S. Mauro, Federico Verga, A. Galiana, Mariela Vieytes, M. Godino, Marcelo Barbato
1. Ex Residente de Medicina Intensiva, UCI Hospital Maciel, ASSE, Montevideo, Uruguay. 2. Médico Intensivista con funciones de alta dedicación longitudinal, UCI Hospital Maciel, ASSE, Montevideo, Uruguay. Ex Prof. Adj. de la Cátedra de Medicina Intensiva, Facultad de Medicina, Universidad de la República. 3. Especialista en Microbiología. Jefe de Servicio de Laboratorio de Microbiología y Biología Molecular-UDYCI. Hospital Maciel, ASSE. Montevideo, Uruguay. 4. Especialista en Microbiología. Servicio de Laboratorio de Microbiología y Biología Molecular UDYCI. Hospital Maciel. 5. Médico Intensivista con funciones de alta dedicación longitudinal, UCI Hospital Maciel, ASSE, Montevideo, Uruguay. 6. Médico Intensivista. Jefe de la UCI del Hospital Maciel, ASSE. Montevideo, Uruguay. Unidad de Cuidados Intensivos del Hospital Maciel, Administración de los Servicios de Salud del Estado (ASSE), Montevideo, Uruguay. Correspondencia: Dr. Federico Verga. Correo electrónico: vergafederico@gmail.com El Dr. Antonio Galiana fue expositor honorario invitado en Jornadas organizadas por el representante de Biomerieux Uruguay. El resto de los autores declaramos no tener conflicto de interés y no haber recibido ninguna financiación. Recibido: 2/10/21 Aprobado: 24/2/22 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Utilidad del panel de PCR multiplex en el diagnóstico microbiológico temprano y adecuación antimicrobiana en pacientes críticos con neumonía
{"title":"Utilidad del panel de PCR multiplex en el diagnóstico microbiológico temprano y adecuación antimicrobiana en pacientes críticos con neumonía","authors":"S. Mauro, Federico Verga, A. Galiana, Mariela Vieytes, M. Godino, Marcelo Barbato","doi":"10.29193/rmu.38.2.3","DOIUrl":"https://doi.org/10.29193/rmu.38.2.3","url":null,"abstract":"1. Ex Residente de Medicina Intensiva, UCI Hospital Maciel, ASSE, Montevideo, Uruguay. 2. Médico Intensivista con funciones de alta dedicación longitudinal, UCI Hospital Maciel, ASSE, Montevideo, Uruguay. Ex Prof. Adj. de la Cátedra de Medicina Intensiva, Facultad de Medicina, Universidad de la República. 3. Especialista en Microbiología. Jefe de Servicio de Laboratorio de Microbiología y Biología Molecular-UDYCI. Hospital Maciel, ASSE. Montevideo, Uruguay. 4. Especialista en Microbiología. Servicio de Laboratorio de Microbiología y Biología Molecular UDYCI. Hospital Maciel. 5. Médico Intensivista con funciones de alta dedicación longitudinal, UCI Hospital Maciel, ASSE, Montevideo, Uruguay. 6. Médico Intensivista. Jefe de la UCI del Hospital Maciel, ASSE. Montevideo, Uruguay. Unidad de Cuidados Intensivos del Hospital Maciel, Administración de los Servicios de Salud del Estado (ASSE), Montevideo, Uruguay. Correspondencia: Dr. Federico Verga. Correo electrónico: vergafederico@gmail.com El Dr. Antonio Galiana fue expositor honorario invitado en Jornadas organizadas por el representante de Biomerieux Uruguay. El resto de los autores declaramos no tener conflicto de interés y no haber recibido ninguna financiación. Recibido: 2/10/21 Aprobado: 24/2/22 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Utilidad del panel de PCR multiplex en el diagnóstico microbiológico temprano y adecuación antimicrobiana en pacientes críticos con neumonía","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89612084","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}
H. R. Almada, Natalia Bazán Hernández, Victoria Iglesias Salaverría
1. Profesor Director del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. 2. Profesora Adjunta del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. 3. Asistente del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. 4. Asistente del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina, Universidad de la República. Correspondencia: Dr. Hugo Rodríguez Almada. Correo electrónico: hrodriguez@fmed.edu.uy Recibido: 7/2/2022 Aprobado: 7/3/2022 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Estudio médico-forense de la muerte bajo custodia durante el terrorismo de Estado en Uruguay Medical-forensic study of deaths in police custody during the period of State terrorism in Uruguay Estudo médico-forense de morte sob custódia durante o terrorismo de Estado no Uruguai Hugo Rodríguez Almada1, Natalia Bazán Hernández2, Victoria Iglesias Salaverría3, Evangelina Pérez Real4
