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Abstract Objective: The aim of the present study was to identify anxiety and depression in health personnel who suffered COVID-19, and to associate them with blood inflammatory markers. Materials and methods: The design of this study was descriptive and cross-sectional. We evaluated 51 healthcare workers who survived COVID-19 disease with Hamilton scales for anxiety and depression, also we calculated inflammatory markers (systemic immune-inflammation index, SII; monocyte lymphocyte ratio, MLR; platelet lymphocyte ratio, PLR; and neutrophil lymphocyte ratio, NLR) using blood venous samples. This study was carried out from August 2021 to December 2022. Statistical analysis was performed using SPSS v. 26. Results: Our study included 51 healthcare personnel, females (n=29) and males (n=22). The mean age was 40.54 ± 11.00 years. The most frequent acute symptoms for COVID-19 presented were dysgeusia (n=20), anosmia (n=18), and headache (n=17). The most common comorbidities were overweight (n=24), obesity (n=22), and hypertension (n=11). According to the Hamilton Rating Scale for Anxiety (HARS) and Hamilton Rating Scale for Depression Rating (HRSD) we identify anxiety and depression in 72.5% (n=37) and 51% (n=26) within the health personnel, respectively. Conclusions: In our study, we observed a high frequency of anxiety and depression in healthcare workers with post COVID-19 condition. However, we did not observe an association between inflammatory markers (NLR, PLR, MLR, and SII) with anxiety and depression in health personnel postCOVID-19. We suggest follow-up assessments in healthcare personnel with post-COVID-19 condition, to evaluate if mixed emotional disorders persist.

Resumen Objetivo: Identificar ansiedad y depresión en el personal de salud que padeció COVID-19, y asociarlos con niveles de marcadores inflamatorios en sangre. Materiales y métodos: El estudio fue descriptivo y transversal. Evaluamos a 51 trabajadores del área de la salud con antecedente de COVID-19, se aplicó las escalas de ansiedad y depresión de Hamilton, y calculamos marcadores inflamatorios (índice de inmunidad/inflamación sistémica, índice monocito/linfocito, índice plaqueta/linfocito, índice neutrófilo/ linfocito) obtenidas de muestras de sangre venosa. El estudio se realizó durante el periodo de agosto del 2021 a diciembre del 2022. El análisis estadístico fue realizado en SPSS v. 26. Resultados: Nuestro estudio incluyó a 51 personas del área de salud, 29 mujeres y 22 hombres. La edad media fue 40.54 ± 11.00 años. Los síntomas agudos más frecuentes que presentaron los trabajadores fueron disgeusia (n=20), anosmia (n=18), y cefalea (n=17). Las comorbilidades más frecuentes fueron: sobrepeso (n= 24), obesidad (n=22), e hipertensión (n=11). Aplicando la Escala de Ansiedad de Hamilton y la Escala de Depresión de Hamilton, identificamos ansiedad y depresión en el personal de salud en 72.5% (n=37) y 51% (n=26), respectivamente. Conclusiones: En nuestro estudio observamos una alta frecuencia de ansiedad y depresión post COVID-19 en el personal de salud. No observamos asociación entre ansiedad, depresión y marcadores inflamatorios hematológicos en los trabajadores de salud en población mexicana que padeció COVID-19. Sugerimos realizar evaluaciones de seguimiento en el personal de salud en condición post COVID-19 para demostrar la persistencia de trastornos mixtos de las emociones.

https://doi.org/10.19136/hs.a23n1.5657

Utilidad de un modelo de reconstrucción e impresión 3D en Cirugía Hepática Compleja
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Pérez de Villar Vivas, José Manuel

; López León, Marta

; López-Cillero, Pedro

; Alcalá-Mata, Lidia

; Paulano-Godino, Félix

; Luna, Antonio

; Luque Molina, Antonio

Revista de cirugía

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feb 2024, Volume 76 N. 1 Pages 33 - 37

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

Introduction: Liver anatomy has always been a challenge due to its complexity and variability. In recent years, lower costs has allowed the generation of individualized 3D models for each patient, which can facilitate the surgical approach to liver lesions. The main objective was to determine usefulness of preoperative 3D modeling for surgical planning in patients with liver lesions. Methods: Quasi-experimental before-after study. 19 cases were included in which surgery was planned using a 3D printed model (13 bilobar hepatectomies, 3 of them with vascular involvement, and 6 unilobar hepatectomies, 1 of them with vascular involvement), and another 19 cases whose planning was carried out without a 3D printed model (7 bilobar segmental hepatic resections and 12 unilobar segmental resections. None of these cases had vascular involvement). Results: A significant difference in mean lesion count was observed, higher in the group of cases when performing the Wilcoxon test (p < 0.001), and a higher number of cases with vascular involvement in the same group when performing the Pearson chi-square test (p = 0.008). The rest of the variables did not show statistically significant differences. Despite this, mortality was reduced to 0 when 3D printed models were used. Conclusion: 3D printing allows for more precise planning of complex liver surgeries, helps with the inclusion and exclusion of patients for surgery, reduces operating room time, postoperative hospitalization, and surgical complications.

