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

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[ Extubation failure predictors in the release process of invasive mechanical ventilatory support in pediatrics] 儿科侵入性机械通气器释放过程中的排气故障预测器。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46292
Jorge Palmeiro, Pedro Taffarel, Yamila Nociti, Verónica Laulhé, Laura Giménez, Laura Lamberti, Paula Doi, Marina Erviti, Juliana Fassola, Lourdes Lisciotto, Soledad López Cottet, Monica Dos Santos, Claudia Meregalli, Facundo Jorro Barón
{"title":"[ Extubation failure predictors in the release process of invasive mechanical ventilatory support in pediatrics]","authors":"Jorge Palmeiro, Pedro Taffarel, Yamila Nociti, Verónica Laulhé, Laura Giménez, Laura Lamberti, Paula Doi, Marina Erviti, Juliana Fassola, Lourdes Lisciotto, Soledad López Cottet, Monica Dos Santos, Claudia Meregalli, Facundo Jorro Barón","doi":"10.31053/1853.0605.v82.n3.46292","DOIUrl":"10.31053/1853.0605.v82.n3.46292","url":null,"abstract":"<p><strong>Introduction: </strong>Invasive mechanical ventilation (IMV) in pediatric intensive care units (PICUs) is a ubiquitous practice; the weaning process is supported by predictors, none of which guarantees success.</p><p><strong>Objetive: </strong>To describe the weaning process from IMV and to determine the predictive factors of extubation failure (EF).</p><p><strong>Patients and methods: </strong>Retrospective study, patients with more than 48 h of IMV, period 11/2019 to 10/2023. The following were excluded: deceased, referred to another institution and tracheostomized patients. Demographic characteristics, ventilatory status prior to extubation (IMV and blood gas parameters), variables related to the spontaneous breathing test and post-extubation support [noninvasive ventilation (NIV)] of successful vs failed extubation groups were compared aimed at determining the existence of predictors.</p><p><strong>Results: </strong>510 extubation events were recorded in 445 patients, with an EF rate of 12.7%. Admission for respiratory reasons (92 vs 78%), higher respiratory rate (22 vs 20 per minute) and fraction of inspired O2 (0.32 vs 0.4) programmed on the ventilator, and use of post-extubation NIV (51 vs 24%) were significantly associated with EF. In multivariate analysis, this association persisted for higher expiratory tidal volume prior to extubation and the use of NIV post-extubation. EF resulted in more days in IMV (10 vs 7) and PICU (13 vs 9).</p><p><strong>Conclusion: </strong>Higher exhaled tidal volume prior to extubation and use of NIV post-extubation were predictive factors of EF, this being associated with longer stay in IMV.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"615-632"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207991","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
[Digitalization and access as a means of responding to health care practices: from Adolescence to Old Age] 数字化和获取作为对卫生保健实践的回应。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.49123
Bruno Gutierrez Quiceno, Jorge Sotelo, Martha Rodriguez
{"title":"[Digitalization and access as a means of responding to health care practices: from Adolescence to Old Age]","authors":"Bruno Gutierrez Quiceno, Jorge Sotelo, Martha Rodriguez","doi":"10.31053/1853.0605.v82.n3.49123","DOIUrl":"10.31053/1853.0605.v82.n3.49123","url":null,"abstract":"<p><p>Adolescence and the aging process involve understanding health throughout the life course. In the 21st century, 87.2% of the population uses a mobile health-related application, and the use of these tools has the capacity to promote healthier habits, with an odds ratio of 2.9 (CI 1.3–6.4) for engaging in frequent self-care health practices. Thus, access to health services goes beyond adolescence and extends into adulthood and old age. In old age, access to care has also been widely reported as a critical issue. Health education, when approached from a digital perspective, creates a differential environment for current times. It is essential to integrate digitalization into the health landscape, leading to a necessary reconfiguration of the processes of health and life care. This not only contributes to the timely identification of risks, the traceability of care, individual follow-up, early detection, or epidemiological analysis for decision-making, but—when aligned with the operationalization of the health system—it should also contribute to improving access, timeliness, safety, and the strengthening of quality of care. Furthermore, it promotes individual responsibility in self-care, even at the end of life. In conclusion, the importance of digitalization and primary health care in building health contexts throughout the aging process cannot be overlooked.