1. 法医学和法医学系主任教授。医学院。共和国大学2。法医学和法医学学系助理教授。医学院。共和国大学。法医学和法医学科学系助理。医学院。共和国大学。法医学和法医学科学系助理。医学院。共和国大学。法医学和法医学科学系。共和国大学医学院。通信:Hugo rodriguez Almada博士。电子邮件:hrodriguez@fmed.edu.uy收到:7/2/2022批准:7/3/2022 Attribution-NonCommercial 4.0国际(CC BY-NC 4.0)研究死亡médico-forense在押期间死亡的国家恐怖主义在乌拉圭Medical-forensic研究警方拘留during the period of State恐怖主义in乌拉圭Estudo médico-forense的莫提sob custódia期间或国家恐怖主义不Uruguai雨果rodriguez Almada1,纳塔莉亚凯泽Hernández2,维多利亚Salaverría3教堂、Evangelina perez Real4
{"title":"Estudio médico-forense de la muerte bajo custodia durante el terrorismo de Estado en Uruguay","authors":"H. R. Almada, Natalia Bazán Hernández, Victoria Iglesias Salaverría","doi":"10.29193/rmu.38.2.6","DOIUrl":"https://doi.org/10.29193/rmu.38.2.6","url":null,"abstract":"1. Profesor Director del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. 2. Profesora Adjunta del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. 3. Asistente del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. 4. Asistente del Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina. Universidad de la República. Departamento de Medicina Legal y Ciencias Forenses. Facultad de Medicina, Universidad de la República. Correspondencia: Dr. Hugo Rodríguez Almada. Correo electrónico: hrodriguez@fmed.edu.uy Recibido: 7/2/2022 Aprobado: 7/3/2022 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Estudio médico-forense de la muerte bajo custodia durante el terrorismo de Estado en Uruguay Medical-forensic study of deaths in police custody during the period of State terrorism in Uruguay Estudo médico-forense de morte sob custódia durante o terrorismo de Estado no Uruguai Hugo Rodríguez Almada1, Natalia Bazán Hernández2, Victoria Iglesias Salaverría3, Evangelina Pérez Real4","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90036337","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}
Matías Pécora, Leonardo Sande, Marcelo Langleib, A. Biestro
1. Médico residente del Centro de tratamiento Intensivo, Hospital de Clínicas. Asistente del Departamento de Fisiopatología del Hospital de Clínicas. 2. Asistente del Centro de Tratamiento Intensivo del Hospital de Clínicas. 3. Profesor agregado del Departamento Clínico de Imagenología del Hospital de Clínicas. 4. Ex Profesor Director del Centro de Tratamiento Intensivo del Hospital de Clínicas. Se obtuvo consentimiento informado del paciente para la publicación de este trabajo. Los autores declaran no tener conflictos de intereses. Correspondencia: Dr. Matías Pécora. Correo electrónico: pecora.matias@gmail.com Recibido: 8/3/22 Aprobado: 6/4/22 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Primer registro de angioembolización de arterias hipogástricas en contexto de trauma pélvico en Uruguay
{"title":"Primer registro de angioembolización de arterias hipogástricas en contexto de trauma pélvico en Uruguay","authors":"Matías Pécora, Leonardo Sande, Marcelo Langleib, A. Biestro","doi":"10.29193/rmu.38.2.12","DOIUrl":"https://doi.org/10.29193/rmu.38.2.12","url":null,"abstract":"1. Médico residente del Centro de tratamiento Intensivo, Hospital de Clínicas. Asistente del Departamento de Fisiopatología del Hospital de Clínicas. 2. Asistente del Centro de Tratamiento Intensivo del Hospital de Clínicas. 3. Profesor agregado del Departamento Clínico de Imagenología del Hospital de Clínicas. 4. Ex Profesor Director del Centro de Tratamiento Intensivo del Hospital de Clínicas. Se obtuvo consentimiento informado del paciente para la publicación de este trabajo. Los autores declaran no tener conflictos de intereses. Correspondencia: Dr. Matías Pécora. Correo electrónico: pecora.matias@gmail.com Recibido: 8/3/22 Aprobado: 6/4/22 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Primer registro de angioembolización de arterias hipogástricas en contexto de trauma pélvico en Uruguay","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87945396","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}
The greater the advance in terms of knowing about acu-te encephalic injury (AEI) and its potential evolution to encephalic death (ED), the higher the possibilities of finding donors, with the corresponding reduction of waiting lists. As we see it, intensivists must consider this possibi lity whenever they face victims of neuroinjury, regard less of its etiology. In addition to this, it is essential for them to know the pathophysiology of encephalic death syndrome, and the steps to be taken for a complete, tho rough and strict neurologic exam.