Resumen Introducción: La anatomía hepática siempre ha sido un reto por su complejidad y variabilidad. En los últimos años, el abaratamiento de los costes ha permitido la generación de modelos 3D individualizados para cada paciente que pueden facilitar el abordaje quirúrgico de las lesiones. El objetivo principal fue determinar la utilidad del modelado 3D preoperatorio para la planificación quirúrgica en pacientes con lesiones hepáticas. Métodos: Se trata de un estudio de casos de 38 pacientes intervenidos por lesiones hepáticas múltiples ocupantes de espacio, en el cual, en un grupo seleccionado, en 19 pacientes se utilizó un modelo impreso 3D para planificar la cirugía (grupo 3D) y el otro grupo sin el modelo impreso 3D (grupo control). Resultados: Se observó una diferencia de medias significativa en el número de lesiones; mayor en el grupo 3D al realizar el test de Wilcoxon (p < 0,001) y un mayor número de casos con afectación vascular en este mismo grupo al realizar Chi cuadrado Pearson (p = 0,008). El resto de variables no mostraron diferencias estadísticamente significativas. A pesar de esto, la mortalidad se redujo a 0 cuando se usan modelos impresos en 3D. Conclusión: La impresión 3D permite planear, de manera más precisa, cirugías complejas del hígado, ayuda a la inclusión y exclusión de los pacientes para la cirugía, disminuyendo el tiempo de la sala de operaciones, la posterior hospitalización y las complicaciones quirúrgicas.

https://doi.org/10.35687/s2452-454920240011868

Terapia fotodinámica, una nueva tendencia en endodoncia para la eliminación del Enterococcus faecalis
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Calderón Augusto, José Carlos Martín

; Cassana Rojas, Luis Rodrigo

; Villar Zapata, Jean Carlo

; Velásquez Huamán, Zulema

Revista Estomatológica Herediana

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jan 2024, Volume 34 N. 1 elocation 84

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

ABSTRACT Disinfection is achieved through procedures such as instrumentation, irrigation, and intra-canal medication; however, these are not enough since several studies have reported E. faecalis as one of the most prevalent persistent microorganisms in root canal treatments that have not achieved healing of the periapical tissues. Efforts have been made to improve disinfection protocols by including different technological tools, as in the case of photodynamic therapy, which uses a light source and photosensitizing substances that favor the process of elimination of the remaining bacteria within the root canal system. The present review of scientific literature delves into the clinical importance of photodynamic therapy and its effect on the disinfection and inhibition of E. faecalis within the root canal system, which has become a key element for the success of endodontic treatment.

RESUMEN La desinfección se consigue mediante procedimientos como la instrumentación, la irrigación y la medicación intraconducto; sin embargo, estos no son suficientes, ya que diversos estudios han reportado al E. faecalis como uno de los microorganismos persistentes con mayor prevalencia en tratamientos de conductos que no han conseguido la curación de los tejidos periapicales. Se ha tratado de mejorar los protocolos de desinfección incluyendo diferentes herramientas tecnológicas como en el caso de la terapia fotodinámica, la cual utiliza una fuente de luz y sustancias fotosensibilizantes que favorecen el proceso de eliminación de las bacterias remanentes dentro del sistema de conductos radiculares. La presente revisión de literatura científica profundiza en la importancia clínica de la terapia fotodinámica y su efecto en la desinfección e inhibición del E. faecalis dentro del sistema de conductos, lo cual se ha vuelto una pieza clave para el éxito del tratamiento endodóntico.

RESUMO A desinfeção é conseguida através de procedimentos como a instrumentação, a irrigação e a medicação intracanal; no entanto, isto não é suficiente, uma vez que vários estudos relataram a E. faecalis como um dos microrganismos persistentes mais prevalentes nos canais radiculares que não conseguiram cicatrizar os tecidos periapicais. Têm sido feitos esforços para melhorar os protocolos de desinfeção através da inclusão de diferentes ferramentas tecnológicas, como a terapia fotodinâmica, que utiliza uma fonte de luz e substâncias fotossensibilizadoras que favorecem o processo de eliminação das bactérias remanescentes no sistema de canais radiculares. Esta revisão da literatura científica analisa a importância clínica da terapia fotodinâmica e o seu efeito na desinfeção e inibição da E. faecalis no interior do sistema de canais radiculares, o que se tornou um fator chave para o sucesso do tratamento endodôntico.

https://doi.org/10.20453/reh.v34i1.5333

Cierre percutáneo de seudoaneurisma en anastomosis coronaria tras Bentall
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González Lizarbe, Sofía

; Borderías Villarroel, Teresa

; Ruisánchez Villar, Cristina

; Navasa Melado, José María

; Pulitani, Ivana

; Lee Hwang, Dae-Hyun

REC: Interventional Cardiology

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sep 2023, Volume 5 N. 3 Pages 236 - 238

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

https://doi.org/10.24875/recic.m23000368

Real-time PCR in the diagnosis of congenital toxoplasmosis Realtime Real time
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Villar, Bianca Balzano De La Fuente

; Gomes, Leonardo Henrique Ferreira

; Portari, Elyzabeth Avvad

; Ramos, Carla Nasser Patrocinio

; Rocha, Danielle Nascimento

; Pereira, Jose Paulo

; Neves, Elizabeth de Souza

; Guida, Letícia da Cunha

Brazilian Journal of Infectious Diseases

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2023, Volume 27 N. 5 elocation 102804

