Revista de la Facultad de Ciencias Medicas de Cordoba最新文献_第6页

[Sarcopenia: is a clinical diagnosis possible?] Sarcopenia.

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.42334

Vanina Soledad Lerena, Elizabeth Carolina Coronello, Ilsen Catherine Torres Barrón, Sabrina Paola Lucas, Adriana Graciela Diaz

引用次数: 0

[MINOCA and Coronary Ectasia: a rare combination of causes of infarction] MINOCA 和冠状动脉异位症。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.43231

Juan Pablo Ricarte-Bratti, Julio Oscar Emilio Bono, Matias Morsone, Hugo Jose Londero

{"title":"[MINOCA and Coronary Ectasia: a rare combination of causes of infarction]","authors":"Juan Pablo Ricarte-Bratti, Julio Oscar Emilio Bono, Matias Morsone, Hugo Jose Londero","doi":"10.31053/1853.0605.v81.n1.43231","DOIUrl":"10.31053/1853.0605.v81.n1.43231","url":null,"abstract":"Objective: to describe a patient with myocardial ischemia with multiple causes.Clinical case: This clinical case describes a 58-year-old man with a history of hypertension, dyslipidemia, COPD and previous myocardial infarction (AMI). He went to the emergency room with chest pain and dyspnea. Findings included bibasal crackles, electrocardiogram with old anterior fibrosis, elevated NT-ProBNP, and echocardiogram with septoapical akinesia. During hospitalization, he experienced tachyarrhythmia and hemodynamic deterioration, undergoing electrical cardioversion (CVE). Non-ST segment elevation acute coronary syndrome (NSTEACS) complicated with ventricular arrhythmia and acute pulmonary edema was diagnosed. Coronary angiography revealed coronary ectasias without obstructive lesions, but with mild stenosis in three vessels. The patient was successfully treated with non-invasive ventilation, diuretics, vasodilators and anticoagulation. The discharge was granted with the plan to further studies to optimize and guide treatment and finally the diagnosis of Myocardial Infarction with Non-Obstructive Arteries (MINOCA) and the presence of coronary ectasias was addressed.Conclusion: it is important to highlight the non-ischemic causes in MINOCA and the association between coronary ectasia and cardiovascular events, which is why we emphasize the need for more studies to better understand the relationship between these phenomena.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"155-166"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307228","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

[Effectiveness and safety of COVID-19 vaccines in healthcare workers in Buenos Aires City, Argentina.] 阿根廷布宜诺斯艾利斯市医护人员接种 Covid-19 疫苗的有效性和安全性。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.41155

Vanina Pagotto, Facundo Seoane, Diego Arrigo, Victoria Ardiles, Valeria Asprea, Florencia De Florio, Analia Ferloni, Valeria Aliperti

{"title":"[Effectiveness and safety of COVID-19 vaccines in healthcare workers in Buenos Aires City, Argentina.]","authors":"Vanina Pagotto, Facundo Seoane, Diego Arrigo, Victoria Ardiles, Valeria Asprea, Florencia De Florio, Analia Ferloni, Valeria Aliperti","doi":"10.31053/1853.0605.v81.n1.41155","DOIUrl":"10.31053/1853.0605.v81.n1.41155","url":null,"abstract":"Introduction: COVID-19 vaccination aids pandemic limitation. In Argentina, three vaccines are approved, and healthcare workers are priorized (HCWs). The aim was to determine the effectiveness of COVID-19 vaccines, analyzing change in Immunoglobulin G levels and the incidence of new COVID-19 cases up to 12 months after the second dose.Methods: Prospective cohort of HCWs between March 2021- 2022. COVIDAR IgG test was used to measure antibodies. A mixed-effects model was employed to compare the levels of immunoglobulin G at different time points, Kaplan Meier was used to estimate incident COVID-19 cases.Results: 82 participants were included Adverse events were frequent but mild. All participant showed positive antibody at 12 months. Antibodies levels showed an increase one year after 2nd dose. Sinopharm took a long time to yield positive results. More than half of the people had mild COVID-19 disease.Conclusion: COVID-19 vaccines are safe and effective.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"115-127"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307222","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

