Cirugia Y Cirujanos最新文献_第9页

Tuberculosis extrapulmonar: un problema de salud pública. 肺结核:一个公共卫生问题。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000688

Alejandro Hernández-Solis, Andrea Quintana-Martínez, M Inés Quintanar-Ramírez, Pablo Álvarez-Maldonado, Arturo Reding-Bernal

引用次数: 0

Ultrabiomicroscopía ultrasónica y estabilidad de la lente intraocular en pacientes con miopía axial sometidos a cirugía de facoemulsificación. 超声超显微镜与超声乳化手术中轴向近视患者的人工晶状体稳定性。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000720

Jessica P García-Chávez, Mónica M Meléndez-Abanto, Óscar Guerrero-Berger, Humberto Wong-Chavarria, Héctor J Pérez-Cano, Cristina Mendoza-Velásquez

{"title":"Ultrabiomicroscopía ultrasónica y estabilidad de la lente intraocular en pacientes con miopía axial sometidos a cirugía de facoemulsificación.","authors":"Jessica P García-Chávez, Mónica M Meléndez-Abanto, Óscar Guerrero-Berger, Humberto Wong-Chavarria, Héctor J Pérez-Cano, Cristina Mendoza-Velásquez","doi":"10.24875/CIRU.21000720","DOIUrl":"https://doi.org/10.24875/CIRU.21000720","url":null,"abstract":"Purpose: To evaluate the stability and the refractive error of the different intraocular lens (IOL) after cataract surgery.Method: Retrospective, observational and single-center study. Patients diagnosed with cataract and myopia who underwent a phacoemulsification surgery with intraocular lens placement without complications were included. All patients underwent a complete ophthalmological examination, ultrasound biomicroscopy was performed at 2 weeks, 1 and 3 months after surgery. Descriptive statistics were performed using measures of central tendency and comparative analyzes. A value of p < 0.05 was considered significant.Results: Thirty-one subjects with a diagnosis of axial myopia and senile cataract were included, 20 women (64.5%) and 11 men (35.5%), with a mean age was 62.8 ± 13.14 years. The IOL displacement were not different for the upper, lower, temporal and nasal quadrants; however, we observed a tendency to inclination to the temporal sector (p = 0.054) between the first and third postoperative month. Therefore, the were no significant differences in spherical equivalent between groups postoperatively.Conclusions: The inclination of the IOL did not change over time after surgery, the changes were similar with the different three types of IOL.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 1","pages":"107-112"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10750092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efforts for detection of aortic aneurysms and human resources training for the optimization of their treatment. 主动脉瘤的检测工作和优化治疗的人力资源培训。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000300

Carlos A Hinojosa-Becerril, Javier E Anaya-Ayala, Luis Bobadilla-Rosado, Juan C Arámburo-López, Luis Barragán-Galindo, Rodrigo Lozano-Corona, Adriana Torres-Machorro, Hugo Laparra-Escareno

{"title":"Efforts for detection of aortic aneurysms and human resources training for the optimization of their treatment.","authors":"Carlos A Hinojosa-Becerril, Javier E Anaya-Ayala, Luis Bobadilla-Rosado, Juan C Arámburo-López, Luis Barragán-Galindo, Rodrigo Lozano-Corona, Adriana Torres-Machorro, Hugo Laparra-Escareno","doi":"10.24875/CIRU.22000300","DOIUrl":"10.24875/CIRU.22000300","url":null,"abstract":"Objective: To review admissions, interventions and in-hospital mortality associated to Abdominal Aortic Aneurysms (AAA), and to analyze the impact of the introduction of a training program and imaging screening at our institution.Methods: Retrospective study where hospitalizations, procedures and mortality secondary to AAA were recorded. The national databases (ND) from the Secretariat of Health were utilized from 2010 to 2020. In-hospital lethality was calculated and compared with the experience at the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ). The statistical analysis was completed with the STATA version 17.Results: According to the ND, 899 (91%) hospital admissions secondary to AAA occurred, while in the INCMNSZ 85 (9%). Most of them belonged to the male gender (68%); 811 (82%) patients underwent open surgical repair, and 173 (18%) to an endovascular exclusion (EVAR), the latter approach was significantly more frequently performed at our institution (p = 0.007). The 30-day hospital mortality was 22.5%; in the ND was 23.9 vs. a 16.4% in the INCMNSZ without significant difference (p = 0.1).Conclusions: AAA remain unrecognized in our country. The introduction of University programs and imaging screening might impact in the early detection, and to reduce the morbidity and mortality associated to emergency procedures.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 4","pages":"514-520"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10198264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Renal transplant waiting list mortality in COVID era: is it advisable to halt transplant activity? COVID时代肾移植等待名单死亡率:停止移植活动是否可取?

