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

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[Serum indices of hepatic steatosis in indigenous Venezuelan adults of the Piaroa ethnic group] 委内瑞拉皮亚罗亚族成年土著居民肝硬化血清指数。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-12-13 DOI: 10.31053/1853.0605.v81.n4.44477
Doris Nobrega, María José Diaz-Castro, Aaron Freites-Portocarrero, Luisana Fuentes-Bielinis, Bill Gaize-García, Valentina Luna-Sánchez, Nelina A Ruiz-Fernández
{"title":"[Serum indices of hepatic steatosis in indigenous Venezuelan adults of the Piaroa ethnic group]","authors":"Doris Nobrega, María José Diaz-Castro, Aaron Freites-Portocarrero, Luisana Fuentes-Bielinis, Bill Gaize-García, Valentina Luna-Sánchez, Nelina A Ruiz-Fernández","doi":"10.31053/1853.0605.v81.n4.44477","DOIUrl":"10.31053/1853.0605.v81.n4.44477","url":null,"abstract":"<p><strong>Introduction: </strong>metabolic dysfunction associated fatty liver disease (MAFLD) is a condition characterized by hepatic steatosis (HS) of metabolic origin. To predict it, HS serum indices (HSSI) have been proposed and validated, whose performance in indigenous populations is unknown.</p><p><strong>Objectives: </strong>to describe the variation of cardiometabolic risk (CMR) indicators according to four SHSI in indigenous Venezuelans of the Piaroa ethnic group, and to explore the frequency of non-alcoholic fatty liver disease (NAFLD) and MAFLD in this population.</p><p><strong>Methodology: </strong>non-experimental, descriptive, correlational and cross-sectional study, with non-probabilistic and intentional sampling, in 75 indigenous Piaroas adults (18 to 65 years). The HSSI were used: FLI (Fatty Liver Index), HSI (Liver Steatosis Index), LAP (Lipid Accumulation Product) and VAI (Visceral Adiposity Index).</p><p><strong>Results: </strong>FLI values were higher in men and LAP values in women. FLI, LAP and VAI were higher in individuals ≥ 40 years old. Individuals with body mass index (BMI) ≥ 25 kg/m2 showed higher FLI, HSI and LAP values compared to individuals with lower BMI. Depending on the applied HSSI, the frequency of NAFLD varied between 1.3% and 40.5%, while for MAFLD it was between 2.7 and 21.6%.</p><p><strong>Conclusion: </strong>the increase in HSSI was associated with changes in CMR indicators compatible with the presence of fatty liver. The study of the metabolic profile of HS in the Piaroas indigenous people must be expanded, in order to design better focused prevention and therapeutic strategies</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 4","pages":"686-704"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819443","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
[Attitude of mothers towards the demand for ultra-processed foods by children from 8 to 12 years of age in Basavilbaso, Entre Ríos, Argentina] 阿根廷Entre Rios, Basavilbaso,母亲对8至12岁儿童过度加工食品需求的态度。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-12-13 DOI: 10.31053/1853.0605.v81.n4.42297
Antonella Schlotthauer, Maria Agustina Borgo, Erica Ketterer
{"title":"[Attitude of mothers towards the demand for ultra-processed foods by children from 8 to 12 years of age in Basavilbaso, Entre Ríos, Argentina]","authors":"Antonella Schlotthauer, Maria Agustina Borgo, Erica Ketterer","doi":"10.31053/1853.0605.v81.n4.42297","DOIUrl":"10.31053/1853.0605.v81.n4.42297","url":null,"abstract":"<p><strong>Introduction: </strong>Mothers are the main mediators in the process of selecting and buying food for their children.</p><p><strong>Objective: </strong>Describe the purchasing attitude of mothers in response to the demand for ultra-processed foods by children between 8 and 12 years of age. For this, it was proposed: i) Characterize the ultra-processed foods that children request according to their mothers, ii) ii) Identify the factors considered when purchasing the foods requested by their children, iii) Evaluate their perception of the influence of advertising in their children's demand for food, and iv) Describe their attitude towards the behavior of children during purchases of ultra-processed foods.</p><p><strong>Methods: </strong>Non-experimental, cross-sectional, and descriptive quantitative study. An online survey was designed that allowed reaching the participation of 126 mothers of 153 children. Data were analyzed using univariate descriptive analysis techniques.</p><p><strong>Results: </strong>Sweet and salty cookies, desserts and ice creams, and sugary drinks were the products most requested by children. Mothers mainly considered price and nutritional quality when purchasing these foods. In addition, 83.3% of mothers stated that food advertising influences their children's demands. At the insistence of the children, more than 50% of the mothers occasionally agreed to purchase, although 73.8% had no difficulties refusing the requests.</p><p><strong>Conclusion: </strong>The purchasing attitude of mothers mediates between the demands of their children and their own decisions, establishing limits regarding certain foods requested.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 4","pages":"640-654"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819294","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
[Is science for everyone? bioethical challenges of current editorial practices] 科学适用于所有人吗?
