Revista de la Facultad de Ciencias Medicas de Cordoba最新文献_第3页

[Implementation of new technologies in nutritional teleconsultation by Nutrition Graduates from Entre Ríos, Argentina] [阿根廷恩特雷里奥斯省营养学毕业生在营养远程咨询中采用新技术的情况］

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.43429

Camila Carolina Ayala, Maria Agustina Borgo, Erica Ketterer

{"title":"[Implementation of new technologies in nutritional teleconsultation by Nutrition Graduates from Entre Ríos, Argentina]","authors":"Camila Carolina Ayala, Maria Agustina Borgo, Erica Ketterer","doi":"10.31053/1853.0605.v81.n3.43429","DOIUrl":"10.31053/1853.0605.v81.n3.43429","url":null,"abstract":"Introduction: The COVID-19 pandemic in Argentina has challenged health professionals to implement teleconsultation to maintain continuity of care.Objectives: Describe the implementation of new technologies in teleconsultation by Nutrition professionals from Entre Ríos, from the beginning of the ASPO to the new normal.Methodology: Observational, descriptive, quantitative, and cross-sectional study, in which 72 Nutrition professionals from Entre Ríos, Argentina participated through a self-administered online questionnaire. The descriptive analysis of the data was carried out in the IBM® SPSS Statistics program.Results: 84.7% of professionals began to implement new technologies in teleconsultation since the beginning of the ASPO. Although the majority did not experience significant changes in their income, relationships with patients, or time spent in teleconsultation compared to in-person care, 78% did not receive specific training for the implementation of these technologies in remote care. Despite this challenge, 80% expressed their intention to continue with this type of care in the new normal, allocating hours of their workload for this purpose.Conclusions: The implementation of new technologies in teleconsultation has proven to be an ally in maintaining the continuity of nutritional care since the beginning of ASPO. However, to provide a quality service, it is necessary to select the most appropriate technologies and dedicate sufficient time to planning and implementation.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"570-586"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366835","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

Cecal internal hernia through Winslow's hiatus. 通过温斯洛裂孔的盲肠内疝。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.44555

Martin Chrabalowski, Priscila Begue, Franco Corvatta

{"title":"Cecal internal hernia through Winslow's hiatus.","authors":"Martin Chrabalowski, Priscila Begue, Franco Corvatta","doi":"10.31053/1853.0605.v81.n3.44555","DOIUrl":"10.31053/1853.0605.v81.n3.44555","url":null,"abstract":"Background: Hernia through Winslow's hiatus, known as Blandin's hernia, a rare but potentially life-threatening condition, represents a diagnostic and therapeutic challenge. This case report describes a successful laparoscopic approach to a cecum hernia through the foramen of Winslow in a 63-year-old female.Case presentation: The patient presented with 24 hours of abdominal pain and nausea. Abdominal CT scan revealed a herniated cecum and terminal ileum compressing the gastric chamber and portal vein, leading to periportal edema. Laparoscopic right colectomy was performed after successful colon content evacuation via the greater gastric curvature to facilitate reduction. This was done to aid in reduction, as there were indications of non-viability in the right colon. The procedure unfolded without complications. The patient developed postoperative abdominal collections requiring percutaneous drainage but recovered well and was discharged within two weeks.Conclusion: This case highlights the value of laparoscopy in managing foramen of Winslow hernias, offering minimally invasive benefits. Early diagnosis through imaging tools like CT is crucial for prompt surgical intervention and preventing complications like intestinal ischemia or perforation.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"587-597"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366841","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

[Prevalence and underdiagnosis of burn out syndrome in critical services in the context of the COVID-19 pandemic] [COVID-19大流行背景下关键服务部门职业倦怠综合征的流行和诊断不足]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.44389

Lucas Gonzalo Duran, Pamela Soledad Vega, Nicolle Stefanía Davit Baridón, Luciana Mattei, Rocío Belén Cappella, Melina Paula Scherñuk Schroh, Geronimo Blint, Eugenio Emmanuel Uriarte, María Montserrat Cerini, Fiorella Melina Toracchio, Jackson José Mejía Caraballo, Candela Giuffre, Julieta Pereyra Huertas, Maria Eugenia Esandi