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000718

Jorge Martínez-Ulloa-Torres, Paulo Gutiérrez-Torres, Pablo Castro-Ruiz, Patricia B Bolado-García, Mariano Hernandez-Dominguez, Luis F Aguilar-Castillejos, Mauro E Tun-Abraham, Juan P Baas-Cruz

{"title":"Renal transplant waiting list mortality in COVID era: is it advisable to halt transplant activity?","authors":"Jorge Martínez-Ulloa-Torres, Paulo Gutiérrez-Torres, Pablo Castro-Ruiz, Patricia B Bolado-García, Mariano Hernandez-Dominguez, Luis F Aguilar-Castillejos, Mauro E Tun-Abraham, Juan P Baas-Cruz","doi":"10.24875/CIRU.21000718","DOIUrl":"https://doi.org/10.24875/CIRU.21000718","url":null,"abstract":"Introduction: Kidney transplantation is the treatment of choice for end-stage renal disease (ESRD). Since March 2020, transplant activity in Mexico has been affected due to the COVID-19 pandemic.Objective: The aim of the study was to determine the impact on mortality of patients on the waiting list (WL) for cadaveric donor kidney transplantation in a referral hospital in Yucatán, due to suspension of activities due to the pandemic.Material and methods: Patients over 18 years of age on the waiting list for kidney transplantation at this hospital. In the event of a patient's death, the cause was investigated, especially if it was associated with COVID-19. A two-tailed p ≤ 0.05 was considered significant in all analyzes.Results: The odds ratio (OR) of death from COVID-19 in a patient with ESRD in the WL in 2020 was OR = 5.04 (95% CI: 1.65-7.14, p = 0.023). The OR of dying with ESRD in the WL with a delay in the follow-up visits was OR = 6.59 (95% CI: 2.7-16.28, p = 0.008).Conclusion: The probability of death of a patient with ESRD with delayed follow-up visits and transplant retention is statistically higher than the probability of death from COVID-19.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 4","pages":"507-513"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge of professionals about sexuality of the ostomyzed. 专业人士关于造口术者性行为的知识。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000153

Yovana Rodríguez-Maldonado, Teresa Sánchez-Moreno de Juan, Alicia Ruiz-de la Hermosa, Inés Naranjo-Peña, Virginia de Gea-López, Javier Cambronero-Santos

