{"title":"Abordaje quirúrgico del hueco poplíteo","authors":"Hugo Ojeda Fiore, Daniel Arias Penayo","doi":"10.18004/rdn2023.jun.01.082.087","DOIUrl":"https://doi.org/10.18004/rdn2023.jun.01.082.087","url":null,"abstract":"El leiomiosarcoma de bajo grado es una neoplasia poco común en el hueco y su abordaje terapéutico sigue siendo un desafío. La elección de una cirugía compartimental, basada en los elementos anatómicos de esta región, se mostró como una estrategia efectiva para abordar el tumor de partes blandas, preservando la integridad de las estructuras neurovasculares. Los resultados obtenidos respaldan la viabilidad de la cirugía compartimental en el tratamiento de leiomiosarcomas de bajo grado en el hueco poplíteo, lo cual puede guiar futuras decisiones terapéuticas y mejorar los resultados clínicos en pacientes con condiciones similares.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135214957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Update on systemic lupus erythematosus","authors":"Patricia Sobarzo de Vysokolan","doi":"10.18004/RDN2019.0011.01.001-004","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.001-004","url":null,"abstract":"","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45704473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lorenzo Diosnel Acosta Brunaga, Víctor Escandriolo, M. Ramírez
{"title":"Splenic abscess post-traumatic","authors":"Lorenzo Diosnel Acosta Brunaga, Víctor Escandriolo, M. Ramírez","doi":"10.18004/RDN2019.0011.01.080-088","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.080-088","url":null,"abstract":"Splenic abscesses are infrequent conditions, but with high mortality attributed to a late diagnosis, mainly due to the absence of specific symptoms and signs. We present a patient with a history of trauma 6 months earlier in the abdominal thorax region, who was admitted with a prolonged febrile syndrome of unknown origin. The existence of palpation pain in the left hypochondrium region was confirmed by abdominal ultrasound, the presence of a hypo-echogenic lesion in an enlarged spleen and in the angio tomography no evidence of contrast leakage. Antibiotic therapy and percutaneous Caso Clínico Absceso esplénico post traumático Splenic abscess post-traumatic Lorenzo Diosnel Acosta Brunaga, Víctor Escandriolo, Marcelo Ramírez Rev. Nac. (Itauguá) 2019;11(1):80-88 10.18004/rdn2019.0011.01.080-088 drainage were applied under tomography with good clinical response, with favorable evolution and splenectomy was avoided.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47020506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hematological manifestations in adult patients with systemic lupus erythematosus","authors":"Enrique García Bello, E. Taboada","doi":"10.18004/RDN2019.0011.01.005-016","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.005-016","url":null,"abstract":"RESUMEN Introducción: el lupus eritematoso sistémico (LES) puede afectar las tres series celulares de la sangre. Objetivo: describir las alteraciones hematológicas y los marcadores de actividad en pacientes adultos con LES. Metodología: estudio observacional descriptivo realizado en pacientes con LES del Hospital Nacional en 2017-2018. Se excluyeron a los pacientes con inmunosupresores (ciclofosfamida, rituzimab), pacientes con LES medicamentoso, pacientes con síndrome de superposición, pacientes con otras enfermedades autoinmunes. Resultados: se incluyeron 88 pacientes, con edad media 27±15 años. Hubo predominio de mujeres (89%). Se detectó anemia en 55%, leucopenia en 13%, linfopenia en 32%, plaquetopenia en 11%. Los valores de ANA estaban elevados en 92% y anti DNA en 22%. Conclusión: la afectación hematológica más frecuente en pacientes adultos con LES fue la anemia, seguida por la leucopenia y la plaquetopenia.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43035487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrés Gustavo Toscano Ponce, Carlos Miguel Rios González, Ginno Alessandro De Benedictis Serrano, M. J. Tello, Alexander Bolivar Palacios Gallegos
{"title":"Cecum blind ischemia as an unexpected finding","authors":"Andrés Gustavo Toscano Ponce, Carlos Miguel Rios González, Ginno Alessandro De Benedictis Serrano, M. J. Tello, Alexander Bolivar Palacios Gallegos","doi":"10.18004/RDN2019.0011.01.089-098","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.089-098","url":null,"abstract":"The colon ischemic pathologies have scare clinical features and are difficult to diagnose. We report a case of a with history of arterial hypertension, who presents with abdominal pain of 12 hours in the right iliac fossa without radiation, colic type, of moderate intensity, without other accompanying symptoms. On physical examination the abdomen was soft depressible, painful to deep palpation, signs of Mc Burney, Rovsing and Blumberg were positives. The hemogram reported leukocytosis 12900 with neutrophilia 82.9%. It is diagnosed as acute appendicitis and was planned an appendectomy. The surgeon reported an cecal appendix grade II, good appendicular base, distended bowel loops and ischemia on the anterior face of the cecum, being the cast finding an important one to change the planned surgery to an ileostomy urgent. We consider an important to fact know the evolution patterns of colon ischemia and factors that predict its unfavorable course and mortality.