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Perfil académico y profesional de los egresados de la especialidad de Cardiología de 2000 a 2015 en el Instituto Nacional de Cardiología Ignacio Chávez
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Sierra-Fernández, Carlos R.

; Garnica-Geronimo, Luis R.

; Azar-Manzur, Francisco J.

; López-Meneses, Mauricio

; Trevethan-Cravioto, Sergio A.

; Huipe-Dimas, Alejandra

Archivos de cardiología de México

Journal Metrics
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mar 2024, Volume 94 N. 1 Pages 55 - 64

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Background: The Ignacio Chávez National Institute of Cardiology (NIC) has positioned itself as an international benchmark in cardiovascular medical education, standing out for its high academic standards and human quality. Objective: This study aims to identify the employment and academic profile of cardiology fellowship graduates from the National Institute of Cardiology of Mexico (NIC). Methods: A cross-sectional and retrospective study was conducted, involving 473 graduates from the period 2000-2015. Data was collected through an electronic survey. Results: A total of 221 graduates agreed to participate, accounting for 46.7% of the total number of graduates. Among the participants, 85.2% were male. The majority of graduates (82.4%) held Mexican nationality, while the remaining individuals represented various Latin-American nationalities. Following the completion of the cardiology fellowship, 89% of graduates pursued further postgraduate degrees. Within this group, 95.4% completed at least one additional fellowship, while 4.6% pursued a master’s or PhD program. The most popular fellowship program chosen was Interventional Cardiology. On average, NIC graduates dedicate 10.8 hours per day to their work, with 6.4 hours dedicated to cardiology and 4.3 hours to their other postgraduate degree. Those employed in both public and private health systems allocate 6.1 hours and 5.2 hours per day, respectively. Additionally, 75% of graduates are involved in teaching activities. Currently, 84% of graduates are employed in Mexico. Conclusion: The majority of NIC graduates are physicians who further their academic training by pursuing additional postgraduate programs. They work longer hours per day compared to the general Mexican population, with a significant focus on clinical cardiology. Graduates actively seek opportunities to share their expertise through various academic activities.

Resumen Antecedentes: El Instituto Nacional de Cardiología Ignacio Chávez (INC) se ha posicionado como un referente internacional en la educación médica cardiológica, destacándose por su alto nivel académico y calidad humana. Objetivo: El objetivo de este estudio fue identificar el perfil laboral y académico actual de los egresados del Instituto Nacional de Cardiología Ignacio Chávez (INC). Métodos: Se llevó a cabo un estudio transversal y retrospectivo que incluyó a 473 egresados del INC graduados entre 2000 y 2015. Se utilizó una encuesta electrónica para recopilar los datos. Resultados: Un total de 221 egresados aceptaron participar en el estudio, lo que representa el 46.7% del total de egresados. El 85.2% de los participantes son hombres. La mayoría de los egresados son de nacionalidad mexicana (82.4%), mientras que el resto se distribuye en varios países de Latinoamérica. El 89% de los egresados completó otro posgrado después de cardiología. De este grupo, el 95.4% realizó al menos una alta especialidad, mientras que el 4.6% obtuvo una maestría o doctorado. La especialidad más comúnmente elegida fue Cardiología Intervencionista. Los egresados del INC trabajan en promedio 10.8 horas al día, de las cuales 6.4 horas se dedican a la cardiología clínica y 4.3 horas al otro posgrado. Aquellos que trabajan en el sector público y privado dedican 6.1 horas y 5.2 horas al día, respectivamente. Además, el 75% de los egresados desempeña actividades de enseñanza. El 84% de los egresados trabajan en México. Conclusión: En su mayoría, los egresados del INC son médicos especialistas que continúan su formación académica a través de la realización de otros posgrados. Trabajan más horas al día en comparación con el resto de la población mexicana, y dedican la mayor parte de su tiempo al ejercicio de la cardiología clínica. También buscan transmitir sus conocimientos a través de actividades académicas y de enseñanza.

https://doi.org/10.24875/acm.22000279

Consultas tardías en los servicios de emergencias pediátricas durante la pandemia por COVID-19 en Uruguay, entre el 13 de marzo y el 29 de julio de 2020
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Noya, Noelia

; Dávila, Manuel

; Osta, Lody

; Más, Mariana

; Tórtora, Soledad

; Amarillo, Paloma

; Dall´Orso, Patricia

; Prego, Javier

; Giacoia, Andreína

; Lemos, Isis

; Rodríguez, Luciana

; García, Lucila

; Ré, Marianela

; Gamino, Paula

; Meneses, Gabriel

; Lafón, Gabriela

; Castellanos, Florencia

; García, Virginia

; Siniestro, Jimena

; Venturino, Sergio

; Canziani, Catalina

; Pérez, Mariana

; Da Silva, Esteban

; Invernizzi, Marcelo

; Falcao, Gimena

; García, Emilia

; Steinfeld, Pablo

; Páez, Marcos

; Guzzetti, Valentina

; Venturino, Claudia

; Gibara, Silvia

; Urgoiti, Mariana

; Gnesetti, Anella

; Costa, Nadia

; Rocha, Sebastián

; Menta, Soledad

; Alsina, Susana

; Cabrera, Ana

; Zugarramurdi, Virginia

; Olivera, Valentina

; Henderson, Karem

Archivos de Pediatría del Uruguay

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2024, Volume 95 N. 1 elocation e202

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen: En diciembre de 2019, en Wuhan, China, se detectaron los primeros casos de SARS-CoV-2. En Uruguay, desde el 16 de marzo de 2020 se suspendieron las actividades de enseñanza, deportivas y espectáculos públicos. Varios países reportaron una marcada disminución de las visitas a urgencias. Algunos niños presentaron enfermedades ocasionales o descompensaciones de enfermedades crónicas, consultando en forma tardía con el riesgo que ello implica. El objetivo de este trabajo es realizar una descripción de las consultas tardías durante la pandemia. Se realizó un estudio multicéntrico y descriptivo entre el 13 de marzo y el 29 de julio de 2020. Se definió consulta tardía como los ingresos por injurias agudas con más de 6 horas de evolución, fiebre mayor a 72 horas de evolución, dificultad respiratoria con más de 12 horas de evolución, síntomas agudos, como dolor abdominal, de más de 24 horas de evolución, síntomas de más de 12 horas de evolución en niños con enfermedades crónicas que determinaron descompensación e ingreso. Se incluyeron 27 centros. Se registraron un total de 34.260 consultas en urgencia, se incluyeron 189 niños para el estudio. El promedio de edad fue de 6 años; 17 pacientes requirieron ingreso a unidad de cuidados intensivos (UCI). Predominó la apendicitis entre los diagnósticos al alta. Esta investigación puso en evidencia la existencia de consultas tardías en nuestro país. Esto contribuye a ponderar el impacto negativo de la pandemia en la población pediátrica.