Abstract: En | Text: En | PDF: En

ABSTRACT The diagnosis of congenital toxoplasmosis presents limitations and therefore new options are necessary. The analysis of amniotic fluid by real-time PCR has already proved effective for confirmation of fetal infection. However, its performance in other biological samples is not clear yet. The aim of this study is to better understand the role of real-time PCR in the blood of the mother and newborn as well as in the amniotic fluid and placenta in the diagnosis of congenital toxoplasmosis. This is a descriptive cohort study of pregnant women with toxoplasmosis followed up in Rio de Janeiro, Brazil. Real-time PCR was performed in samples of maternal blood, amniotic fluid, placenta, and blood of newborns. In addition, histopathological examination of placentas was performed, and data collected from babies were collected. 116 pregnant women were followed up and 298 samples were analyzed. One (0.9%) pregnant woman presented positive PCR in the blood, 3 (3.5%) in the amniotic fluid, 1 (2.3%) in the placenta and no newborn had positive PCR in the blood. Histopathological study was suggestive of toxoplasmosis infection in 24 (49%) placentas. Six (5.2%) newborns were diagnosed with congenital toxoplasmosis, and only cases with positive PCR in the amniotic fluid had correlation of the PCR result with the diagnosis of congenital infection. Both maternal and blood samples of new-borns and placenta did not prove to be promising in the diagnosis of congenital toxoplasmosis. Further studies are needed to evaluate the real role of molecular diagnosis in other biological materials rather than the amniotic fluid. necessary realtime time However yet Janeiro Brazil Realtime Real addition 11 29 analyzed 0.9% 09 0 9 (0.9% 3.5% 35 5 (3.5% 2.3% 23 2 (2.3% 49% 49 (49% 5.2% 52 (5.2% borns 0.9 (0.9 3.5 (3.5 2.3 (2.3 4 (49 5.2 (5.2 0. (0. 3. (3. 2. (2. (4 5. (5. (0 (3 (2 ( (5

https://doi.org/10.1016/j.bjid.2023.102804

Cohort study of hospitalized patients with COVID-19 at Brazilian tertiary-care hospital: Occurrence of adverse events and mortality COVID19 COVID 19 COVID-1 tertiarycare tertiary care hospital COVID1 1 COVID-
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Luz, Maitê Vasconcelos

; Silva, Julian Furtado

; Ceccato, Hugo Dugolin

; Souza Júnior, Paulo José de

; Villar, Pedro Maximink

; Mendes, Paulo Roberto Araújo

; Resende, Mariângela Ribeiro

; Pereira, Mônica Corso

; Conterno, Lucieni Oliveira

Brazilian Journal of Infectious Diseases

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2023, Volume 27 N. 4 elocation 102791

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Patients hospitalized with COVID-19 are often submitted to invasive procedures and they are at risk for hospital-associated adverse events. Objectives: To evaluate the epidemiological and clinical aspects of patients hospitalized with COVID-19; the occurrence of adverse events and the risk factors for mortality. Method: Cohort study that included adult patients hospitalized with a diagnosis of SAR-SCoV-2 infection, at the tertiary University Hospital of UNICAMP from March 2020 to March 2021. Patients were identified through the hospital epidemiological surveillance system and followed until discharge or death. Descriptive, comparative, and logistic regression analysis was performed. Results: 650 adult patients were included. The main adverse events identified were nosocomial infections (31.5%), renal failure (33.8%), thromboembolic and vascular events (12.6%). Mortality was higher among those with bloodstream infections (30.2% vs. 8.6%; p < 0.0001), ventilator-associated pneumonia (VAP, 52.5% vs. 12.3%; p < 0.0001), catheter associated urinary infection (27.3% vs. 7.2%; p < 0.0001); thromboembolic and vascular events (23.0% vs. 9.9%; p < 0.0001) and renal failure (81.3% vs. 20.9%; p < 0.0001). Klebsiella pneumoniae (15.6%), Pseudomonas aeruginosa (14.4%), Enterococcus faecalis (8.6%) were the most isolated bacteria. Logistic regression analysis identified age, (RR = 1.03; 95% CI 1.02 to 1.05); ICU admission (RR = 3.06; 95% CI 1.59 to 5.87), vasoactive drug use (RR = 3.1; 95% CI 1.79 to 4.82); renal failure (RR = 7.76; 95% CI 4.54 to 13.26); and VAP (RR = 2.2; 95% CI 1.23 to 3.96), independently associated with mortality. Conclusion: adverse events have an important impact on the evolution of patients with COVID-19, reinforcing the need for optimized prevention and control measures as an essential part of care for these patients. Introduction COVID19 COVID 19 COVID-1 hospitalassociated Objectives mortality Method SARSCoV2 SARSCoV SAR SCoV 2 SAR-SCoV- 202 2021 death Descriptive comparative performed Results 65 31.5%, 315 31.5% , 31 5 (31.5%) 33.8%, 338 33.8% 33 8 (33.8%) 12.6%. 126 12.6% . 12 6 (12.6%) 30.2% 302 30 (30.2 vs 8.6% 86 0.0001, 00001 0.0001 0 0001 ventilatorassociated ventilator VAP, (VAP 525 52 52.5 12.3% 123 3 27.3% 273 27 (27.3 7.2% 72 7 23.0% 230 23 (23.0 9.9% 99 9 81.3% 813 81 (81.3 20.9% 209 20 0.0001. 15.6%, 156 15.6% 15 (15.6%) 14.4%, 144 14.4% 14 4 (14.4%) (8.6% bacteria age RR 1.03 103 1 03 95 102 02 1.0 1.05 105 05 1.05) 3.06 306 06 159 59 1.5 5.87, 587 5.87 87 5.87) 3.1 179 79 1.7 4.82 482 82 4.82) 7.76 776 76 454 54 4.5 13.26 1326 13 26 13.26) 2.2 22 1.2 3.96, 396 3.96 96 3.96) Conclusion COVID19, 19, COVID1 COVID- SAR-SCoV 31.5 (31.5% 33.8 (33.8% 12.6 (12.6% 30.2 (30. 8.6 0000 0.000 000 52. 12.3 27.3 (27. 7.2 23.0 (23. 9.9 81.3 (81. 20.9 15.6 (15.6% 14.4 (14.4% (8.6 10 1. 3.0 58 5.8 3. 17 4.8 48 7.7 77 45 4. 13.2 132 2. 39 3.9 31. (31.5 33. (33.8 12. (12.6 30. (30 8. 0.00 00 27. (27 7. 23. (23 9. 81. (81 20. 15. (15.6 14. (14.4 (8. 5. 13. (31. (33. (12. (3 0.0 (2 (8 (15. (14. (31 (33 (12 ( 0. (15 (14 (1

https://doi.org/10.1016/j.bjid.2023.102791

Autoabasto en la dieta campesina del Totonacapan poblano (México): implicaciones para la agrodiversidad
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Espinoza-Pérez, José

; Cortina-Villar, Sergio

; Perales, Hugo

; Soto-Pinto, Lorena

; Méndez-Flores, Orquidia G.