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"686-695"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12694742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207815","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
[Tracheal stenosis secondary to airway abscess] 继发性气管狭窄至脓肿区。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.45878
Juan Carlos Medina, Jose Gabriel Yaryura Montero, Ricardo Navarro, Rodrigo Adrian Benavidez, Mario Alberto Cafaro
{"title":"[Tracheal stenosis secondary to airway abscess]","authors":"Juan Carlos Medina, Jose Gabriel Yaryura Montero, Ricardo Navarro, Rodrigo Adrian Benavidez, Mario Alberto Cafaro","doi":"10.31053/1853.0605.v82.n3.45878","DOIUrl":"10.31053/1853.0605.v82.n3.45878","url":null,"abstract":"<p><strong>Objective: </strong>To present a case with tracheal stenosis, secondary to airway abscess, and describe its clinical presentation, diagnostic methods and treatment.</p><p><strong>Clinical case: </strong>An 85-year-old patient presented with dry cough, inspiratory laryngeal stridor and dyspnea. Physical examination: No particularities. A computed tomography scan of the neck and chest was performed, which reported a decrease in the caliber of the tracheal lumen. It was decided to admit him to the intensive care unit, and fiberoptic bronchoscopy was performed where critical stenosis was observed. Mechanical dilation was performed with candles and in the absence of clinical improvement, a surgical tracheostomy was performed. During the procedure, an abscess was observed in the anterior tracheal wall, which was drained. Culture of the liquid development of Pseudomona Aeruginosa. The patient presented a good clinical evolution. being discharged 72 hours after surgery with targeted antibiotic treatment. Due to resolution of the infection process, it is decannulated 30 days after the surgical procedure. The follow-up after the extraction of the tracheostomy tube showed no particularities.</p><p><strong>Conclusion: </strong>Airway abscesses as a cause of tracheal stenosis are uncommon; at the time of the article's presentation, there is only one recorded case in the available literature. The diagnosis requires a correct clinical evaluation and the judicious use of complementary studies such as bronchoscopies and computed axial tomography. Management is multidisciplinary, and the treatment modality will be determined by the type of patient and the severity of the stenosis.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"656-666"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208071","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
[Incidence of COVID-19 in cancer patients from the HIGA Alende, Mar del Plata, Argentina, 2020-2021] 阿根廷马德普拉塔阿连德(HIGA Alende) 2019冠状病毒病患者发病率2020-2021年。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.45772
Sebastian Bienaime, Christian Ballejo, Tamara Ricardo, Juan Ignacio Irassar, Gabriel Amezqueta, Rodrigo Sabuda, Adriana Casatti, Mariana Laspada, Laura Rodriguez, Maria Antonela Alvarez, Ramiro Dana Smith
{"title":"[Incidence of COVID-19 in cancer patients from the HIGA Alende, Mar del Plata, Argentina, 2020-2021]","authors":"Sebastian Bienaime, Christian Ballejo, Tamara Ricardo, Juan Ignacio Irassar, Gabriel Amezqueta, Rodrigo Sabuda, Adriana Casatti, Mariana Laspada, Laura Rodriguez, Maria Antonela Alvarez, Ramiro Dana Smith","doi":"10.31053/1853.0605.v82.n3.45772","DOIUrl":"10.31053/1853.0605.v82.n3.45772","url":null,"abstract":"<p><strong>Introduction: </strong>COVID-19 differentially affected individuals with chronic diseases such as cancer, with greater severity and mortality than the general population.</p><p><strong>Objetives: </strong>Estimate the incidence of infection, hospitalization and fatality due to COVID-19 in cancer patients diagnosed between January 1, 2018 and December 31, 2020, treated at a Hospital in the city of Mar del Plata and evaluate risk factors for infection.