Cirugia y cirujanos最新文献_第8页

Association between empathy, anxiety and psychological well-being in Mexican medical students. Transversal study. 墨西哥医学生移情、焦虑和心理健康之间的关系。横向研究。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000264

David Luna, Ivette Vargas-de la Cruz, Óscar A Núñez-Gaytán, Rosa P Figuerola-Escoto, Laura F Barrera-Hernández, Fernando Meneses-González, Miguel A Lezana-Fernández

{"title":"Association between empathy, anxiety and psychological well-being in Mexican medical students. Transversal study.","authors":"David Luna, Ivette Vargas-de la Cruz, Óscar A Núñez-Gaytán, Rosa P Figuerola-Escoto, Laura F Barrera-Hernández, Fernando Meneses-González, Miguel A Lezana-Fernández","doi":"10.24875/CIRU.22000264","DOIUrl":"10.24875/CIRU.22000264","url":null,"abstract":"Background: The expression of empathy improves the quality of health care, which is why its instruction is suggested during the years of academic training of medical students. However, expressing empathy can also cause anxiety and impair psychological well-being.Objective: To identify profiles that describe the relationship between empathy, anxiety and psychological well-being in Mexican medical students.Method: Cross-sectional study in Mexican medical students completed the Multidimensional Empathy Scale, the Beck Anxiety Inventory, and the Psychological Well-Being Scale for Adults.Results: Women presented greater empathy and anxiety and lower psychological well-being (p < 0.01). Anxiety in students of the last year of training was lower compared to students of the first and second year (p < 0.01). Four profiles were detected: 1) men, minimal anxiety, low empathy; 2) first-year students, moderate to severe anxiety, low psychological well-being, high empathy; 3) last year of training, mild anxiety, adequate psychological well-being, medium empathy; 4) women, second and third year of training, very high empathy.Conclusions: Medical students in their first year of training constitute a population at risk. Attention strategies are necessary for this student group.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242198","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}

引用次数: 0

Enteroatmospheric fistulas in open abdomen in trauma associated with abdominal reintervention and VAC therapy. 与腹部再干预和VAC治疗相关的外伤性开放性腹部肠大气瘘。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000419

Jesús E Rodríguez-Silverio, Luis M García-Núñez, Edgar F Hernández-García, Héctor F Noyola-Villalobos, Luis F Moreno-Delagado

{"title":"Enteroatmospheric fistulas in open abdomen in trauma associated with abdominal reintervention and VAC therapy.","authors":"Jesús E Rodríguez-Silverio, Luis M García-Núñez, Edgar F Hernández-García, Héctor F Noyola-Villalobos, Luis F Moreno-Delagado","doi":"10.24875/CIRU.22000419","DOIUrl":"10.24875/CIRU.22000419","url":null,"abstract":"Background: Open abdomen is an alternative for the management of trauma patient, and negative pressure therapy of the wound using VAC® device is a genuine sort of treatment. Although the device poses technical advantages, risks are present and a critical complication is the enteroatmospheric fistula formation (EAF).Objective: To analize the role of negative pressure therapy length and VAC® device number of changes on the EAF formation in trauma patients udergoing open abdomen.Method: Cut-off points were calculated using receiver operational characteristics curve. Values were compared with Student's t or Mann-Withney U tests, considering statistically significant p < 0.05.Results: EAF were present in 39 cases (5.9%). A significant difference in the presence of EAF was present in patients with negative pressure therapy of the wound length ≥ 11.2 days (46.9 vs. 1.3%; relative risk [RR]: 3.67; 95% confidence interval [95% IC]: 2.4-6.68; p = 0.017) and when ≥ 2.6 VAC® device changes were performed (34.6 vs. 0.5%; RR: 6.92; 95% IC: 1.1-4.3; p < 0.001).Conclusions: At our institution, the practice of >3 VAC® device changes and length of therapy > 11 days should be carefully considered leading to reduce the risk of EAF formation.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242204","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}

引用次数: 0

Activity-based locomotor training: improving the movement in children with spinal cord injury. 以活动为基础的运动训练：改善脊髓损伤儿童的运动能力。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000517

