Actualidad medica最新文献

{"title":"Patient safety","authors":"J. García-Alegría","doi":"10.15568/am.2019.807.ami01","DOIUrl":"https://doi.org/10.15568/am.2019.807.ami01","url":null,"abstract":"","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42453298","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":"Religious beliefs and motivation to study medicine at a public University","authors":"Rosa A Cardozo-de A, D. Sánchez, Alejandra Romano, Elizabeth Romano, Milagros Castillo","doi":"10.15568/am.2019.807.or02","DOIUrl":"https://doi.org/10.15568/am.2019.807.or02","url":null,"abstract":"Introduction: Religion ́s study in medical students has received poor attention, and none relating to the motivation for studying. Objective: to analyze religious beliefs and motivation to study medicine. Methods: Descriptive, in 147 trainees from first year Master's degree in medicine. The analysis was made through distribution of frequencies and association with absolute figures and percentages and graphics. We used the Ji2 to nominal variables, Spearman test range variables, and the Z test for comparison of percentages by using the SPSS v. 17.0 for Windows to relationship. Results: an age range 17 to 26 years old was found, medium 19±0.5 years and predominance of the female sex. A 51.7% were motivated to study medicine in the clinical interest and science; it was followed by the vocation of service (51%), and the reason to study medicine did for higher cultural level and personal accomplishment at 68.2%. In terms of religion, the majority were Catholic (85.03%). The correlation between religion and vocation, was low and positive (rho = 0.1110), while a low and negative correlation of religion was found with the clinical interest in science (rho = 0.1345). Conclusions: It is concluded that in the sample correlation of motivation with religion was different depending on the type of motivation, although this correlation was low. Cardozo-de A, Rosa A1; Sánchez, Daniel2; Romano, Alejandra3; Romano, Elizabeth4; Castillo, Milagros5 1Docente Investigador Titular. Doctor en Ciencias Médicas, área de concentración Psiquiatría, Universidad Autónoma de Madrid. Campus de Bárbula, Pabellón 8. Dpto. de Salud Pública, Universidad de Carabobo. Venezuela 2Docente Investigador Agregado. Maestria en Investigación Educativa, Universidad de Carabobo. Departamento de Salud Pública,Campus de Bárbula, Pabellón 8. Universidad de Carabobo. Venezuela 3Médico Investigador, Departamento de Salud Pública. Universidad de Carabobo 4Odontólogo Docente Investigador, Universidad de Barcelona, España 5Docente Investigador Agregado. Maestría en Investigación Educativa, Universidad de Carabobo. Departamento de Salud Pública, Campus de Bárbula, Pabellón 8. Universidad de Carabobo. Venezuela Enviado: 02-06-2019 Revisado: 30-06-2019 Aceptado: 04-07-2019","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67207095","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":"Phomphomycin trometamol: an effective alternative in the antibiotic prophylaxis of transrectal prostate biopsy","authors":"A. Jiménez-Pacheco, N. Canales-Casco, M. Arrabal-Martín","doi":"10.15568/am.2019.807.cd01","DOIUrl":"https://doi.org/10.15568/am.2019.807.cd01","url":null,"abstract":"","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46852757","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":"Adenoma left suprarrenal as a cause of a primary hyperaldosteronism","authors":"J. D. Díaz-García, Norma Mateos Santa-Cruz","doi":"10.15568/am.2019.807.cc01","DOIUrl":"https://doi.org/10.15568/am.2019.807.cc01","url":null,"abstract":"","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67207070","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":"Progressive ageing of working population in a southern Spain reference hospital","authors":"A. Ranchal-Sánchez, María Soler-García, M. Ramblado-Minero, I. Mateo-Rodríguez, Easp. Granada","doi":"10.15568/am.2019.807.or03","DOIUrl":"https://doi.org/10.15568/am.2019.807.or03","url":null,"abstract":"espanolEl objetivo del estudio fue describir la evolucion de la poblacion laboral en un hospital de referencia del sur de Espana durante una decada (2006-2016,) centrandose en la categoria laboral predominante: las enfermeras. Para ello se realizo un estudio epidemiologico descriptivo de tipo trasversal, en forma de piramide poblacional, cuyo punto de corte fue enero de 2017. El ambito de estudio fue la poblacion laboral de un hospital regional del sur de Espana con 5450 profesionales, de las que 1408 eran enfermeras. Se calcularon indices, uno para relacionar la poblacion joven con la madura y otro de feminidad, comparandose con un informe previo de 2006. Los resultados mostraron una estructura demografica en forma de piramide invertida, de base estrecha, y asimetrica. Con una poblacion laboral envejecida y feminizada en casi todos los tramos de edad, siendo el indice de feminidad aun mayor para la poblacion de enfermeras. La poblacion laboral mayor de 50 anos, superaba a la menor de dicha edad. Existia un estrechamiento llamativo en el tramo de 51 a 55 anos, solo en las mujeres enfermeras, que interrumpia el incremento progresivo de la poblacion laboral que le antecedia. Concluimos