Revista de la Facultad de Ciencias Medicas de Cordoba最新文献_第2页

Cri du Chat Syndrome and congenital dislocation of the hips and knees: case report. Cri du Chat综合征合并先天性髋膝脱位1例。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.45341

Natã Nascimento de Jesus Graça, Maria Luiza Alessi Ribeiro, Márcio Luís Duarte

{"title":"Cri du Chat Syndrome and congenital dislocation of the hips and knees: case report.","authors":"Natã Nascimento de Jesus Graça, Maria Luiza Alessi Ribeiro, Márcio Luís Duarte","doi":"10.31053/1853.0605.v82.n2.45341","DOIUrl":"https://doi.org/10.31053/1853.0605.v82.n2.45341","url":null,"abstract":"Introduction: Cri Du Chat Syndrome (CdCS) is an autosomal genetic disorder involving the complete or partial deletion of the short arm of chromosome 5 (5p). The size of the CdCS deletion ranges from approximately 10-45 Mb.Clinical case: Female patient, one year and three months old, presents hyperextension of the knees. On physical examination, the patient presents bilateral cleft palate, absence of soft palate, cleft lip and tracheostomy, positive Hart sign, negative Peter Bade sign and fixed retrocurved knees with limited range of motion. Radiographs reveal bilateral hip dislocation and knee dislocation. Karyotype analysis confirms the diagnosis of CdCS.Results: Surgery was performed to laterally release the knee joint capsule, lengthen the quadriceps tendon, capsuloplasty and closed reduction of the knee joint, followed by application of a co-pediatric plaster with knee flexion. After two months in a cast, physiotherapy was started. Approximately three months after surgery, the patient presented a healed surgical incision, full knee extension and almost complete flexion (100° flexion), in addition to a negative Lachmann test.Conclusion: The presence of multiple congenital anomalies constitutes an exceptionally unique clinical picture. It is crucial to emphasize that congenital dislocation of the hips and knees in this patient is particularly rare and has not been described in the medical literature among CdCS patients.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 2","pages":"399-408"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545269","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}

引用次数: 0

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.46061

Nicolás Leonardi, Gerardo Gilligan, Federico Garola, Eduardo Piemonte, René Panico

{"title":"Drug-related jaw osteonecrosis: a 6-year retrospective study from two centers in Argentina.","authors":"Nicolás Leonardi, Gerardo Gilligan, Federico Garola, Eduardo Piemonte, René Panico","doi":"10.31053/1853.0605.v82.n2.46061","DOIUrl":"https://doi.org/10.31053/1853.0605.v82.n2.46061","url":null,"abstract":"Background: Medication-related osteonecrosis of the jaw (MRONJ) is an adverse effect associated with the use of antiresorptive/antiangiogenic medications. Few observational studies have been conducted in South America. Our aim was to describe patients with MRONJ from Córdoba, Argentina, focusing on demographic, pharmacological, and serological variables, as well as associated risk factors. Methods: We conducted a cross-sectional study involving MRONJ patients who visited two Oral Medicine Departments between 2016 and 2022. Chi-square tests and Student t-tests were used to compare proportions in categorical and quantitative variables. Additionally, we provided a review of the literature from the last 10 years. Results: A total of 53 patients were included in the study. There was a female predominance in the osteoporosis group. The average duration of antiresorptive treatment for osteoporosis was 10.43 years. Zoledronate was statistically associated with the development of MRONJ. The mandible was more frequently affected than the maxilla. Tooth extraction was the most common triggering factor, accounting for 75% of cases. Additionally, 43.4% of the patients were diagnosed with Stage 1 MRONJ.Conclusion: This subgroup of Argentinean MRONJ patients exhibits similar characteristics to those reported in studies worldwide. The development of MRONJ in osteoporotic females may be linked to inadequate control of antiresorptive therapy. It is essential for general dentists and physicians to recognize the risk of MRONJ in these individuals.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 2","pages":"318-342"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545270","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}