</p><p><strong>Methods: </strong>retrospective cohort study in cancer patients aged 15 years or older. Demographic variables, comorbidities, tumor characteristics, oncological treatments, infection, hospitalization and death due to COVID-19 were collected. Kaplan-Meier curves and a Cox regression model were fitted, the time until infection was the response variable.</p><p><strong>Results: </strong>995 patients were included and 8.9% had COVID-19. 95.6% had solid tumors, 41.4% had severe forms of cancer, 1.7% had more than one malignant tumor and 10.9% had tumors with metastatic forms. Patients under 60 years of age, with hematological cancer and/or severe forms of cancer had significantly higher risk of COVID-19 infection.</p><p><strong>Discussion: </strong>The greater circulation and exposure in those under 60 years of age could explain the higher risk of infection, while the decrease in the immune status in the case of solid cancers with more severe stages or those of a hematological type could explain the higher risk.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"526-543"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207729","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
[Free online software tools for precision dosing of vancomycin, and other drugs] 免费的在线计算机工具,用于万古霉素和其他药物的精确剂量。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46483
Marianela Isabel Quereilhac, Guillermo Federico Taboada, Paulo Caceres Guido
{"title":"[Free online software tools for precision dosing of vancomycin, and other drugs]","authors":"Marianela Isabel Quereilhac, Guillermo Federico Taboada, Paulo Caceres Guido","doi":"10.31053/1853.0605.v82.n3.46483","DOIUrl":"10.31053/1853.0605.v82.n3.46483","url":null,"abstract":"<p><strong>Introduction: </strong>Software tools that assist in the pharmacotherapeutic optimization of narrow therapeutic range drugs are widely available. However, empirical (“trial and error”) methods are still common. The aim of this work was to evaluate the characteristics and performance of free-online software that assist in precision dosing of vancomycin.</p><p><strong>Materials and method: </strong>An exhaustive search was performed in Google, Google Scholar, and Pubmed/Medline, with no time limits. General descriptive and pharmacokinetic characteristics related to vancomycin and, occasionally, to other drugs were evaluated. Different scores were assigned for each attribute of each program, comparing, when appropriate, with reference programs: BestDose, PrecisePK and DoseMeRx.</p><p><strong>Results: </strong>8 free online software were found: Clincalc, Globalrph, IDS-ODS, NextDose, TDMx, Vancocalc, VancoPK and Vancovanco. Although all of them are suitable for use, TDMx, NextDose, and IDS-ODS provided the best performance. Some are especially useful for academic settings, while others are suitable for the clinical setting. Each one must be evaluated by the users to decide its applicability. These software can be a valid option for those who are beginning to learn about pharmacotherapeutic optimization processes and for those who do not yet justify an economic investment. However, the performance of commercial programs is usually much more advantageous.</p><p><strong>Conclusions: </strong>The free online software for precision dosing of vancomycin (especially TDMx, NextDose, and IDS-ODS) can be used, with the limitations of each case, as starting assistant tools, both in the clinical and in the teaching-academic field.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"633-655"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208104","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
Primary empty sella 主空塞拉。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46309
Natalia Soledad Leon, Soledad Sosa, Nicolas Coronel-Restrepo, Analía Pignatta, Daniel Moncet, Jose Daniel Morando, Monica Graciela Loto, Marisol Escudero, Elizabeth Coronello, Leonardo Luis Rizzo, Karina Danilowicz