Región y sociedad

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2023, Volume 35 elocation e1717

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

Abstract Objective: to characterize farming families’ dietary pattern and determine the the influence of some socioeconomic factors on the origin and consumption of food in the Totonacapan Poblano, Mexico. Methodology: using the 24-hour recall technique a survey about their diet was applied to 270 families and the socioeconomic information was documented. Results: 159 foods were registered; of them 57.6% comes from external sources, including fats, dairy products, eggs, bread, wheat pasta, salt, and foods and beverages high in sugar. A high proportion of maize, some beans and chilies, green leaves “quelites”, fruits, chicken, and pork meat come mainly from the own, local, and regional production. Value: data on the current peasant diet and its implications for agrodiversity and health are provided. Conclusions: peasant diet components are being detached from self-consumption production, which is a consequence of the migration associated with low income.

Resumen Objetivo: caracterizar el patrón alimentario de las familias campesinas y determinar la influencia de los factores socioeconómicos en el origen y consumo de los alimentos en el Totonacapan poblano (México). Metodología: con la técnica de recordatorio de 24 horas, se aplicó una encuesta a 270 familias sobre su dieta y se documentó la información socioeconómica. Resultados: se registraron 159 alimentos, de los cuales 57.6% tiene procedencia externa e incluyen grasas, lácteos, huevo, pan, pasta de trigo, sal y alimentos y bebidas altas en azúcares. El maíz, algunos frijoles y chiles, las hojas verdes “quelites”, las frutas, la carne de pollo y el puerco proceden en gran medida de la producción propia, local y regional. Valor: se aportan datos sobre la dieta campesina actual y sus implicaciones para la agrodiversidad y la salud. Conclusiones: la dieta campesina se está desligando de la producción de autoconsumo debido a la migración asociada con bajos ingresos.

https://doi.org/10.22198/rys2023/35/1717

Rendimiento y resistencia al mosaico amarillo dorado de genotipos de frijol negro tropical
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Tosquy-Valle, Oscar Hugo

; Villar-Sánchez, Bernardo

; Ibarra-Perez, Francisco Javier

; Anaya-López, José Luís

; Garrido-Ramírez, Eduardo Raymundo

Revista mexicana de ciencias agrícolas

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nov 2022, Volume 13 N. 7 Pages 1285 - 1294

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

Resumen En las áreas tropicales de Chiapas, México, la producción de frijol es afectada por el mosaico amarillo dorado, la sequía y la acidez de los suelos. El objetivo de esta investigación fue identificar genotipos de frijol resistentes al mosaico amarillo dorado, con mayor productividad que la variedad Negro Jamapa, comúnmente sembrada en Chiapas. En otoño-invierno de 2019-2020 se estableció un experimento en tres localidades del centro de Chiapas, se evaluaron 11 líneas y tres variedades de frijol negro, incluida Negro Jamapa. El diseño experimental fue bloques al azar con tres repeticiones. Se cuantificó la incidencia de mosaico amarillo dorado y el rendimiento de grano. Los datos de las tres localidades se analizaron de manera individual y combinada. También se realizaron análisis de correlación entre la incidencia de mosaico amarillo dorado y el rendimiento de los genotipos. El mosaico amarillo dorado redujo el rendimiento en los tres sitios de evaluación (Villa Corzo, r= -0.562*; CECECH, r= -0.757** y El Gavilán, r= -0.552*). La línea Jamapa Plus/XRAV-187-3-4-1 mostró los mayores daños por esta enfermedad con una calificación promedio de incidencia de 6, significativamente superior al resto de los genotipos; en tanto que, las líneas: Negro Citlali/XRAV-187-3-1-6, Papaloapan/SEN 46-7-7 y Jamapa Plus/XRAV-187-3-4-4 y la variedad Verdín mostraron la mayor resistencia al mosaico amarillo dorado, con calificaciones de incidencia de entre 1.67 y 3.22, estadísticamente inferiores a la del testigo Negro Jamapa. Estos cuatro genotipos también obtuvieron rendimientos promedio significativamente sobresalientes (mayores a 934 kg ha-1) y superiores al de Negro Jamapa.