引用次数: 0

How to combat false ideas in medicine: lessons from Hugo Mercier's theory. 如何对抗医学中的错误观念：来自雨果·梅西耶理论的教训。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.48178

Eduardo Cuestas

引用次数: 0

Physical fitness in wheelchair users with spinal cord injury, level of mobility and community participation: an observational cross-sectional study 脊髓损伤轮椅使用者的身体健康、活动水平和社区参与：一项观察性横断面研究

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.45763

Vanina Anahí Pisano, Emiliano Liotino, Belén Rubinich, Micaela Balvidares, Camila Vitale, Rocío Zanazzi, Rafael Balbarrey, Jennifer Bentos

{"title":"Physical fitness in wheelchair users with spinal cord injury, level of mobility and community participation: \u0000an observational cross-sectional study","authors":"Vanina Anahí Pisano, Emiliano Liotino, Belén Rubinich, Micaela Balvidares, Camila Vitale, Rocío Zanazzi, Rafael Balbarrey, Jennifer Bentos","doi":"10.31053/1853.0605.v82.n2.45763","DOIUrl":"10.31053/1853.0605.v82.n2.45763","url":null,"abstract":"Introduction: Physical fitness is often low in people with spinal cord injury. It is related to functionality, participation, and wheelchair mobility. We have found discrepancies about what happens to physical fitness after rehabilitation discharge.Objective: To describe the physical fitness of wheelchair users with spinal cord injury attending a rehabilitation institute. Secondary objective: to describe the level of mobility and community participation.Methodology: Observational, cross-sectional study. Subjects living in the community were included. The main variable was the level of physical fitness according to the 6-minute manual propulsion test. Secondary variables such as community mobility (SCIM III and WST-Q) and participation perception (RNLI) were considered.Results: Sixteen subjects were included. The level of physical fitness was low in 87.5% of them. Regarding community mobility, 56% moved independently over distances greater than 100 meters. As for the perception of participation, 62.5% had mild to moderate restrictions.Conclusion: Physical fitness, community mobility, and participation in subjects with spinal cord injury were described. The majority of the sample has low physical fitness, requires some degree of assistance in community mobility, and has mild to moderate participation restrictions.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 2","pages":"343-361"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545304","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}

引用次数: 0

Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection. 绞窄性股疝导致下肢坏死性软组织感染。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.45345

Ellie Zhang, Hayes Fountain, Timothy Trestrail, Joshua Kronenfeld, Carolina Jimenez, Robert Cubas

引用次数: 0

The Forgotten Document: History, Memory, and Truth of the Hospital Nacional de Clínicas 被遗忘的文件：国立医院的历史、记忆和真相Clínicas

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-06-26 DOI: 10.31053/1853.0605.v82.n2.48798

Norma Acerbi Cremades

引用次数: 0

[Abdominal pain and inconclusive ultrasound: a CT scan may not always be the best next step] 腹痛和超声波不确定。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-03-31 DOI: 10.31053/1853.0605.v82.n1.44691

Julio César Moreno-Alfonso, Sara Hernández Martín, Lidia Ayuso González, Alberto Perez Martínez