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46186228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ohtahara syndrome: a case presentation associated with Pierre Robin syndrome","authors":"Gladys Maribel Godoy Torales, Rocio Raquel Rienzi Grassi, Alicia Carolina Aldana Amabile, Héctor Cano Arrieta","doi":"10.18004/RDN2019.0011.01.099-115","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.099-115","url":null,"abstract":"Ohtahara syndrome is an epileptic encephalopathy that starts early in life, characterized by intractable seizures, wave-suppression tracing, both in the sleep and a waking phases of the electroencephalogram, and associated with delayed motor and cognitive development. We present the case of a child, to the fifteen days of life referred to the Hospital Nacional, Paraguay, with is the days of like to rule out congenital heart disease, due to oxygen dependence. On admission, the facial appearance was coincident with Pierre Robin syndrome, laryngeal stridor, cervical hypotonia and micropenis was observed. Once admitted congenital heart disease was excluded by echocardiography. Respiratory failure and need for oxygen secondary to respiratory obstruction due to glossoptosis are assumed. Transfontanelar ultrasound reveals grade II intraventricular hemorrhage, cystic image in the posterior fossa, megacisternal versus neuroepithelial cyst. At 47 days, he presented tonic-clonic seizures in the limbs opisthotonos and position of, he was treated with valproic acid, then Vigabatrina, with no response. Electroencephalographic trace shows discharge-suppression pattern. Develops infection associated with health care from respiratory origen, presents poor management of secretions and torpid evolution, dying at 110 days. The case is characterized by epileptic syndrome in a patient with a Rev. Nac. (Itauguá) 2019;11(1):99-115 10.18004/rdn2019.0011.01.099-115 phenotype corresponding to Pierre Robin syndrome; but also has micropene. The presence of the three mentioned fatures could not be included in a previously described syndrome. In newborns with dysmorphia and seizures it is important to rule out the presence of structural alteration in the nervous system as responsible for the syndrome.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43342546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypertension secondary to primary hyperaldosteronism","authors":"Nelson Gonzalez, M. Bogado, Héctor Cano Arrieta","doi":"10.18004/RDN2019.0011.01.116-123","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.116-123","url":null,"abstract":"Hypertension is a pandemic worldwide, being responsible for several cardiovascular, neurological and renal complications. The vast majority is due to essential or primary hypertension, but more and more cases of secondary arterial hypertension are diagnosed, either due to endocrinological, renal or neurological causes. Caso Clínico Hipertensión arterial secundaria a hiperaldosteronismo primario Hypertension secondary to primary hyperaldosteronism Nelson Rodrigo González González, Miguel Ferreira Bogado, Héctor Cano Arrieta 3 Rev. Nac. (Itauguá) 2019;11(1):116-123 10.18004/rdn2019.0011.01.116-123 Next, an hypertension case of secondary to primary hyperaldosteronism is presented.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43204702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Sanchez, Wilian Rene Albrecht Roman, Mirta Noemí Mesquita Ramírez
{"title":"Comorbidities of nervous anorexia and bulimia in pediatrics","authors":"L. Sanchez, Wilian Rene Albrecht Roman, Mirta Noemí Mesquita Ramírez","doi":"10.18004/RDN2019.0011.01.017-026","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.017-026","url":null,"abstract":"Introduction: eating disorders should be considered in mental health plans, since it is one of the problems that has experienced the greatest growing in the young population. It is a multifactorial disease that is associated with psychiatric comorbidities such as depression, anxiety, obsessive-compulsive disorder, substance use or substance abuse disorder, and suicide attempts. Objectives: to describe the comorbidities of anorexia and bulimia nervosa in patients older than 10 years, at a Hospital General Pediátrico Niños de Acosta Ñu (San Lorenzo, Paraguay). Methodology: observational, descriptive, retrospective, cross-sectional study of patients older than 10 years who come to a consulted at a Hospital General Pediátrico Niños de Acosta