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Patologia Clinica

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https://www.readbyqxmd.com/read/30250334/presentaci%C3%A3-n-cl%C3%A3-nica-de-la-apendicitis-aguda-en-pacientes-inmunocomprometidos-por-diabetes-o-vih-sida
#1
Guillermo Ponce de León-Ballesteros, Rafael Pérez-Soto, Karla Zúñiga-Posselt, David Velázquez-Fernández
Introducción: Los pacientes inmunocomprometidos presentan respuesta inflamatoria limitada que puede retrasar el diagnóstico de la apendicitis aguda (AA). Objetivo: Evaluar si el inmunocompromiso puede afectar el curso clínico y evolución de la AA. Método: Análisis retrospectivo, comparativo, de pacientes sometidos a apendicectomía por AA: con VIH, diabetes mellitus tipo 2 (DM2) y sin otra patología. Resultados: Se revisaron 128 pacientes con AA intervenidos quirúrgicamente (53...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/30250322/-histiocitosis-de-c%C3%A3-lulas-de-langerhans-con-compromiso-vertebral
#2
Manuel Giraldo-Grueso, María C Villegas, David L Rodríguez, Edison Rodríguez
Introducción: La histiocitosis de células de Langerhans (HCL) es un trastorno histiocítico raro y su incidencia exacta se mantiene desconocida; se ha diagnosticado en todos los grupos de edad, pero es más común en los primeros 3 años de vida. Se caracteriza por lesiones únicas o múltiples de tipo osteolítico causadas por proliferación clonal de células histológicamente similares a las células de Langerhans; su presentación clínica es heterogénea. Caso clínico: Presentamos el caso de una paciente de sexo femenino de 7 años, con dificultad para la marcha y debilidad progresiva en los miembros inferiores de 5 días de evolución...
2018: Boletín Médico del Hospital Infantil de México
https://www.readbyqxmd.com/read/30130488/-diagnosis-of-pediatric-arrhythmias-in-the-emergency-department-an-academic-challenge
#3
Diego Mauricio Bados Enriquez, Pedro Jose Baquero Marín, German Eduardo Rueda Merchan, Aida Luz Giraldo
No abstract text is available yet for this article.
March 27, 2018: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/30130484/-popliteal-artery-aneurysms-literature-review-and-presentation-of-case
#4
REVIEW
Rodolfo Raúl Cecenarro, José Norberto Allende, Leandro Barreras Molinelli, Facundo Jorge Antueno, Luis Gramática
INTRODUCTION: The popliteal artery aneurysm (AAP) is localized and irreversible walls of the popliteal artery dilation. It is rare pathology is the second most common location of true aneurysms after aortic, and the first location within the peripheral aneurysms. It is characterized by affecting mainly men at an average age of 65, whose manifestations are mainly ischemic, finishing lower limb amputation in a frequency ranging as appropriate between 7 and 20 percent. Our goal is to make the presentation of a case of AAP with subacute arterial ischemia, along with a literature review of the topic...
March 29, 2018: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29912215/diagnosis-of-alcohol-use-disorder-from-a-psychological-point-of-view
#5
Giovanna Coriale, Daniela Fiorentino, Raffaella Porrari, Gemma Battagliese, Ida Capriglione, Federica Cereatti, Silvia Iannuzzi, Benilde Mauri, Domenica Galli, Marco Fiore, Maria Luisa Attilia, Mauro Ceccanti
Alcohol use disorder (AUD) is one of the most common psychiatric disease in the general population, characterized by having a pattern of excessive drinking despite the negative effects of alcohol on the individual’s work, medical, legal, educational, and/or social life. Currently, the bio-psycho-social model describes properly AUD as a multidimensional phenomenon including biological, psychological, and socio-cultural variables affecting the nature, maintenance, and expression of the disorder. The AUD diagnostic process is crucial since the treatment success depends heavily on the accuracy and the adequacy of the diagnosis...