Summary: In December 2019, the first cases of SARS-CoV-2 were detected in Wuhan. In Uruguay, since March 16, teaching, sports and public entertainment activities were suspended. Several countries reported a marked decrease in emergency room visits. Some children presented occasional illnesses or decompensations from chronic illnesses, consulting late with the risk that this implies. The objective of the work is to make a description of late consultations during the pandemic. A multicenter and descriptive study was carried out between March 13 and July 29, 2020. “Late consultation” was defined as admissions for: Acute injuries with more than 6 hours of evolution, fever greater than 72 hours of evolution, difficulty respiratory disease with more than 12 hours of evolution, acute symptoms such as abdominal pain of more than 24 hours of evolution, symptoms of more than 12 hours of evolution in children with chronic diseases that determined decompensation and admission. 27 centers were included. A total of 34260 emergency consultations were registered, 189 children were included for the study. The average age was 6 years. 17 patients required admission to the ICU. Appendicitis predominated among the diagnoses at discharge. This research revealed the existence of late consultations in our country. This helps to weigh the negative impact of the pandemic on the pediatric population.

Resumo: Em dezembro de 2019, em Wuhan, foram detectados os primeiros casos de SARS-CoV-2. No Uruguai, desde 16 de março, as atividades de ensino, esporte e entretenimento público foram suspensas. Vários países relataram uma diminuição acentuada nas visitas ao pronto-socorro. Algumas crianças apresentavam doenças ocasionais ou descompensações de doenças crônicas, consultando tardiamente os riscos que isso implica. O objetivo do trabalho é fazer uma descrição das consultas tardias durante a pandemia. Um estudo multicêntrico e descritivo foi realizado entre 13 de março e 29 de julho de 2020. Consulta tardia foi definida como internações por: Lesões agudas com mais de 6 horas de evolução, febre maior que 72 horas de evolução, dificuldade respiratória com mais de 12 horas de evolução, sintomas agudos como dor abdominal com mais de 24 horas de evolução, sintomas com mais de 12 horas de evolução em crianças com doenças crônicas que determinaram descompensação e internação. 26 centros foram incluídos. Um total de 34.260 consultas de emergência foram registradas, 189 crianças foram incluídas no estudo. A idade média era de 6 anos. 17 pacientes necessitaram de internação na UTI. Apendicite predominou entre os diagnósticos na alta. Esta pesquisa revelou a existência de consultas tardias em nosso país. Isso ajuda a pesar o impacto negativo da pandemia na população pediátrica.

https://doi.org/10.31134/ap.95.1.2

Aneurisma del seno de Valsalva roto a la aurícula derecha resuelto con intervencionismo
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Jiménez-Garcés, Vanesa G.

; Priego-Carrillo, José A.

; Trevethan-Cravioto, Sergio A.

; Arias-Godínez, José A.

; Sandoval-Jones, Juan P.

; López-Meneses, Mauricio

; Bonilla-Quezada, Leonor

; Molina-Delgado, Lucero

Archivos de cardiología de México

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sep 2023, Volume 93 N. 3 Pages 355 - 359

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Se presenta un caso de aneurisma del seno de Valsalva derecho roto a la aurícula derecha, que en el transcurso de tres meses desarrolló insuficiencia cardiaca global y fue resuelto del todo por medio de intervencionismo, colocando un dispositivo oclusor en el sitio de la fístula. Se discute su etología, así como las pautas para el diagnóstico clínico y el tratamiento.

Abstract We present a case of a ruptured right sinus of Valsalva aneurysm to the right atrium that developed global heart failure over the course of three months, and which was completely resolved through cardiac catheterism, placing an occlusive device at the site of the fistula. Its ethology is discussed, as well as the guidelines for clinical diagnosis and treatment.

https://doi.org/10.24875/acm.220000191

Chronic kidney disease prevention campaign: relationship between proteinuria and elderly people campaign
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Nunes Filho, Júlio César Chaves

; Camurça, David Silva

; Rocha, Gabriel Alves

; Oliveira, Ana Beatriz Timbó de

; Marinho, Gabriela Correia Pequeno

; Santos, Sérgio Gabriel Monteiro

; Pereira, Dyego Castelo Branco Holanda Gadelha

; Meneses, Gdayllon Cavalcante

; Daher, Elizabeth De Francesco

Brazilian Journal of Nephrology

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jun 2023, Volume 45 N. 2 Pages 162 - 168

