R. Silvariño, Leticia Peluffo, Eliana Cabrera, Sofía San Román, C. Baccino, Óscar Noboa
Autosomal dominant polycystic kidney disease is the most common hereditary kidney disease. It is charac - terized by the progressive appearance of renal cysts that usually lead to extreme chronic kidney disease in adulthood. The approval of the use of tolvaptán (V2 va-sopressin receptor antagonist) has meant a significant change in the treatment of this disease. In recent years, evidence has proved the benefits of initiating treatment with tolvaptán in patients with a rapidly evolving disease. A descriptive review of the main clinical studies published in 2012-2022 period is carried out and a use-ful scheme is suggested to select
{"title":"Poliquistosis renal autosómica dominante: ¿quiénes se benefician del tratamiento con tolvaptán? Estado del arte","authors":"R. Silvariño, Leticia Peluffo, Eliana Cabrera, Sofía San Román, C. Baccino, Óscar Noboa","doi":"10.29193/rmu.38.3.11","DOIUrl":"https://doi.org/10.29193/rmu.38.3.11","url":null,"abstract":"Autosomal dominant polycystic kidney disease is the most common hereditary kidney disease. It is charac - terized by the progressive appearance of renal cysts that usually lead to extreme chronic kidney disease in adulthood. The approval of the use of tolvaptán (V2 va-sopressin receptor antagonist) has meant a significant change in the treatment of this disease. In recent years, evidence has proved the benefits of initiating treatment with tolvaptán in patients with a rapidly evolving disease. A descriptive review of the main clinical studies published in 2012-2022 period is carried out and a use-ful scheme is suggested to select","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82554539","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}
Objective: the study aims to define how the different activities in primary health care should be
目的:本研究旨在确定初级卫生保健的不同活动应如何进行
{"title":"Actividades de enfermería y medicina familiar y comunitaria en los equipos de primer nivel de atención de Uruguay","authors":"Estela Harispe, F. Cavalleri, I. León","doi":"10.29193/rmu.38.3.10","DOIUrl":"https://doi.org/10.29193/rmu.38.3.10","url":null,"abstract":"Objective: the study aims to define how the different activities in primary health care should be","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86467671","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}
{"title":"Opciones terapéuticas para la colecistitis aguda De las guías de Tokio 2018 a la práctica clínica","authors":"","doi":"10.29193/rmu.38.3.6","DOIUrl":"https://doi.org/10.29193/rmu.38.3.6","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83110584","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}
{"title":"Fenómeno de Lucio como forma de presentación de enfermedad de Hansen","authors":"","doi":"10.29193/rmu.38.3.12","DOIUrl":"https://doi.org/10.29193/rmu.38.3.12","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90605377","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}
Introduction: laparoscopic cholecystectomy constitutes the gold standard to treat gallstones. Ambulatory treatment has proved to be feasible and safe for carefully selected patients. At COMEF, laparoscopic cholecystectomies have been performed since 2016, and postoperative management has covered different stages: intermediate care during hospitalization, admission in day surgery units plus home care or home admissions, hospitalization in day surgery units and discharge directly after surgery, directly from the ER. The study aims to calculate the cost of each one of the different postoperative management modalities for laparoscopic cholecystectomies between 2016 and 2021. Method: a cost study was conducted for each one of the postoperative management modalities by calculating the cost of the hospital bed day in intermediate care and house care, as well as the salary of the nurses’ staff at the day surgery unit. Data was obtained from the Healthcare Services Cost Structure and the production of each one of the services mentioned. Results: the daily bed day cost in intermediate care is $ 15,056, the daily cost of day surgery unit plus home care afterwards is $ 4,953.69, the cost of surgery admission in the day surgery unit is $ 807.69 and discharge directly from the OR is $ 33. Conclusions: the postoperative cost of ambulatory laparoscopic cholecystectomy is lower than that requiring interaction in intermediate care and these costs are progressively reduced when moving from home care with and without interaction upon discharge towards no recovery in the day surgery unit.
{"title":"Costos de las diversas modalidades posoperatorias de la colecistectomía laparoscópica. Cooperativa Médica de Florida (COMEF), 2016-2021","authors":"D. González","doi":"10.29193/rmu.38.3.5","DOIUrl":"https://doi.org/10.29193/rmu.38.3.5","url":null,"abstract":"Introduction: laparoscopic cholecystectomy constitutes the gold standard to treat gallstones. Ambulatory treatment has proved to be feasible and safe for carefully selected patients. At COMEF, laparoscopic cholecystectomies have been performed since 2016, and postoperative management has covered different stages: intermediate care during hospitalization, admission in day surgery units plus home care or home admissions, hospitalization in day surgery units and discharge directly after surgery, directly from the ER. The study aims to calculate the cost of each one of the different postoperative management modalities for laparoscopic cholecystectomies between 2016 and 2021. Method: a cost study was conducted for each one of the postoperative management modalities by calculating the cost of the hospital bed day in intermediate care and house care, as well as the salary of the nurses’ staff at the day surgery unit. Data was obtained from the Healthcare Services Cost Structure and the production of each one of the services mentioned. Results: the daily bed day cost in intermediate care is $ 15,056, the daily cost of day surgery unit plus home care afterwards is $ 4,953.69, the cost of surgery admission in the day surgery unit is $ 807.69 and discharge directly from the OR is $ 33. Conclusions: the postoperative cost of ambulatory laparoscopic cholecystectomy is lower than that requiring interaction in intermediate care and these costs are progressively reduced when moving from home care with and without interaction upon discharge towards no recovery in the day surgery unit.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76958595","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}
{"title":"Dosis efectivas asociadas a estudios híbridos SPECT-CT en pacientes adultos","authors":"","doi":"10.29193/rmu.38.3.9","DOIUrl":"https://doi.org/10.29193/rmu.38.3.9","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88863077","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}
F. Cavalleri, M. Buglioli, R. Silvariño, José Boggia, Nefrología Planificación
. Abstract Introduction: improving the health of populations by means of favoring universal access with equity requires the appropriate number and right distribution of professionals, according to the different health problems people face. Rigorous methodologies should include identification of health requirements in order to comply with this principle.