Abstract In the tropical areas of Chiapas, Mexico, bean production is affected by golden yellow mosaic, drought and soil acidity. The objective of this research was to identify bean genotypes resistant to the golden yellow mosaic, with higher productivity than the Negro Jamapa variety, commonly sown in Chiapas. In the autumn-winter of 2019-20 20, an experiment was established in three localities in central Chiapas, 11 lines and three varieties of black bean, including Negro Jamapa, were evaluated. The experimental design was randomized blocks with three repetitions. The incidence of golden yellow mosaic and grain yield were quantified. Data from the three localities were analyzed individually and in combination. Correlation analyses between the incidence of golden yellow mosaic and genotype yield were also performed. The golden yellow mosaic significantly reduced yield at the three sites of evaluation (Villa Corzo, r= -0.562*; CECECH, r= -0.757** and El Gavilán, r= -0.552*). The Jamapa Plus/XRAV-187-3-4-1 line showed the greatest damage from this disease with an average incidence score of 6, significantly higher than those of the rest of the genotypes, while the lines: Negro Citlali/XRAV-187-3-1-6, Papaloapan/SEN 46-7-7 and Jamapa Plus/XRAV-187-3-4-4 and the Verdín variety showed the highest resistance to the golden yellow mosaic, with incidence scores between 1.67 and 3.22, statistically lower than that of the control Negro Jamapa. These four genotypes also obtained average yields that were significantly outstanding (greater than 934 kg ha-1) and higher than that of Negro Jamapa.

https://doi.org/10.29312/remexca.v13i7.2429

Code infarction initiative of Bajio region, during the pandemic by COVID-19 in a reconversion hospital
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Villar-Valencia, Cristian Adrián

; Hernández-González, Martha Alicia

; Borrayo-Sánchez, Gabriela

; Celis-Quintal, Juan German

; Solorio-Meza, Sergio Eduardo

; Medina-Torres, Oscar Samuel

; Gutiérrez-Galván, Maraí Xochitl

; Rodríguez-Martínez, Braulio

; Prado-Rodríguez, Luis Humberto

; Vázquez-Morones, Ana Laura

; Alatoma-Medina, Juan Pablo

; Hernández-Estala, Jorge

; Patiño-Amaya, Aristóteles

; Magdaleno-Serrano, Hugo Ivan

; Rodríguez-Déniz, Carmen

; Arellano-Sotelo, Hugo

; Nava-Hernández, Guillermo

; Ramírez-Vázquez, Ricardo

; Chimal-Flores, Marco Antonio

; Alegría-Peredia, Emiliano

; Ramos-González, Gerardo Rubén

; Pérez-Benítez, Rigoberto

; Bermúdez-Acévez, Erik

; Valencia-Martínez, Hypatia

; Segovia-Solís, Hugo

; López-Varela, Manuel

; Monroy-Córdoba, Doryan

; Marmolejo-López, Adriana

; Báez-Montes, Alfredo

; Hernández-Cerqueda, Fabián

; Nolasco-Muñoz, Luis Ricardo

; Vargas-Ramírez, Luis Manuel

; Celis-Quintal, Juan German

; Bernal-Ruíz, Enrique Alfredo

; Delgado-Sánchez, Anabella

; Sánchez-López, José Manuel

; Bautista-López, Germán Ramón

; Acevedo-Gómez, Pablo Francisco

; Acuña-Valerio, Jorge Francisco

; González-Ortíz, Oracio

; Hernández-Padilla, Adolfo Asahel

; Solórzano-Vázquez, Marco Alejandro

; Franco-Herrera, Noel

; González, Luis Jonathan

; Reyes-Álvarez, José Miguel

; Salinas-Cavazos, Iván Rosendo

; Tiscareño-Villanueva, Ashby Daniel

; Vidrio-Villaseñor, Ramiro

; Fernández-Yáñez, Gabriel

; Meza, Ma. Guadalupe

; Nucamendi-Solórzano, Freeman Issac

; Sandoval-Uribe, José de Jesús

; Sotelo-García, Luis David

; Zamoaya-Paz, Luis Carlos

; Espriu, Donovan Fernando

; García-Rodríguez, Román

; López-Ibarra, Daniel Eugenio

; López-Valencia, Andrea Janeth

; Villar-Valencia, Cristian Adrián

; Navarro-Pérez-Macedo, Javier

Cardiovascular and metabolic science

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sep 2022, Volume 33 N. 3 Pages 97 - 105

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

Abstract: Introduction: Acute myocardial infarction has a high prevalence and possibility of death if timely care is not given. It is possible that treatment could be delayed during a health crisis such as the COVID-19 pandemic. Objective: The objective of this study was to evaluate the impact of the COVID-19 pandemic on the function of the infarction code in the High Specialty Medical Unit of our institution. The medical indicators of acute coronary ischemic syndrome with ST-segment elevation were compared at two times: before the COVID-19 pandemic and during it. Material and methods: An ambispective, analytical, comparative cohort study was conducted, comparing the periods of February-September 2019 and February-September 2020, in the High Specialty Medical Unit, Centro Médico del Bajío number 1, Instituto Mexicano del Seguro Social, Leon, Guanajuato, Mexico. All patients older than 18 years with clinical, electrocardiographic, and enzymatic data of acute coronary ischemic syndrome, accepted in the medical network as infarction code registered in the National Registry of Acute Coronary Ischemic Syndromes (RENASCA) electronic case report form were included in the study. Results: The independent samples t-test was used to determine the impact of the infarction code initiative based on the reperfusion therapies performed, the door-to-needle, the door-to-balloon time, and the ischemia time. There was a significant difference in the reperfusion strategy, with greater thrombolysis during the COVID-19 pandemic (57.4% versus 72.6%, odds ratio [OR] 1.97, 95% confidence interval [CI] 0.49-0.82, p < 0.001), as well as reperfusion criteria (21.03% versus 35.37%, OR 2.05, 95% CI 0.53-0.80, p < 0.0001). Mortality was not different between the time periods. Conclusions: The COVID-19 pandemic has not impacted operation of the infarction code in the High Specialty Medical Unit Centro Médico del Bajío number 1 because the medical indicators of acute coronary ischemic syndrome with ST-segment elevation did not change.

resumen está disponible en el texto completo

https://doi.org/10.35366/107622

10.