{"title":"Primary empty sella","authors":"Natalia Soledad Leon, Soledad Sosa, Nicolas Coronel-Restrepo, Analía Pignatta, Daniel Moncet, Jose Daniel Morando, Monica Graciela Loto, Marisol Escudero, Elizabeth Coronello, Leonardo Luis Rizzo, Karina Danilowicz","doi":"10.31053/1853.0605.v82.n3.46309","DOIUrl":"10.31053/1853.0605.v82.n3.46309","url":null,"abstract":"<p><strong>Introduction: </strong>Primary empty sella (PES) consists of herniation of the suprasellar subarachnoid space within the sella turcica in patients with no history of sellar pathology. Diagnosis is mostly made incidentally.</p><p><strong>Objective: </strong>Describe the characteristics of patients with PES.</p><p><strong>Methods: </strong>Patients with PES from 6 Argentine centers specialized in Neuroendocrinology in Buenos Aires diagnosed between 1997-2021 were included. Diagnosis was based in sellar magnetic resonance, pituitary functional evaluation by baseline hormonal measurement and visual function assessed by neuro-ophthalmological evaluation and campimetry.</p><p><strong>Results: </strong>Sixty-three patients with a mean age of 52.3 ± 13.2 years and a predominance of female gender (79%, 4:1 ratio) were included. The average BMI was 32.7 ± 8.13 kg/m2 and 68% were overweight or obese. HTA was also found in 59%. Among women, the parity frequency was 78%: 92% had multiple pregnancies. The diagnosis was incidental in 22%. In symptomatic patients (n= 49), the reasons for consultation were headache in 61%, symptoms of endocrine dysfunction in 51% and visual disturbances in 33%: 43% of the patients presented multiple symptoms. MRI showed partial PES in 63% and total PES in 37% of the patients. In the biochemical evaluation, hypopituitarism was observed in 46%.</p><p><strong>Conclusions: </strong>Although the diagnosis of PES can be made incidentally, in our series most of the patients presented symptoms. Most of them were multiparous women, obese and hypertensive patients. Biochemical evaluation should be carried out to investigate isolated or multiple pituitary deficits in order to indicate the corresponding replacement treatment.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"544-554"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207988","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
[What young people are looking for?] 年轻人在寻找什么?
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.48171
Leandro Dionisio
{"title":"[What young people are looking for?]","authors":"Leandro Dionisio","doi":"10.31053/1853.0605.v82.n3.48171","DOIUrl":"10.31053/1853.0605.v82.n3.48171","url":null,"abstract":"<p><p>The present investigates the needs presented by currente young people who spent their adolescence in the covid pandemic (2029/2020). Reflects on the role of affective reference and its importance in the construction of identity of these young people guiding towards a modality that is effective and salutogenic.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"458-461"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12694741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208036","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
[New reconstructive technique for massive zone 2+1 pelvic defects after oncological resection] 肿瘤切除后骨盆2+1区肿大缺陷的新重建技术。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.48291
Francisco Principe, Lionel LLano, Franco De Cicco, German Farfalli, Jose Ignacio Albergo, Luis Alberto Aponte
{"title":"[New reconstructive technique for massive zone 2+1 pelvic defects after oncological resection]","authors":"Francisco Principe, Lionel LLano, Franco De Cicco, German Farfalli, Jose Ignacio Albergo, Luis Alberto Aponte","doi":"10.31053/1853.0605.v82.n3.48291","DOIUrl":"10.31053/1853.0605.v82.n3.48291","url":null,"abstract":"<p><strong>Introduction: </strong>Reconstruction after internal hemipelvectomy of the acetabular dome is complex, especially in young patients. At our institution, we have developed a technique that uses a proximal tibial allograft to recreate the acetabulum without compromising the proximal femur.</p><p><strong>Materials and methods: </strong>Three patients with primary bone sarcoma of the pelvis in Zone 2+1 underwent limb-sparing surgery and reconstruction with proximal tibial allograft.</p><p><strong>Results: </strong>All patients were minors, with a follow-up of 42 months. Two patients were discharged in the second week and one in the fourth week, achieving satisfactory reconstruction allowing assisted ambulation and full weight bearing in two cases. There were two acute and one chronic infection-related complications. Discussion: Pelvic sarcomas have a worse prognosis than long bone sarcomas and require massive resections. The tibial allograft reconstruction technique improves function and satisfaction without compromising the proximal femur. This technique is feasible in low-income countries and allows for future primary arthroplasty.</p><p><strong>Conclusion: </strong>We present a successful pelvic reconstruction technique that does not affect growth in young patients, avoiding the use of prostheses and preserving the proximal femur.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"586-598"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207789","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