{"title":"Knowledge of professionals about sexuality of the ostomyzed.","authors":"Yovana Rodríguez-Maldonado, Teresa Sánchez-Moreno de Juan, Alicia Ruiz-de la Hermosa, Inés Naranjo-Peña, Virginia de Gea-López, Javier Cambronero-Santos","doi":"10.24875/CIRU.22000153","DOIUrl":"10.24875/CIRU.22000153","url":null,"abstract":"Background: An ostomy significantly influences a person's life, altering their biopsychosocial and sexual sphere and affecting their interpersonal relationships.Materials and methods: Through an observational, descriptive, and cross-sectional study, with a questionnaire aimed at professionals from a health area in Madrid, we analyzed: sociodemographic variables, knowledge of the professionals on the subject, referral of the patient according to the professional's assessment and feelings that the subject under study produces in the patient and in professionals.Results: 49% claimed to have no knowledge about sexuality of the ostomyzed patients. 55.9% of those surveyed consider that the healthcare provider is the one who should introduce the topic of sexuality during the clinical interview. 48.5 and 85.2% are unaware of treatments for male and female sexual dysfunction, respectively.Conclusions: The data show that the training provided in the university centers is insufficient to deal effectively with this issue in the medical consultation. The participants manifest null or minimal knowledge about the sexual sphere in ostomized patients. Knowledge deficiencies are detected in relation to the sexuality of the ostomized patient, difficulty in talking about sex with these patients, and the importance that sanitary professionals give to the patient's sexual sphere, among others.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 4","pages":"528-534"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gallstone ileus, a rare cause of intestinal occlusion. A case report. 胆石性肠梗阻，一种罕见的肠阻塞原因。一份病例报告。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000678

Jesús G Valencia-Martínez, Donovan Reynoso-Saldaña, Ricardo Reynoso-González, David Estrada-Hernández, Mariana Ángeles-Santillán, Viridiana Aja-Sixto

引用次数: 0

Determinación de intersecciones probabilísticas relacionadas con daño cerebral adquirido a partir de la determinación de probabilidades a priori y a posteriori. 通过先验和后验概率的确定，确定与获得性脑损伤相关的概率交叉。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000291

Alejandro F Rodríguez-Mauricio, M Guadalupe Leyva-Cárdenas, Emilio Arch-Tirado, Ana L Lino-González

{"title":"Determinación de intersecciones probabilísticas relacionadas con daño cerebral adquirido a partir de la determinación de probabilidades a priori y a posteriori.","authors":"Alejandro F Rodríguez-Mauricio, M Guadalupe Leyva-Cárdenas, Emilio Arch-Tirado, Ana L Lino-González","doi":"10.24875/CIRU.21000291","DOIUrl":"https://doi.org/10.24875/CIRU.21000291","url":null,"abstract":"Background: The acquired brain damage is a common neurological disorder.Objective: Determine the probabilistic intersections of variables related to acquired brain damage from the determination of a priori and a posteriori probabilities.Method: Analytical retrospective study. A descriptive analysis was carried out, confidence intervals were calculated to obtain the mean and the proportion with α = 0.05 considering the age of the patient and the diagnosis. An analysis of probabilistic intersection, a priori and a posteriori probability was performed considering diagnosis, sex and age decade; finally, chi squared was calculated.Results: 736 patients were analyzed. The most frequent diagnosis was language disorder. The patients diagnosed with memory disorder were the youngest and those diagnosed with degenerative cognitive disorder the oldest. The probability that a patient with sequelae due to acquired brain damage arrives at the hospital, at the language pathology service, to be diagnosed with a language disorder and that this patient is also a man is 29.06%.Conclusions: The high prevalence of short and long-term disability generated by acquired brain damage highlights the importance of an early and timely detection and diagnosis so that it favors prompt and efficient specialized care.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 3","pages":"388-396"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factores asociados a sobrevida a un año en pacientes postoperados de glioblastoma. 胶质母细胞瘤术后1年生存率的相关因素。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000130

Gerardo Del C Palacios-Saucedo, Juan J Padilla-Martínez, Alejandra G Dávila-Gaytán, Celia G Herrera-Rivera, José M Vázquez-Guillén, Lydia G Rivera-Morales, José R Cortés-Cárdenas, Cristina Rodríguez-Padilla

