Notes

An evaluation from the Epidemic involving Metabolic Syndrome In accordance with Diverse Descriptions within Climacteric Ladies.
Furthermore, none of the patients in group A showed mean PAP higher than 20 mmHg, whereas in group B, 67% of the measurements were ≥ than the reference level.

We reaffirm that citrulline supplementation it is effective in reducing postoperative pulmonary hypertension and biomarkers could evidence patient status as a translational medicine application.
We reaffirm that citrulline supplementation it is effective in reducing postoperative pulmonary hypertension and biomarkers could evidence patient status as a translational medicine application.
Bronchopleural fistula represents a formidable complication after pneumonectomies. There are numerous surgical and endoscopic procedures for its treatment.

We present a case where a coated self-expanding nitinol stent was used to exclude a bronchopleural fistula.

significant improvement in air leakage was observed.

We encourage the use of a covered metal stent in selected patients.
We encourage the use of a covered metal stent in selected patients.
Chylous leakage into the retroperitoneum is a rare complication after spinal surgery using an anterior retroperitoneal approach. Chylothorax is the presence of lymphatic fluid in the pleural cavity and it is even less frequent during these surgeries. The aim of this work is to report the first case of isolated left chylothorax after a retroperitoneal Left Oblique Lumbar Interbody Fusion in supine position in an adult female patient.

A female 30-years-old patient underwent L4-L5 anterior interbody fusion. Four days after the intervention she was diagnosed with isolated left chylothorax that was drained and treated conservatively with good outcomes.

Chylothorax is an extremely rare complication after anterior lumbar spine procedures, and it is usually secondary to a chyloretroperitoneum. We present a unique case of isolated chylothorax after anterior retroperitoneal lumbar approach successfully treated in a conservative manner. Key Words chylothorax; spine; lumbosacral region; arthrodesis.
Chylothorax is an extremely rare complication after anterior lumbar spine procedures, and it is usually secondary to a chyloretroperitoneum. We present a unique case of isolated chylothorax after anterior retroperitoneal lumbar approach successfully treated in a conservative manner. Key Words chylothorax; spine; lumbosacral region; arthrodesis.
bariatric surgery has proven to be the most effective treatment for weight reduction. The weight regain is expected in any type of surgery, and within them, the roux en Y gastric by pass (GBP) appears to be the one with the lowest weight increase compared to sleeve gastrectomy (SG).

it was an observational retrospective cohort study. 167 patients undergoing bariatric surgery, GBP and SG, were analyzed between 2012 and 2017. Patients older than 18 years with a diagnosis of type 2 diabetes mellitus and obesity were selected. The main variable, weight (kg), was measured longitudinally at 6 months,1 and 5 years.

it was detected that there was weight regain between the first and fifth postoperative year with both techniques used but it was significantly for SG.

both types of surgeries achieved significant weight loss, however the regimen existed and was significant for the SG group.
both types of surgeries achieved significant weight loss, however the regimen existed and was significant for the SG group.
In the world, 75 million people require a wheelchair (W/C) but only between 5% and 15% of them have one. The WHO defines a W/C as adequate if it meets the needs of the user and their environment, offers appropriate seating and postural support and if it is safe and durable.

The primary objective is to describe the seating, postural support and safety of W/Cs users who attend the I.Re.P kinesiology service. The secondary objective is to learn about their satisfaction with their W/Cs and related services.

The subjects were W/C users who attend the I.Re.P. kinesiology service. The W/Cs were evaluated following the WHO guidelines, and the satisfaction using the QUEST 2.0 questionnaire.

Within 30 patients, 21 were men aged around 48.17 years. Only 1 subject had all the correct measures of safety, seating and posture adjustment. 6 had all the correct measures for an adequate seating and 5 had all the safety measures. R-848 manufacturer Regarding satisfaction, high scores have been found with respect to W/C and low scores with respect to related services. All in all, the total satisfaction got mostly medium and high scores.

Only 1 subject out of the 30 evaluated complied with all the seating, postural adjustment and safety requirements necessary to consider an adequate W/C. Most subjects reported being more satisfied with their W/C than with the related services.
Only 1 subject out of the 30 evaluated complied with all the seating, postural adjustment and safety requirements necessary to consider an adequate W/C. Most subjects reported being more satisfied with their W/C than with the related services.
to describe the modifications in respiratory mechanics, the proposed ventilatory strategies and the correct positioning of critically ill adult patients with HIA and ACS with the requirement of IMV in the ICU.

alterations in respiratory mechanics produce a decrease in thoracic compliance, lung volumes and oxygenation disorders. The ventilatory strategy should consider Vt between 6-8 ml / kg according to predicted body weight, working pressure less than 14 cm H2O, plateau pressure of 30 cm H2O + PIA / 2 and sufficient levels of PEEP to prevent lung collapse in order to expiration.
alterations in respiratory mechanics produce a decrease in thoracic compliance, lung volumes and oxygenation disorders. The ventilatory strategy should consider Vt between 6-8 ml / kg according to predicted body weight, working pressure less than 14 cm H2O, plateau pressure of 30 cm H2O + PIA / 2 and sufficient levels of PEEP to prevent lung collapse in order to expiration.
To determine prevalence of psychostimulants (PS) consumption among medical students of National University of Córdoba (UNC) trying to improve their concentration and alertness when studying as well as potentially related factors.

