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

{"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":"<p><p>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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Methodology: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Results: </strong>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.</p>","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}

{"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":"<p><p>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.</p>","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}

{"title":"[60 years after the death of Prof. Pablo Luis Mirizzi. Family pantheon in the San Jerónimo Cementery]","authors":"Norma Acerbi","doi":"10.31053/1853.0605.v81.n3.46246","DOIUrl":"10.31053/1853.0605.v81.n3.46246","url":null,"abstract":"<p><p>60° aniversario del fallecimiento del Dr. Mirizzi.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 3","pages":"453-457"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366829","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}