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo: Verificar a relação entre a presença de proteinúria como marcador de lesão renal em idosos sem histórico de hipertensão arterial sistêmica e doenças cardiovasculares. Um estudo transversal foi desenvolvido de Janeiro de 2014 a Dezembro de 2019, por meio de campanhas de prevenção a doenças renais promovidas pela Universidade Federal do Ceará, na cidade de Fortaleza. Métodos: A amostra foi composta por 417 idosos. Um questionário foi usado para caracterizar indivíduos e avaliar doenças prévias, e foram utilizadas tiras reagentes de urinálise para avaliar proteinúria. Resultados: Diferenças estatisticamente significativas (p < 0,05) e tamanhos de efeito moderados foram encontrados para níveis de pressão arterial (IC 0,53-0,93), pressão arterial sistólica e pressão arterial diastólica (IC 0,21-0,61). Também foram encontradas diferenças significativas na glicemia capilar entre grupos (p = 0,033), mas com um tamanho de efeito baixo (0,02–0,42). O grupo com comorbidades apresentou 2,94 vezes mais probabilidade de ter proteinúria do que aqueles sem comorbidades (OR 2,94; IC 1,55-4,01; p < 0,05). No grupo sem doença cardiovascular/hipertensão, foi encontrada uma associação estatisticamente significativa para diabetes anterior e proteinúria (p = 0,037), apresentando risco 2,68 vezes maior de proteinúria naqueles com diabetes mellitus (OR 2,68; IC 1,05-6,85). Também foi encontrada uma associação significativa entre faixas etárias, com o grupo mais velho apresentando risco 2,69 vezes maior de desenvolver proteinúria (75 a 90 em comparação com 60 a 74 anos) (IC 1,01-7,16; p = 0,045). Conclusão: Mesmo sem hipertensão arterial sistêmica ou doença cardiovascular, o diabetes e a idade avançada podem ser considerados fatores de alto risco para proteinúria. Objetivo cardiovasculares 201 2019 Ceará Fortaleza Métodos 41 prévias Resultados 0,05 005 0 05 0,530,93, 053093 0,53 0,93 , 53 93 0,53-0,93) 0,210,61. 021061 0,21 0,61 . 21 61 0,21-0,61) 0,033, 0033 0,033 033 0,033) 0,02–0,42. 002042 0,02–0,42 02 42 (0,02–0,42) 294 2 94 2,9 OR 1,554,01 155401 1,55 4,01 1 55 4 01 1,55-4,01 0,05. cardiovascularhipertensão cardiovascular cardiovascular/hipertensão 0,037, 0037 0,037 037 0,037) 268 68 2,6 1,056,85. 105685 1,05 6,85 6 85 1,05-6,85) etárias 269 69 75 (7 9 7 anos 1,017,16 101716 1,01 7,16 16 1,01-7,16 0,045. 0045 0,045 045 0,045) Conclusão 20 0,0 00 530 0,530,93 05309 053 0,5 093 0,9 5 0,53-0,93 210 0,210,61 02106 021 0,2 061 0,6 0,21-0,61 003 0,03 03 00204 0,02–0,4 (0,02–0,42 29 2, 554 1,554,0 15540 155 1,5 401 4,0 1,55-4,0 26 056 1,056,85 10568 105 1,0 685 6,8 8 1,05-6,85 ( 017 1,017,1 10171 101 716 7,1 1,01-7,1 004 0,04 04 0, 0,530,9 0530 09 0,53-0,9 0,210,6 0210 06 0,21-0,6 0020 0,02–0, (0,02–0,4 1,554, 1554 15 1, 40 4, 1,55-4, 1,056,8 1056 10 6, 1,05-6,8 1,017, 1017 71 7, 1,01-7, 0,530, 0,53-0, 0,210, 0,21-0, 002 0,02–0 (0,02–0, 1,554 1,55-4 1,056, 1,05-6, 1,017 1,01-7 0,530 0,53-0 0,210 0,21-0 0,02– (0,02–0 1,55- 1,056 1,05-6 1,01- 0,53- 0,21- 0,02 (0,02– 1,05- (0,02 (0,0 (0, (0

ABSTRACT Objective: To verify the relationship between the presence of proteinuria as a renal injury marker in elderly without history of systemic arterial hypertension and cardiovascular diseases. A cross-sectional study was developed from January 2014 to December 2019, through kidney disease prevention campaigns promoted by the Federal University of Ceará in the city of Fortaleza. Methods: The sample consisted of 417 elderlies. A questionnaire was used to characterize individuals and assess previous diseases, and urinalysis reagent strips were used to assess proteinuria. Results: Statistically significant differences (p < 0.05) and moderate effect sizes were found for blood pressure levels (CI 0.53-0.93), systolic blood pressure, and diastolic blood pressure (CI 0.21-0.61). Significant differences in capillary glycemia were also found between groups (p = 0.033), but with a low effect size (0.02–0.42). The group with comorbidities was 2.94 times more likely to have proteinuria than those without comorbidities (OR 2.94, CI 1.55-4.01; p < 0.05). In the group without cardiovascular disease/high blood pressure, a statistically significant association was found for previous diabetes and proteinuria (p = 0.037), presenting 2.68 times higher risk of proteinuria in those with diabetes mellitus (OR 2.68, CI 1.05-6.85). Significant association was also found between age groups, with the older group having 2.69 times higher risk of developing proteinuria (75 to 90 compared to 60 to 74 years) (CI 1.01-7.16; p = 0.045). Conclusion: Even without systemic arterial hypertension or cardiovascular disease, diabetes and older age can be considered high risk factors for proteinuria. Objective diseases crosssectional cross sectional 201 2019 Fortaleza Methods 41 elderlies Results 0.05 005 0 05 0.530.93, 053093 0.53 0.93 , 53 93 0.53-0.93) 0.210.61. 021061 0.21 0.61 . 21 61 0.21-0.61) 0.033, 0033 0.033 033 0.033) 0.02–0.42. 002042 0.02–0.42 02 42 (0.02–0.42) 294 2 94 2.9 OR 1.554.01 155401 1.55 4.01 1 55 4 01 1.55-4.01 0.05. diseasehigh 0.037, 0037 0.037 037 0.037) 268 68 2.6 1.056.85. 105685 1.05 6.85 6 85 1.05-6.85) 269 69 75 (7 9 7 years 1.017.16 101716 1.01 7.16 16 1.01-7.16 0.045. 0045 0.045 045 0.045) Conclusion 20 0.0 00 530 0.530.93 05309 053 0.5 093 0.9 5 0.53-0.93 210 0.210.61 02106 021 0.2 061 0.6 0.21-0.61 003 0.03 03 00204 0.02–0.4 (0.02–0.42 29 2. 554 1.554.0 15540 155 1.5 401 4.0 1.55-4.0 26 056 1.056.85 10568 105 1.0 685 6.8 8 1.05-6.85 ( 017 1.017.1 10171 101 716 7.1 1.01-7.1 004 0.04 04 0. 0.530.9 0530 09 0.53-0.9 0.210.6 0210 06 0.21-0.6 0020 0.02–0. (0.02–0.4 1.554. 1554 15 1. 40 4. 1.55-4. 1.056.8 1056 10 6. 1.05-6.8 1.017. 1017 71 7. 1.01-7. 0.530. 0.53-0. 0.210. 0.21-0. 002 0.02–0 (0.02–0. 1.554 1.55-4 1.056. 1.05-6. 1.017 1.01-7 0.530 0.53-0 0.210 0.21-0 0.02– (0.02–0 1.55- 1.056 1.05-6 1.01- 0.53- 0.21- 0.02 (0.02– 1.05- (0.02 (0.0 (0. (0

https://doi.org/10.1590/2175-8239-jbn-2022-0028en

Transformación de la educación médica durante la pandemia por COVID-19 en un hospital nacional
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Flores Buendía, Jocelyn Itzel