{"title":"[Prevalence and underdiagnosis of burn out syndrome in critical services in the context of the COVID-19 pandemic]","authors":"Lucas Gonzalo Duran, Pamela Soledad Vega, Nicolle Stefanía Davit Baridón, Luciana Mattei, Rocío Belén Cappella, Melina Paula Scherñuk Schroh, Geronimo Blint, Eugenio Emmanuel Uriarte, María Montserrat Cerini, Fiorella Melina Toracchio, Jackson José Mejía Caraballo, Candela Giuffre, Julieta Pereyra Huertas, Maria Eugenia Esandi","doi":"10.31053/1853.0605.v81.n3.44389","DOIUrl":"10.31053/1853.0605.v81.n3.44389","url":null,"abstract":"Introduction: The importance of knowing the impact of work on people's health has increased after the COVID-19 pandemic. Burn Out (BO) syndrome arises from the tension emerging from the conflictive interaction between the worker and his or her employment. The objective was to describe the prevalence and frequency of diagnosis of BO in the health human resources of critical services of the Bahía Blanca Municipal Hospital in the context of the COVID-19 pandemic.Methods: Descriptive, cross-sectional study. The study population was the medical and nursing staff of the Intensive Care (IT), Emergency Medicine (SMU) and Clinic services who worked with COVID-19 during 2021. The Maslach Burnout Inventory (MBI) questionnaire was used and complementary closed questions to identify, among these cases, those that were diagnosed and treated by the institution.Results: Of the 219 workers, 55.3% (121/219) were nurses. In the SMU, 25% (24/96) of respondents had BO, followed by 20.4% (11/54) in Clinic and 8.7% (6/69) in IT (p value=0.004). Only 5.5% (12/219) of the total were diagnosed with BO by the institution and of this group, two people (0.9%) had previously consulted for characteristic symptoms.Discussion: A high prevalence of BO and a marked underdiagnosis were evident at the institutional level during the pandemic. Although the IT Service had the highest demand for attention, it was the one that presented the lowest BO values in relation to other services.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"520-537"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366838","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

[Cross-cultural adaptation and reliability of the Argentine version of the trunk control test in subjects with sequelae of spinal cord injury] [脊髓损伤后遗症受试者躯干控制测试阿根廷版的跨文化适应性和可靠性］

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.42020

Gerardo Candoni, Romina Tomadín, Marcos Valdez, Federico Scaminaci-Russo, Elizabeth Coronel

{"title":"[Cross-cultural adaptation and reliability of the Argentine version of the trunk control test in subjects with sequelae of spinal cord injury]","authors":"Gerardo Candoni, Romina Tomadín, Marcos Valdez, Federico Scaminaci-Russo, Elizabeth Coronel","doi":"10.31053/1853.0605.v81.n3.42020","DOIUrl":"10.31053/1853.0605.v81.n3.42020","url":null,"abstract":"Background: spinal cord injury leaves as a sequel in the acute and chronic period, deficiencies in the stability of joint functions and in the function of voluntary movement control. Those with good trunk control have a greater probability of carrying out activities of daily living by themselves; up to now, we do not have reliable tools in Argentina that evaluate trunk control in these subjects.Objectives: to cross-culturally adapt the trunk control test to Argentinean Spanish in subjects with sequelae of spinal cord injury and to establish interobserver and intraobserver reliability.Methodology: the subjects were admitted using a non-probabilistic convenience sampling. Subjects who were between 15 and 75 years old and had a diagnosis of spinal cord injury were included. Subjects who had: another neurological diagnosis, alteration in sensory organs, conditions that prevent the performance of the test, and psychiatric illness were excluded.Results: 30 subjects were included for cross-cultural adaptation and 55 for reliability. Semantic modifications were made to all items and response options. The intraobserver and interobserver reliability of the scale or subdomains did not achieve a sufficient score.Conclusion: the trunk control test was adapted cross-culturally to Argentine Spanish and interobserver and intraobserver reliability was established. The adaptation was achieved through semantic changes and the reliability was not sufficient. In the future, studies should be carried out to improve the reliability and study the validity of the tool.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"552-569"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366834","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

