Revista de la Facultad de Ciencias Medicas de Cordoba最新文献_第9页

[Clinical reasoning and artificial intelligence. [临床推理与人工智能。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42544

Eduardo Cuestas

引用次数: 0

[Real-world evidence on pharmacological appropriateness in type 2 diabetes mellitus and cardiovascular disease]. 2 型糖尿病和心血管疾病药理适宜性的现实证据。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42272

Carolina Pintos, Mariana Andrea Burgos, Natalia Inés Pasik, Sofía Piccioli, María Florencia Grande Ratti, María Paula Russo

{"title":"[Real-world evidence on pharmacological appropriateness in type 2 diabetes mellitus and cardiovascular disease].","authors":"Carolina Pintos, Mariana Andrea Burgos, Natalia Inés Pasik, Sofía Piccioli, María Florencia Grande Ratti, María Paula Russo","doi":"10.31053/1853.0605.v80.n4.42272","DOIUrl":"10.31053/1853.0605.v80.n4.42272","url":null,"abstract":"Objective: To estimate the proportion of individuals with established Type 2 Diabetes Mellitus (T2DM) and Cardiovascular Disease (CVD) who are receiving pharmacological anti-diabetic treatment with evidence of cardiovascular benefit at a hospital in Argentina.Materials and methods: Cross-sectional study conducted at the Italian Hospital of Buenos Aires. A consecutive sample of adult patients affiliated with the institutional prepaid health plan active in March 2020, diagnosed with T2DM and established CVD, was included. Data were collected from the Electronic Health Record. The proportion of pharmacological adequacy (combined use of metformin plus sodium-glucose co-transporter 2 inhibitors and/or glucagon-like peptide 1 receptor agonists) was reported along with its respective 95% confidence interval (CI).Results: A total of 1539 patients were included, with a mean age of 76.2 years; 65.3% were male, and 81.6% were overweight or obese. Hemoglobin A1c levels were recorded in the past year for 74.9% of patients, with an average value of 6.9% (SD 1.2). The most prescribed drugs were metformin (61.3%), insulin (26.7%), and gliptins (11%). Out of the total included patients, 82 exhibited pharmacotherapeutic adequacy for diabetes treatment, with a prevalence of 5.3% (95% CI 4.2-6.5).Conclusions: The prevalence of prescribing anti-diabetic drugs with evidence of cardiovascular benefit was 5.3% (95% CI 4.2-6.5). This real-world evidence highlights the low frequency of prescribing this type of medication at the time of the study in a high cardiovascular risk population.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"335-351"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040653","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

[Recommendations for psoriasis treatment in Pediatrics]. [儿科银屑病治疗建议]。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42874

Paula Carolina Luna, María Eugenia Abad, Margarita Larralde, Paula Boggio, Bruno Ferrari, María Fernanda Maccario, Carla Castro, Silvia Moreno, Débora Kaplan, Cristina Echeverría

{"title":"[Recommendations for psoriasis treatment in Pediatrics].","authors":"Paula Carolina Luna, María Eugenia Abad, Margarita Larralde, Paula Boggio, Bruno Ferrari, María Fernanda Maccario, Carla Castro, Silvia Moreno, Débora Kaplan, Cristina Echeverría","doi":"10.31053/1853.0605.v80.n4.42874","DOIUrl":"10.31053/1853.0605.v80.n4.42874","url":null,"abstract":"Introduction: in one third of patients with psoriasis, symptoms start during childhood and adolescence, with a strong emotional and psychosocial impact.Objective: to develop a guideline for the systemic treatment of psoriasis in pediatric patients by means of recommendations based on the best available evidence.Materials and methods: Sources: articles indexed in PubMed, Epistemonikos, Google Scholar, Cochrane Library and Scielo, published between January 2010 and May 2022, in English, Spanish and Portuguese. Study selection: evidence-based clinical practice guidelines, systematic reviews, meta-analyses, randomized controlled studies, observational studies (case-control, cohort studies, real-life registries) and evaluations of biosimilar drugs in patients up to and including 17 years of age were considered. The keywords \"psoriasis\" and \"treatment\" were used in all three languages. Data extraction: the literature was evaluated using Grading of Recommendations Assessment, Development and Evaluation (GRADE) recommendations. Data synthesis: evidence tables were developed and analyzed by the expert committee. The questions for the development of recommendations were based on the PICO system (population, intervention, comparison, outcome).Results: A total of 8 recommendations and 7 points of good practice were developed. The direction and strength of the recommendations were expressed according to the GRADE system.Conclusions: the final decision on a specific therapy should be based on the best opinion of the treating physician, the individual characteristics, and the values and preferences of the patients and their caregivers.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"523-537"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040647","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

