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Fractura multifragmentaria supracondílea de fémur derecho provocada por proyectil de arma de fuego 枪弹引起的右股骨髁上多碎片性骨折
Pub Date : 2023-09-09 DOI: 10.36109/rmg.v163i1.726
Pedro Rafael Ramírez Chinchilla
Se describe el caso de un paciente, con fractura multifragmentaria supracondílea de fémur derecho, causada por mecanismo de alta energía. Niega antecedentes de importancia, Al momento de su evaluación en la emergencia se observa herida de entrada provocada por proyectil de arma de fuego en cara lateral del extremo distal del muslo derecho y herida de salida en cara medial. Se observa edema moderado de tejidos blandos asociado a equimosis, a la palpación se evidencia dolor y crépitos además de deformidad ósea.
本研究的目的是描述一种由高能量机制引起的右股骨髁上多碎片性骨折。他否认有重要的背景,在紧急情况评估时,观察到右大腿远端外侧有枪伤,内侧有出口伤。观察到与瘀伤相关的中度软组织水肿,触诊时明显疼痛和折痕,以及骨畸形。
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引用次数: 0
Triglicéridos de cadena media vía oral en prematuros y su relación con la circunferencia braquial 早产儿口服中链甘油三酯及其与臂围的关系
Pub Date : 2023-02-23 DOI: 10.36109/rmg.v162i1.603
Oscar Ulises Galindo-Aguilar, Isaías Rodríguez, Erika Ochoa, Adriana Nieto, Yesenia Medina, Idelma Morales
Objetivo: investigar el papel de los triglicéridos de cadena media (MCT-oil) como suplemento, valorando la circunferencia braquial y el índice circunferencia braquial/perímetro cefálico (CB/PC). Introducción: la pobre ganancia de peso del prematuro es causa de estancia hospitalaria prolongada. La administración de MCT-oil enteral es una estrategia para ganancia de depósitos de grasa corporal y masa muscular. Material y métodos: estudio observacional, comparativo, de casos y controles. El primer grupo: prematuros con suplementación con MCT-oil. El grupo control, prematuros sin suplementacion con MCT-oil. Dosis de 2 ml/kg/día en 8 tomas administrado directo en la boca coincidiendo con las tomas de leche. Resultados: al egreso, el grupo con MCT presentó media de perímetro braquial mayor al grupo control (7.2±0.77 vs 6.4±0.46) p<0.05. A las 4 semanas de seguimiento ambulatorio, el grupo con MCT tuvo mayor circunferencia braquial que el grupo control (10.4 ±1.4 vs 8.6 ±1.7) p<0.05. Comparando el índice CB/PC al egreso, el grupo con MCT tuvo mayor índice CB/PC que el grupo control (0.2314 ±0.26 vs 0.2108 ±0.14) p <0.001, pero a las 4 semanas no hubo diferencia significativa (p=0.080). Discusión: el uso de MCT-oil como suplemento para el prematuro es buena estrategia para ganancia de depósitos de grasa corporal y masa muscular.
摘要目的:探讨中链甘油三酯(MCT-oil)作为补充的作用,评价臂围和臂围/头围指数(CB/PC)。研究结果表明,早产儿体重增加较低,住院时间较长。MCT-oil注射是一种增加体脂沉积和肌肉质量的策略。材料与方法:观察性、比较性、病例对照研究。第一组:早产儿补充MCT-oil。对照组,早产儿,不补充MCT-oil。剂量为2毫升/公斤/天,分8次直接口服,与牛奶摄入一致。结果:MCT组的平均臂围高于对照组(7.2±0.77 vs 6.4±0.46),p < 0.05。门诊随访4周,MCT组臂围大于对照组(10.4±1.4 vs 8.6±1.7),p < 0.05。与出院时的CB/PC指数相比,MCT组的CB/PC指数高于对照组(0.2314±0.26 vs 0.2108±0.14),但4周时差异无统计学意义(p=0.080)。结果表明,MCT-oil对早产儿的影响是显著的,因为它增加了身体脂肪沉积和肌肉质量。
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引用次数: 0
Volver a empezar 重新开始
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.001
Deisy Cé
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引用次数: 0
Las espirales del conocimiento. La medicina científica occidental, la medicina homeopática y la medicina tradicional china 知识的螺旋。西方科学医学、顺势疗法医学和中医
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.002
Joan Mora Brugués

Following the ideas written by H. Skolimowski (The participatory mind: a new theory of knowledge and of the Universe) about how we acquire knowledge and how we construct what he calls “the spiral of knowledge”, I performed a review of the medical knowledge and how his peculiar spiral of knowledge has been constructed. I focused on the comparison of three medical traditions: western medicine – the so called scientific medicine -, Chinese traditional medicine, and homeopathic medicine. A description is resented of what are considered the fundamental characteristics of their particular spiral of knowledge, starting from the description of their own ontology and epistemology, on which they are based.