; Bonilla Quezada, Leonor

; Rivera Buendía, Frida

; Buendía Espinosa, Angélica

; Azar Manzur, Francisco Javier

; Trevethan Cravioto, Sergio Arnulfo

; López Meneses, Mauricio

; Jiménez Garcés, Vanesa Guadalupe

; López Guerrero, Lesley Elena

; Sierra Fernández, Carlos Rafael

Investigación en educación médica

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jun 2023, Volume 12 N. 46 Pages 31 - 39

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Introducción La pandemia por COVID-19 ha generado transformaciones importantes en la sociedad. Para la educación superior, especialmente las instituciones y centros de atención médica con programas de formación de médicos especialistas, las medidas de confinamiento generaron retos importantes para la continuidad de los procesos de enseñanza-aprendizaje, a partir del diseño e implementación de nuevas estrategias para preservar la formación médica. Objetivo Analizar la percepción de los estudiantes de posgrado de un hospital de tercer nivel de atención, sobre las transformaciones de los procesos de enseñanza-aprendizaje en modalidad virtual, a partir de los cambios organizacionales que se implementaron durante la pandemia por la COVID-19. Método Estudio con diseño mixto, cuantitativo y cualitativo, que incluyó a 100 médicos especialistas en formación del Instituto Nacional de Cardiología “Ignacio Chávez” (INCICh). Se diseñó una encuesta con 151 reactivos, que fue aplicada a la muestra total. Además, se realizaron 10 entrevistas semiestructuradas a profundidad con 13 preguntas. Los datos cualitativos se analizaron con el programa MAXQDA versión 18 y los datos cuantitativos con el programa R versión 3.6.0. Resultados Se muestra un tipo de cambio radical-adaptativo, que se materializó con la emergencia de nuevas prácticas y formas de organización ligadas a las Tecnologías de la Información y Comunicación (TIC) en los procesos de enseñanza-aprendizaje. Conclusiones Derivado de la pandemia, la implementación de estrategias ligadas al uso de TIC permitió parcialmente la continuidad de los procesos formativos en los especialistas. Se generaron estrategias innovadoras de enseñanza-aprendizaje que permiten enriquecer los procesos educativos y organizacionales actuales y futuros.

Abstract Introduction The COVID-19 pandemic has generated important transformations in society. In higher education, especially in those institutions and tertiary care centers with training programs for medical specialists, the confinement measures generated significant challenges for the continuity of their internal processes and, particularly, in the teaching-teaching processes, and new strategies to preserve medical education were created. Objective To analyze the perception of graduate students about educational transformations based on the organizational changes that were implemented for virtual education during the COVID-19 pandemic in a tertiary care hospital. Method Study with a mixed, quantitative and qualitative design, which included 100 medical specialists in training from the National Institute of Cardiology "Ignacio Chávez". A survey with 151 items was developed, which was applied to the total sample. In addition, 10 in-depth semi-structured interviews with 13 questions were conducted. Qualitative data was analyzed through the MAXQDA version 18 program and quantitative data was analyzed using the R version 3.6.0 program. Results A type of radical-adaptive change is shown, which materialized with the emergence of new practices and forms of organization linked to Information and Communication Technologies (ICT) in the teaching-learning processes. Conclusions Due to the pandemic, the implementation of strategies linked to the use of ICT allowed the continuity of the training processes in the specialists. In addition, a type of learning will be presented that allows enriching educational processes, both pedagogical and organizational.

https://doi.org/10.22201/fm.20075057e.2023.46.22469

Espirometría: actualización del procedimiento y perspectivas pospandemia
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Benítez-Pérez, Rosaura Esperanza

; Cortés-Telles, Arturo

; Meneses-Tamayo, Érika

; Silva-Cerón, Mónica

; Río-Hidalgo, Rodrigo Francisco del

; Monraz-Pérez, Sergio

; González-Castellanos, Mabelle

; Camargo-Ángeles, Robert

; Torre-Bouscoulet, Luis

; Vázquez-García, Juan Carlos

; Pérez-Padilla, Rogelio

; Gochicoa-Rangel, Laura

Neumología y cirugía de tórax

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jun 2023, Volume 82 N. 2 Pages 104 - 124

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: Spirometry is the most widely used and standardized respiratory function test. In 2019, the American Thoracic Society and the European Respiratory Society updated the international guidelines for its execution. The COVID-19 pandemic forced the establishment of better biosafety parameters and has renewed interest in respiratory medicine in the world, including physiological evaluation. The present manuscript summarizes these changes incorporating recommendations and suggestions for countries with limited resources.

Resumen: La espirometría es la prueba de función respiratoria más utilizada y estandarizada. En el año 2019, la Sociedad Americana del Tórax y la Sociedad Respiratoria Europea actualizaron los lineamientos internacionales para su ejecución. La pandemia de COVID-19 ha obligado a establecer mejores parámetros de bioseguridad y ha renovado el interés por la medicina respiratoria en el mundo, incluyendo la evaluación funcional. El presente manuscrito es una propuesta de procedimiento de espirometría ajustado a los cambios e incorpora recomendaciones y sugerencias para países con recursos limitados.

https://doi.org/10.35366/115397

Identification of phlebotomine sand fly (Diptera: Psychodidae) in Atlantic forest fragments and their dispersal to urban area Diptera (Diptera Psychodidae
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SILVA, FRANCISCO A.

; COSTA, DIMÍTRI A.

; SILVA, BRENO HENRIQUE M.

; ALVES, ADRIANO FRANCISCO

; SOUZA, SÉRGIO JOEL DE

; SILVA, GEUBA MARIA B. DA

; MENESES, JANAÍNA M.

; MATOS-ROCHA, THIAGO JOSÉ

; CHRISTOFFERSEN, MARTIN L.