May 2018: Rivista di Psichiatria
https://www.readbyqxmd.com/read/29902136/-evaluation-in-18-hours-of-cardiac-dynamics-with-the-mathematical-law-of-dynamic-systems
#6
Signed Esperanza Prieto Bohórquez, Javier Oswaldo Rodríguez Velásquez, Catalina Correa Herrera, Juan Mauricio Pardo Oviedo, Javier Ardila
Introduction: an exponential law has been found for chaotic dynamic cardiac systems, making it possible to quantify the differences between normal and pathological cardiac dynamics. Methodology: 120 electrocardiographic records were analyzed, 40 corresponded to subjects within the limits of normality and 80 with different pathologies. For each holter the attractors generated with the data during 18 hours and throughout the dynamics were analyzed. The fractal dimension of the attractor and its spatial occupation were calculated...
December 21, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29890096/alvarado-score-in-the-diagnostic-of-pain-in-the-right-lower-quadrant
#7
Paul Eduardo Lada
BACKGROUND: Acute appendicitis neither suspected nor diagnosed could develop a perforation or otherwise it would take to removing of a normal appendix. OBJECTIVES: Utilization of a clinical score system for aided diagnosis of this pathology and can reduce a negative appendicitis. SETTING: National Clinicas Hospital. Córdoba. Argentina. DESIGN: Prospective and protocolized study. METHODS: 594 patients were studied between October 2002 and December 2013...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29733071/symmetrical-and-bilateral-basal-ganglia-calcification-case-series-and-literature-review
#8
REVIEW
Amado Jiménez-Ruiz, Omar Cárdenas-Sáenz, José Luis Ruiz-Sandoval
Introduction: Symmetric, bilateral basal ganglia calcification is rare finding that sometimes occurs asymptomatically. Its prevalence increases with age, and the most affected site is the globus pallidus. Report of cases: A series of seven cases with clinical and imaging diagnosis of basal ganglia calcification, recorded during the 2012 to 2016 period at the Department of Internal Medicine of the Hospital Civil de Guadalajara "Fray Antonio Alcalde, is presented...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29126706/-clinical-governance-and-patient-safety-culture-in-clinical-laboratories-in-the-spanish-national-health-system
#9
Á Giménez-Marín, F Rivas-Ruiz
AIM: To conduct a situational analysis of patient safety culture in public laboratories in the Spanish National Health System and to determine the clinical governance variables that most strongly influence patient safety. METHOD: A descriptive cross-sectional study was carried out, in which a Survey of Patient Safety in Clinical Laboratories was addressed to workers in 26 participating laboratories. In this survey, which consisted of 45 items grouped into 6 areas, scores were assigned on a scale from 0 to 100 (where 0 is the lowest perception of patient safety)...
November 2017: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/27759985/adecuaci%C3%A3-n-de-las-peticiones-de-los-niveles-de-vitamina-d-al-laboratorio
#10
Francisco Javier Valero Chávez, Luis Miguel Luengo Pérez, Javier Cubero Juánez
Introducción: ante las nuevas implicaciones atribuidas a la vitamina D y la asociación con enfermedades tales como el cáncer, diabetes, enfermedades cardiovasculares, autoinmunes y mortalidad, no es de extrañar que se haya defendido la medición de los niveles de vitamina D en la población general. Sin embargo, no existen datos experimentales que demuestren la viabilidad y rentabilidad de la estrategia de cribado en la población y tampoco se ha comprobado la existencia de beneficios para la salud, por lo que en la actualidad solo es aconsejable la medida de 25 (OH) vitamina D en los grupos de personas de alto riesgo como indican las guías clínicas internacionales...
September 20, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27603880/-milk-and-dairy-products-evidence-and-recommendations-in-health-and-disease
#11
EDITORIAL
María Del Pilar Milke-García, Pedro Arroyo
El presente suplemento tiene como propósito mostrar el contexto y una guía clínica sobre el consumo y papel de la leche de vaca en la alimentación. El contenido considera el papel de la leche y productos lácteos en diferentes estados fisiológicos, etapas de vida y patologías. Se basa en la mejor evidencia científica disponible y está dirigido a profesionales de la salud de diferentes especialidades.