Ñu with diagnosis of anorexia and bulimia nervosa, period 2011-2016. Variables studied: age, sex, origin, years of schooling, reason for consultation, height, body mass index, comorbidity, type of comorbidity. Data analyzed with Epi Info 7 using descriptive statistics. Study was approved by the Institutional Ethics Committee with the release of informed consent. Results: 59 patients with diagnosis of anorexia and/or bulimia nervosa were included. The mean age was 14.7 years, with predominance of females (91.5%), from the Central Department (86.4%). Median age of schooling: 9 years. Main reason for consult irritability (58/59). Presented with risk of short stature and Rev. Nac. (Itauguá) 2019;11(1):17-26 10.18004/rdn2019.0011.01.017-026 short stature of 57.6%. The body mass index was normal in 47.5%. The psychiatric comorbidity was found in 98.3% and depression being the most frecuent (88.1%). Conclusions: the frequency of comorbidity in children was high (98.3%) and the most important was depression (88.1%).","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45272778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical features of in-hospital anemia","authors":"A. A. M. Díaz, A. Aveiro","doi":"10.18004/RDN2019.0011.01.056-067","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.056-067","url":null,"abstract":"Introduction: in-hospital anemia is the decrease in hemoglobin values (Hb) during hospital stage below the admission values, not associated with objective blood loss. This is a frequent phenomenon that can affect the clinical evolution. Objective: to determine the clinical characteristics of intrahospital anemia in patients hospitalized in the Department of Internal Medicine of the Hospital Nacional de Itauguá from February to November 2018. Methodology: observational, prospective, descriptive study of transverse cut made in patients of both sexes, older than 15 years admitted in the Department of Internal Medicine. Anemia was considered to be any decrease in Hb of more than 2 mg / dL after 15 days of hospitalization. Results: 80 patients were studied, from which 44% were women and 56% were male. The mean age was 52 ± 17 years. 72% presented anemia. The patients admitted with a mean Hb value of 13 ± 1 g / dL and a hematocrit (Hct) of 38 ± 8%. After 15 days, a decrease in the mean Hb value was at 11 ± 2 g / dL and Hto at 33 ± 5%. At 30 days the mean Hb was 10 ± 2 g / dL and Hto 31 ± 5%. The amount of blood extracted for studies was an average of 348 ± 214 cc. The presence of infection and the use of antibiotics during hospitalization were detected in 83% of the patients studied. Conclusion: intrahospital anemia had a high frequency (72%) in the sample studied. It is multifactorial and is usually an underestimated diagnosis, a situation that should change given the implications in intra and extra hospital morbidity and mortality.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42725729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uses of information and communication technologies in the Career of Nursing, UNA, Paraguay 2017","authors":"Cornelia Bernal Céspedes","doi":"10.18004/RDN2019.0011.01.027-038","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.027-038","url":null,"abstract":"Introduction: the introduction of Information and Communication Technologies is a challenge for the teaching-learning process, however, its inclusion is fundamental to the education success. Objetive: this work objective raises to describe the teachers competencies in the using of Information and Communication Technologies, Career Nursing, Headquarters, School of Nursing and Obstetrics of the National University of Asuncion, during the year 2017, arranged in three cognitive, procedural and attitudinal components. It is an observational descriptive study, with a quantitative approach, cross-sectional, probabilistic sampling approach. Metodology: it includes 109 teachers as a sample, an instrument with 40 reagents was applied, for the cognitive measurement and procedural components, a closed structured questionnaire was used, and for the Attitudinal component was applied a questionnaire with measurement according to Likert scale with values from 1 to 5. Results: the result reflects that teachers have basic level cognitive competence, that audiovisual and computer media are the most used by teachers and a positive attitudinal component for the integration of Information and Communication Technologies in the teaching-learning process. Conclusion: it is recommended to create spaces to develop knowledge and progressively incorporate Information and Communication Technologies in the practice of teaching, ensure accessibility to a network and program ongoing training plans. Rev. Nac. (Itauguá) 2019;11(1):27-38 10.18004/rdn2019.0011.01.027-038","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42978517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
