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https://www.readbyqxmd.com/read/30226494/-seguridad-y-eficacia-del-modelo-de-atenci%C3%A3-n-fast-track-vs-atenci%C3%A3-n-convencional-en-apendicitis-no-complicada-del-paciente-pedi%C3%A3-trico
#1
Alberto Tlacuilo-Parra, Sandy P López-Valenzuela, Gabriela Ambriz-González, Elizabeth Guevara-Gutiérrez
Objetivo: Comparar la seguridad y la eficacia de la atención fast-track vs. atención convencional en apendicitis no complicada en un hospital pediátrico. Método: Ensayo clínico controlado, aleatorizado, con dos grupos de 30 pacientes cada uno: A) fast-track, apendicitis no complicada que cumplieron el programa; y B) atención convencional, apendicitis no complicada con atención habitual. Variables de seguridad y eficacia: proporción de complicaciones y tiempo de estancia hospitalaria...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/30184350/identificaci%C3%A3-n-etiol%C3%A3-gica-de-agentes-virales-de-la-encefalitis-aguda-en-guadalajara-m%C3%A3-xico-2011-2015
#2
Mayra L Lúa, Arturo Plascencia, Patricia Paredes, Yaxsier De Armas, Miguel Raygoza, Erika Martínez, Fernando Siller, Iván Isidro Hernández
Introducción. La encefalitis viral aguda se define como un proceso inflamatorio asociado a disfunción neurológica con desenlace fatal o daño grave permanente. En México no se han hecho estudios de identificación directa de los agentes etiológicos causales de la encefalitis viral aguda.Objetivo. Identificar mediante PCR en tiempo real los principales agentes virales causantes de encefalitis viral aguda en México.Materiales y métodos. Se obtuvo el líquido cefalorraquídeo de pacientes con sospecha de encefalitis viral que ingresaron al servicio de urgencias del Hospital Civil Fray Antonio Alcalde...
June 15, 2018: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/30130489/-extrinsic-collapse-of-the-left-atrium-by-a-large-hiatal-hernia
#3
Adriana González-Munera, Ana Santos-Martínez, Jesús Vanegas-Rodríguez
87 years old male with a history of hypertension and ischemic cardiopathy. He arrives to the Emergency department with sudden intense epigastralgia, precordial oppression with irradiation to the interscapular area, profuse sweating, associated sensation of dyspnoea and palpitations. The patient is monitored and a venous peripheral access is placed. It is remarkable the variable blood pressure measures in the semi-stationary position, both in the upper left limb as in the contralateral limb. In the upper left limb we registrered 220/80 mmHg, followed by 100/50 mmHg and finally 170/95 mmHg...
March 29, 2018: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/30130488/-diagnosis-of-pediatric-arrhythmias-in-the-emergency-department-an-academic-challenge
#4
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
#5
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/30130480/-osteoporotic-pubic-rami-fracture-a-benign-injury
#6
Marina Angulo Tabernero, Teresa Fernández Letamendi, Begoña Hidalgo Mendía, Julia Ungría Murillo, Belen Gros Bañeres, Nieves Fernández Letamendi, Antonio Peguero Bona
Objective: We analized patients treated for osteoporotic rami fractures in our hospital. Methods: We examined the records of patients presenting to the emergency department with osteoporotic low-impact rami fractures. We describe demographic, previously ambulatory ability, diagnosis, associated injuries, comorbility, complications and 1 year mortality. Results: 60 patients (51 women) with a mean age of 83,5 (range, 65,1-99) years had osteoporotic rami fracture...