[Advanced maternal age as a risk factor for adverse maternal and perinatal outcomes] 高龄产妇是孕产妇和围产期不良后果的风险因素。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.41447

Maria Eugenia Carducci, Gustavo Izbizky

{"title":"[Advanced maternal age as a risk factor for adverse maternal and perinatal outcomes]","authors":"Maria Eugenia Carducci, Gustavo Izbizky","doi":"10.31053/1853.0605.v81.n1.41447","DOIUrl":"10.31053/1853.0605.v81.n1.41447","url":null,"abstract":"Introduction: A progressive increase in the age of women at first pregnancy is observed, a situation that has been associated with a greater risk of adverse maternal and perinatal effects.Objective: The aim of this study was to describe the characteristics and the maternal and perinatal outcomes of nulliparas of 40 years and older and compare them with those of nulliparas under 40.Study design: This was a retrospective cohort analysis of a database of pregnancy population who had attended their deliveries in a private university hospital.Results: An association was observed between maternal age ≥ 40 with the maternal compound adverse outcome (OR 1,3; 95% CI: 1,1-1,6), gestational diabetes (OR 3,6; 95% CI: 1,80-3,7), hypertensive disorders/preeclampsia (OR 2,2; 95% CI: 1,6-3,1) and postpartum hemorrhage (4,7; 95% CI: 1,2-16,3), with advanced maternal age persisting as an independent risk factor for the maternal compound adverse outcome (OR 1,3; 95% CI: 1,1 -1,6) and the perinatal compound adverse outcome (OR 1,40; 95% CI: 1,2-1,7) in the multivariate analysis. A higher rate of preterm birth was observed in the group of older nulliparas (OR 1,6; 95% CI: 1,3-2,0) with a higher requirement for admission to NICU for their newborns (OR 1,3; 95% CI: 1,0-1,8).Conclusions: Women with advanced maternal age constitute a high-risk population, whose attention and follow-up would require a differential approach aiming to improve maternal and perinatal outcomes.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"24-39"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307221","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

[Medullary infarction secondary to endovascular treatment of thoracoabdominal aortic aneurysm] 胸腹主动脉瘤血管内治疗继发脊髓梗塞。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.41439

Luis Alfredo Hernández Villarroel, Mercedes De Lera Alfonso

{"title":"[Medullary infarction secondary to endovascular treatment of thoracoabdominal aortic aneurysm]","authors":"Luis Alfredo Hernández Villarroel, Mercedes De Lera Alfonso","doi":"10.31053/1853.0605.v81.n1.41439","DOIUrl":"10.31053/1853.0605.v81.n1.41439","url":null,"abstract":"Medullary infarction is a severe and infrequent pathology, which represents 1% of all ischemic strokes, and is also a rare complication of different surgical procedures. It is caused by the acute interruption of the blood flow of the spinal cord, manifesting itself with clinical neurological deficits related to the affected vascular territory.Methods: We present the case of an 80-year-old patient, with cardiovascular risk factors, who is present on post-surgical day 13, after placement of a vascular endoprosthesis for a thoracoabdominal aneurysm, sudden appearance of paraparesis with progression to paraplegia and hypoesthesia in both lower extremities. CT angiography of the aorta rules out local complications in the endoprosthesis. Medullary MRI showed images compatible with acute dorsal medullary infarction from level D9.Results: On discharge, the patient presented paraplegia and hypoesthesia of both lower extremities with fecal and urinary incontinence.Conclusion: Spinal cord infarction may be limited to a vascular territory or be more extensive according to its pathogenesis. The affectation of the anterior spinal artery is the most common and is characterized by bilateral motor deficits and loss of thermoalgesic sensitivity, which could have a great impact on the quality of life of patients. Its etiology is varied, including aortic surgery within its causes. MRI is very useful for its diagnosis and currently there are no clinical guides for the optimal treatment.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"143-154"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307226","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 of noncommunicable diseases and risk factors in rural population of San Luis, Argentina] 阿根廷圣路易斯农村人口中的非传染性疾病流行率和风险因素。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.42138

Eloy Salinas, María Cecilia De Pauw, María Fernanda Aguirre, María Jimena Marro, Christian Ballejo, Alejandro Félix Sturniolo, Alicia E B Lawrynowicz