[Paederus Dermatitis, a disease not to forget] [Paederus皮炎，一种不能忘记的疾病]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.44510

Camila Félix Caviedes, Yoselin Chamorro Gaón, Patricio Freire

{"title":"[Paederus Dermatitis, a disease not to forget]","authors":"Camila Félix Caviedes, Yoselin Chamorro Gaón, Patricio Freire","doi":"10.31053/1853.0605.v81.n3.44510","DOIUrl":"10.31053/1853.0605.v81.n3.44510","url":null,"abstract":"Paederus contact dermatitis is a skin disease caused by beetles of the genus Paederus and the release of a vesicant substance called paederin. It is worldwide distributed; However, it is more common in rainy seasons and hot climates. The clinical manifestations are vesicle-pustules that settle on erythematous skin. Treatment is based on washing with soap and water to neutralize the action of the toxin and the administration of topical steroids in short cycles. We report the case of a 28-year-old male patient who came to the dermatology clinic with a 48-hour history of two erythematous plaques with central blisters plus superficial ulceration located on the flexor aspect of the arm and right forearm, accompanied by a sensation of burning and itching at the site of the lesions, without other accompanying symptoms. As background, he states that he was on vacation in the coastal region of Ecuador when the lesions appeared. An incisional biopsy was performed and due to the clinical characteristics and the history of travel to a tropical region, it was diagnosed as Paederus dermatitis and treatment with antihistamines, topical steroids and cold compresses was indicated. After 8 days of treatment, the lesions subsided, leaving post-inflammatory hyperpigmentation.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"627-635"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366837","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 assessment conferences in surgery] [外科手术质量评估会议]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.44806

Hector Fabio Posada Lobo, Enrique Petracchi, Jose Varela, Matias Quesada, Carlos Canullan

{"title":"[Quality assessment conferences in surgery]","authors":"Hector Fabio Posada Lobo, Enrique Petracchi, Jose Varela, Matias Quesada, Carlos Canullan","doi":"10.31053/1853.0605.v81.n3.44806","DOIUrl":"10.31053/1853.0605.v81.n3.44806","url":null,"abstract":"Background: Surgical complications are preventable in up to 50% of cases, actually are various tools to avoid them, one of these are morbidity and mortality conferences. However, there are no guides that define their structure for them to be effective. Objective; Analyze the impact of a new modality of surgical conferences in a sector of benign biliary pathology, called quality evaluation conferences. Methodology: Descriptive observational study where the overall improvement of the sector, the decrease in complications and the quality of patient care are compared. For 6 months, a weekly quality evaluation conference was carried out. It had 5 stages; 1. Analysis of all discharged patients. 2. Review of adverse events. 3. Review of the list and order of patients in the surgical plan. 4. Reproduction of recorded surgeries and review of scientific articles. 5. Review of own scientific works in development.Results: after implementing the conferences, there was a decrease in the number and severity of complications, as well as an improvement in the correct and timely surgical indication. Conclusion; Quality evaluation workshops as an evolution of morbidity and mortality workshops are a novel tool that, when well implemented, can help improve quality standards and in turn be used as a learning option in training centers.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"491-502"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366839","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

[60 years after the death of Prof. Pablo Luis Mirizzi. Family pantheon in the San Jerónimo Cementery] [巴勃罗-路易斯-米里兹教授逝世 60 周年。圣赫罗尼莫水泥厂的家族神龛］

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.46246

Norma Acerbi

引用次数: 0

[Cirrhotic cardiomyopathy – Clinically fact or academic curiosity? Review. Part 3: treatment] [肝硬化性心肌病--临床事实还是学术好奇？回顾。第三部分：治疗]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.44420