{"title":"Dos enfoques conocidos para la determinacion de muerte neurológica del adulto: propuesta de un concepto unificado","authors":"","doi":"10.29193/rmu.38.1.12","DOIUrl":"https://doi.org/10.29193/rmu.38.1.12","url":null,"abstract":"The greater the advance in terms of knowing about acu-te encephalic injury (AEI) and its potential evolution to encephalic death (ED), the higher the possibilities of finding donors, with the corresponding reduction of waiting lists. As we see it, intensivists must consider this possibi lity whenever they face victims of neuroinjury, regard less of its etiology. In addition to this, it is essential for them to know the pathophysiology of encephalic death syndrome, and the steps to be taken for a complete, tho rough and strict neurologic exam.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88817029","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}
1. Residente Cirugía General. 2. Cirujano General. Departamento de Cirugía General. Círculo Católico de Obreros del Uruguay. Los autores declaran no tener conflicto de intereses. Se obtuvo el consentimiento de la paciente referida en el caso clínico para su publicación. Recibido: 1/8/2021 Aprobado: 12/1/2022 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Paliación endoscópica con stent duodenal en cáncer gástrico estadio IV complicado con estenosis gastroduodenal Endoscopic stenting for palliation of Stage IV gastric cancer with malignant gastric outlet obstruction. A clinical case Paliação endoscópica com stent duodenal em câncer gástrico estágio IV complicado por estenose gastroduodenal. Caso clínico
{"title":"Paliación endoscópica con stent duodenal en cáncer gástrico estadio IV complicado con estenosis gastroduodenal","authors":"Valentina Elicegui, Mauricio Pontillo","doi":"10.29193/rmu.38.1.13","DOIUrl":"https://doi.org/10.29193/rmu.38.1.13","url":null,"abstract":"1. Residente Cirugía General. 2. Cirujano General. Departamento de Cirugía General. Círculo Católico de Obreros del Uruguay. Los autores declaran no tener conflicto de intereses. Se obtuvo el consentimiento de la paciente referida en el caso clínico para su publicación. Recibido: 1/8/2021 Aprobado: 12/1/2022 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Paliación endoscópica con stent duodenal en cáncer gástrico estadio IV complicado con estenosis gastroduodenal Endoscopic stenting for palliation of Stage IV gastric cancer with malignant gastric outlet obstruction. A clinical case Paliação endoscópica com stent duodenal em câncer gástrico estágio IV complicado por estenose gastroduodenal. Caso clínico","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89524848","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: histological subtype is a vital element in determining the risk of skin cancer. It may be deter-mined by an incisional biopsy which represents just a percentage of the tumor mass, the main concern lying in its potential failure to detect an agressive subtype. Therefore, comparing the results of biopsies with the surgically obtained piece with Mohs micrographic surgery is significantly relevant. Objective: to compare histopathologic evaluation results of incisional biospy and debulking in skin cancer treated with Mohs micrographic surgery at the Der-matology Service of the Clinicas University Hospital, between November, 2013 and March, 2019. Methodology: retrospective, descriptive study analysing 202 non-melanoma carcinomas which were treated with Mohs micrographic surgery the Derma-tology Service of the “Dr. Manuel Quintela” Clinicas Hospital, between November, 2013 and March, 2019. Results: the study only considered the cases whe-re bulking identified the tumor. Biopsy matched de bulking in 61.39% of cases. Debulking detected an agressive subtype that was not detected in the biopsy in 8.41% of the cases. Conclusions: the hystopathological study of debulking has proved to be relevant, and the incisional biopsy was found to be partially representative in determining the histopathological subtype of non-melanoma carcinomas, since approximately 1 out of 10 carcinomas