March 8, 2018: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/30067722/-toracotom%C3%A3-a-en-el-departamento-de-urgencias-en-una-paciente-con-actividad-el%C3%A3-ctrica-sin-pulso-no-traum%C3%A3-tica-potencial-ampliaci%C3%A3-n-del-horizonte-terap%C3%A3-utico-de-una-intervenci%C3%A3-n-de-alta-especialidad
#7
Luis M García-Núñez, Irving I Morales-Pogoda, Edgar F Hernández-García, Juan A Rodríguez-Inurrigarro, Raúl García-Ramírez, Fernando F Arcaute-Velázquez
Instituida bajo recomendaciones objetivas, la toracotomía en el departamento de urgencias (TDU) se ha descrito como una maniobra quirúrgica salvatoria de la vida en pacientes traumatizados in extremis. Sin embargo, hay pocos reportes acerca de la experiencia con su empleo en la actividad eléctrica sin pulso no traumática. Describimos el caso de una paciente obstétrica exanguinada por sangrado masivo transoperatorio, en la que se realizó una TDU con un resultado óptimo para la vida y la función neurológica...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/30067719/-perforaci%C3%A3-n-de-colon-sigmoides-secundaria-a-endometriosis-reporte-de-un-caso
#8
Ernesto A Dzib-Calan, Jorge I Morales-Pérez, Juan C Aranda-Puebla, Álex Simón-Mendoza, Gerardo Rodarte-Cajica, Gustavo Leal-Mérida
Antecedentes: La endometriosis es la presencia de glándulas endometriales o estroma viable fuera de la cavidad uterina, que afecta aproximadamente al 2-10% de las mujeres en edad reproductiva1 . Es común la afección de estructuras pélvicas, incluyendo el intestino. La perforación del colon por endometriosis es muy rara y representa una urgencia quirúrgica. Caso clínico: Mujer de 28 años con cuadro de dolor abdominal en fosa iliaca derecha y hueco pélvico, fiebre y náuseas...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/30047939/lesiones-por-causa-externa-en-el-servicio-de-urgencias-de-un-hospital-en-un-periodo-de-cinco-a%C3%A3-os
#9
José Ramón Consuelo-Estrada, Laura Soraya Gaona-Valle, Otniel Portillo-Rodríguez
Introducción: En el Estado de México no existen investigaciones que proporcionen información para toma de decisiones y administración de recursos relacionados con la atención de las lesiones por causa externa (LCE). Objetivo: Describir las LCE en un servicio de urgencias durante un periodo de cinco años. Método: Se diseñó un estudio retrospectivo con pacientes que ingresaron al servicio de urgencias (2010-2015) por diagnóstico de LCE...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29890106/-pseudoluxation-c2-c3-in-childhood
#10
Marina Angulo Tabernero, Enrique Suñén Sánchez, Diego Peña Jiménez, Antonio Loste Ramos, Antonio Tabuenca Sánchez, Alfredo Chárlez Marco, Javier Rodríguez Vela
Cervical spine injury is rare in children. It is seen primarily in those who sustain significant, severe blunt trauma, occurring in 1 to 2 percent of such cases. The interpretation of cervical spine radiographs and the clinical examination in children may be difficult.The objective of this case clinic is to report on a physiological radiographic finding of the cervical spine in childhood that trends to be misjudged as pathologic: C2-C3 pseudosubluxation. We presented a boy, aged 5 years, who came to our Traumatic pediatric emergency center for cervical pain after falling from a height...
September 14, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29890104/-enterobius-vermicularis-enteroparasite-role-in-appendicitis-cecal-enterobiasis-and-appendicitis
#11
Luis Santos Spitale, Rogelio Daniel Pizzi, Axel Tomas, Mirtha Gladys Paez Rearte, Hugo Luis Pizzi
Sixty-five cases of enterobiasis of the cecal appendix are reported by Enterobius vermicularis or Oxiurus vermicularis. Enterobiasis is a cosmopolitan parasite5,8,13 and frequent. It is useful to establish whether it can cause appendicitis and the mechanisms involved. According to the classical literature, E. vermicularis is not a causative agent of appendicitis per se, but allows the reproduction of the germs that infiltrate the wall and produce appendicitis5,9,10. The purpose of the study is to report the prevalence of E...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29890095/-simultaneous-organ-angioembolization-in-nonoperative-treatment-strategy-of-blunt-abdominal-trauma
#12
Sebastian Eduardo Velez
Background: nonoperative treatment (TNO) is suggested in blunt abdominal trauma in stable patients without necessarily addressing surgical trauma injuries. Among the tools used, it has highlighted the angioembolization as a method of stopping bleeding or potentially bleeding lesions. The existence of more than one lesion may be possible to treat this way. Objectives: to show the experience of a hospital emergency department in the use of angioembolization in nonoperative management of more than one injured abdominal organ...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29650431/-efficacy-safety-and-satisfaction-of-sedation-analgesia-in-spanish-emergency-departments
#13
Concepción Míguez Navarro, Niki Oikonomopoulou, Arístides Rivas García, Andrea Mora Capín, Gloria Guerrero Márquez
OBJECTIVES: To offer analgesia and sedation should be a priority in paediatric emergency departments. The aim of this study was to determine the effectiveness and safety of the sedation-analgesia procedure, as well as the satisfaction of the doctors, patients and parents. METHODS: A multicentre, observational, and prospective analytical study was conducted on the sedation-analgesia procedure performed on children younger than 18 years old in 18 paediatric emergency departments in Spain from February 2015 until January 2016...