Propuesta de un índice que resume las medidas preventivas no farmacológicas adoptadas frente al SARS-CoV-2 en las empresas: el caso del Parc de Salut Mar (Barcelona)
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Utzet-Sadurní, Mireia

; Serra, Consol

; Ramada, Jose María

; Villar, Rocío

; de Travesedo, Consuelo

; del Prado, Julià

; Benavides, Fernando G

Archivos de Prevención de Riesgos Laborales

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sep 2022, Volume 25 N. 3 Pages 300 - 309

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

Resumen Introducción: Proponer la construcción de un índice numérico con las medidas preventivas no farmacológicas frente a SARS-CoV-2 a partir de la experiencia de una institución sanitaria en Barcelona, el Parc de Salut Mar (PSMar). Método: La construcción del índice se ha realizado en tres fases. La identificación y selección de las variables a incluir a partir de entrevistas semiestructuradas a informantes clave y la revisión documental. La definición de las dimensiones (constituidas a partir de una o más variables) y, finalmente la operatividad del índice a partir de dichas dimensiones. Se ha estimado el índice en el PSMar, y en sus dos principales centros, el Hospital del Mar y el Hospital de la Esperanza. Resultados: Se identificaron y categorizaron 21 variables, clasificadas en 5 dimensiones: equipos de protección individual, medidas organizativas individuales, medidas organizativas colectivas, medidas de vigilancia epidemiológica y actividades formativas. Además, De forma complementaria se añadió si existía un protocolo de actuación. Durante la primera ola, el índice en el Hospital del Mar se mantuvo por encima del valor obtenido en el Hospital de la Esperanza, mientras que en la segunda ola ambos índices presentaron valores similares hasta la semana 36, cuando el del hospital del Mar comenzó a presentar valores superiores. Estas oscilaciones se debieron principalmente a las dimensiones equipos de protección individual y actividades formativas. Conclusiones: El índice propuesto pone de manifiesto las dificultades para aplicar las diversas medidas preventivas no farmacológicas en las primeras semanas de la pandemia. Esta herramienta puede ser útil para evaluar las actividades desarrolladas frente a la pandemia por parte de los Servicios de Prevención de Riesgos Laborales, con las oportunas adaptaciones a la realidad de cada empresa.

Abstract Introduction: We propose the construction of a numerical index of nonpharmacological preventive measures against SARS-CoV-2 based on the experience of Parc de Salut Mar (PSMar), a healthcare institution in Barcelona. Method: The construction of the index was carried out in three phases. First, we identified and selected the variables to be included based on semi-structured interviews with key informants and a review of relevant documents. Second, we defined the dimensions (consisting of one or more variables) and, as a final step, operationalised the index based on these dimensions. The index was then applied to generate estimates for the PSMar, and in its two main centres, the Hospital del Mar and the Hospital de la Esperanza. Results: Twenty-one variables were identified and categorised into five dimensions: personal protective equipment, individual organisational measures, collective organisational measures, epidemiological surveillance measures, and training activities. We also developed an action protocol. During the first SARS-CoV-2 wave, the index at the Hospital del Mar remained above that estimated for the Hospital de la Esperanza, whereas in the second wave both indices showed similar values until week 36, when the Hospital del Mar index began to show higher values. These oscillations were mainly due to the dimensions of personal protective equipment and training activities. Conclusions: The proposed index identified the difficulties in implementing the various non-pharmacological preventive measures during the first weeks of the pandemic. This tool can be useful for evaluating the activities carried out by the occupational risk prevention services during the pandemic, followed by appropriate adaptations to the realities of each individual company.

https://doi.org/10.12961/aprl.2022.25.03.06

11.

Brazilians’ level of knowledge, attitudes and practices towards COVID-19: a cross-sectional study
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Gardona, Rodrigo Galvão Bueno

; da Silva, José Vitor

; Arruda, Gisele

; Damin, Silvana

; Abdala, Edson

; Lima, Christiana Almeida Salvador

; Vasconcellos, Leonardo de Souza

; Queiroz, Wladimir

; Zandonái, Alini Cristini

; Danielsk, Ailla Mazon

; Villar de Sena, Ana Carolina

; Cattani, Álvaro Cesar

; Bringhentti, Amanda

; Denardi, Angélica

; Alérico, Ana Lígia Scotti

; Fergutz, Gabriella

; Ribas, Izabela de Oliveira

; Spricigo, Laura Maria Voss

; Gandolfo, Lara

; Correa, Liamara

; Bordignon, Jardel Cristiano

; de Oliveira, Juliana Girotto

; Stefanel, Michel Pandolfo

; Reis, Beatriz Castro

; de Campos, Vilson Geraldo

; Ortigoso, Danilo

; Figueiredo, Gerusa Maria

Sao Paulo Medical Journal

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jun 2022, Volume 140 N. 3 Pages 331 - 340

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Brazil is facing increasing cycles of numbers of infected people and deaths resulting from coronavirus disease 2019 (COVID-19). This situation involves a series of factors, including the behavior of the population, that can be decisive for controlling the disease. OBJECTIVE: To determine the knowledge, attitudes and practices of the Brazilian population regarding COVID-19. DESIGN AND SETTING: Cross-sectional survey-type study, conducted using a population sample from different Brazilian states. METHODS: A quantitative, descriptive and analytical approach was used. Sampling was done according to convenience and via snowballing. The data collection instrument was a knowledge, attitudes and practices system. RESULTS: 1,655 people from all over Brazil participated in the survey; 80% were living in the southern region and 70.15% were female. More than 90% had knowledge and good attitudes relating to the means of transmission, preventive care and symptoms associated with COVID-19, although their knowledge and attitudes were not fully reflected in daily practices, for which there was lower adherence (80%). Greater knowledge was correlated with older participants, larger number of children, female sex and marital status; better attitude, with female sex and complete higher education; and better practices, with greater age, larger number of children and female sex. CONCLUSION: A large part of the population has general knowledge about COVID-19, but not all knowledge was applied in practice. Older people, females and university graduates stood out as the best informed and most committed to controlling the disease.

https://doi.org/10.1590/1516-3180.2021.0541.23072021

12.