{"title":"Evaluación de las necesidades de recursos humanos en salud: aplicación a la estimación de nefrólogos en Uruguay","authors":"F. Cavalleri, M. Buglioli, R. Silvariño, José Boggia, Nefrología Planificación","doi":"10.29193/rmu.38.3.7","DOIUrl":"https://doi.org/10.29193/rmu.38.3.7","url":null,"abstract":". Abstract Introduction: improving the health of populations by means of favoring universal access with equity requires the appropriate number and right distribution of professionals, according to the different health problems people face. Rigorous methodologies should include identification of health requirements in order to comply with this principle.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77743204","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}
Natalia Camejo, Dahiana Amarillo, Cecilia Castillo, Moira Bernate, Florencia Burguez, Eliana Darino, Adrián Deleón, Tatiana Milwa, M. Barcia, Gabriel Krygier
1. Prof. Adjunta del Servicio de Oncología Clínica, Hospital de Clínicas, Facultad de Medicina, UDELAR. 2. Asistente del Servicio de Oncología Clínica, Hospital de Clínicas, Facultad de Medicina, UDELAR. 3. Ex Prof. Adj. del Servicio de Oncología. Hospital de Clínicas. Facultad de Medicina, UDELAR 4. Estudiante de grado, carrera Doctor en Medicina, Facultad de Medicina, UDELAR. 5. Prof. Titular del Servicio de Oncología Clínica, Hospital de Clínicas, Facultad de Medicina, Universidad de la República. Uruguay. Los autores declaran no presentar conflictos de interés real ni potencial. Correspondencia: Dra. Natalia Camejo. Correo electrónico: ncam3@yahoo.com Recibido: 6/3/2022 Aprobado: 10/9/2022 Conocimiento y uso de las distintas herramientas de tamizaje del cáncer de mama entre médicos del primer nivel de atención: un estudio transversal Knowledge and use of different breast cancer screening tools among primary care physicians: a cross-sectional study Conhecimento e uso de diferentes ferramentas de rastreamento do câncer de mama entre médicos da atenção primária: um estudo transversal
1. UDELAR医学院de clinicas医院临床肿瘤科助理教授。2. UDELAR医学院临床医院临床肿瘤科助理。3. 前Adj.肿瘤服务教授。临床医院。医学院，UDELAR 4。本科生，职业医学博士，UDELAR医学院。5. 共和国大学医学院临床医院临床肿瘤科教授。乌拉圭。作者声明没有实际或潜在的利益冲突。通信:Natalia Camejo博士。收到电子邮件:ncam3@yahoo.com: 6/3/2022批准:10/9/2022知识和使用不同的乳腺癌筛查工具的第一级的护理医生之间不同的乳房:调查Knowledge and use of cancer》tools初级护理医师:截面研究中相互和使用不同ferramentas rastreamento do câ住ncer乳腺癌给医生之间的çã或跨primária:嗯estudo
{"title":"Conocimiento y uso de las distintas herramientas de tamizaje del cáncer de mama entre médicos del primer nivel de atención Un estudio transversal","authors":"Natalia Camejo, Dahiana Amarillo, Cecilia Castillo, Moira Bernate, Florencia Burguez, Eliana Darino, Adrián Deleón, Tatiana Milwa, M. Barcia, Gabriel Krygier","doi":"10.29193/rmu.38.3.4","DOIUrl":"https://doi.org/10.29193/rmu.38.3.4","url":null,"abstract":"1. Prof. Adjunta del Servicio de Oncología Clínica, Hospital de Clínicas, Facultad de Medicina, UDELAR. 2. Asistente del Servicio de Oncología Clínica, Hospital de Clínicas, Facultad de Medicina, UDELAR. 3. Ex Prof. Adj. del Servicio de Oncología. Hospital de Clínicas. Facultad de Medicina, UDELAR 4. Estudiante de grado, carrera Doctor en Medicina, Facultad de Medicina, UDELAR. 5. Prof. Titular del Servicio de Oncología Clínica, Hospital de Clínicas, Facultad de Medicina, Universidad de la República. Uruguay. Los autores declaran no presentar conflictos de interés real ni potencial. Correspondencia: Dra. Natalia Camejo. Correo electrónico: ncam3@yahoo.com Recibido: 6/3/2022 Aprobado: 10/9/2022 Conocimiento y uso de las distintas herramientas de tamizaje del cáncer de mama entre médicos del primer nivel de atención: un estudio transversal Knowledge and use of different breast cancer screening tools among primary care physicians: a cross-sectional study Conhecimento e uso de diferentes ferramentas de rastreamento do câncer de mama entre médicos da atenção primária: um estudo transversal","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74334355","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}
{"title":"Enfermedad de Cushing recurrente con hipercortisolismo catastrófico Reporte de caso y revisión de literatura","authors":"","doi":"10.29193/rmu.38.3.13","DOIUrl":"https://doi.org/10.29193/rmu.38.3.13","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90613251","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}
{"title":"Rol de la dosificación de tiroglobulina en el líquido de lavado de la punción por aguja fina para el diagnóstico de metástasis ganglionares en el seguimiento de cáncer de tiroides en el Hospital de Clínicas de Montevideo, Uruguay","authors":"","doi":"10.29193/rmu.38.3.1","DOIUrl":"https://doi.org/10.29193/rmu.38.3.1","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86581932","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}
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