{"title":"Funciones de Médicos de Familia y Comunidad en los Equipos de Primer Nivel de Atención del Uruguay","authors":"","doi":"10.29193/rmu.38.1.10","DOIUrl":"https://doi.org/10.29193/rmu.38.1.10","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"60 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74918688","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":"3 1","pages":""},"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}
Human adenoviruses still constitute a challenge in the clinical practice. These are DNA viruses that are wi-dely disseminated among the population and often cau-se self-limiting diseases in children. However, it may result in a severe diseminated disease with high mor-5 and solid The study shares the first national report for disease, presenting two clinical cases of hepatic transplant recipients who developed severe disseminated adenovirus disease.
{"title":"Infección grave diseminada por Adenovirus en receptores de trasplante Hepático","authors":"J. Prieto, M. López, Alejandro Noda, Julio Medina","doi":"10.29193/rmu.38.1.14","DOIUrl":"https://doi.org/10.29193/rmu.38.1.14","url":null,"abstract":"Human adenoviruses still constitute a challenge in the clinical practice. These are DNA viruses that are wi-dely disseminated among the population and often cau-se self-limiting diseases in children. However, it may result in a severe diseminated disease with high mor-5 and solid The study shares the first national report for disease, presenting two clinical cases of hepatic transplant recipients who developed severe disseminated adenovirus disease.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"24 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76025520","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: the COVID19 pandemic has caused a strong impact on surgical practices around the world, and after 15 months of differing surgeries and selecting patients, the actual magnitude of the problem has not been defined yet.
{"title":"Evolución de la productividad quirúrgica en el Hospital Maciel durante la crisis sanitaria SARS-CoV-2","authors":"L. R. Martínez, A. Paulos, A. Dutra","doi":"10.29193/rmu.38.1.1","DOIUrl":"https://doi.org/10.29193/rmu.38.1.1","url":null,"abstract":"Introduction: the COVID19 pandemic has caused a strong impact on surgical practices around the world, and after 15 months of differing surgeries and selecting patients, the actual magnitude of the problem has not been defined yet.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"10 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74981316","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}
Alejandro Fernández Morales, A. Dutra, C. Romariz, Renée Souto, Margarita Calegari, Daniel Palleiro
1. Asistente Cátedra de Reumatología. 2. Prof. Agdo. Cátedra de Reumatología. 3. Miembro del Grupo de Estudio de Osteopatías de la Sociedad Uruguaya de Reumatología. Grupo de estudio de Osteopatías de la Sociedad Uruguaya de Reumatología (GEOSUR). Catedra de Reumatología. Instituto Nacional de Reumatología (INRU). El estudio no recibió financiación. Los autores declaran no tener conflicto de interés. Correspondencia: Alejandro Fernández Morales. Correo electrónico: a_fernadez_morales@hotmail.com Aprobado por el Comité de Ética del INRU. Recibido: 15/7/2021 Aprobado: 13/12/2021 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Utilidad del Trabecular Bone Score combinado con la densitometría ósea en la valoración de una serie 194 pacientes
{"title":"Utilidad del Trabecular Bone Score combinado con la densitometría ósea en la valoración de una serie 194 pacientes","authors":"Alejandro Fernández Morales, A. Dutra, C. Romariz, Renée Souto, Margarita Calegari, Daniel Palleiro","doi":"10.29193/rmu.38.1.4","DOIUrl":"https://doi.org/10.29193/rmu.38.1.4","url":null,"abstract":"1. Asistente Cátedra de Reumatología. 2. Prof. Agdo. Cátedra de Reumatología. 3. Miembro del Grupo de Estudio de Osteopatías de la Sociedad Uruguaya de Reumatología. Grupo de estudio de Osteopatías de la Sociedad Uruguaya de Reumatología (GEOSUR). Catedra de Reumatología. Instituto Nacional de Reumatología (INRU). El estudio no recibió financiación. Los autores declaran no tener conflicto de interés. Correspondencia: Alejandro Fernández Morales. Correo electrónico: a_fernadez_morales@hotmail.com Aprobado por el Comité de Ética del INRU. Recibido: 15/7/2021 Aprobado: 13/12/2021 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Utilidad del Trabecular Bone Score combinado con la densitometría ósea en la valoración de una serie 194 pacientes","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86075505","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}
M. Lizárraga, Pilar Echenagusia, J. Magliano, C. Bazzano, M. M. Asuaga