[Historic evocation] [历史唤醒]

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.43234

Norma Acerbi Cremades

引用次数: 0

[Ultrasound guided biopsy of lung tumors: evaluation of efficacy and complications]. 超声引导下的肺部肿瘤活检。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.40922

Juan Bautista Del Valle, Marina Alonso Serena, Gabriel Ducrey, Jésica Lorena Savluk, Matías Adrián Borensztein

{"title":"[Ultrasound guided biopsy of lung tumors: evaluation of efficacy and complications].","authors":"Juan Bautista Del Valle, Marina Alonso Serena, Gabriel Ducrey, Jésica Lorena Savluk, Matías Adrián Borensztein","doi":"10.31053/1853.0605.v80.n4.40922","DOIUrl":"10.31053/1853.0605.v80.n4.40922","url":null,"abstract":"Introduction: The diagnosis of lung cancer, as well as that of lung nodules, is increasing. Percutaneous biopsy has become a transcendental tool for its diagnosis. Traditionally, computed tomography is used for these procedures because of its ability to clearly demonstrate bone and aerated lung. However, in selected cases it can be performed with ultrasound.Methods: Retrospective study conducted between January 2020 and December 2021, during the SARS-CoV-2 pandemic. All patients had pleural-based lung lesions or pleural lesions, some with a known history of cancer.Results: Thirty-six procedures were performed, in 32 (88.9%) the sample obtained presented diagnostic yield and the most used additional test was Immunohistochemistry in 23 (63.9%). Complications were reported in 5 patients (13.9%): 2 with mild pneumothorax, 2 with hemothorax (1 mild and 1 moderate) and 1 patient reported pain.Conclusion: Ultrasound is a valid method to be used as a guide for biopsies of pleural and peripheral pulmonary lesions. The complications and diagnostic rate has been shown to be in line with the experience of other authors and international guidelines.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"439-455"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040649","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

[High-risk endometrial carcinoma in early stages: Hospital Italiano de Buenos Aires, oncological results]. 高风险早期子宫内膜癌。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.40821

Diego Odetto, Maria Celeste Puga, Guido Martin Rey Valzacchi, Jose Martin Saadi, Liliana Beatriz Zamora, Maria Cecilia Riggi, Myriam Beatriz Perrotta

{"title":"[High-risk endometrial carcinoma in early stages: Hospital Italiano de Buenos Aires, oncological results].","authors":"Diego Odetto, Maria Celeste Puga, Guido Martin Rey Valzacchi, Jose Martin Saadi, Liliana Beatriz Zamora, Maria Cecilia Riggi, Myriam Beatriz Perrotta","doi":"10.31053/1853.0605.v80.n4.40821","DOIUrl":"10.31053/1853.0605.v80.n4.40821","url":null,"abstract":"Introduction: Endometrial cancer is the second most frequent gynecological tumor in Argentina, representing 6% of all cancers in women. The objective of this study is to evaluate the oncological and perioperative results in patients with high-risk endometrial cancer (HREC) limited to the uterus, treated at the Hospital Italiano de Buenos Aires, between January 2010-2018.Methods: Retrospective cohort study that evaluated perioperative results, disease-free survival at 2, 4 years in patients with HREC.Results: Of a total of 123 patients, 74 met the inclusion criteria. Serous tumors were the most frequent histological type, n=38 (51%), while dedifferentiated tumors were the least frequent, n=2 (3%). Of all the patients included, 56 (76%) received at least one adjuvant treatment. Taxol platinum-based chemotherapy was implemented in 28 patients (38%), while 24 (33%) received a combination of chemotherapy and radiotherapy. The median follow-up time was 2.9 years. Disease-free survival in patients with stage IA at 2 and 4 years was 71% (95% CI 55-82) and 63% (CI 46-76), respectively, while those with stage IB were 53 (95% CI 33-70) and 38 (95% CI 19-58). Regarding the surgical approach, no significant differences were found in disease-free or overall survival when comparing the laparoscopic with the laparotomy approach (p=0.06).Conclusion: Only the FIGO stage showed an increased probability of death or relapse regardless of the type of adjuvant treatment and the type of surgery approach. Perioperative complications were similar in both approaches.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"352-366"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040650","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

[Acid-base balance and long COVID: comments on metabolic-respiratory alterations]. [酸碱平衡与长期 COVID：关于代谢-呼吸改变的评论]。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42580

Brian Johan Bustos-Viviescas, Rafael Enrique Lozano Zapata, Carlos Enrique García Yerena