{"title":"[Prevalence of noncommunicable diseases and risk factors in rural population of San Luis, Argentina]","authors":"Eloy Salinas, María Cecilia De Pauw, María Fernanda Aguirre, María Jimena Marro, Christian Ballejo, Alejandro Félix Sturniolo, Alicia E B Lawrynowicz","doi":"10.31053/1853.0605.v81.n1.42138","DOIUrl":"10.31053/1853.0605.v81.n1.42138","url":null,"abstract":"The objective of this study was to estimate the prevalence of diabetes mellitus (DM) and cardiovascular risk factors in a rural population in the province of San Luis, Argentina. Cross-sectional study developed between September and November 2017 with 18-year-old inhabitants and more than four towns in the Juan Martín de Pueyrredón department, San Luis. The participants answered questions by self-report on sociodemographic aspects, habits, psychosocial and risk factors for non-communicable diseases; physical measurements, FINDIRSC questionnaire and blood sample extraction were performed. Univariate estimates stratified by sex with their 95% confidence interval (95%CI) were obtained. We worked with sample expansion factors; crude and adjusted prevalences were calculated. The population consisted of 424 men (52.5%, 95%CI: 46.0-58.9) and 384 women (47.5%, 95%CI: 41.1-54.0). The adjusted prevalences for both sexes (by self-report) were: DM 11.8% (95%CI: 8.2-15.4); arterial hypertension (AHT): 35.5% (95% CI: 31.0-40.1); high cholesterol: 20.3% (CI 16.0-24.7). Males had significantly higher desirable HDL cholesterol and elevated blood pressure than females; women abdominal obesity in greater magnitude. 16.4% (95% CI: 11.0 - 23.6) had a high-very high risk of developing type 2 DM in the next 10 years. The adjusted prevalences of DM, hypertension, and high cholesterol were lower than those of the urban population of the province of San Luis. We highlight the pioneering contribution of this work to the knowledge of the health profile of rural communities in Argentina.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"5-23"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307252","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

[Dengue in Argentina: confirmation of our worst suspicions] 阿根廷的登革热

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.44575

Adrián Diaz

引用次数: 0

[Excessive daytime sleepiness in older adults of a municipal physical activity program] 参加市政体育活动计划的老年人白天过度嗜睡。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.41826

Ivon Johana Avila Ovalle, Ana Cristina Arango Arango, Freiser Eceomo Cruz Mosquera, Nathalia Andrea Gómez-Barreiro, Yerly Alexandra Márquez-Pérez, Claudia Lorena Perlaza, Katherine Lozano Gómez, Sary Zamora-Vidal, Marcela Nayibe Garzón-Morera

{"title":"[Excessive daytime sleepiness in older adults of a municipal physical activity program]","authors":"Ivon Johana Avila Ovalle, Ana Cristina Arango Arango, Freiser Eceomo Cruz Mosquera, Nathalia Andrea Gómez-Barreiro, Yerly Alexandra Márquez-Pérez, Claudia Lorena Perlaza, Katherine Lozano Gómez, Sary Zamora-Vidal, Marcela Nayibe Garzón-Morera","doi":"10.31053/1853.0605.v81.n1.41826","DOIUrl":"10.31053/1853.0605.v81.n1.41826","url":null,"abstract":"Introduction: Physical exercise has been shown to have a favorable impact on the health of the individual. Its combination with other healthy lifestyles can positively impact various areas, including sleep quality.Objective: To determine the frequency of excessive daytime sleepiness in older adults of a municipal physical activity program in Santiago de Cali, Colombia.Methodology: Cross-sectional study that included 605 older adults from a community program of the Secretary of Recreation and Sports of the City of Cali, Colombia, during October 2018 and June 2019. To determine the presence of excessive daytime sleepiness, the Epworth Sleepiness Scale was used.Results: 81.5% of the population was female with a mean age of 73±8 years. The prevalence of excessive daytime sleepiness was 10.5%. Significant differences were only found in the frequency of excessive daytime sleepiness by socioeconomic stratum, being more common in the low socioeconomic stratum (13% vs 4% P=0.03).Conclusion: Excessive daytime sleepiness is a phenomenon that affects older adults; however, its frequency may be lower in those who are physically active.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"40-52"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307254","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