Hongbo Zhao, Xiangjiang Rong, Qi Zhang, Tingting Ma, Tiantian Zhou, Yanqing Zhang

{"title":"Activity-based locomotor training: improving the movement in children with spinal cord injury.","authors":"Hongbo Zhao, Xiangjiang Rong, Qi Zhang, Tingting Ma, Tiantian Zhou, Yanqing Zhang","doi":"10.24875/CIRU.22000517","DOIUrl":"https://doi.org/10.24875/CIRU.22000517","url":null,"abstract":"Objective: The objective of this study was to investigate the effects of activity-based locomotor training (ABLT) on motor function and walking ability in children with spinal cord injury (SCI).Materials and methods: The Chinese National Knowledge Infrastructure, WanFang, VIP, PubMed, and Web of Science databases were searched for related studies, with two reviewers subsequently evaluating the literature quality using the Cochrane Handbook.Results: A total of 11 studies were eligible, while only one met the ABLT standard program criteria. Overall, ABLT significantly improved the lower limb motor function, increased walking speed and distance, and improved the daily living ability of children with SCI.Conclusions: The ABLT strategy is of great significance to the motor function and walking ability of children with SCI. At present, there exist few studies on the application of ABLT for pediatric SCI. Further control studies with a larger sample size are required to improve the ABLT program guidelines for children with SCI.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811877","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}

引用次数: 0

Preemptive caudal anesthesia on back pain after lumbar discectomy: a randomized and controlled study. 预防性尾麻治疗腰椎间盘切除术后背痛：一项随机对照研究。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.23000311

Hidayet S Cine, Ece Uysal

{"title":"Preemptive caudal anesthesia on back pain after lumbar discectomy: a randomized and controlled study.","authors":"Hidayet S Cine, Ece Uysal","doi":"10.24875/CIRU.23000311","DOIUrl":"10.24875/CIRU.23000311","url":null,"abstract":"Objective: In this randomized and prospective research, we aimed to relieve surgical and muscle-related pain early after lumbar disc operations with caudal preemptive analgesia.Materials and methods: A total of 120 patients with single-level lumbar disc herniation were included in this study. The caudal epidural injection was performed for all patients 20 min before surgery. The patients were divided into three groups. Non-steroidal anti-inflammatory drugs or tramadol use were recorded. Pre-operative and post-operative pain was interpreted through a visual analog scale.Results: There was a difference between the groups in all post-operative measurements (p < 0.05), between Group 1 and Group 3, and between Group 2 and Group 3. A statistical significance has been achieved between the groups at the 1st h, 2nd h, 4th h, and 24th h (p < 0.05). The difference between the pain intensities of the patients at the 24th h and the 1st week was statistically significant in Groups 1 and 2 (p < 0.05). Evaluation of the effects of medical treatments reduced the severity of back pain and foot pain.Conclusion: The preemptive bupivacaine or in combination with methylprednisolone caudal injection is an effective and safe method to reduce post-operative pain and ameliorate functional capacity for the treatment of lumbar disc herniation.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242132","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}

引用次数: 0

The potential effects of metabolic surgery on gut microbiota: novel insights. 代谢手术对肠道微生物群的潜在影响：新见解。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000240

Sol Ramírez-Ochoa, Gabino Cervantes-Guevara, Lorena A Cervantes-Pérez, Guillermo A Cervantes-Cardona, Gabino Cervantes-Pérez, Eduardo Gómez-Sánchez, Enrique Cervantes-Pérez

引用次数: 1

Effectiveness of endoscopy in cochlear implantation. 人工耳蜗植入术中内窥镜检查的效果。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000908

Luis M Méndez-Saucedo, Francisco J Mancilla-Mejía, Laura Serrano-Salinas, Abraham Hernández-Mundo, Tania M Hernández-Alva, Marisol Mejía-Ángeles, Miriam Camacho-Olivares, Sandra L Aguilar-Vázquez, Rocío Salinas-Ángeles, Silvia L Dirzo-Cuevas, Edgar A García-Rodríguez, Cindy Bandala