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-12-13 DOI: 10.31053/1853.0605.v81.n4.46392
Silvina Gutiérrez, Jorge Humberto Mukdsi
{"title":"[Is science for everyone? bioethical challenges of current editorial practices]","authors":"Silvina Gutiérrez, Jorge Humberto Mukdsi","doi":"10.31053/1853.0605.v81.n4.46392","DOIUrl":"10.31053/1853.0605.v81.n4.46392","url":null,"abstract":"&lt;p&gt;&lt;p&gt;As Drumond Rennie put it, ‘Science does not come alive until it is shared publicly’ (1998), emphasising that the rapid advancement of scientific research requires its efficient and rigorous dissemination both to encourage the development of new strategies and to avoid duplication of effort and resources. The current model of scientific and technological research is facing a significant challenge: the cost associated with publishing its results. It is now increasingly common for publishers to impose fees on the scientific community to publish their results, generating debate about the impact of this practice on the fairness of scientific dissemination. Requiring researchers to pay publication costs would limit or exclude research from countries with limited resources, creating significant barriers to the dissemination of knowledge. It has been estimated that costs in some cases are up to ten times higher than what is considered adequate to cover the actual costs of publication (Grossmann & Brembs, 2021). \u0000This mismatch raises questions about the justification for such fees and the benefits to funders, given that the funds are often public, or even come from researchers' own pockets.\u0000\u0000Moreover, this current model supports a highly lucrative publishing industry, valued at approximately $10 billion (Global $10B Scientific & Technical Publishing Industry Report, 2019-2023), and is possibly one of the main causes of the emergence of so-called Predatory Journals. These journals, sometimes described as fraudulent, appear to be legitimate journals, but in reality distort certain publication practices, with a purely profit-driven ultimate purpose (Elmore & Weston, 2020), representing an ethical violation by exploiting the need of researchers for financial gain without providing true scientific value.\u0000\u0000Given the current landscape, it is crucial to reflect on how these practices affect equity in the dissemination of scientific knowledge?, and how publishing power can limit the dissemination of research on specific pathologies in emerging countries, restricting the right of communities to access crucial information and develop effective public health policies?.\u0000\u0000Undoubtedly, equity of access to and distribution of scientific knowledge is a fundamental principle that must be strongly defended. Paying high costs for scientific and technological publication not only jeopardises equal opportunities for researchers from regions with fewer resources, but also affects fairness in the distribution of knowledge. This economic barrier can result in a systematic exclusion of relevant perspectives and data from emerging countries, deepening inequalities and limiting global progress in critical areas such as public health.\u0000\u0000Consequently, there is a need to re-examine the current publication model to ensure that science continues to advance in a way that is fair and accessible to all, and to ensure that information vital to public health and scientific progress is no","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 4","pages":"636-638"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819278","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
[Obstetric and neonatal outcomes in pregnancies conceived by assisted reproductive technology in an Argentine cohort] 在阿根廷的一个队列中通过辅助受精怀孕的产科和新生儿结果。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-12-13 DOI: 10.31053/1853.0605.v81.n4.44425
Macarena Diez Brito, Gonzalo Sevillano, Florencia Negri, Milagros Mongelos, Gustavo Izbizky