; CAVALCANTI, MARÍLIA GABRIELA S.

Anais da Academia Brasileira de Ciências

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2023, Volume 95 N. 4 elocation e20191596

Abstract: En | Text: En | PDF: En

Abstract The geographical distribution of sand flies in Brazil has been the subject of some studies, yet there is no information about the phlebotomine fauna in João Pessoa, State of Paraíba, Brazil. The aim of this work is to evaluate the occurrence and distribution of sand flies in the Atlantic forest fragments and to evaluate a possible dispersion in 06 nearby districts. Light traps were used during three consecutive nights, supplemented by an aspirator during the dry period and rainy season. A total of 222 sand flies were found, 143 (130 males and 13 females) in the Atlantic forest, and 79 in urban areas. During the entire dry season, three species of phlebotomine sand flies were recorded in 11 forest fragments, Lutzomyia longipalpis, Lu. migonei and Lu. whitmani. During the rainy season, only Lu. longipalpis was found. This was the only species identified in the studied neighborhoods during both seasons. The differences in diversity of sand flies encountered between natural habitats and urban areas may thus be correlated mostly with adaptations to particular habitats and availability of food. One species (Lu. longipalpis) appears to be rapidly adapting to urban areas because of deforestation. studies Pessoa Paraíba 0 districts nights season 22 found 14 130 (13 1 females 7 Lu whitmani seasons food (Lu deforestation 2 (1 (

https://doi.org/10.1590/0001-3765202320191596

CINE NEGRO: POLÍTICA, PERIODISMO Y PODER EN EL CINE MANIERISTA COLOMBIANO DEL SIGLO XXI
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Laverde Román, Alejandra María

; Berrío Meneses, Carlos Mario

; Arenas-Vélez, Fernando

Nueva revista del Pacífico

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dec 2022, N. 77 Pages 27 - 50

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract: The objective of this work is to analyze two Colombian films of the noir genre of twenty first century, Perder es cuestión de método (2004) by Sergio Cabrera -adapted from the homonymous novel by Santiago Gamboa- and La historia del baúl rosado (2005) by Libia Stella Gómez, for its close relationship with the Mannerist story mode proposed by the theoretician Jesús González Requena in his study of Hollywood cinema. A textual analysis is carried out to identify the possible coincidences and divergences between the functions of the hero and the donor, and the fulfillment of the symbolic task proposed in the films. In both films, there is a protagonist without heroic traits as a direct consequence of the weakening of the symbolic function of the narrative structure in a context of political and state corruption.

Resumen: El objetivo de este trabajo es analizar dos películas colombianas del género negro del siglo XXI, Perder es cuestión de método (2004) de Sergio Cabrera -adaptación de la novela homónima de Santiago Gamboa- y La historia del baúl rosado (2005) de Libia Stella Gómez por su estrecha relación con el modo del relato manierista propuesto por el teórico Jesús González Requena en su estudio del cine hollywoodense. Se lleva a cabo un análisis textual para identificar las posibles coincidencias y divergencias entre las funciones del héroe y el destinador, y el cumplimiento de la tarea simbólica propuestas en los filmes. Se encuentra en ambas películas un protagonista sin rasgos heroicos como consecuencia directa del debilitamiento de la función simbólica de la estructura narrativa en un contexto de corrupción política y estatal.

Repercusión de la pandemia por SARS-COV-2 sobre las consultas en los Servicios de Emergencia Pediátrica en Uruguay
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Más, Mariana

; Tórtora, Soledad

; Amarillo, Paloma

; Dávila, Manuel

; Osta, Lody

; Noya, Noelia

; Dall´Orso, Patricia

; Prego, Javier

; Páez, Marcos

; Invernizzi, Marcelo

; Venturino, Sergio

; Canziani, Catalina

; Venturino, Claudia

; Gíbara, Silvia

; García, Virginia

; Siniestro, Jimena

; Meneses, Gabriel

; Gamino, Paula

; Castellanos, Florencia

; Menta, Loredana

; Lafon, Gabriela

; Da Silva, Esteban

; Lemos, Isis

; Rodríguez, Luciana

; García, Lucila

; de la Hoz, Florencia

; Olmedo, Yaqueline

; León, Dyron

; Steinfeld, Pablo

; Adaime, Verónica

; Ferrari, Verónica

; Arriola, Nadia

; Zooby, Marcelo

; Falcao, Gimena

; Pérez, Mariana

; Cabrera, Ana

; Alsina, Susana

Archivos de Pediatría del Uruguay

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dec 2022, Volume 93 N. 2 elocation e205

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

resumen está disponible en el texto completo

Summary: In March 2020 the first case of coronavirus disease was confirmed in Uruguay, and lockdown was recommended. Health care services were reduced to Urgency and Emergency Services (ES). Objectives: to analyze the epidemiological characteristics of pediatric visits to the ES of the public and private subsector in Uruguay, during the first 4 months of the SARS-CoV-2 pandemic. Methods: descriptive, retrospective. Results: 23 institutions participated. 2 periods were considered: 1) pre-pandemic, 03/14/19 to 07/29/19, 2) 03/14/20 to 07/29/20. Visits: period 1: n=121,116 (< 15 years), period 2: n=33.099 (73% decrease). Hospital admissions: period 1: n=6,649 (rate 5.5). Period 2: n=2.948 (rate 9,5). Diagnoses period 1: High acute respiratory infection 39,892 (33%), low acute respiratory infection 8,656 (7%), minor trauma 8,651 (7%), gastroenteritis 8,044 (6,6%), asthmatic crisis/CBO 7.974 (6,5%), injuries 4,389 (3,6%), abdominal pain (3,528) 3%, mental health problems 859 (0.7%), seizures 758 (0.7%), social pathology 678 (0.5% ). 2020 diagnoses: high acute respiratory infection 5.168 (16%), minor trauma 2,759 (8%), injuries 2,652 (8%), abdominal pain 1,494 (4.5%), gastroenteritis 1,296 (4%), asthma/CBO 1,095 (3,3%), low acute respiratory infection 700 (2,1%), social pathology 522 (1,6%), mental health problems 471 (1,4%), seizures 408 (1,2%). Conclusions: in the first months of the pandemic there was a sustained and significant reduction in pediatric consultations in ES. There was no increase in absolute frequency of any of the diagnoses. There was a historical decrease in low respiratory infections and hospitalizations due to this cause in the whole country. Maintaining a surveillance of the visits in the ES would enable practitioners to identify and take action in case of changes or previously undetected risk situations.