[Predictive value of C-reactive protein on hospital admission and mechanical ventilation requirement in adults hospitalized for COVID-19] COVID-19成人入院时C反应蛋白的预测价值和机械通气需求。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.41799

Betiana Alejandra Guidetto, Sebastian Fonseca, Alejandro Martin Abrate, Maria Teresa Politi

{"title":"[Predictive value of C-reactive protein on hospital admission and mechanical ventilation requirement in adults hospitalized for COVID-19]","authors":"Betiana Alejandra Guidetto, Sebastian Fonseca, Alejandro Martin Abrate, Maria Teresa Politi","doi":"10.31053/1853.0605.v81.n1.41799","DOIUrl":"10.31053/1853.0605.v81.n1.41799","url":null,"abstract":"Introduction: During the COVID-19 pandemic, patients with worse evolution presented clinical deterioration 7-10 days after the onset of symptoms, which suggests that the inflammatory response could participate in the pathophysiology of the disease. The objective of this study was to evaluate the association between plasma C-reactive protein (PCr) on hospital admission and mechanical ventilation requirement during hospitalization in adults with COVID-19.Methods: Retrospective, observational cohort at a private center in the province of Buenos Aires. Hospitalized adults diagnosed with COVID-19 by nasal swab using real time transcription polymerase chain reaction or antigen were included. The primary outcome was the association between high plasma PCr values on hospital admission (≥8 mg/L) and mechanical ventilation requirement during hospitalization.Results: Of the 1,242 patients enrolled, 19.4% required mechanical ventilation and 11.7% died during the hospitalization. The PCr of the patients who required mechanical ventilation was higher than that of those who did not require mechanical ventilation (9.45 [5.20-18.70] mg/L vs 4.95 [1.80-10.70] mg/L; p < 0.01). PCr analyzed as a continuous variable (OR = 1.39; 95%CI 1.21-1.60; p < 0.001) and as a categorical variable (≥8 mg/L) (OR = 2.66; 95%CI 2.19 -3.78, p < 0.001) presented a significant association with the requirement of mechanical ventilation during hospitalization. Additionally, a significant association was found between PCr and in-hospital mortality.Conclusion: Plasma PCr on hospital admission could predict clinical evolution in adult patients hospitalized for COVID-19.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"67-82"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307255","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

[ Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review] 症状性三区椎管狭窄症（TSRS）：病例报告和文献综述。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2024-03-27 DOI: 10.31053/1853.0605.v81.n1.43229

Valentino Latallade, Matias Pereira Duarte, Sebastian Gamsie, Gonzalo Rodrigo Kido, Matías Gustavo Petracchi, Marcelo Fernando Gruenberg

{"title":"[ Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review]","authors":"Valentino Latallade, Matias Pereira Duarte, Sebastian Gamsie, Gonzalo Rodrigo Kido, Matías Gustavo Petracchi, Marcelo Fernando Gruenberg","doi":"10.31053/1853.0605.v81.n1.43229","DOIUrl":"10.31053/1853.0605.v81.n1.43229","url":null,"abstract":"Introduction: Simultaneous spinal stenosis in three regions of the spine is an unusual condition that demands proper clinical evaluation and imaging. Currently, there are no established guidelines for its diagnostic and therapeutic approach.Objective: The objective of this study is to describe, based on a case report, the clinical presentation, treatment, and patient progression concerning triple stenosis, contrasting it with available evidence through a narrative review of the literature.Case presentation: A 69-year-old woman presented with a progressive paraparesis accompanied by right sciatica and positive signs of upper motor neuron involvement. Imaging confirmed triple stenosis: cervical, dorsal, and lumbar. Dorsal decompression and tumor resection were performed in association with conservative treatment for cervical and lumbar stenosis, resulting in a favorable evolution one year post-surgery.Conclusion: Symptomatic triple-region spinal stenosis is an unusual condition. Proper clinical and radiological assessments will enable accurate diagnosis and timely management.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"81 1","pages":"53-66"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307224","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