组织学亚型是决定皮肤癌风险的重要因素。它可以通过切口活检来确定，它只代表肿瘤肿块的一个百分比，主要问题在于它可能无法检测到侵袭性亚型。因此，将活检结果与莫氏显微摄影手术获得的切片进行比较具有重要意义。目的:比较2013年11月至2019年3月临床大学医院Der-matology部Mohs显微摄影术治疗皮肤癌的切口生物活检和减积的组织病理学评价结果。方法:回顾性描述性研究分析了2013年11月至2019年3月期间在“Dr. Manuel Quintela”Clinicas医院皮肤科接受莫氏显微摄影手术治疗的202例非黑色素瘤癌。结果:本研究仅考虑再膨胀识别肿瘤的病例。61.39%的病例活检符合肿大。在8.41%的病例中，Debulking检测到活检中未检测到的侵袭性亚型。结论:肿大的组织病理学研究已被证明是相关的，并且发现切口活检在确定非黑色素瘤癌的组织病理学亚型方面具有部分代表性，因为大约1 / 10的癌
{"title":"Comparación histopatológica entre biopsia preoperatoria y debulking luego de la cirugía micrográfica de Mohs en carcinomas cutáneos","authors":"L. Bermúdez, R. Muguruza, C. Bazzano, J. Magliano","doi":"10.29193/rmu.38.1.7","DOIUrl":"https://doi.org/10.29193/rmu.38.1.7","url":null,"abstract":"Introduction: histological subtype is a vital element in determining the risk of skin cancer. It may be deter-mined by an incisional biopsy which represents just a percentage of the tumor mass, the main concern lying in its potential failure to detect an agressive subtype. Therefore, comparing the results of biopsies with the surgically obtained piece with Mohs micrographic surgery is significantly relevant. Objective: to compare histopathologic evaluation results of incisional biospy and debulking in skin cancer treated with Mohs micrographic surgery at the Der-matology Service of the Clinicas University Hospital, between November, 2013 and March, 2019. Methodology: retrospective, descriptive study analysing 202 non-melanoma carcinomas which were treated with Mohs micrographic surgery the Derma-tology Service of the “Dr. Manuel Quintela” Clinicas Hospital, between November, 2013 and March, 2019. Results: the study only considered the cases whe-re bulking identified the tumor. Biopsy matched de bulking in 61.39% of cases. Debulking detected an agressive subtype that was not detected in the biopsy in 8.41% of the cases. Conclusions: the hystopathological study of debulking has proved to be relevant, and the incisional biopsy was found to be partially representative in determining the histopathological subtype of non-melanoma carcinomas, since approximately 1 out of 10 carcinomas","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77864085","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}
Gender entails peculiarities which reflect risks and vulnerabilities that affect health in different ways for men, women and sexual non-conformists. Health po licies that fail to incorporate the gender perspective perpetuate inequalities that undermine the right to health to which all individuals are entitled. Gender mainstreaming in health public policies is of the essence to achieve gender equality in
{"title":"Género y salud. Análisis de la incorporación de la perspectiva de género en el Sistema Nacional Integrado de Salud en Uruguay (2005-2020). Avances y desafíos pendientes.","authors":"Virginia Cardozo Rufo","doi":"10.29193/rmu.38.1.11","DOIUrl":"https://doi.org/10.29193/rmu.38.1.11","url":null,"abstract":"Gender entails peculiarities which reflect risks and vulnerabilities that affect health in different ways for men, women and sexual non-conformists. Health po licies that fail to incorporate the gender perspective perpetuate inequalities that undermine the right to health to which all individuals are entitled. Gender mainstreaming in health public policies is of the essence to achieve gender equality in","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89277781","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":"Estrés Laboral en los Intensivistas del Uruguay.","authors":"","doi":"10.29193/rmu.38.1.6","DOIUrl":"https://doi.org/10.29193/rmu.38.1.6","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80845421","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":"Osteomielitis en Pie Diabético. Tratamiento médico y cirugía conservadora. Experiencia en la Unidad de Pie","authors":"","doi":"10.29193/rmu.38.1.9","DOIUrl":"https://doi.org/10.29193/rmu.38.1.9","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89127012","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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