Resumo: Em março de 2020, foi confirmado o primeiro caso de doença por coronavírus no Uruguai, recomendando o confinamento. A assistência à saúde foi reduzida a serviços de urgência e emergência (SE). Objetivo: analisar as características das consultas pediátricas no SE do subsetor público e privado no Uruguai, durante os primeiros 4 meses da pandemia de SARS-CoV-2. Metodologia: estudo descritivo, retrospectivo, multicêntrico. Resultados: participaram 23 SEs de todas as regiões do país. Período pré-pandemia 1: 14/03/19-29/07/19, período 2: 14/03/20-29/07/20 Consultas: período 1 n=121.116, período 2 n=33.099 (redução de 73%) . Internações da SE: período 1 n= 0,6649 (taxa 5,5%). Período 2: n=2.948 (taxa de 9,5%). Diagnósticos do período 1: infecção respiratória aguda alta (IRA) 39.892 (33%), LRA baixa 86,56 (7%), trauma menor 8.651 (7%), gastroenterite 8.044 (6,6%), crise asmática/CBO 7.974 (6, 5% ), lesões 4.389 (3,6%), dor abdominal 3.528 (3%), problemas de saúde mental 859 (0,7%), convulsões 758 (0,7%), patologia social 678 (0,5%). Diagnósticos 2020: IRA alta 5.168 (16%), trauma leve 2.759 (8%), lesões 2.652 (8%), dor abdominal 1.494 (4,5%), gastroenterite 1.296 (4%), asma/CBO 1.095 (3, 3%), IRA baixa 700 (2,1%), patologia social 522 (1,6%), problemas de saúde mental 471 (1,4%), convulsões 408 (1,2%). Conclusões: nos primeiros meses da pandemia houve uma redução sustentada e significativa das consultas pediátricas no SE. Não houve aumento na frequência absoluta de nenhum dos diagnósticos. Foi registrado um decréscimo histórico de IRAs baixas e internações por essa causa em todo o país. A manutenção de uma vigilância das consultas no SE permitiria identificar e intervir atempadamente nos casos de alterações ou situações de risco que até agora não tinham sido detectadas.

https://doi.org/10.31134/ap.93.2.22

10.

Amphotericin B is usually underdosed in the treatment of experimental cutaneous leishmaniasis
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Sifontes-Rodríguez, Sergio

; Chaviano-Montes de Oca, Claudia Sissely

; Monzote-Fidalgo, Lianet

; Meneses-Gómez, Susana

; Mollineda-Diogo, Niurka

; Escario-García-Trevijano, José Antonio

Ars Pharmaceutica (Internet)

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sep 2022, Volume 63 N. 3 Pages 253 - 262

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Introducción: La anfotericina B es un fármaco eficaz para el tratamiento de las distintas formas de leishmaniosis. Sin embargo, existen informes sobre su ineficacia en animales de laboratorio infectados experimentalmente conLeishmaniaspp.Es por ello que el objetivo del presente trabajo fue evaluar el balance de actividad-toxicidad a dosis de Anfotericina B superiores a 1 mg/kg, de modo que su uso como fármaco leishmanicida control positivo sea adecuado. Método: Se infectaron experimentalmente ratones BALB/c conL. amazonensisy se trataron con anfotericina B por vía intraperitoneal a dosis desde 5 mg/kg hasta 12,5 mg/kg, comenzando 21 días después de la infección. Durante once semanas a partir del comienzo del tratamiento se evaluó el tamaño de las lesiones y el peso corporal de los ratones. Tres días después de concluido el tratamiento se determinó el número de parásitos en las lesiones. Resultados: La anfotericina B a 5 mg/kg retrasó el crecimiento de las lesiones, pero no redujo su tamaño ni disminuyó significativamente el número de parásitos en la lesión. Dosis de 7,5 mg/kg a 10 mg/kg, cada 48 h durante 14 días (7 dosis) causaron una reducción significativa del tamaño de la lesión y de la carga parasitaria sin pérdida manifiesta de peso corporal y sin signos de toxicidad. La anfotericina B a 12,5 mg/kg fue más eficaz, pero produjo una toxicidad inaceptable. Conclusiones: Los resultados avalan el uso de la anfotericina B como control positivo en ratones BALB/c infectados experimentalmente conL. amazonensisen dosis de 7,5 mg/kg a 10 mg/kg para lograr un efecto comparable al observado en la práctica clínica.

Abstract Introduction: Amphotericin B is an effective drug for the treatment of the different clinical forms of leishmaniasis. However, there are reports of its ineffectiveness in animals experimentally infected withLeishmaniaspp. That is why, the objective of the present work was to evaluate the balance of activity-toxicity at amphotericin B doses over 1 mg/kg, so that its use as a positive control antileishmanial drug were adequate. Method: BALB/c mice were experimentally infected withL. amazonensisand treated with amphotericin B by intraperitoneal route at doses from 5 mg/kg to 12.5 mg/kg, beginning 21 days after infection. The size of the lesions and the body weight of the mice were measured for eleven weeks after the commencement of treatment. The number of parasites was also determined three days after the end of treatment. Results: Amphotericin B at 5 mg/kg retarded lesions growth but neither reduced lesion size nor the parasite load at lesion site. Doses of 7.5 mg/kg to 10 mg/kg, every 48 h for 14 days (7 doses) caused a significant reduction of lesion size and parasite load without evident loss of body weight and without signs of toxicity. Amphotericin B at 12.5 mg/kg was more effective but produced unacceptable toxicity. Conclusions: The results support the use of amphotericin B as a positive control drug in BALB/c mice experimentally infected withL. amazonensisat doses of 7.5 mg/kg to 10 mg/kg to achieve an effect comparable to that observed in clinical practice.

https://doi.org/10.30827/ars.v63i3.23894

11.

