Colombia Medica最新文献_第2页

Advancing Sustainable Pulmonary Rehabilitation in Latin America. 促进拉丁美洲可持续肺康复。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6573

Vicente Benavides-Cordoba, Alejandro Casas Herrera

引用次数: 0

Atypical complication of western equine encephalitis: central hypoventilation syndrome. 西部马脑炎的非典型并发症：中枢性低通气综合征。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6404

Laura Rapela, Lucia Derosa, Alberto Quereda, Gaston Capodarco, Mauro Federico Andreu

{"title":"Atypical complication of western equine encephalitis: central hypoventilation syndrome.","authors":"Laura Rapela, Lucia Derosa, Alberto Quereda, Gaston Capodarco, Mauro Federico Andreu","doi":"10.25100/cm.v55i3.6404","DOIUrl":"https://doi.org/10.25100/cm.v55i3.6404","url":null,"abstract":"Case description: A 49-year-old male patient, a rural worker, presented with a two-day history of fever. Initial treatment for suspected community-acquired pneumonia was followed by the development of confusion and signs of meningeal irritation. Western Equine Encephalitis Virus infection was confirmed. The patient required prolonged intensive care due to central hypoventilation syndrome, a complication not previously described for this condition.Clinical findings: The patient exhibited hypercapnia-related encephalopathy, with MRI revealing pontine lesions. Respiratory drive testing confirmed central hypoventilation. Peripheral muscular strength was preserved, ruling out muscular or peripheral neurological involvement. Persistent metabolic alkalosis secondary to failed ventilator weaning attempts was noted.Treatment and outcome: Treatment included mechanical ventilation, nocturnal invasive ventilation, and acetazolamide to address post-hypercapnic metabolic alkalosis. Gradual improvement led to successful decannulation after 46 days. At the 30-day follow-up, the patient reported full independence and returned to work, maintaining stable respiratory function and acid-base balance.Clinical relevance: This case highlights central hypoventilation syndrome as a rare but significant complication of Western Equine Encephalitis Virus infection. The administration of acetazolamide proved effective in managing metabolic alkalosis, supporting its potential role in similar cases. Further investigation is needed to better understand this complication and to establish evidence-based management strategies.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 3","pages":"e5006404"},"PeriodicalIF":0.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaristo García Piedrahíta 1845-1921. Evaristo Garcia Piedrahita 1845-1921。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-30 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6683

Rodrigo Guerrero Velasco, Pedro Alejandro Rovetto

引用次数: 0

The obstetrician attached to the obstetric emergency. 产科医生负责产科急诊。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-09-25 eCollection Date: 2024-07-01 DOI: 10.25100/cm.v55i3.6574

Alejandro Lenin Villalobos Rodríguez

引用次数: 0

Quality in aesthetic medicine and surgery: a systematic review of clinical practice guidelines. 美容医学和外科手术的质量：临床实践指南的系统回顾。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.6257

Marta Maes-Carballo, Carlos Roberto Estrada-López, Carmen Martínez-Martínez, Claudia Alberca-Remigio, Cristina Cámara-Martínez, Benito Miguel Josa-Martínez, Rubén Trigueros

{"title":"Quality in aesthetic medicine and surgery: a systematic review of clinical practice guidelines.","authors":"Marta Maes-Carballo, Carlos Roberto Estrada-López, Carmen Martínez-Martínez, Claudia Alberca-Remigio, Cristina Cámara-Martínez, Benito Miguel Josa-Martínez, Rubén Trigueros","doi":"10.25100/cm.v55i2.6257","DOIUrl":"10.25100/cm.v55i2.6257","url":null,"abstract":"Background: Guidelines in medicine are essential tools to provide quality and standardised medical care. We analysed the quality of aesthetic medicine guidelines.Methods: A systematic review with a prospective registration protocol (https://osf.io/8pdyv) of databases (MEDLINE, EMBASE, Web of Science, Scopus, CDSR), web pages of scientific societies and grey literature was done from inception to February 2023 and without language restrictions. Quality was evaluated using AGREE II (% of the maximum score), RIGHT (% of the total 35 items) and a shared decision making (SDM) quality assessment tool (31 items score) individually and in duplicate, respectively.Results: Six (86%) guidelines were classified as not recommended; one (14%) was recommended with modifications, and all were classified as poorly reported (7/7; 100%). The median overall quality was 27% (IQR: 26-43) and 26% (IQR 15-36) for AGREE II and RIGHT, respectively. No document used these tools for its development. SDM appeared superfluity in almost all of the guidelines explored.Conclusions: Aesthetic medicine and surgical guidelines had low quality and must be improved. There is a wide range of improvement, especially in applicability, reporting of evidence, recommendations, conflict of interest, quality control and SDM. These guidelines require a rigorous methodology based on systematic reviews to ensure quality evidence-based recommendations.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 2","pages":"e2016257"},"PeriodicalIF":0.7,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11637547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simultaneous periodontal and endodontic surgery: report of four clinical cases. 牙周与牙髓同时手术：附4例临床报告。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.6363