{"title":"[Obstetric and neonatal outcomes in pregnancies conceived by assisted reproductive technology in an Argentine cohort]","authors":"Macarena Diez Brito, Gonzalo Sevillano, Florencia Negri, Milagros Mongelos, Gustavo Izbizky","doi":"10.31053/1853.0605.v81.n4.44425","DOIUrl":"10.31053/1853.0605.v81.n4.44425","url":null,"abstract":"<p><strong>Introduction: </strong>Since its introduction in clinical practice in 1981, pregnancies conceived by assisted reproductive techniques (ART) are an increasing proportion of all pregnancies, presenting particular challenges.</p><p><strong>Objective: </strong>To analyze the maternal-fetal outcomes of pregnancies conceived by ART in a single center in Argentina. Material and methods: Retrospective cohort of pregnancies conceived by ART who attended their delivery in a private university hospital through a review of records.</p><p><strong>Results: </strong>The incidence of composite primary maternal outcome was 40,1% (282/703), with hypertensive disease of pregnancy (21%) being the most frequent presenting pathology.In the multivariate analysis, age > 40 (OR 2,79; 95%CI: 1,82-4,26), chronic hypertension (OR 10,59; 95% CI: 2,81-39,86), twin pregnancy (OR 8,94; 95% CI: 5,39 – 14,80) and oocyte donation (OR 1,54; 95% CI: 1,04 – 2,27) were significantly associated with the maternal primary outcome. The incidence of the composite neonatal fetal primary outcome was 56,7% (468/824), with a prematurity rate of 34,5% (252/803). In the multivariate analysis of the composite outcome of the neonatal fetus, twin pregnancy (OR 7,08; 95% CI: 3,48 – 14,39) and other complications related to prematurity were statistically significantly associated with the composite outcome.</p><p><strong>Conclusions: </strong>Pregnancies conceived by ART show a significant increase in adverse maternal outcomes, mainly hypertension, and fetal and neonatal outcomes (prematurity, malformations, and admission to the intensive care unit).</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 4","pages":"734-751"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819463","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
[Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022] 2021-2022 年阿根廷科尔多瓦孕妇的人类 parvovirus B19 血清流行率和感染情况。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-12-13 DOI: 10.31053/1853.0605.v81.n4.44771
Néstor Dicuatro, María Belén Colazo Salbetti, Gabriel Amilcar Boggio, Emilia Ortiz, Mauro Pedranti, Nicolás Lionel Olivera, Héctor Lucchini, Alicia González, Carlos Resino, Laura Moreno, Maria Adamo
{"title":"[Seroprevalence and infection by human parvovirus B19 in pregnant women from Córdoba, Argentina, 2021-2022]","authors":"Néstor Dicuatro, María Belén Colazo Salbetti, Gabriel Amilcar Boggio, Emilia Ortiz, Mauro Pedranti, Nicolás Lionel Olivera, Héctor Lucchini, Alicia González, Carlos Resino, Laura Moreno, Maria Adamo","doi":"10.31053/1853.0605.v81.n4.44771","DOIUrl":"10.31053/1853.0605.v81.n4.44771","url":null,"abstract":"<p><strong>Introduction: </strong>parvovirus B19 (B19V) infection during pregnancy can be transmitted to the fetus and cause serious complications such as fetal hydrops and stillbirth. The preexistence of specific IgG prevents vertical transmission. Seroprevalence in fertile age is variable (50-70%) and depends on the region/viral circulation, in addition to factors such as maternal age and frequent exposure to children.</p><p><strong>Objectives: </strong>to determine seroprevalence for B19V in pregnant women at Hospital Universitario de Maternidad y Neonatología (HUMN), analyze its association with predictive factors and describe cases of B19V infection.</p><p><strong>Methods: </strong>observational, cross-sectional study. Patients treated at HUMN during 2021-2022 were included and compatible demographic and clinical data were recorded. Specific IgG was quantified and its association with predictive factors was analyzed by bivariate analysis (p<0.05). In cases with signs/symptoms associated with B19V, specific IgM and viral DNA were also determined. Results: 317 cases were studied and anti-B19V IgG was detected in 214/317 (67.5%). No association was found between seroprevalence and maternal age, multiparity, cohabitation with children under 15 years of age, or presence of maternal/fetal signs/symptoms. Ten cases (10.4%) of B19V infection were identified, all of them with anemia and one with fetal hydrops and VDRL+.</p><p><strong>Conclusion: </strong>in the population studied, B19V seroprevalence for was 67.5% and independent of the predictive factors, leaving 32.5% without evidence of exposure to the virus (susceptible to contracting the infection in the future). The detection of infection in symptomatic cases indicates the importance of investigating B19V in this group.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 4","pages":"670-685"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819467","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-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease] [气管插管慢性阻塞性肺病患者的临床-人口特征]
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.43477
Joaquín Carnero Echegaray, Florencia Larocca, Pablo Bellon, Mauro Bosso