September 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27571867/nutrition-in-inflammatory-bowel-disease
#12
REVIEW
María Josefa Martínez Gómez, Cristóbal Melián Fernández, María Romeo Donlo
Inflammatory bowel disease (IBD) is a chronic pathology that has an outbreaks course that in recent years have seen an increase in incidence, especially at younger ages. Malnutrition is frequently associated with this condition, therefore, it is very important to ensure a right nutritional intervention, especially in pediatric patients, to ensure an optimal growth and also an improvement in the clinic. Our goal will be updated the role of nutrition in this disease and in its treatment based on the published evidence...
July 12, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571664/-not-available
#13
Elena Cristina Chivu, Ana Artero-Fullana, Antonio Alfonso García, Carlos Sánchez Juan
Introducción: conociendo la elevada prevalencia de la desnutrición hospitalaria, se hace necesaria su detección precoz. Cuando, por diversos motivos, no es posible realizar una valoración completa del estado nutricional, se recomienda el empleo de herramientas validadas de cribado nutricional. Estas ayudarían a detectar de forma rápida a aquellos pacientes que necesiten de un tratamiento nutricional.Objetivos: determinar la prevalencia del riesgo de desnutrición, en el Hospital General Universitario de Valencia, empleando para ello la herramienta de cribado nutricional HEMAN y comprobar si la implementación de esta herramienta en la práctica clínica, sería lo más adecuado...
July 19, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27513513/-not-available
#14
REVIEW
Marta Baena González, Guillermo Molina Recio
Introducción: la disfagia es un síntoma que se refiere a la dificultad para mover el bolo alimentario desde la boca al estómago. A pesar de su relevancia y de la gravedad de sus posibles complicaciones, es poco conocida y estudiada. La prevalencia de la disfagia orofaríngea en enfermosde alzhéimer es de un 84% y puede originar complicaciones de gran trascendencia clínica como consecuencia de las alteraciones en la eficacia de la deglución, y en la seguridad de la misma.Objetivo: conocer el estado actual del conocimiento en relación al abordaje de la disfagia en enfermos de alzhéimer, localizando aquellos factores que permitan un diagnóstico precoz que facilite la prevención de complicaciones y la elección de la pauta de actuación más adecuada...
June 30, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/26927532/-why-a-dual-pathology-clinical-guideline-analysis-of-the-evidence
#15
EDITORIAL
Luis San, Belén Arranz, Miquel Bernardo, Manuel Arrojo
No abstract text is available yet for this article.
April 2016: Revista de Psiquiatrí́a y Salud Mental
https://www.readbyqxmd.com/read/26709146/caspofungin-versus-fluconazole-as-prophylaxis-of-invasive-fungal-infection-in-high-risk-liver-transplantation-recipients-a-propensity-score-analysis
#16
MULTICENTER STUDY
Jesús Fortún, Alfonso Muriel, Pilar Martín-Dávila, Miguel Montejo, Oscar Len, Julian Torre-Cisneros, Jordi Carratalá, Patricia Muñoz, Carmen Fariñas, Asunción Moreno, Gema Fresco, Josune Goikoetxea, Joan Gavaldá, Juan Carlos Pozo, Marta Bodro, Antonio Vena, Fernando Casafont, Carlos Cervera, José Tiago Silva, José M Aguado
Targeted prophylaxis has proven to be an efficient strategy in liver transplantation recipients (LTRs). The aim of this study was to compare the effectiveness and safety of caspofungin with that of fluconazole in high-risk (HR) LTRs. Caspofungin and fluconazole were compared in a multicenter, retrospective, cohort study in HR-LTRs in Spain. Outcomes were assessed at 180 days after transplantation. A propensity score approach was applied. During the study period (2005-2012), we analyzed 195 HR-LTRs from 9 hospitals...