Chronic kidney disease prevention campaign: relationship between proteinuria and elderly people
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Nunes Filho, Júlio César Chaves

; Camurça, David Silva

; Rocha, Gabriel Alves

; Oliveira, Ana Beatriz Timbó de

; Marinho, Gabriela Correia Pequeno

; Santos, Sérgio Gabriel Monteiro

; Pereira, Dyego Castelo Branco Holanda Gadelha

; Meneses, Gdayllon Cavalcante

; Daher, Elizabeth De Francesco

Brazilian Journal of Nephrology

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2022, N. ahead

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/2175-8239-jbn-2022-0028en

12.

Consultas tardías en los departamentos de emergencias pediátricas durante la pandemia por COVID-19 en Uruguay
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Noya, Noelia

; Dávila, Manuel

; Osta, Lody

; Más, Mariana

; Tórtora, Soledad

; Amarillo, Paloma

; Dall´Orso, Patricia

; Prego, Javier

; Giacoia, Andreina

; Lemos, Isis

; Rodríguez, Luciana

; Ré, Marianela

; Gamino, Paula

; Meneses, Gabriela

; Lafón, Gabriela

; Castellanos, Florencia

; García, Virginia

; Siniestro, Jimena

; Venturino, Sergio

; Canziani, Catalina

; Pérez, Mariana

; Silva, Esteban Da

; Invernizzi, Marcelo

; Falcao, Gimena

; García, Emilia

; Steinfeld, Pablo

; Páez, Marcos

; Guzzetti, Valentina

; Venturino, Claudia

; Gibara, Silvia

; Urgoiti, Mariana

; Gnesetti, Anella

; Costa, Nadia

; Rocha, Sebastián

; Menta, Soledad

; Alsina, Susana

; Cabrera, Ana

; Zugarramurdi, Virginia

; Olivera, Valentina

; Henderson, Karem

Archivos de Pediatría del Uruguay

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2022, Volume 93 N. nspe1 elocation e220

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen: En diciembre de 2019, en Wuhan, se detectaron los primeros casos de SARS-CoV-2. En Uruguay, desde el 16 de marzo del 2020 se suspendieron las actividades de enseñanza, deportivas y espectáculos públicos. Varios países reportaron una marcada disminución de las visitas a urgencias. Algunos niños presentaron enfermedades ocasionales o descompensaciones de enfermedades crónicas, consultando en forma tardía con el riesgo que ello implica. El objetivo del trabajo es realizar una descripción y análisis de las consultas tardías durante la pandemia. Se realizó un estudio multicéntrico, descriptivo y analítico entre el 13 de marzo y el 29 de julio de 2020. Se definió consulta tardía como los ingresos por: injurias agudas con más de 6 horas de evolución, fiebre mayor a 72 horas de evolución, dificultad respiratoria con más de 12 horas de evolución, síntomas agudos como dolor abdominal de más de 24 horas de evolución, síntomas de más de 12 horas de evolución en niños con enfermedades crónicas que determinaron descompensación e ingreso. Se incluyeron 26 centros. Se registró un total de 34.260 consultas en urgencia, se incluyeron 189 niños para el estudio. El promedio de edad fue de 6 años. El tiempo de retraso en la consulta tuvo una media de 93 horas. 17 pacientes requirieron ingreso a UCI. Se registraron complicaciones en 14 pacientes. Predominó la apendicitis entre los diagnósticos al alta. Esta investigación puso en evidencia la existencia de consultas tardías en nuestro país. Esto contribuye a ponderar el impacto negativo de la pandemia en la población pediátrica.

Summary: In December 2019, the first cases of SARS-CoV2 were detected in Wuhan. In Uruguay, since March 16, teaching, sports and public entertainment activities were suspended. Several countries reported a marked decrease in emergency room visits. Some children presented occasional illnesses or decompensations from chronic illnesses, consulting late with the risk that this implies. The objective of the work is to make a description and analysis of late consultations during the pandemic. A multicenter, descriptive and analytical study was carried out between March 13 and July 29, 2020. “Late consultation” was defined as admissions for: Acute injuries with more than 6 hours of evolution, fever greater than 72 hours of evolution, difficulty respiratory disease with more than 12 hours of evolution, acute symptoms such as abdominal pain of more than 24 hours of evolution, symptoms of more than 12 hours of evolution in children with chronic diseases that determined decompensation and admission. 27 centers were included. A total of 34,707 emergency consultations were registered, 189 children were included for the study. The average age was 6 years. The delay time in the consultation averaged 97 hours. 21 patients required admission to the ICU. Complications were recorded in 14 patients. Appendicitis predominated among the diagnoses at discharge. This research revealed the existence of late consultations in our country. This helps to weigh the negative impact of the pandemic on the pediatric population.

Resumo: Em dezembro de 2019, em Wuhan, foram detectados os primeiros casos de SARS-CoV2. No Uruguai, desde 16 de março, as atividades de ensino, esporte e entretenimento público foram suspensas. Vários países relataram uma diminuição acentuada nas visitas ao pronto-socorro. Algumas crianças apresentavam doenças ocasionais ou descompensações de doenças crônicas, consultando tardiamente os riscos que isso implica. O objetivo do trabalho é fazer uma descrição e análise das consultas tardias durante a pandemia. Um estudo multicêntrico, descritivo e analítico foi realizado entre 13 de março e 29 de julho de 2020. Consulta tardia foi definida como internações por: Lesões agudas com mais de 6 horas de evolução, febre maior que 72 horas de evolução, dificuldade respiratória com mais de 12 horas de evolução, sintomas agudos como dor abdominal com mais de 24 horas de evolução, sintomas com mais de 12 horas de evolução em crianças com doenças crônicas que determinaram descompensação e internação. 26 centros foram incluídos. Um total de 34.260 consultas de emergência foram registradas, 189 crianças foram incluídas no estudo. A idade média era de 6 anos. O tempo médio de demora na consulta foi de 93 horas. 17 pacientes necessitaram de internação na UTI. Complicações foram registradas em 14 pacientes. Apendicite predominou entre os diagnósticos na alta. Esta pesquisa revelou a existência de consultas tardias em nosso país. Isso ajuda a pesar o impacto negativo da pandemia na população pediátrica.

13.