Spontaneous and transitory remission of follicular lymphoma in patient with SARS-COV-2 SARS-COV-2患者滤泡性淋巴瘤的自发和短暂缓解。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46515
Lucio Gatto, María Orlova, Nancy Cristaldo, Fernando Warley
{"title":"Spontaneous and transitory remission of follicular lymphoma in patient with SARS-COV-2","authors":"Lucio Gatto, María Orlova, Nancy Cristaldo, Fernando Warley","doi":"10.31053/1853.0605.v82.n3.46515","DOIUrl":"10.31053/1853.0605.v82.n3.46515","url":null,"abstract":"<p><p>Spontaneous remission of malignant tumors following bacterial or viral infections is a rare event. The SARS-CoV-2 virus has been associated with cases of remission, but published cases in follicular lymphoma are scarce. We present a case of spontaneous remission of follicular lymphoma following severe coronavirus infection.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"667-675"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207941","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
[Endocrine-Metabolic Evaluation of female infertility in public health: initial results in the interior of the country] 公共卫生中女性不孕症的内分泌代谢评估。
Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2025-09-29 DOI: 10.31053/1853.0605.v82.n3.46920
Milena Tarletta, Gabriel S Iraci, Rodolfo Mengual, Mariana Di Carlo, Belén Melgarejo, Ana Babini, Karina A Maero Baez, Noelia Ramos, Anabella Marconetto, Otilio Rosato, Carolina Fux Otta
{"title":"[Endocrine-Metabolic Evaluation of female infertility in public health: initial results in the interior of the country]","authors":"Milena Tarletta, Gabriel S Iraci, Rodolfo Mengual, Mariana Di Carlo, Belén Melgarejo, Ana Babini, Karina A Maero Baez, Noelia Ramos, Anabella Marconetto, Otilio Rosato, Carolina Fux Otta","doi":"10.31053/1853.0605.v82.n3.46920","DOIUrl":"10.31053/1853.0605.v82.n3.46920","url":null,"abstract":"<p><strong>Introduction: </strong>Female infertility affects 15% of couples. Endocrine-metabolic disorders play a key role in reproductive health, yet data are lacking in Argentine populations treated in the public health system.</p><p><strong>Objectives: </strong>To describe and analyze the endocrine-metabolic characteristics of infertile women treated at the Department of Endocrinology and Diabetes, referred from IUMeR.</p><p><strong>Methods: </strong>Cross-sectional observational study. Women aged 18–44 years referred to the Endocrinology Clinic for infertility were included. Endocrine-metabolic and ultrasonographic features were assessed.</p><p><strong>Results: </strong>A total of 103 patients were studied. Thyroid disorders were present in 70%, hyperprolactinemia in 29%, and polycystic ovary syndrome in 21%. In addition, 50% of the women presented non-endocrine factors, such as tubal obstruction (42%) and semen abnormalities in their partners (26%).</p><p><strong>Conclusion: </strong>The high prevalence of thyroid dysfunction, hyperprolactinemia, and overweight highlights the need for an integral, multidisciplinary approach to female infertility in the public health setting. In many cases, initial endocrine treatments proved effective, reducing the need for referral to high-complexity assisted reproductive technologies. These findings emphasize the importance of reinforcing reproductive health education and implementing programs that promote healthy lifestyle habits, with the potential to improve fertility outcomes in this population.</p>","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"82 3","pages":"555-569"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208042","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
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