按照斯科利莫夫斯基(H. Skolimowski)所写的思想(参与式思维:一种关于知识和宇宙的新理论),我们如何获取知识以及我们如何构建他所谓的“知识螺旋”,我对医学知识以及他独特的知识螺旋是如何构建的进行了回顾。我着重比较了三种医学传统:西医——所谓的科学医学——、中医和顺势疗法。从他们自己的本体论和认识论的描述开始,对他们所基于的知识螺旋的基本特征进行了描述。
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引用次数: 1
Caso clínico curado con Borax Veneta aplicando la Fórmula Homeopática de Diagnóstico del Simillimum. Análisis de los síntomas curados y verificados 临床病例治愈硼砂Veneta应用顺势疗法的诊断配方Simillimum。分析治愈和验证的症状
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.004
Gabriel Alfonso Crespo

Introduction and objectives

This paper demonstrates a patient's curation applying the Homeopathic Formula for the Diagnosis of the Simillimum methodology, developed by Dr. Carlos Campora. Borax Veneta is prescribed, the case is analysed, and symptoms are verified.

Patient and methods

This is a case study in a real context, concurrently employing qualitative and quantitative sources of evidence and the Homeopathic Formula for the Diagnosis of the Simillimum, avoiding selection bias. A 34-year-old woman reporting mild chronic asthma, allergic hay fever, recurrent cystitis, frequent liver cramps, nocturnal palpitation, chronic canker sores, and chronic vulvovaginitis. As regards mental symptoms, she has suffered a life long fear of labour. Borax Veneta is prescribed using the Approach Strategy totality of characteristic symptoms, super-satisfactory coherent with 1 main symptom and 2 keynotes.

Results

In the course of 3 years, curation is radical, assessed according to the applied method. Twelve symptoms are proven to be cured, 8 are verified symptoms, and 4 are curations that had not so far been demonstrated for Borax.

Conclusions

The application of the Homeopathic Formula for the Diagnosis of the Simillimum methodology and the Approach Strategies for clinical cases help to establish the remedy required after expanding the analysis. This provides greater understanding and precise prescriptions, consistent with the Hahnemannian homeopathic paradigm.

介绍和目的本文展示了一个病人的治疗应用顺势疗法公式的诊断相似的方法,由卡洛斯·坎波拉博士开发。开了硼砂,分析了病例,证实了症状。患者和方法:这是一个真实背景下的案例研究,同时采用定性和定量证据来源和顺势疗法诊断相似症的公式,避免选择偏差。34岁女性,报告轻度慢性哮喘、过敏性花粉热、复发性膀胱炎、频繁肝痉挛、夜间心悸、慢性口腔溃疡和慢性外阴阴道炎。至于精神症状,她一生都害怕分娩。硼砂是使用方法策略来规定的整体特征症状,非常满意地符合1个主要症状和2个主题。结果在3年的治疗过程中,治疗是彻底的,按照应用方法进行评估。12种症状已被证实可以治愈,8种是已证实的症状,4种是迄今为止尚未证实的硼砂治疗方法。结论顺势疗法方剂的应用和对临床病例的处理策略有助于扩大分析后确定所需的治疗方法。这提供了更好的理解和精确的处方,与哈尼曼的顺势疗法范式一致。
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引用次数: 0
Divulgación del dosier “Evidencias Científicas en Homeopatía” 传播“顺势疗法的科学证据”档案
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.009
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引用次数: 0
Informes de casos clínicos homeopáticos: desarrollo de una extensión (HOM-CASE) de la guía CARE de presentación de casos clínicos 顺势疗法临床病例报告:临床病例介绍CARE指南的扩展(男性病例)的发展
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.006
Robert A. van Haselen

Objective

Develop a criteria catalog serving as a guideline for authors to improve the quality of reporting clinical case reports in homeopathy.

Method

An online Delphi process was initiated with a panel of 19 homeopathic experts from Europe, the USA and India. Homeopathy specific item selection took place in three rounds of adjusting. The selected items can be used as an extension of the CARE clinical case reporting guideline.

Results

Eight homeopathy specific ‘core’ items were selected from a list of 31 suggested items; (1) the clinical history from a homeopathic perspective; (2) the type of homeopathy; detailed description of the medication—(3) nomenclature, (4) manufacture, (5) galenic form + dosage; outcomes—(6) objective evidence if available, (7) occurrence homeopathic aggravation, (8) assessment possible causal attribution of changes to the homeopathic treatment. A further 4 items were recommended for consideration as optional items when case reports are used for specific, in particular educational, purposes. The 8 core items can be used, merged into 6 items, as a homeopathy specific (HOM-CASE) extension to the CARE clinical case reporting guideline items 6, 9 and 10.