Repercusión de la pandemia por SARS-CoV-2 sobre las consultas en los Servicios de Emergencia Pediátrica en Uruguay
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Más, Mariana

; Tórtora, Soledad

; Amarillo, Paloma

; Dávila, Manuel

; Osta, Lody

; Noya, Noelia

; Dall´Orso, Patricia

; Prego, Javier

; Páez, Marcos

; Invernizzi, Marcelo

; Venturino, Sergio

; Canziani, Catalina

; Venturino, Claudia

; Gíbara, Silvia

; García, Virginia

; Siniestro, Jimena

; Meneses, Gabriel

; Gamino, Paula

; Castellanos, Florencia

; Menta, Loredana

; Lafon, Gabriela

; Da Silva, Esteban

; Lemos, Isis

; Rodríguez, Luciana

; García, Lucila

; de la Hoz, Florencia

; Olmedo, Yaqueline

; León, Dyron

; Steinfeld, Pablo

; Adaime, Verónica

; Ferrari, Verónica

; Arriola, Nadia

; Zooby, Marcelo

; Falcao, Gimena

; Pérez, Mariana

; Cabrera, Ana

; Alsina, Susana

Archivos de Pediatría del Uruguay

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2022, Volume 93 N. nspe1 elocation e219

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen: En marzo de 2020 se confirma el primer caso de enfermedad por coronavirus en Uruguay, recomendándose un confinamiento social. La atención sanitaria se redujo a servicios de urgencia y emergencia (SE). Objetivo: analizar las características de las consultas pediátricas en los SE del subsector público y privado en Uruguay, durante los primeros 4 meses de la pandemia por SARS-CoV-2. Metodología: estudio descriptivo, retrospectivo, multicéntrico. Resultados: participaron 23 SE de todas las regiones del país. Período 1 prepandemia: 14/03/19-29.07.19, período 2: 14/03/20-29/07/20 Consultas: período 1 n=121.116, período 2 n=33.099 (desciende 73%). Hospitalizaciones desde el SE: período 1 n= .6649 (tasa 5,5%). Período 2: n=2.948 (tasa 9,5%). Diagnósticos período 1: infección respiratoria aguda (IRA) alta 39.892 (33%), IRA baja 86.56 (7%), trauma menor 8.651 (7%), gastroenteritis 8.044 (6,6%), crisis asmática/CBO 7.974 (6,5%), lesiones 4.389 (3,6%), dolor abdominal 3.528 (3%), problemas de salud mental 859 (0,7%), convulsiones 758 (0,7%), patología social 678 (0,5%). Diagnósticos 2020: IRA alta 5.168 (16%), trauma menor 2.759 (8%), lesiones 2.652 (8%), dolor abdominal 1.494 (4,5%), gastroenteritis 1.296 (4%), asma/CBO 1.095 (3,3%), IRA baja 700 (2,1%), patología social 522 (1,6%), problemas de salud mental 471 (1,4%), convulsiones 408 (1,2%). Conclusiones: en los primeros meses de la pandemia hubo una reducción sostenida y significativo de consultas pediátricas en los SE. No hubo aumento en frecuencia absoluta de ninguno de los diagnósticos. Se registró un descenso histórico de las IRA bajas y las hospitalizaciones por esta causa en todo el país. Mantener una vigilancia de las consultas en los SE permitiría identificar e intervenir oportunamente si se produjeran cambios o situaciones de riesgo hasta el momento no detectadas.

14.

Knowledge and perceptions about Covid-19 in the marginalized population of southeastern Mexico
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Fuentes-Vicente, José A De

; Hernández-Reyes, Nancy L

; Bermúdez-Urbina, Flor M

; Meneses-Navarro, Sergio

; Castillo-Hernández, Ana L

; Santos-Hernández, Nancy G

; Gutiérrez-Jiménez, Javier

; Córdoba-Aguilar, Alex

Salud Pública de México

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oct 2021, Volume 63 N. 5 Pages 589 - 589

Abstract: En | Text: En | PDF: En

https://doi.org/10.21149/12547

15.

Ozone used as a supportive therapy for gingival tissue repair after facial trauma: Report of two cases
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Meneses-Santos, Daniela

; Lauand, Gustavo Amaral

; Macedo, Sérgio Bruzadelli

; Filice, Leticia de Souza Castro

; Silva, Claudia Jordão

; Rocha, Flaviana Soares

Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial

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jun 2021, Volume 62 N. 2 Pages 121 - 126

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O uso do ozono como terapia coadjuvante vem sendo extensivamente discutida. O ozono têm propriedades antimicrobianas, antioxidantes e cicatrizantes. Este trabalho apresenta dois casos de aplicação do ozono para auxiliar a preparação do tecido gengival após trauma da face. Em ambos os casos, os pacientes sofreram lacerações extensas na gengiva inserida e mucosa alveolar com exposição óssea. Os tecidos foram reposicionados e suturados, entretanto, áreas de isquemia foram observadas com possibilidade de necrose tecidual. Cada paciente recebeu gás ozono na concentração de 4 μg/ml. Em seguida foi realizada irrigação com 40 mL de água ozonizada na concentração final de 8 μg/ml. Cada sessão foi realizada semanalmente até a melhora clínica. Foi observada a melhora significativa da isquemia sem evolução para necrose ou infeção, permitindo a preservação do tecido gengival. O ozono mostrou um efeito benéfico na reparação de feridas na gengiva marginal e inserida após trauma de face.

Abstract The application of ozone as a supportive therapy has been widely discussed. Ozone has antimicrobial, antioxidant, and healing properties. This study presents two cases of ozone application as a supportive therapy for gingival tissue repair after facial trauma. In both cases, patients suffered extensive lacerations with bone exposure. Tissues were repositioned and sutured; however, ischemia was observed during follow-up with potential tissue necrosis. Each patient received ozone gas with a concentration of 4 μg/ml. Then, the wound was irrigated with 40 mL of ozonated water at a final concentration of 8 μg/ml. The procedure was held weekly until clinical improvement. A significant improvement was observed in ischemia without evolution to necrosis or infection, allowing gingival tissue preservation. Ozone showed a beneficial effect in the recovery of gingiva and alveolar mucosa wounds after extensive trauma.

https://doi.org/10.24873/j.rpemd.2021.06.837 67 downloads

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