{"title":"Factores asociados a sobrevida a un año en pacientes postoperados de glioblastoma.","authors":"Gerardo Del C Palacios-Saucedo, Juan J Padilla-Martínez, Alejandra G Dávila-Gaytán, Celia G Herrera-Rivera, José M Vázquez-Guillén, Lydia G Rivera-Morales, José R Cortés-Cárdenas, Cristina Rodríguez-Padilla","doi":"10.24875/CIRU.21000130","DOIUrl":"https://doi.org/10.24875/CIRU.21000130","url":null,"abstract":"Objective: To identify factors associated with one-year survival in postoperative glioblastoma patients at a hospital in northeastern Mexico.Material and methods: Nested case-control study. Patients operated on for glioblastoma between 2016-2019 were included. Information about clinical and surgical factors was obtained, survival was calculated by Kaplan-Meier analysis. Descriptive analysis was performed with medians and ranges, and inferential analysis with χ2, Fisher and Student t test, odds ratio and 95% confidence interval. A value of p < 0.05 was considered significant.Results: Sixty-two patients with glioblastoma were included, 27 (43.5%) women and 35 (56.5%) men, median age 56 years (range: 6-83). Median survival was 3.6 months (1-52), 45 (72.6%) survived less than 12 months. The factors associated with a higher survival were administration of adjuvant treatment (p < 0.001), better functional status (p = 0.001), and absence of post-surgical complications (p = 0.034).Conclusions: Most patients with glioblastoma survive less than 12 months and the factors most strongly associated with longer survival are administration of adjuvant treatment, better functional status of the patient and absence of post-surgical complications.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 3","pages":"397-402"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9811342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Importance of the SARS-CoV-2 genome and spike protein in the immunopathogenesis of COVID-19 and in the efficacy of vaccines. SARS-CoV-2基因组和刺突蛋白在COVID-19免疫发病机制和疫苗疗效中的重要性

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000547

Silvia Jiménez-Morales, Carlos J Pérez-Amado, Isela Montúfar-Robles, José M Fragoso, Iván S Aranda-Uribe, David A Ramos-Puga, Ángel E Martínez-Flores, Julián Ramírez-Bello

引用次数: 0

Terapia médico-nutricional en pacientes politraumatizados: una carrera contra el tiempo. 多重创伤患者的医学营养治疗:与时间的赛跑。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.220001901

María F Padilla-Rubio, Miguel Robledo-Valdez, Miguel Morante-Ruiz, Andrea Pérez de Acha-Chávez, Gabino Cervantes-Guevara, Guillermo A Cervantes-Cardona, Sol Ramírez-Ochoa, Gabino Cervantes-Pérez, Alejandro González-Ojeda, Clotilde Fuentes-Orozco, Eduardo Gómez-Sánchez, Enrique Cervantes-Pérez

{"title":"Terapia médico-nutricional en pacientes politraumatizados: una carrera contra el tiempo.","authors":"María F Padilla-Rubio, Miguel Robledo-Valdez, Miguel Morante-Ruiz, Andrea Pérez de Acha-Chávez, Gabino Cervantes-Guevara, Guillermo A Cervantes-Cardona, Sol Ramírez-Ochoa, Gabino Cervantes-Pérez, Alejandro González-Ojeda, Clotilde Fuentes-Orozco, Eduardo Gómez-Sánchez, Enrique Cervantes-Pérez","doi":"10.24875/CIRU.220001901","DOIUrl":"https://doi.org/10.24875/CIRU.220001901","url":null,"abstract":"A polytraumatized patient is defined as one who has multiple lesions involving different organs and systems, which are usually serious and lead to life-threatening respiratory or circulatory dysfunction. Traumatic stress in the polytraumatized patient results in many metabolic changes that are evident from the first days, but usually persist for weeks, requiring adequate nutritional support as they influence outcomes. Nutritional treatment should be a priority in the comprehensive treatment of polytraumatized patients since it attenuates the metabolic response to trauma and prevents the deterioration of body reserves. It should be noted that some patients present previous nutritional risk. Nutritional intervention should be considered at the same level as any other therapy that supports organic functions, especially in patients in the intensive care unit. Nutritional intervention in polytraumatized patients is a pillar of treatment that has multiple benefits and can improve prognosis. All efforts must be aimed at the early detection of malnourished patients at nutritional risk and providing timely therapies that improve clinical outcomes.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 1","pages":"122-130"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10720080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0