1. Dermatóloga. 2. Residente de Dermatología, 3. Profesor Adjunto de la Cátedra de Dermatología. 4. Profesor de la Cátedra de Dermatología. 5. Profesor Agregado de la Cátedra de Dermatología. Hospital de Clínicas Dr. Manuel Quintela. Facultad de Medicina. Universidad de la República. Montevideo, Uruguay. Correspondencia: Dr. Julio Magliano. Hospital de Clínicas. Av. Italia s/n. Montevideo, Uruguay. Correo electrónico: juliomagliano@gmail.com Los autores no tienen conflictos de interés. El artículo fue aprobado por el Comité de Ética del Hospital de Clínicas Recibido: 28/6/2021 Aprobado: 18/10/2021 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Dermatitis herpetiforme como manifestación extraintestinal gluten inducida en la enfermedad celíaca: estudio retrospectivo de pacientes que se asisten en el Hospital de Clínicas Dr. Manuel Quintela
{"title":"Dermatitis herpetiforme como manifestación extraintestinal gluten inducida en la enfermedad celíaca: estudio retrospectivo de pacientes que se asisten en el Hospital de Clínicas Dr. Manuel Quintela","authors":"M. Lizárraga, Pilar Echenagusia, J. Magliano, C. Bazzano, M. M. Asuaga","doi":"10.29193/rmu.38.1.2","DOIUrl":"https://doi.org/10.29193/rmu.38.1.2","url":null,"abstract":"1. Dermatóloga. 2. Residente de Dermatología, 3. Profesor Adjunto de la Cátedra de Dermatología. 4. Profesor de la Cátedra de Dermatología. 5. Profesor Agregado de la Cátedra de Dermatología. Hospital de Clínicas Dr. Manuel Quintela. Facultad de Medicina. Universidad de la República. Montevideo, Uruguay. Correspondencia: Dr. Julio Magliano. Hospital de Clínicas. Av. Italia s/n. Montevideo, Uruguay. Correo electrónico: juliomagliano@gmail.com Los autores no tienen conflictos de interés. El artículo fue aprobado por el Comité de Ética del Hospital de Clínicas Recibido: 28/6/2021 Aprobado: 18/10/2021 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Dermatitis herpetiforme como manifestación extraintestinal gluten inducida en la enfermedad celíaca: estudio retrospectivo de pacientes que se asisten en el Hospital de Clínicas Dr. Manuel Quintela","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"22 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89442009","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":"Análisis de resultados de cirugía del cáncer colorrectal en el período 2015- 2020 en un servicio universitario de cirugía general","authors":"","doi":"10.29193/rmu.38.1.5","DOIUrl":"https://doi.org/10.29193/rmu.38.1.5","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"85 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72756454","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":"Vitamina D, magnesio y parámetros seleccionados de laboratorio en hombres uruguayos","authors":"","doi":"10.29193/rmu.37.4.3","DOIUrl":"https://doi.org/10.29193/rmu.37.4.3","url":null,"abstract":"regarding","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"7 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82515000","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":"Cirugía torácica por puerto único Experiencia inicial","authors":"","doi":"10.29193/rmu.37.4.2","DOIUrl":"https://doi.org/10.29193/rmu.37.4.2","url":null,"abstract":"","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"50 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85009986","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}
Rodrigo Beltramelli, Pedro Alzugaray, Nicolás Rucks, C. Santos, Carolina Poradosu, G. González, Ana Musetti, Martín Angulo
Introduction: within the context of the SARS-CoV-2 pandemic, different authors proposed adaptations to snorkeling masks available in the market (modified masks: MM) to provide oxygen therapy with positive pressure ventilation or not. Until today, none of them has assessed its performance as an interface for non-invasive ventilation (NIV) in the inspiratory pressure support mode. Objective: to develop an interface of NIV using MM and assess its performance with a conventional full mask. Method: the MM were adapted as NIV interfaces using two pieces created by 3D printing. Their performance was compared to a that of a conventional mask in 10 healthy volunteers in inspiratory pressure support (3 cmH2O) mode with two levels of positive pressure towards the end of expiration (PEEP 4 and 8 cmH2O). The following were compared: system leaks, respiratory rate, normal volume, pulse oximetry, transcutaneous carbon dioxide and comfort. Results: with 4 cmH2O of PEEP, no significant differences were found between masks in none of the variables studied. With 8 cmH2O de PEEP, the use of MM were associated to a lower level of CO2tc (41.0±5.7 vs 43.5±8.1 mmHg; p=0.03) and greater comfort (8.3±1.1 vs 6.5±1.4; p<0.01) than conventional masks (CM). Conclusions: in healthy volunteers, MM for NIV evidence a similar performance than that of standard oronasal masks, and have a further advantage, as they are more comfortable and cheaper. Even if further studies are needed to support its use, modified snorkeling masks could represent a valid option during the health emergency caused by the SARS-CoV-2 pandemic in consideration of the scarce interfaces available in the market.