que la poblacion laboral estudiada ha envejecido progresivamente, con un predominio femenino mayoritario, especialmente en las enfermeras, apreciandose desajustes que obligan a analizar las causas y a planificar actuaciones. Los estudios demograficos pueden facilitar la vigilancia de la salud colectiva priorizando actuaciones segun las variables edad y sexo. El escaso porcentaje de la fuerza laboral joven y el hecho de que la edad de la jubilacion real del personal estudiado sea inferior a la legal deberia llamar la atencion de los gestores para aplicar medidas eficientes que promuevan el “envejecimiento activo”, asi como otras medidas que faciliten la entrada de los jovenes en el mercado de trabajo. EnglishThe aim of this study was to describe the work population evolution of a southern Spain hospital along a decade (2006-2016), focusing in the predominant staff. Methodology. A descriptive cross-sectional epidemiological study was undertaken to build up a population pyramid. The cut-off point was January 2017. The scope was the work force of a regional hospital with 5450 members, 1408 of which were nurses. One index was calculated to relate youth with the older population; and another one to look at femininity. The results revealed an inverted pyramid-shaped, narrow-based and feminized asymmetric, demographic structure, and a progressive ageing after a decade. The femininity index was even higher for the nursing population. The working population over 50 years was greater than that below this age. There was a striking narrowing in the 51-55 age stretch, but only in female nurses. We conclude that there is an ageing working population and a predominance of women in almost all age groups, especially in nurses. There is an imbalance that makes it necessary to plan heal","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49533655","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":"Rectal bleeding: an uncommon clinical presentation of sacral chordoma","authors":"A. Láinez-Ramos-Bossini, M. García-Roa, Francisco Garrido-Sanz, R. Gálvez-López, Distrito Sanitario de Granada Norte Centro de Salud Almanjáyar","doi":"10.15568/am.2019.807.cc03","DOIUrl":"https://doi.org/10.15568/am.2019.807.cc03","url":null,"abstract":"Chordomas constitute the most common primary malignant tumours of the sacrum. They usually produce insidious and non-specific symptoms, which may lead to diagnostic delay of years. Compression of local structures produces back and hip pain, constipation and urinary retention. Rectal infiltration is an infrequent, late event that normally implies advanced disease. Sacral imaging is essential to characterize these tumours, although biopsy is required for histological confirmation. We present the case of a male patient who presented to the emergency department reporting long-term rectal bleeding, constipation, and lower back and hip pain. The patient was eventually diagnosed with chordoma of the sacrum. Láinez-Ramos-Bossini, Antonio Jesús1; García-Roa, María Dolores1, Garrido-Sanz, Francisco1; Gálvez-López, Regina2 1Servicio de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada (España) 2Centro de Salud Almanjáyar, Distrito Sanitario de Granada Norte (España) Enviado: 23-07-2019 Revisado: 25-07-2019 Aceptado: 25-08-2019 Antonio Jesús Láinez Ramos-Bossini Servicio de Radiodiagnóstico. Hospital Universitario Virgen de las Nieves Av. Fuerzas Armadas, 2, 18014 Granada (España) Teléfono: +34 958020000 E-mail: ajbossini@ugr.es Palabras clave: Cordoma sacro; infiltración rectal; rectorragia; diagnóstico radiológico.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43482809","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":"Proximal Femoral Nail Antirotation (PFNA) length and postoperative complications: a retrospective cohort study","authors":"D. González-Quevedo, Departamento de Cirugía Ortopédica y Traumatología, Javier Martínez-Malo, Guillermo Montesa, I. Tamimi, M. Bravo-Bardají, D. García-de-Quevedo","doi":"10.15568/AM.2019.806.OR03","DOIUrl":"https://doi.org/10.15568/AM.2019.806.OR03","url":null,"abstract":"espanolObjetivos: Los clavos proximales de femur fueron disenados para realizar una cirugia minimamente invasiva y reducir la tasa de complicaciones en pacientes con fracturas de femur proximal. Planteamos la hipotesis que el tamano de estos clavos influye en las complicaciones postoperatorias. Material y Metodos: Realizamos un estudio de cohortes retrospectivas en pacientes con fracturas de femur proximal que fueron sintetizadas con un PFNA durante el periodo comprendido entre enero de 2012 y marzo de 2014. La siguiente informacion fue recogida de nuestra base de datos informatica: longitud del implante, duracion de la cirugia, hemoglobina postoperatoria, necesidad de transfusion, estancia hospitalaria, presencia de complicaciones y mortalidad. Los pacientes fueron seguidos durante un ano despues de la cirugia. Resultados: Un total de 400 pacientes fueron incluidos en este estudio. La edad media de los pacientes fue de 80.45 ± 0.53 anos; 98 (24.5%) pacientes fallecieron durante el periodo de seguimiento. El tiempo quirurgico fue de 38.70±0.68, 50.31±1.88 y 66.92±3.44 minutos, para los pacientes con clavos de 170, 