April 2016: Liver Transplantation
https://www.readbyqxmd.com/read/26546167/-comparability-study-of-analytical-results-between-a-group-of-clinical-laboratories
#17
COMPARATIVE STUDY
A Alsius-Serra, M Ballbé-Anglada, M L López-Yeste, M Buxeda-Figuerola, E Guillén-Campuzano, L Juan-Pereira, C Colomé-Mallolas, I Caballé-Martín
OBJECTIVE: To describe the study of the comparability of the measurements levels of biological tests processed in biochemistry in Catlab's 4 laboratories. MATERIAL AND METHODS: Quality requirements, coefficients of variation and total error (CV% and TE %) were established. Controls were verified with the precision requirements (CV%) in each test and each individual laboratory analyser. Fresh serum samples were used for the comparability study. The differences were analysed using a Microsoft Access® application that produces modified Bland-Altman plots...
November 2015: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/25303781/-executive-summary-of-the-recommendations-on-the-evaluation-and-management-of-renal-disease-in-human-immunodeficiency-virus-infected-patients
#18
José L Gorriz, Félix Gutiérrez, Joan C Trullàs, Piedad Arazo, Jose R Arribas, Guillermina Barril, Miguel Cervero, Frederic Cofán, Pere Domingo, Vicente Estrada, Xavier Fulladosa, María J Galindo, Sílvia Gràcia, José A Iribarren, Hernando Knobel, José López-Aldeguer, Fernando Lozano, Alberto Martínez-Castelao, Esteban Martínez, Maria A Mazuecos, Celia Miralles, Rosario Montañés, Eugenia Negredo, Rosario Palacios, María J Pérez-Elías, Joaquín Portilla, Manuel Praga, Carlos Quereda, Antonio Rivero, Juan M Santamaría, José Sanz, Jesús Sanz, José M Miró
The aim of this article is to update the 2010 recommendations on the evaluation and management of renal disease in human immunodeficiency virus (HIV)-infected patients. Renal function should be monitored in all HIV-infected patients. The basic renal work-up should include measurements of serum creatinine, estimated glomerular filtration rate by CKD-EPI, urine protein-to-creatinine ratio, and urinary sediment. Tubular function tests should include determination of serum phosphate levels and urine dipstick for glycosuria...
November 2014: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/24055321/-consensus-document-recommendations-for-the-use-of-equations-to-estimate-glomerular-filtration-rate-in-children
#19
R Montañés Bermúdez, S Gràcia Garcia, G M Fraga Rodríguez, J Escribano Subias, M J Diez de Los Ríos Carrasco, A Alonso Melgar, V García Nieto
The appearance of the K/DOQI guidelines in 2002 on the definition, evaluation and staging of chronic kidney disease (CKD) have led to a major change in how to assess renal function in adults and children. These guidelines, recently updated, recommended that the study of renal function is based, not only on measuring the serum creatinine concentration, but this must be accompanied by the estimation of glomerular filtration rate (GFR) obtained by an equation. However, the implementation of this recommendation in the clinical laboratory reports in the paediatric population has been negligible...
May 2014: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/23396620/the-clinician-s-role-in-the-diagnosis-of-breast-disease
#20
S Poma, A Longo
Until 20 or 30 years ago, the diagnosis and treatment of breast disease was managed exclusively by the surgeon. This situation has changed to some extent as a result of recent technological advances, and clinicians' contributions to the diagnostic work-up and/or treatment of these cases can begin at any time. If they are the first physician to see the patient after the examination and formulation of a diagnostic hypothesis, they will almost always have to order a panel of imaging/instrumental examinations that is appropriate for the type of lesion suspected, the patient's age, and other factors; if they intervene at the end of the diagnostic work-up, it will be their job to arrive at a conclusion based on all of the data collected...
June 2011: Journal of Ultrasound
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