Reconstrucción de extremidad inferior: epidemiología, manejo y seguimiento de pacientes en el Centro Médico Lic. Adolfo López Mateos, Toluca, México
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Del Villar-Trujillo, Andrea

; Romero-Espinosa, Jesús Fernando

; Salazar-Vizuet, Israel

; Orozco-Gómez, José Antonio

; Gaona-Valle, Laura Soraya

Cirugía Plástica Ibero-Latinoamericana

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jun 2022, Volume 48 N. 2 Pages 171 - 180

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

Resumen Introducción y objetivo. Las lesiones de la extremidad inferior son una entidad frecuente y en ocasiones requieren tratamientos reconstructivos avanzados por zona afecta. Siempre se ha cuestionado sobre el mejor tiempo quirúrgico para reconstruir dichas lesiones. El objetivo de este estudio es aportar un mejor conocimiento sobre el tiempo recomendado para reconstrucción así como sobre la funcionalidad de la extremidad dependiendo de esa variable, análisis que extraemos del tratamiento y estudio de diversos casos tratados por los especialistas del Centro Médico Lic. Adolfo López Mateos en Toluca, México. Material y método. Estudio retrospectivo de casos abarcando distintas técnicas de análisis: observacional, estadística descriptiva para el análisis de datos y seguimiento de casos con lesión de pierna y pie con necesidad de manejo quirúrgico, revisando expedientes entre marzo de 2017 y febrero de 2020. Incluimos 29 expedientes en un estudio dividido en 4 grupos de reconstrucción: de 0 a 3 días; de 3 a 21 días; de 22 a 90 días; y más de 90 días. Resultados. El mecanismo de lesión más frecuente fue accidente por motocicleta y quemaduras en el 27.59% de los casos, seguido de atropello en el 17.24%. El tercio más afectado fue el inferior con un 37.93%. El tipo de colgajo más frecuentemente utilizado fue el sural reverso, con un 31.03%. Se reoperó el 13.70% de los pacientes y la principal complicación fue la necrosis total del colgajo en un 10.34%. Conclusiones. Encontramos el mayor número de complicaciones en el tercer grupo, en el que la reconstrucción se hizo entre los 22 y los 90 días, con mayor pérdida de los colgajos así como menor funcionalidad de la extremidad. De esto podemos deducir que el tiempo óptimo de reconstrucción de las lesiones de la extremidad inferior estaría dentro de los primeros 21 días. Así mismo, que es importante rehabilitar de forma oportuna para generar menores secuelas.

Abstract Background and objective. Lower extremity injures are a frequent entity and sometimes required advanced reconstructive treatments for each affected area. There has always been a question about when would be the best surgical time to perform reconstructions of these injuries. For this reason, the main objective of this study is to provide a better understanding of the time of reconstruction of the lower limb as well as the functionality, from cases analyzed at the Medical Center Lic. Adolfo López Mateos in Toluca, México. Methods. Retrospective case study combining different methods: observational, descriptive statistics for data analysis and follow-up of cases with leg and foot injuries requiring surgical management, reviewing files between March 2017 and February 2020. We included 29 cases divided into 4 recons- truction groups: from 0 to 3 days; from 3 to 21 days; from 22 to 90 days; and more than 90 days. Results. The most frequent injury mechanism was motorcycle accident and burns in 27.59%, followed by run over in 17.24%. The most affected leg third was the lower one in 37.93%. The most frequently used type of flap was sural reverse in 31.03%. The 13.70% of the patients underwent reoperation and the main complication was total necrosis of the flap in 10.34%. Conclusions. The highest number of complications were found in the third group with a reconstruction time of 22 to 90 days. The greatest flap losses occurred in this group as well as less functionality of the limb. From this we can deduce that an optimal reconstruction time for lower extremity injuries is within the first 21 days. Likewise, we can conclude that it is important to carry out rehabilitation in a timely manner to generate fewer sequelae.

https://doi.org/10.4321/s0376-78922022000200008

13.

Rubí: nueva variedad mejorada de frijol negro para las áreas tropicales de Veracruz y Chiapas
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Ibarra-Perez, Francisco Javier

; Tosquy-Valle, Oscar Hugo

; Rodríguez-Rodríguez, José Raúl

; Villar-Sánchez, Bernardo

; López-Salinas, Ernesto

; Anaya-López, José Luís

Revista mexicana de ciencias agrícolas

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may 2022, Volume 13 N. 3 Pages 577 - 585