{"title":"[Abdominal pain and inconclusive ultrasound: a CT scan may not always be the best next step]","authors":"Julio César Moreno-Alfonso, Sara Hernández Martín, Lidia Ayuso González, Alberto Perez Martínez","doi":"10.31053/1853.0605.v82.n1.44691","DOIUrl":"10.31053/1853.0605.v82.n1.44691","url":null,"abstract":"A 4-year-old male presented to the emergency department with fever, mucous diarrhea, abdominal pain, and vomiting for 36 hours. On abdominal palpation, he had generalized pain without rebound and increased hydroaereal sounds. The blood count showed leukocytosis and elevated C-reactive protein, and an ultrasound revealed intestinal loops with abundant content, increased peristalsis, and a normal appendix. Due to the suspicion of invasive gastroenteritis, he was admitted for observation. Due to the persistence of symptoms, a new ultrasound was performed which showed pelvic free fluid but did not identify the appendix. An abdominal radiography was previously performed, which showed an image compatible with appendicolith. With the suspicion of appendicitis, surgery was indicated, and an appendicular peritonitis was identified. The patient recovered well and was discharged seven days later. Diagnosing appendicitis in children can be a complex process. The most sensitive diagnostic tests are ultrasound and tomography. Abdominal radiography, however, is a widely available test with low radiation and has a positive predictive value of 90% for appendicitis (detecting appendicolith or periappendicular 'air silence'). In ambiguous cases, an abdominal X-ray could avoid invasive tests that require sedation or high doses of radiation.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 1","pages":"206-214"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755235","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

[Role of ultrasound in critically ill patients with heart failure] 超声在心力衰竭危重患者中的作用。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-03-31 DOI: 10.31053/1853.0605.v82.n1.45185

Julieta Lozita, Juan Pablo Leopoldo Ricarte Bratti, Judith Mailen Vicentin, Nadia Elizabeth Pinto

{"title":"[Role of ultrasound in critically ill patients with heart failure]","authors":"Julieta Lozita, Juan Pablo Leopoldo Ricarte Bratti, Judith Mailen Vicentin, Nadia Elizabeth Pinto","doi":"10.31053/1853.0605.v82.n1.45185","DOIUrl":"10.31053/1853.0605.v82.n1.45185","url":null,"abstract":"Heart failure (HF) is a clinical syndrome with symptoms and/or signs caused by structural and/or functional cardiac abnormalities. After discharge, patients with acute heart failure (AHF) face a significant risk of rehospitalization and mortality. Detection of residual congestion is crucial to reduce readmissions, improve prognosis, and decrease mortality. Echocardiography provides critical information about the severity of left ventricular dysfunction, elevated filling pressures, valvular dysfunction, and estimation of pulmonary artery systolic pressure. The VExUS approach integrates ultrasound evaluation of the inferior vena cava, hepatic veins, portal vein, and renal veins, providing valuable information about systemic congestion. Lung ultrasound detects pulmonary congestion, facilitating early intervention to prevent progression and hospitalizations. Ultrasound evaluation of the internal jugular vein and femoral vein complements the evaluation of venous congestion. Distension of the internal jugular vein during the Valsalva maneuver or the relationship between the diameter of the internal jugular vein and the femoral vein can predict adverse outcomes in patients with HF. In conclusion, a comprehensive ultrasound approach is crucial in the management of patients with critically ill heart failure. Multiparameter ultrasound evaluation provides vital information, guiding appropriate therapeutic interventions and avoiding potentially harmful measures.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 1","pages":"188-205"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755238","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

[Anemia and heart failure with preserved ejection fraction in adult patients with cardiorenal syndrome: a cross-sectional study] [成人心肾综合征患者保留射血分数的贫血和心力衰竭：一项横断面研究]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-03-31 DOI: 10.31053/1853.0605.v82.n1.44359

Maria Teresa Politi, Gustavo Javier Daquarti, Damián Néstor Spagnuolo, Raúl Ferreyra, Mirta Diez, Guillermo Bortman