April 9, 2018: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/29650429/-emergency-department-consultations-associated-with-unintentional-injuries-a-cases-series
#14
Cristina Arribas Sánchez, Eduardo J Bardón Cancho, Arístides Rivas García, Santiago Mintegi, Rafael Marañón Pardillo
OBJECTIVE: To analyse the clinical and epidemiological characteristics of children who are attended in Emergency Departments (EDs) for an unintentional injury in Spain. METHODS: Multicentre case series with prospective data collection conducted during 12 months in the ED of 11 hospitals belonging to the Spanish Paediatric Emergency Research Group. Data were collected between September 2014 and January 2015, continuing for one year in all paediatric EDs, and included children between 0 and 16 years old seen for an unintentional injury...
April 9, 2018: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/29188911/-physical-structure-human-resources-and-health-care-quality-indicators-in-public-hospital-emergency-departments-in-the-autonomous-communities-of-madrid-and-catalonia-a-comparative-study
#15
COMPARATIVE STUDY
Carmen Del Arco Galán, Belén Rodríguez Miranda, Juan González Del Castillo, César Carballo, Carlos Bibiano Guillén, Santiago Artillo, Òscar Miró, F Javier Martín-Sánchez
OBJECTIVES: To compare the general, structural, and organizational characteristics of public hospital emergency departments in the Spanish autonomous communities of Madrid and Catalonia. MATERIAL AND METHODS: Descriptive survey-based study covering 3 areas of inquiry: general hospital features (18 questions), structural features of the emergency department (14 questions), and organizational and work-related policies of the emergency department (30 questions). Hospitals were grouped according to complexity: local hospitals (level 1), high-technology or referral hospitals (levels 2-3)...
2017: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/28991274/psychosocial-risks-and-stress-as-predictors-of-burnout-in-junior-doctors-performing-emergency-guards
#16
María Fernández-Prada, Joaquín González-Cabrera, Concepción Iribar-Ibabe, José María Peinado
Objective: To study the stress, the psychosocial risks associated to the job and the burnout, in a group of junior doctors working at the emergency ward; and to analyze what of those variables could predict and are better related with burnout. Methods: Cross-sectional study, with a sample of 42 junior doctors which are on duty in the emergency ward of the University Hospital San Cecilio, Granada (Spain). The Spanish adapted version of the Perceived Stress Scale was used to evaluate stress, the Maslach Burnout Inventory (MBI) to evaluate the professional burnout and the adapted and scaled questionnaire for the self-evaluation of psychosocial risks at work (CopSoQ-ISTAS21)...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28767919/assessment-of-operative-times-of-multiple-surgical-specialties-in-a-public-university-hospital
#17
Altair da Silva Costa
Objective: To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods: It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a...
April 2017: Einstein
https://www.readbyqxmd.com/read/28750729/-preparation-of-sedation-analgesia-procedures-in-spanish-paediatric-emergency-departments-a-descriptive-study
#18
Concepción Míguez Navarro, Niki Oikonomopoulou, Jorge Lorente Romero, Paula Vázquez López
INTRODUCTION: The objective of this study was to describe the current practice regarding the preparation of the sedation-analgesia (SA) procedures performed in the paediatric emergency centres in Spain. MATERIAL AND METHODS: A multicentre, observational and prospective analytical study was carried out on the SA procedures that were performed on children under 18 years-old in 18 paediatric emergency departments between February 2015 and January 2016. RESULTS: A total of 658 SA procedures were registered in 18 hospitals of Spain, most of them to children older than 24 months...
July 2018: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28699991/factors-influencing-the-missed-nursing-care-in-patients-from-a-private-hospital
#19
Raúl Hernández-Cruz, María Guadalupe Moreno-Monsiváis, Sofía Cheverría-Rivera, Aracely Díaz-Oviedo
Objective: to determine the factors that influence the missed nursing care in hospitalized patients. Methods: descriptive correlational study developed at a private hospital in Mexico. To identify the missed nursing care and related factors, the MISSCARE survey was used, which measures the care missed and associated factors. The care missed and the factors were grouped in global and dimension rates. For the analysis, descriptive statistics, Spearman's correlation and simple linear regression were used...
July 10, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28678910/working-hours-and-health-in-nurses-of-public-hospitals-according-to-gender
#20
Juliana da Costa Fernandes, Luciana Fernandes Portela, Rosane Härter Griep, Lúcia Rotenberg
OBJECTIVE: To assess the association between weekly working hours and self-rated health of nurses in public hospitals in Rio de Janeiro, State of Rio de Janeiro, Brazil. METHODS: A total of 3,229 nurses (82.7% of the eligible group) participated in this cross-sectional study, carried out between April 2010 and December 2011. The collection instrument consisted of a self-administered multidimensional questionnaire. The weekly working hours were calculated from a recall of the daily hours worked over seven consecutive days; this variable was categorized according to tertiles of distribution for men and women...
June 26, 2017: Revista de Saúde Pública
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