200 y 240 mm respectivamente (P0.05). La diferencia de hemoglobina pre y postoperatoria fue menor en pacientes intervenidos con clavos de 170 mm comparado con 200 y 240 mm [2.43±0.08 g/dl; 2.81±0.16 g/dl; y 2.50±0.06 g/dl, respectivamente (P0.01)]. Comparado con los clavos de 170 mm, las odd ratios para la necesidad de transfusion fueron 2.83 (1.57-5.10) paa clavos de 200 mm, y 2.58 (1.26-5.30) para clavos de 240 mm. La longitud del clavo no afecto a la estancia hospitalaria, presencia de cut-out y la tasa de mortalidad. Conclusiones: El uso de clavos proximales mas largos esta asociado con un incremento de la duracion de la cirugia, menos niveles de hemoglobina postoperatorios y mayores tasas de transfusion. La longitud del implante no influye en las tasas de cut-out y mortalidad. EnglishObjectives: Proximal femoral nails were developed to perform minimally invasive surgery and reduce the complication rates in patients with proximal femoral fractures. We hypothesize that the length of these nails may influence the surgical outcome. Methods: We conducted a retrospective cohort study on patients with proximal femoral fractures who were treated with a PFNA during the period between January 2012 and March 2014. The following information was withdrawn from our local computerized database: nail length, duration of surgery, postoperative hemoglobin level, transfusion requirements, hospital stay, presence of surgical complications and mortality. Patients were followed for one year after surgery. Results: A total of 400 cases were included in this study. The mean age was 80.45 ± 0.53 years; 98 (24.5%) patients died during the follow-up period (one year). The surgical time was 38.70±0.68, 50.31±1.88 and 66.92±3.44 min, for patients with 170, 200, and 240 mm nails, respectively (P0.05). The change in the preoperative to postoperative hemoglobin l","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67206870","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":"Sarcoma sinovial de membrana interósea en paciente adolescente. A propósito de un caso.","authors":"Michelle Murcia-Mendoza, Samuel Castillo-Padilla, J. Flores-Oseguera, Ingrid Carolina Arambú","doi":"10.15568/AM.2019.806.CC02","DOIUrl":"https://doi.org/10.15568/AM.2019.806.CC02","url":null,"abstract":"espanolEl sarcoma sinovial es una neoplasia maligna de estirpe mesenquimal, con grados variables de diferenciacion epitelial. Se clasifica dentro del diverso grupo de sarcomas de partes blandas no rabdomiosarcomas, afectando principalmente a las extremidades con predominio de las inferiores. El objetivo es presentar un caso clinico inusual y conocer la evolucion de la neoplasia. A continuacion, se presenta un caso de una paciente mujer de 14 anos de edad, con dolor progresivo de dos anos de evolucion en tercio medio de pierna derecha y con masa palpable en la region antero lateral de aproximadamente 2 cm de diametro, sin cambios inflamatorios. La tomografia axial computarizada informo una masa de bordes irregulares con afectacion cortical del perone y de la membrana interosea. Se realizo escision de la tumoracion, cuyo estudio histopatologico confirmo un sarcoma sinovial monofasico grado 2, por lo que se inicio tratamiento con quimioterapia, presentando buena respuesta al tratamiento y sin recidiva tumoral a los 4 meses postoperatorios. EnglishSynovial sarcoma is a malignant mesenchymal neoplasm with variable epithelial differentiation. It can be classified within the group of non-rhabdomyosarcomatous soft tissue sarcomas. It occurs predominantly in lower extremities. The objective is to present an unusual case and to communicate the behavior of this type of cancer. This case is about a 14-year-old female with history of 2 years of progressive pain in the middle third of her right leg; accompanied by a 2 cm palpable mass in the anterolateral region, without inflammatory changes. Computerized tomography reported a tumor of irregular borders involving the peroneal cortical and interosseous membrane. An open biopsy was performed. Histological examination revealed a monophasic synovial sarcoma (Grade 2). The patient received chemotherapy with good response to treatment and with no evidence of recurrence after 4 months.","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":"104 1","pages":"49-51"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67206799","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":"Study of ChemSex in HIV positive and negative homosexual patients","authors":"Beatriz Losilla-Rodríguez, M. A. López-Zúñiga, B. Espadafor-López, M. López-Ruz","doi":"10.15568/am.2019.806.or04","DOIUrl":"https://doi.org/10.15568/am.2019.806.or04","url":null,"abstract":"","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67206948","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":"Ovarian Cancer. Which have been the main advances in the last 10 years?","authors":"C. Martínez-Gómez, Aida Angeles Martina","doi":"10.15568/AM.2019.806.AO01","DOIUrl":"https://doi.org/10.15568/AM.2019.806.AO01","url":null,"abstract":"","PeriodicalId":86333,"journal":{"name":"Actualidad medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44757235","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}