{"title":"[Anemia and heart failure with preserved ejection fraction in adult patients with cardiorenal syndrome: a cross-sectional study]","authors":"Maria Teresa Politi, Gustavo Javier Daquarti, Damián Néstor Spagnuolo, Raúl Ferreyra, Mirta Diez, Guillermo Bortman","doi":"10.31053/1853.0605.v82.n1.44359","DOIUrl":"10.31053/1853.0605.v82.n1.44359","url":null,"abstract":"Introduction: Patients hospitalized for heart failure with preserved ejection fraction (HFpEF) have a higher prevalence of anemia than those hospitalized for heart failure with reduced ejection fraction (HFpEF). However, it is unknown if this relationship is maintained in patients with chronic kidney disease, forming cardiorenal syndrome type IV.Methods: Cross-sectional, multicenter study of patients with chronic kidney disease hospitalized for heart failure. The primary outcome was the difference in hemoglobin concentration. The secondary outcome was the difference in the prevalence of anemia.Results: 229 patients were enrolled. Hemoglobin concentration was lower in patients with HFpEF compared to patients with HFrEF (11.1±1.8 g/dl vs 12.3±2.0 g/dl; p < 0.0001). . Presenting HFpEF was associated with a lower hemoglobin concentration (β1 = -0.90 g/dl; p = 0.001), after including the use of iron supplements, moderate to severe deterioration of glomerular filtration rate, sex and age. The prevalence of anemia was higher in patients with HFpEF compared to those with HFrEF (72.3% vs 59.8%; p = 0.0462). Belonging to the HFpEF group was not associated with anemia (OR = 1.77; p = 0.078), after including the same covariates. Exploratory, belonging to the HFpEF group was associated with moderate to severe anemia, after including the same covariates.Conclusion: In patients with type IV cardiorenal syndrome, hemoglobin concentration is lower in patients hospitalized with HFpEF, possibly playing a role in the destabilization of these patients.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 1","pages":"22-40"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755028","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

[Residual hypoxemia during titration with self-adjusting CPAP at home in patients without prior adaptation] [未适应的患者在家中自行调节CPAP滴定时残留低氧血症]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-03-31 DOI: 10.31053/1853.0605.v82.n1.44671

Julieta Franzoy, Magali Blanco, Glenda Ernst, Maria Belen Ginetti, Marcella Perri, Eduardo Borsini

{"title":"[Residual hypoxemia during titration with self-adjusting CPAP at home in patients without prior adaptation]","authors":"Julieta Franzoy, Magali Blanco, Glenda Ernst, Maria Belen Ginetti, Marcella Perri, Eduardo Borsini","doi":"10.31053/1853.0605.v82.n1.44671","DOIUrl":"10.31053/1853.0605.v82.n1.44671","url":null,"abstract":"Introduction: Self-adjusting titration (APAP) at home is accepted to define therapeutic pressure (CPAPT). The APAP device report may be insufficient to ensure adequate therapeutic response in all patients. There is no consensus on the use of oximetry during APAP titration.Objective: To evaluate the prevalence and magnitude of residual hypoxemia (RH) in titration with APAP not monitored at home and to identify related variables.Materials and methods: Retrospective study based on APAP titrations with coupled oximetry, arterial blood gases and spirometry test. A T90 > 10% of the night was considered significant RH. Predictors of HR were identified by logistic regression (RL).Results: 116 cases were included. 41% in the group with RH. These were older (66.7 vs. 59.6 years, p: 0.02), lower absolute FEV1 (2.17 vs. 2.57 liters, p: 0.06), lower absolute FVC (2.9 vs. 3.3 liters, p: 0.02) and lower basal PO2 (77.3 vs. 84.2 mmHg, p: 0.04). The titration period reached 3.6 ± 1 nights, average adherence of 374 ± 88.4 minutes/night; CPAPT (cm H2O): 9.4 ± 1.8, AHIr; 3.1 ± 3.2 ev/h and leaks (liters/min): 19.7 ± 11.2. Multiple logistic regression identified age > 66 years as a predictor of RH (OR 3.32, 95% CI 1.43 - 7.69, p: 0.005) and FEV1 < 1.76 liters (OR 3.29 – IC95% 1.27 – 8.53, p: 0.0139).Conclusions: Incompletely corrected nocturnal oximetry was observed in a significant proportion of patients with APAP. Age over 66 years and absolute FEV1 < 1.76 liters were correlated with residual hypoxemia.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 1","pages":"61-77"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755198","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