{"title":"Effectiveness of endoscopy in cochlear implantation.","authors":"Luis M Méndez-Saucedo, Francisco J Mancilla-Mejía, Laura Serrano-Salinas, Abraham Hernández-Mundo, Tania M Hernández-Alva, Marisol Mejía-Ángeles, Miriam Camacho-Olivares, Sandra L Aguilar-Vázquez, Rocío Salinas-Ángeles, Silvia L Dirzo-Cuevas, Edgar A García-Rodríguez, Cindy Bandala","doi":"10.24875/CIRU.21000908","DOIUrl":"https://doi.org/10.24875/CIRU.21000908","url":null,"abstract":"Objective: Determine the effectiveness of endoscopy in cochlear implantation as compared to microscopy.Method: Study comparing microscopy and endoscopy in cochlear implant placement in 34 patients (23 endoscopic implants and 20 implants via microscopy), between 2014 and 2019, at the Centro Medico Naval, Mexico City. The study was performed under informed consent and according to the Council for International Organizations of Medical Sciences (CIOMS).Results: Of the 34 patients, 12 were children or adolescents and 22 were adults. The visualization of the round window classified via microscopy per St. Thomas Hospital's classification showed that type IIB prevailed in 30.2% of patients, and type III in 41.9%, and when using the endoscope, the round window was observed in full in 82.6% of patients (type I), and type IIA was only observed in 17.4% (four patients). The number of attempts made to place the cochlear implant was greater with the microscope. The time to insertion of the electrode was 1.6 minutes. No differences were observed (p > 0.05) in the number of inpatient days. Cochleostomy was more frequent when using the microscope.Conclusions: Endoscopy is an effective resource in cochlear implantation for posterior tympanotomy, with no complications observed, offering greater safety in inserting the electrode through the round window.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812632","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}

引用次数: 0

Hearing results with combination steroid therapy for sudden sensorineural hearing loss. 联合类固醇疗法治疗突发性感音神经性听力损失的听力效果。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000394

Edgar A García-Rodríguez, Francisco J Mancilla-Mejía, Silvia L Dirzo-Cuevas, Abraham Hernández-Mundo, Luis M Méndez-Saucedo

{"title":"Hearing results with combination steroid therapy for sudden sensorineural hearing loss.","authors":"Edgar A García-Rodríguez, Francisco J Mancilla-Mejía, Silvia L Dirzo-Cuevas, Abraham Hernández-Mundo, Luis M Méndez-Saucedo","doi":"10.24875/CIRU.22000394","DOIUrl":"https://doi.org/10.24875/CIRU.22000394","url":null,"abstract":"Background: Sudden Sensorineural Hearing Loss was described by Mc. Cabe in 1979 and, since then, many authors have tried to define, explain and correctly treat this disease. The National Institute on Deafness and Other Communication Disorders defines it as sudden sensorineural hearing loss of at least 30 dB in three contiguous audiometric frequencies in a period of 72 hours. Among the therapeutic strategies, corticosteroids have been shown to have the greatest benefit due to their anti-inflammatory and anti-cellular stress effects.Objective: To determine the hearing results with combined steroid therapy in patients with sudden sensorineural hearing loss (SSHL), according to the Siegel recovery criteria scale.Method: Study carried out in the otorhinolaryngology and head and neck surgery service of the Centro Médico Naval, Ciudad de México, where 150 patients diagnosed with SSHL and who received combined therapy with intratympanic dexamethasone and systemic prednisone were included.Results: Therapeutic effectiveness was demonstrated by correlating therapeutic success in 82% of cases and therapeutic failure in 18% of cases, by correlating it with the Siegel recovery criteria scale. When evaluating the general average of the pure tone average levels at the beginning and 6 weeks after treatment, a statistically significant difference was obtained (p = 0.001). The average of the speech audiometry at the beginning and 6 weeks later had a statistically significant difference (p = 0.001).Conclusions: Initial combined steroid treatment for SSHL has been shown to have beneficial results according to Siegel recovery criteria scale.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812747","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}

引用次数: 0

Norovirus en heces de pacientes con SARS-CoV-2, importancia clínica y social. SARS-CoV-2 病人粪便中的诺罗病毒及其临床和社会意义。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000406