Hugo Ramos, Mario Altieri

引用次数: 0

[Metabolic alterations observed in patients undergoing endocrinological follow-up during the first year of confinement due to Covid-19] [在因 Covid-19 而被禁闭的第一年接受内分泌学随访的患者中观察到的代谢改变]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.43230

María Cecilia Tibaldo, María Celina Pereyra, Emanuel José Saad

{"title":"[Metabolic alterations observed in patients undergoing endocrinological follow-up during the first year of confinement due to Covid-19]","authors":"María Cecilia Tibaldo, María Celina Pereyra, Emanuel José Saad","doi":"10.31053/1853.0605.v81.n3.43230","DOIUrl":"10.31053/1853.0605.v81.n3.43230","url":null,"abstract":"Introduction: At the beginning of the COVID-19 pandemic, confinement measures were applied in many states around the world, producing changes in lifestyle and health habits, whose metabolic impact was different in different populations.Objectives: Describe the metabolic and anthropometric changes in office patients in the City of Córdoba during the confinement period and determine possible associated factors.Methods: Retrospective analytical observational study based on the review of the medical records of patients seen in an endocrinology clinic in Córdoba, Argentina. They were followed up during the 1-year period by evaluating metabolic and anthropometric characteristics.Results: 149 patients were included, of which 116 (77.9%) were female and the median:IQR age was 50:36.5-58 years. At the end of follow-up, a significant increase in alcohol consumption (18.1% vs 11.4%, p=0.001) was observed, as well as the number of diabetic patients (diagnosis of 20 new cases). 49.67% of patients increased their body weight, with a median of 3.1 kg (IQR 25-75%: 1.4-7.5 kg). Patients who had longer follow-up (3 or more controls during the year) decreased their Body Mass Index and increased physical activity.Conclusions: Although confinement was generally associated with an increase in obesity, diabetes and consumption of toxic substances, in patients who were monitored more frequently, better control of body weight and increased activity was observed. physical.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"458-476"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366836","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

[Critical patients in general hospitalization wards: a descriptive analysis of factors inherent to the transfer to a closed unit] [普通住院病房的危重病人：对转入封闭病房固有因素的描述性分析]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.44675

Anaclara Murujosa, Micaela Karina Bronstein, Bernardo Martinez, María Florencia Grande Ratti, Ignacio Martingano, Federico Sberna, Victoria Rueda

{"title":"[Critical patients in general hospitalization wards: a descriptive analysis of factors inherent to the transfer to a closed unit]","authors":"Anaclara Murujosa, Micaela Karina Bronstein, Bernardo Martinez, María Florencia Grande Ratti, Ignacio Martingano, Federico Sberna, Victoria Rueda","doi":"10.31053/1853.0605.v81.n3.44675","DOIUrl":"10.31053/1853.0605.v81.n3.44675","url":null,"abstract":"Introduction: Unplanned transfers from the General Ward to Critical Care Units occur due to a deterioration in the patient's clinical status. They are of great interest because of their negative impact, associated with longer hospital stays and higher mortality.Objectives: To report the frequency at which these transfers occur, characteristics of these patients and causes of the transfer. Identify shortcomings in the care process that may allow improvement strategies.Methodology: cross-sectional study. Cases were considered those who, during the first 24 hours of hospitalization in the General Ward, required transfer to the ICU between January - December 2022 in a high-complexity hospital in Buenos Aires. Results: Of 8317 admissions, 124 were transferred to the ICU, with a rate of 14 per 1000 and an average of 70 years. The most frequent comorbidities were high blood pressure, heart failure, cancer and overweight-obesity. The main causes of hospitalization were respiratory and gastrointestinal symptoms. 67% had non-alarming results in the NEWS score prior to transfer to the ICU. The most frequent causes were respiratory failure, hemodynamic instability and requirement for monitoring. Average hospital stay was 10 days and in-hospital mortality was 26%.Conclusions: Respiratory decompensation in elderly male patients was the most common cause of transfer to a Closed Unit. One of the shortcomings of the care process seems to be the NEWS score, where in 67% of cases it did not warn about the high requirement of patient monitoring.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"503-519"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366833","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