{"title":"[Clinical-demographic characteristics of tracheostomized patients with chronic obstructive pulmonary disease]","authors":"Joaquín Carnero Echegaray, Florencia Larocca, Pablo Bellon, Mauro Bosso","doi":"10.31053/1853.0605.v81.n3.43477","DOIUrl":"10.31053/1853.0605.v81.n3.43477","url":null,"abstract":"<p><p>Tracheostomy (TQT) has emerged as a valuable alternative for patients with orotracheal intubation, especially those under prolonged mechanical ventilation (VMP), as in the case of chronic obstructive pulmonary disease (COPD). This population presents additional challenges, and the available information regarding their progression in specialized centers is limited in Argentina.A descriptive, retrospective, and cross-sectional study was conducted at Santa Catalina Neurorehabilitation Clinic between August 2015 and December 2018. Patients with COPD referred to the Intensive Care Unit (ICU), tracheostomized, and subsequently referred to the Center for Ventilation Disconnection and Rehabilitation (CDVMR) were included. Cases with missing data or derived from other CDVMRs were excluded. Clinical records and interviews were employed to collect demographic and progression data.Out of the 27 COPD patients included (4.9% of 555), the majority were males (63%) with an average age of 68.1 years. Most were admitted with AVMi, and 11 (45.8%) were successfully disconnected, while 11 (40.7%) were decannulated. Survival and home discharge were more frequent in decannulated patients (81.8% were discharged) compared to non-decannulated ones (50% deceased, and none were discharged).COPD patients undergoing TQT and VMP, who succeed in being decannulated, seem to have better prospects for survival and home discharge compared to those who do not have the cannula removed. There is a suggestion for the need for additional analytical studies to confirm these findings and improve the understanding of this specific population.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"477-490"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366832","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
[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":"<p><strong>Introduction: </strong>The COVID-19 pandemic in Argentina has challenged health professionals to implement teleconsultation to maintain continuity of care.</p><p><strong>Objectives: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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
[Acute porphyria as a rare etiology of PRES] [急性卟啉症是 PRES 的罕见病因]
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-09-27 DOI: 10.31053/1853.0605.v81.n3.44767
Juan Ramon Y Cajal Calvo, David Lopez Negredo, Javier Raymundez Valhondo, Laura Perez Abad
{"title":"[Acute porphyria as a rare etiology of PRES]","authors":"Juan Ramon Y Cajal Calvo, David Lopez Negredo, Javier Raymundez Valhondo, Laura Perez Abad","doi":"10.31053/1853.0605.v81.n3.44767","DOIUrl":"10.31053/1853.0605.v81.n3.44767","url":null,"abstract":"<p><strong>Introduction: </strong>porphyria is a rare condition in which heme metabolism is altered.</p><p><strong>Clinical case: </strong>29-year-old young man who goes to the emergency room with abdominal pain, vomiting and seizures. To determine the underlying cause, a brain computed tomography (CT) and magnetic resonance imaging (MRI) were performed, confirming the presence of involvement at the parieto-occipital level. Laboratory and urine tests are positive for porphyria, with improvement and resolution of the condition through targeted treatment.</p><p><strong>Discussion: </strong>Porphyrias are rare metabolic disorders with dominant autonomic inheritance that affect heme biosynthesis. In a minority of cases, an external factor can trigger a crisis producing abdominal and neurological symptoms. Imaging findings in acute porphyria are characteristic of PRES (posterior reversible encephalopathy syndrome), with cortico-subcortical involvement.</p><p><strong>Conclusion: </strong>Although it is an uncommon etiology in typical PRES imaging, acute porphyria attacks should be suspected in young patients with seizure attacks without hypertension and associated abdominal pain.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"598-607"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366830","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":"<p><strong>Background: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><p>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.</p>","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}
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