Carlos E Cabrera-Pivaral

引用次数: 0

The clinical effect of minimally invasive stereotactic puncture intracranial hematoma removal in the treatment of patients with cerebral hemorrhage: a meta-analysis. 微创立体定向穿刺颅内血肿清除术治疗脑出血患者的临床效果：一项荟萃分析。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000453

Chao Gu, JunJie Lv, DongHai Yuan

{"title":"The clinical effect of minimally invasive stereotactic puncture intracranial hematoma removal in the treatment of patients with cerebral hemorrhage: a meta-analysis.","authors":"Chao Gu, JunJie Lv, DongHai Yuan","doi":"10.24875/CIRU.22000453","DOIUrl":"https://doi.org/10.24875/CIRU.22000453","url":null,"abstract":"Objective: The objective of the study was to systemically evaluate the clinical efficacy of minimally invasive stereotactic puncture for intracranial hematoma evacuation in patients with cerebral hemorrhage.Materials and methods: Relevant studies in PubMed, Web of Science, MEDLINE, China National Knowledge Infrastructure, Wanfang, and VIP databases were searched. A meta-analysis was performed following the inclusion and exclusion criteria screening, data extraction, and literature quality evaluation.Results: Fifteen studies involving 1312 patients were included with 673 participants in the experimental group and 639 in the control group. The results of the meta-analysis showed that, compared with traditional craniotomy or treatment, minimally invasive stereotactic puncture intracranial hematoma removal had a higher clinical total effective rate in patients with cerebral hemorrhage, an outcome that could significantly shorten the hospitalization time of patients with cerebral hemorrhage. The level of post-operative activities of daily living was significantly higher, the incidence of postoperative complications was lower, and the mortality rate was lower. However, there was no significant difference in the degree of post-operative neurological deficit.Conclusion: Compared with traditional craniotomy or conservative treatment, minimally invasive stereotactic puncture intracranial hematoma removal has a higher clinical efficacy in the treatment of patients with cerebral hemorrhage, which can improve the post-operative daily life and abilities of patients.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812951","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}

引用次数: 0

Predestinative role acidic cerebrospinal fluid on the destiny of central channel in spinal cord following subarachnoid hemorrhage: an experimental study. 酸性脑脊液对蛛网膜下腔出血后脊髓中央通道命运的预测作用：一项实验研究。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000578

Mehmet H Sahin, Mehmet E Akyuz, Mehmet K Karadag, Mete Zeynal, Mehmet D Aydin

{"title":"Predestinative role acidic cerebrospinal fluid on the destiny of central channel in spinal cord following subarachnoid hemorrhage: an experimental study.","authors":"Mehmet H Sahin, Mehmet E Akyuz, Mehmet K Karadag, Mete Zeynal, Mehmet D Aydin","doi":"10.24875/CIRU.22000578","DOIUrl":"10.24875/CIRU.22000578","url":null,"abstract":"Objective: Acidosis is the most dangerous complication in subarachnoid hemorrhage (SAH). This study aimed to investigate the effect of acidic cerebrospinal fluid on central canal structures after SAH.Materials and methods: Twenty-eight hybrid rabbits were studied. Blood and cerebrospinal fluid pH values were recorded before/during/after the experimental procedures. The structures related to the central canals at the level of C5 of the cervical spinal cord were then examined histopathologically. The relationship between pH values of ependymal cells and degenerated epithelial cell densities was statistically analyzed.Results: Mean blood pH values and degenerated ependymal cell density (n/mm2) were as follows: 7.351 ± 0.033/23 ± 7 in control, 7.322 ± 0.059/78 ± 13 in SHAM, and 7.261 ± 0.048/254 ± 62 in study animals. Gross examinations revealed swelling, edema, pia-arachnoid adhesions, ventral canal dilatation, arachnoiditis, central canal hemorrhage, occlusions, and dilatation in the spinal cord.Conclusion: Cerebrospinal fluid acidosis-induced central channel pathologies should be considered an important complication of SAH following SAH.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242131","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}

引用次数: 0