Conclusion

Use of the HOM-CASE guideline extension will contribute to transparent and accurate reporting and can significantly improve the quality and reliability of clinical case reports in homeopathy.

目的编制顺势疗法临床病例报告标准目录,为作者提高顺势疗法临床病例报告质量提供参考。方法由来自欧洲、美国和印度的19名顺势疗法专家组成的小组启动了在线德尔菲程序。顺势疗法特定项目选择在三轮调整中进行。所选项目可作为CARE临床病例报告指南的延伸。结果从31个建议项目中筛选出8个顺势疗法“核心”项目;(1)顺势疗法的临床病史;(2)顺势疗法的类型;药物的详细说明——(3)命名法,(4)生产方法,(5)galenic形式+剂量;结果-(6)如果有客观证据,(7)发生顺势疗法加重,(8)评估顺势疗法治疗变化的可能因果归因。当病例报告用于特定目的,特别是教育目的时,建议将另外4个项目作为备选项目加以审议。这8个核心项目可以合并为6个项目,作为顺势疗法特异性(hm - case)对CARE临床病例报告指南项目6、9和10的扩展。结论扩展后的《homo - case指南》有助于顺势疗法临床病例报告的透明和准确,可显著提高顺势疗法临床病例报告的质量和可靠性。
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引用次数: 2
Lecturas de verano: homeopatía, ¿Quo vadis? 夏季阅读:顺势疗法,Quo vadis?
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.008
Joan Mora Brugués
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引用次数: 0
Control de la belonefobia con homeopatía: alta repercusión en un caso de hepatitis A 顺势疗法控制belonefobia:对一例甲型肝炎的高影响
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.005
Luis Hortal Muñoz , Gualberto Díaz Saez , Camino Díaz Díez , M. Nieves Domínguez Agüero , Paloma Verdú Sotomayor , José Ignacio Torres Jiménez

Specific phobias are a very frequent mental health disorder that interferes with the normal life of the individual, with the appearance of anxiety symptoms in the presence of the cause of the phobia. This can lead to difficult situations or decrease in the quality of life, and on being a problem specific to the cause of the phobia, with the psychotherapeutic approach being slow when an acute situation arises. This can be a serious problem if, for example, it leads the patient avoiding a procedure necessary for the diagnosis. The case is presented of a 29 year-old man with acute signs and symptoms of hepatitis, who did not consent to provide a blood specimen for analysis due to belonephobia. The analysis could finally be made with help of a homeopathic treatment.

特定恐惧症是一种非常常见的心理健康障碍,干扰了个人的正常生活,在恐惧症的原因存在的情况下出现焦虑症状。这可能导致困难的情况或生活质量下降,并且是恐惧症的具体原因的问题,当出现急性情况时,心理治疗方法很慢。这可能是一个严重的问题,例如,如果它导致患者避免必要的诊断程序。该病例是一名29岁男子,患有肝炎的急性体征和症状,由于恐血症,他不同意提供血液标本进行分析。这种分析最终可以在顺势疗法的帮助下进行。
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引用次数: 0
Los efectos primarios y secundarios 主要和次要影响
Pub Date : 2017-09-01 DOI: 10.1016/j.homeo.2017.11.003
Pablo Giampietro

The primary and secondary effects, so clearly presented in the homeopathy doctrine of Samuel Hahnemann hundreds of year ago, not only explain all our art, but are also still complete and dynamic. This wise man from Meissen was chronologically adapting these concepts, and perfecting them with his clinical experience and his acute observation, well before the discovery of Homeopathy, as mentioned in several of his own documents and publications before 1789. Knowledge of this topic helps the homeopathic doctor to have a rational, scientific and sound practice, providing it with an understanding, an order that achieves a high impact in daily practice.

几百年前塞缪尔·哈内曼(Samuel Hahnemann)的顺势疗法学说清楚地提出了主次效应,它不仅解释了我们所有的艺术,而且仍然是完整和动态的。这位来自迈森的智者按时间顺序调整了这些概念,并以他的临床经验和敏锐的观察完善了这些概念,早在顺势疗法发现之前,正如他在1789年之前的几份文件和出版物中提到的那样。了解这一主题有助于顺势疗法医生进行理性、科学、合理的实践,为其提供一种理解,一种秩序,在日常实践中达到较高的影响力。
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引用次数: 1
期刊
Revista Médica de Homeopatía
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