引用次数: 0

[Use of screens, sedentary lifestyle, and physical activity in children under six years of age, during the period of preventive and compulsory social isolation in AMBA: online survey]. AMBA 六岁以下儿童在预防性和强制性社会隔离期间的屏幕使用、久坐行为和体育活动。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.40343

Sandra Viviana García, María Celeste Velazquez, Alberto Emiliano D Agostino, Diego Julián Salto, Fernanda Melina Lardies Arenas, Sílvia Veronica Cuozzo, Ladislao Pablo Matias Diaz Ballve, Tatiana Dias de Carvalho

{"title":"[Use of screens, sedentary lifestyle, and physical activity in children under six years of age, during the period of preventive and compulsory social isolation in AMBA: online survey].","authors":"Sandra Viviana García, María Celeste Velazquez, Alberto Emiliano D Agostino, Diego Julián Salto, Fernanda Melina Lardies Arenas, Sílvia Veronica Cuozzo, Ladislao Pablo Matias Diaz Ballve, Tatiana Dias de Carvalho","doi":"10.31053/1853.0605.v80.n4.40343","DOIUrl":"10.31053/1853.0605.v80.n4.40343","url":null,"abstract":"Introduction: Within the context of the COVID-19 pandemic, children were confined to their homes. The Buenos Aires Metropolitan Area (AMBA) region has the highest urban density in Argentina and has been the epicenter of COVID-19 infections and deaths. The objectives of this study are to characterize the habits of screen use, sedentary lifestyle and physical activity and describe their associations, in children under six years of age from AMBA, Argentina.Methods: analytical and cross-sectional study, in which data from the online survey (Google Forms®) were used. Through a non-probabilistic convenience sampling, fathers, mothers, legal guardians, and caregivers of children under six years of age were invited to participate. The survey was available during four months of the quarantine period and was made up of 31 questions about screen use, physical activity, and sedentary lifestyle of children.Results: 256 surveys were answered, the majority (79.6%) were female and 50.8% in the age range of 31-40 years.Conclusion: The television is the most used and children begin to use touch screens from one year. The play time of adults with children and the time that they usually carry out activities such as reading a book or drawing is one to two hours per day. There was an association between owning the screen and using it for more hours. The lower the income level, the more time adults play with their children.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"456-475"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040659","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

[Monkeypox: case series]. 交响天花

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.42303

Victoria Micaela Pieretti, Marina Agriello, Mayled Maria Delgado Molina, Paula Bonaura, Camila Anabel Ramallo, Eugenia Miraglia, Florencia Dauria, Maria Victoria Garritano, Maria Roxana Maradeo

{"title":"[Monkeypox: case series].","authors":"Victoria Micaela Pieretti, Marina Agriello, Mayled Maria Delgado Molina, Paula Bonaura, Camila Anabel Ramallo, Eugenia Miraglia, Florencia Dauria, Maria Victoria Garritano, Maria Roxana Maradeo","doi":"10.31053/1853.0605.v80.n4.42303","DOIUrl":"10.31053/1853.0605.v80.n4.42303","url":null,"abstract":"Introduction: the recent mpox outbreak was considered an international public health emergency.Objective: describe the epidemiological and clinical characteristics of mpox in a hospital in the province of Buenos Aires.Methods: case series study in patients ≥15 years of age in the Dermatology service of the Hospital Interzonal General de Agudos \"San Martín\" in La Plata between August and November 2022.Results: 10 patients were included. The mean age of presentation was 35 years. Seven of the patients were men and the remaining three were women. Most of them presented risky sexual intercourse as an epidemiological history. Pseudopustules were observed in 70% of the patients and all had genital, gluteal or perianal lesions. The complications observed were: local edema, proctitis, conjunctivitis and pharyngitis.Conclusion: we present 3 female patients out of a total of 24 women reported in the country, which represent only 2% of mpox infections in Argentina. In most cases we observe pseudopustules, an elementary lesion recently described for this entity. One patient presented ocular involvement, a complication reported in 1% of cases in the current outbreak.","PeriodicalId":38814,"journal":{"name":"Revista de la Facultad de Ciencias Medicas de Cordoba","volume":"80 4","pages":"321-334"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040660","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

Paraovarian cyst with associated ovarian torsion. 卵巢旁囊肿伴有卵巢扭转。

Revista de la Facultad de Ciencias Medicas de Cordoba Pub Date : 2023-12-26 DOI: 10.31053/1853.0605.v80.n4.40830

Deborah Desiree Coelho Marra, Bruna Suda Rodrigues, Gabriel Miura, Élcio Roberto Duarte, Márcio Luís Duarte

引用次数: 0