IC95% 1.01-13.72; p=0.04) and CIC (OR 3,43; IC95% 1,06-11,10; p=0,03).\u0000\u0000Conclusion: the increase in age, female sex and medium and low NI are factors and conditions of vulnerability that predispose an increase in the prevalence of MC in adults from San Luis, Argentina.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"420-438"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040648","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}
引用次数: 0
Celiac disease and primary hyperparathyroidism. 乳糜泻和原发性甲状旁腺功能亢进症
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42137
Luis Agustín Ramírez Stieben, Estefanía Pustilnik, Feldman Néstor Rodolfo, Diamela Bolzán, Iván Bedini
{"title":"Celiac disease and primary hyperparathyroidism.","authors":"Luis Agustín Ramírez Stieben, Estefanía Pustilnik, Feldman Néstor Rodolfo, Diamela Bolzán, Iván Bedini","doi":"10.31053/1853.0605.v80.n4.42137","DOIUrl":"10.31053/1853.0605.v80.n4.42137","url":null,"abstract":"<p><strong>Objective: </strong>Primary hyperparathyroidism (PHPT) and celiac disease (CD) are two distinct medical conditions that can affect bone health. While PHPT leads to excessive calcium levels and bone abnormalities, CD impairs calcium and vitamin D absorption due to small intestine damage.</p><p><strong>Case report: </strong>We present a case of a 49-year-old woman diagnosed with osteoporosis who was found to have both PHPT and CD. The patient underwent a successful minimally invasive parathyroidectomy, which resulted in decreased parathyroid hormone levels.</p><p><strong>Conclusion: </strong>This case highlights the rare coexistence of PHPT and CD and emphasizes the importance of considering secondary causes of osteoporosis in patients with low bone mass. Further studies are needed to explore the underlying mechanisms and potential links between PHPT and CD.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"499-509"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040651","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}
引用次数: 0
[Clinical and microbiological characteristics of urinary tract infections in the first year after renal transplantation]. 肾移植术后第一年的尿路感染。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.41244
Paula Vilella, Juan Pablo Maldonado, Pehuen Fernández, María Fernanda Flores, Camila De Bernardi, Karen Y Vilte Velazquez, Daniela Hernández, Jorge Luis De La Fuente, Emanuel José Saad
{"title":"[Clinical and microbiological characteristics of urinary tract infections in the first year after renal transplantation].","authors":"Paula Vilella, Juan Pablo Maldonado, Pehuen Fernández, María Fernanda Flores, Camila De Bernardi, Karen Y Vilte Velazquez, Daniela Hernández, Jorge Luis De La Fuente, Emanuel José Saad","doi":"10.31053/1853.0605.v80.n4.41244","DOIUrl":"10.31053/1853.0605.v80.n4.41244","url":null,"abstract":"<p><strong>Introduction: </strong>Urinary tract infections (UTI) are the most frequent infection in kidney transplant (KT) patients. The main objective was to determine the clinical and microbiological characteristics of UTIs that occur during the first year after KT.</p><p><strong>Methods: </strong>Retrospective cohort study that included patients over 18 years of age who received KT between 2009-2020 in two hospitals in Córdoba city, Argentina. Patients were followed up during the first year after the transplant by recording them in the medical records, and those who presented at least one episode of UTI were analyzed.</p><p><strong>Results: </strong>During the study period, 568 KTs were performed, of which 207 (36.4%) had at least one episode of UTI. In total, there were 419 UTI episodes, 6 (1.4%) polymicrobial UTI episodes, so a total of 426 microorganisms were identified in the urine cultures. Of the total number of episodes, 206 (49.2%) occurred between 31 and 180 days post-transplant. The main etiological agent was E. coli with 225 isolates (52.8%) followed by Klebsiella sp. with 94 (22.1%). 52.1% of all episodes were caused by multi-resistant microorganisms (MRM). Among the E. coli isolates, 94 (41.8%) were MRM. In the multivariate analysis, the risk factors associated with UTI due to MRM were a history of recurrent UTI (Odds ratio 2.43; 95% CI: 1.37-4.30) and induction with basiliximab (Odds ratio 1.53; 95% CI: 1.029-2.29).</p><p><strong>Main conclusion: </strong>UTIs occurred in more than a third of kidney transplant patients, being slightly more than half caused by MOR.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"476-498"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040655","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}
引用次数: 0
Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba: review of 17 reports with 7823 patients 古巴 COVID-19 大流行前 ST 段抬高型心肌梗死患者的护理质量。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42094
Luis Enrique Remedios-Carbonell, Dayani Arteaga-Guerra, Maidelis Prieto-Guerra, Geovedys Martinez-Garcia, Maikel Santos-Medina, Miguel Rodriguez-Ramos
{"title":"Quality of care for patients with ST-segment Elevation Myocardial Infarction before COVID-19 pandemic in Cuba: review of 17 reports with 7823 patients","authors":"Luis Enrique Remedios-Carbonell, Dayani Arteaga-Guerra, Maidelis Prieto-Guerra, Geovedys Martinez-Garcia, Maikel Santos-Medina, Miguel Rodriguez-Ramos","doi":"10.31053/1853.0605.v80.n4.42094","DOIUrl":"10.31053/1853.0605.v80.n4.42094","url":null,"abstract":"<p><strong>Background: </strong>In Cuba, there is neither a registry of ST Elevation Myocardial Infarction (STEMI), nor are analysis of performance measures widely reported.</p><p><strong>Objective: </strong>A review of Cuban studies of patients with STEMI was carried out to describe quality of medical care.</p><p><strong>Methods: </strong>Cochrane Library, EMBASE, PubMed, Scopus and SciELO, as well as archives of national journals, were all searched for articles on STEMI in Cuba, from 2000 to March 2020. They were included if they reported number or percentage of application of reperfusion therapy; administration of aspirin, enalapril-captopril (ACEI) or beta-blockers; status of patients at discharge; and patient or system delay times. Finally, 17 reports with 7823 patients were included.</p><p><strong>Results: </strong>Thrombolytic therapy was administered to 3991 patients (51%), and 695 patients (8.9%) died. Only four studies, with 880 patients, presented data about prescription of ACEI, aspirin, and beta-blockers, which were administered to 381 (45.3%), 824 (93.6%), 464 (52.7%) patients, respectively. Coronary intervention was reported in 5 studies with 3422 patients, being performed in 661 (19.3%).  Conclusions: Quality of care of patients with STEMI seems to be poorer than reported in similar scenarios. Thrombolytic administration is still low, although mortality decreases in this period. Other pharmacological treatments were insufficiently fulfilled.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"538-558"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040658","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}
引用次数: 0
empleo como determinante social de la salud. Su aplicación en la formación de grado en Fonoaudiología. 就业是健康的社会决定因素。它在言语听力学学位形成中的应用。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-11-08 DOI: 10.35305/fcm.v3i.106
Daniela Damiani, Ana Clara Isaias
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