导论:在SARS-CoV-2大流行的背景下，不同的作者提出了对市场上可用的浮潜面罩(改良面罩:MM)进行调整，以提供正压通气或不提供氧气治疗。直到今天，还没有人评估过它在吸气压力支持模式下作为无创通气(NIV)接口的性能。目的:研制一种基于MM的NIV接口，并与常规全掩膜比较其性能。方法:采用3D打印制作的两块MM作为NIV接口。将10名健康志愿者在吸气压力支持(3 cmH2O)模式下的表现与传统口罩进行比较，呼气结束时有两个正压水平(PEEP 4和8 cmH2O)。比较系统泄漏、呼吸频率、正常容积、脉搏血氧、经皮二氧化碳和舒适度。结果:当PEEP为4 cmH2O时，面罩之间在所有研究变量中均无显著差异。8 cmH2O de PEEP时，MM的使用与较低的CO2tc水平相关(41.0±5.7 vs 43.5±8.1 mmHg;P =0.03)和更高的舒适度(8.3±1.1 vs 6.5±1.4;p<0.01)。结论:在健康志愿者中，用于NIV的MM显示出与标准口鼻口罩相似的性能，并且具有进一步的优势，因为它们更舒适，更便宜。即使需要进一步的研究来支持其使用，但考虑到市场上可用的接口稀缺，在SARS-CoV-2大流行引起的卫生紧急情况下，改良的浮潜口罩可能是一个有效的选择。
{"title":"Uso de máscaras de buceo modificadas para aplicación segura de ventilación no invasiva Estudio piloto","authors":"Rodrigo Beltramelli, Pedro Alzugaray, Nicolás Rucks, C. Santos, Carolina Poradosu, G. González, Ana Musetti, Martín Angulo","doi":"10.29193/rmu.37.4.1","DOIUrl":"https://doi.org/10.29193/rmu.37.4.1","url":null,"abstract":"Introduction: within the context of the SARS-CoV-2 pandemic, different authors proposed adaptations to snorkeling masks available in the market (modified masks: MM) to provide oxygen therapy with positive pressure ventilation or not. Until today, none of them has assessed its performance as an interface for non-invasive ventilation (NIV) in the inspiratory pressure support mode. Objective: to develop an interface of NIV using MM and assess its performance with a conventional full mask. Method: the MM were adapted as NIV interfaces using two pieces created by 3D printing. Their performance was compared to a that of a conventional mask in 10 healthy volunteers in inspiratory pressure support (3 cmH2O) mode with two levels of positive pressure towards the end of expiration (PEEP 4 and 8 cmH2O). The following were compared: system leaks, respiratory rate, normal volume, pulse oximetry, transcutaneous carbon dioxide and comfort. Results: with 4 cmH2O of PEEP, no significant differences were found between masks in none of the variables studied. With 8 cmH2O de PEEP, the use of MM were associated to a lower level of CO2tc (41.0±5.7 vs 43.5±8.1 mmHg; p=0.03) and greater comfort (8.3±1.1 vs 6.5±1.4; p<0.01) than conventional masks (CM). Conclusions: in healthy volunteers, MM for NIV evidence a similar performance than that of standard oronasal masks, and have a further advantage, as they are more comfortable and cheaper. Even if further studies are needed to support its use, modified snorkeling masks could represent a valid option during the health emergency caused by the SARS-CoV-2 pandemic in consideration of the scarce interfaces available in the market.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"8 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73008298","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：