Methods urvey was designed. Absolute and relative frequency was calculated for qualitative variables; and mead, median, mode and range were obtained for quantitative ones. InfoStat software was used and Chi-square and Student t tests were applied when appropriate.

99,15% consumed a PS, being coffee predominant in 93,05%, mate 91,02%, tea 74,75%, chocolate 70%, soft drinks 58,64%, energy drinks 37,97%, tobacco 22,71%, Cafiaspirina® 13%, Arriba!quenotebochen® 9%, coca leaves 8%. 8,3% referred modafinil and methylphenidate consumption and 45% of them perceived an improvement of their academic performance after this. Consuming these drugs was associated to masculine sex (p=0,0275), older age, (p˂0,0001), not professing any religion (p=0,0004), higher courses (p˂0,0001), more academic difficulty (p˂0,0001), delay in the degree (p=0,0009), less than 4 hours of sleep before and exam (p=0,0002), psychological or psychiatric diagnosis (p=0,0017), anxiety disorder (p=0,0068), depressive disorder (p=0,0275) and higher consumption level of caffeine (p˂0,0268). No association was found with working, practicing sports or living with their families.

PS consumption to improve academic performance is a usual practice among the students who integrated the sample.
PS consumption to improve academic performance is a usual practice among the students who integrated the sample.
We proposed to analyze the scientific production of our institution, through the publications indexed in the PUBMED and analyze a) Total number of publications and progression over time; b) Type of publications; c) Unit participation; d) Relation between % publications / % medical unit staff; e) Impact factor.

A retrospective research was performed in PUBMED database between 1/1/2013 and 12/31/2018 and all the papers that respond to the affiliation name of "Hospital Italiano" (spanish) o "Italian Hospital" (english) were reviewed. The following information was collected from each publication authors, journal, impact factor, unit involved and language of publication.

A total of 1421 publications were included for the analysis. There was a progressive increase of 417% between 2013 and 2018. 802 (56%) were done only by our institution and 619 (44%) corresponded to multicenter studies. Internal medicine (341 - 23.99%) was the unit with more publications and Medical Informatics the unit with the best relation between % of publications and % professional staff (5.39). 82% (1167) of the papers were in English and the medina value of the impact factor was 2,61 (range 0,01-29,78).

The scientific production, measurable by the number of publications indexed in PUBMED has shown a progressive and sustained increase in time from 2013 to the present. We consider it important to stimulate and encourage professionals to continue with scientific production without neglecting quality standards of care activity.
The scientific production, measurable by the number of publications indexed in PUBMED has shown a progressive and sustained increase in time from 2013 to the present. We consider it important to stimulate and encourage professionals to continue with scientific production without neglecting quality standards of care activity.
Fungal keratitis is a severe, usually ulcerative, corneal suppurativa infection that can lead to blindness or reduced vision.

To report the incidence and the most common causal agents of fungal keratitis at the National Hospital of Clinics, in the city of Córdoba.

A retrospective, descriptive and comparative study of case records diagnosed with fungal keratitis was carried out at the National Hospital of Clinics in the period from March 2007 to December 2017 inclusive, analyzing age variables, gender and predisposing factors. Percentages and frequencies of recovered microorganisms were determined and statistical analysis was carried out using a dependency test, determining the relationship between the sex of patients and incidence of fungal keratitis.

Of the 66 positive cases in 469 total samples, 57.5% were Fusarium sp, followed by Aspergillus sp. The main cause of fungal keratitis was trauma with plant remains. An average of 6 diagnosed cases were determined per year.

The predominant genus was Fusarium sp, with an incidence of 14.1% for this infection in a proportion of 2.91 of men compared to women.
The predominant genus was Fusarium sp, with an incidence of 14.1% for this infection in a proportion of 2.91 of men compared to women.
Bartholin's glands, also known as major vestibular glands, are responsible for a large number of gynecological diseases of the vulva. Bartholin's gland cysts and abscesses can present with different symptoms and the required surgical management should be marsupialization and not incision and drainage. Although the incision and drainage procedure was shown to be relatively quick and easy to perform, and the cure rate is rapid among patients receiving this type of surgical technique, it has nevertheless been shown that the recurrence trend has increased.

to carry out an updated bibliographic review on the subject and its best management.

A systematic bibliographic search of the PubMed, Hinari and academic google databases was carried out from 1985 to 2020.

The best level of care for women with Bartholin's gland cysts or abscesses could never achieved without interprofessional collaboration.
The best level of care for women with Bartholin's gland cysts or abscesses could never achieved without interprofessional collaboration.
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