Pablo Emilio Molano, Juan Sebastián Duque F, Deisy Milena Urbano Gómez

{"title":"Simultaneous periodontal and endodontic surgery: report of four clinical cases.","authors":"Pablo Emilio Molano, Juan Sebastián Duque F, Deisy Milena Urbano Gómez","doi":"10.25100/cm.v55i2.6363","DOIUrl":"10.25100/cm.v55i2.6363","url":null,"abstract":"Case description: Four cases of patients aged 41, 33, 43 and 68 years who presented periapical lesions and needed periodontal surgery for pre-prosthetic purposes.Clinical findings: The first case presented an intra-radicular retainer that was difficult to remove and likely to generate a root fracture. In addition, asymmetry of the gingival zenith was observed. The second case presented a complete crown at 16 with mesial marginal mismatch and subgingival margins distally. The third case presented a vestibular fistula with inflammation at the cervical level. The fourth case presented a vestibular fistula in the upper right lateral incisor. All patients showed apical lesions.Treatment and outcome: The first three cases received coronal lengthening and apical surgery in the same surgical procedure. In the fourth case, apical surgery was performed, and placement of implants 13 and 15 with a pontic of 14. During the clinical control and radiographs performed after the surgical procedures, bone filling of the lesion was found.Clinical relevance: Considering the results obtained, performing the periodontal and endodontic surgery procedures in a single surgical act is suggested. This reduces costs, travel, number of appointments, medication intake and post-surgical complications.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 2","pages":"e5006363"},"PeriodicalIF":0.7,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Morphometric analysis and tortuosity typing of the large intestine segments on computed tomography colonography with artificial intelligence. 利用人工智能对计算机断层扫描结肠成像上的大肠节段进行形态分析和迂曲分型。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.5944

Hadi Sasani, Mazhar Ozkan, Mehmet Ali Simsek, Mahmut Sasani

{"title":"Morphometric analysis and tortuosity typing of the large intestine segments on computed tomography colonography with artificial intelligence.","authors":"Hadi Sasani, Mazhar Ozkan, Mehmet Ali Simsek, Mahmut Sasani","doi":"10.25100/cm.v55i2.5944","DOIUrl":"10.25100/cm.v55i2.5944","url":null,"abstract":"Background: Morphological properties such as length and tortuosity of the large intestine segments play important roles, especially in interventional procedures like colonoscopy.Objective: Using computed tomography (CT) colonoscopy images, this study aimed to examine the morphological features of the colon's anatomical sections and investigate the relationship of these sections with each other or with age groups. The shapes of the transverse colon were analyzed using artificial intelligence.Methods: The study was conducted as a two- and three-dimensional examination of CT colonography images of people between 40 and 80 years old, which were obtained retrospectively. An artificial intelligence algorithm (YOLOv8) was used for shape detection on 3D colon images.Results: 160 people with a mean age of 89 men and 71 women included in the study were 57.79±8.55 and 56.55±6.60, respectively, and there was no statistically significant difference (p= 0.24). The total colon length was 166.11±25.07 cm for men and 158.73±21.92 cm for women, with no significant difference between groups (p=0.12). As a result of the training of the model Precision, Recall, and Mean Average Precision (mAP) were found to be 0.8578, 0.7940, and 0.9142, respectively.Conclusion: The study highlights the importance of understanding the type and morphology of the large intestine for accurate interpretation of CT colonography results and effective clinical management of patients with suspected large intestine abnormalities. Furthermore, this study showed that 88.57% of the images in the test data set were detected correctly and that AI can play an important role in colon typing.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 2","pages":"e2005944"},"PeriodicalIF":0.7,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reflections of doctor Vicente Borrero Restrepo on receiving the Doctorate Honoris Causa. 雷斯特雷波博士获得荣誉博士学位的感想。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.5938

Rodrigo Guerrero Velasco

引用次数: 0

Increased para-aortic adipose tissue on echocardiography may closely be related with fragmented QRS. 超声心动图显示主动脉旁脂肪组织增加可能与QRS碎片化密切相关。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.5986

Fahri Çakan, Sinan Akıncı, Adem Adar, Uğur Köktürk, Ertan Akbay, Orhan Önalan

{"title":"Increased para-aortic adipose tissue on echocardiography may closely be related with fragmented QRS.","authors":"Fahri Çakan, Sinan Akıncı, Adem Adar, Uğur Köktürk, Ertan Akbay, Orhan Önalan","doi":"10.25100/cm.v55i2.5986","DOIUrl":"10.25100/cm.v55i2.5986","url":null,"abstract":"Background: The association of fragmented QRS (fQRS) with many cardiac pathologies such as cardiac fibrosis has been described previously. Paraaortic adipose tissue (PAT) is thought to be associated with many cardiac diseases and there is only one publication on its echocardiographic evaluation.Aims: To describe the possible relationship between fQRS and PAT.Methods: Patients presenting to the cardiology outpatient clinic were evaluated for inclusion in the study. Presence of additional R' wave or notching/splitting of S wave in two contiguous ECG leads was defined as fragmented QRS (fQRS) and patients were divided into two groups according to fQRS status on ECG. The hypoechoic space in front of the ascending aorta was considered as PAT in the parasternal long-axis view. The medical history and routine laboratory parameters of the participants were recorded. Univariate and multivariate binary regression analysis was used to determine the relationship between PAT and fQRS.Results: A total of 221 patients were enrolled and divided into two groups according to fQRS status. PAT was significantly higher in the fQRS group: 9.2 mm (7.1/12.3) vs 6.8 mm (1.2/10.9), p=0.001. Univariate analysis showed significant association between fragmented QRS and PAT size (OR 1.122, p= 0.001). Binary regression analysis revealed an independent and strong association between aortic size (OR 1.4, CI95% 1.012-1.938, p=0.042), paraaortic adipose tissue (OR 1.483, CI95% 1.084-2.029, p=0.014) and fragmented QRS.Conclusions: The presence of fQRS is associated with PAT, a newly defined parameter in echocardiography.","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":"55 2","pages":"e2025986"},"PeriodicalIF":0.7,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The art of validating science: four centuries of peer review. 验证科学的艺术：四个世纪的同行评议。

IF 0.7 4区医学

Colombia Medica Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI: 10.25100/cm.v55i2.6725

Mauricio Palacios Gómez

引用次数: 0