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

Abstract In Veracruz and Chiapas, Mexico, bean cultivation is mainly affected by the incidence of viral diseases, the occurrence of terminal drought in residual moisture sowings and low-fertility acidic soils. To help solve this problem, the bean variety ‘Rubí’ was developed. In 2015, the Jamapa Plus/XRAV-187-3-1-8 line, which gave rise to the Rubí variety, along with 49 other lines and 20 black bean varieties were screened by artificial inoculation and the use of molecular markers, to determine their resistance to bean common mosaic virus (BCMV), bean common mosaic necrosis virus (BCMNV) and bean golden yellow mosaic virus (BGYMV), in said study, Rubí showed resistance to BCMV and low incidence of BGYMV. During 2015 and 2016, Rubí was evaluated together with two regional controls in an adaptation nursery in six environments of Veracruz and Chiapas, to determine its productive response, under rainfed, residual moisture, irrigation and terminal drought conditions. In four of the six environments, Rubí was superior in yield to the two regional controls, with an overall average of 10.3 and 18.1% higher than that obtained for the Negro Comapa and Negro Grijalva varieties, respectively. During 2016 and 2017, Rubí was evaluated in a uniform yield trial in 10 environments in Veracruz and Chiapas. The new variety obtained a significantly outstanding average yield and showed better adaptation than Negro Comapa and Negro Grijalva. In 2019, the National Seed Inspection and Certification Service (SNICS) granted the definitive registration in the National Catalogue of Plant Varieties, with number FRI-099-06119, for its commercial use.

Resumen En Veracruz y Chiapas, México, el cultivo de frijol es afectado por la incidencia de enfermedades virales, la ocurrencia de sequía terminal en las siembras de humedad residual y los suelos ácidos de baja fertilidad. Para contribuir a solucionar esta problemática se desarrolló la variedad de frijol ‘Rubí’. En 2015, la línea Jamapa Plus/XRAV-187-3-1-8, que dio origen a la variedad Rubí, junto con otras 49 líneas y 20 variedades de frijol negro, se tamizaron mediante inoculación artificial y el uso de marcadores moleculares, para determinar su resistencia al virus del mosaico común del frijol (BCMV), virus del mosaico necrótico común (BCMNV) y virus del mosaico amarillo dorado del frijol (BGYMV), en dicho estudio Rubí mostró resistencia al BCMV y baja incidencia de BGYMV. Durante 2015 y 2016, Rubí, se evaluó junto con dos testigos regionales en un vivero de adaptación en seis ambientes de Veracruz y Chiapas, para determinar su respuesta productiva, bajo condiciones de temporal, humedad residual, riego y sequía terminal. En cuatro de los seis ambientes, Rubí fue superior en rendimiento a los dos testigos regionales, con un promedio de 10.3 y 18.1% superior al obtenido por Negro Comapa y Negro Grijalva, respectivamente. Durante 2016 y 2017, Rubí se evaluó en un ensayo uniforme de rendimiento en 10 ambientes de Veracruz y Chiapas. La nueva variedad obtuvo un rendimiento promedio sobresaliente y mostró mejor adaptación que Negro Comapa y Negro Grijalva. En 2019, el Servicio Nacional de Inspección y Certificación de Semillas (SNICS) otorgó el registro en el Catálogo Nacional de Variedades Vegetales, con número FRI-099-06119, para su uso comercial.

https://doi.org/10.29312/remexca.v13i3.2227 27 downloads

14.

Lesiones de causa externa y su relación con el alcohol en pacientes atendidos en un hospital de emergencia de Lima, Perú
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Villar, Emily

; Málaga, Hernán

; Falcón, Néstor

Revista Medica Herediana

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apr 2022, Volume 33 N. 2 Pages 91 - 101

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

RESUMEN Objetivo: Describir las características demográficas, temporales y espaciales de las personas con lesiones de causa externa (LCE) y la relación con el consumo y la disponibilidad de alcohol, ocurridos en el distrito y atendidos en un hospital de emergencias. Material y métodos: Estudio descriptivo retrospectivo de personas atendidas por LCE en el Hospital de Emergencias José Casimiro Ulloa en el periodo 2014-2016 y la información de la denuncia policial por los afectados, en la comisaría del distrito. Se determinó la asociación entre las variables demográficas, temporales y espaciales con el tipo de LCE y la presencia de alcohol mediante pruebas de regresión logística. Resultados : Se encontró que era más probable la presencia de alcohol en un accidentado con LCE, cuando este era del sexo masculino en los días jueves a domingo. La contusión en una LCE en vez de una herida cortante, fue más probable cuando el accidentado era de sexo masculino, edades entre 15 a 38 años, la causa era una agresión, la ocurrencia del evento se producía entre las 00:00 a 18:00 horas, los días jueves a domingo y en los años 2014 y 2016. Geográficamente, la ocurrencia fue mayor en avenidas principales a no más de 500 metros de lugares donde se vendía y consumía licor. Conclusiones : La persona que va atenderse por lesiones de causa externa causadas como consecuencia de la violencia tiene una alta probabilidad de ser varón, además ocurren con mayor frecuencia los fines de semana y en avenidas principales en donde se puede usar un transporte público y no a más de 500 metros de lugares en donde se puede vender y consumir alcohol sin necesidad de ser residentes del distrito de ocurrencia, sin descartar que el consumo de alcohol pueda considerarse un factor de riesgo.

SUMMARY Objective: To describe demographic, temporal and spatial relationships of external lesions (EL) with alcohol consumption in patients attending an emergency hospital in Lima. Methods: Retrospective study of patients with EL attended at Hospital de Emergencias Casimiro Ulloa from 2014-2016 including information on police investigation. Logistic regression analysis was carried-out to evaluate association between type of EL and alcohol consumption. Results: The relationship of alcohol consumption and EL was stronger in males and from Thursday to Sunday. Contusions instead of stab wounds were more likely when the victim was male from 15-38 years of age and when had occurred from 00:00 to 18:00 from Thursdays to Sundays. EL occurred more frequently near main avenues at no more than 500 meters from alcoholic beverages were sold. Conclusions: Victims of EL are more likely to be males not necessarily living in the district where the aggression occurred, which tended to happen near main avenues close to where alcoholic beverages are offered. Alcohol consumption could not be ruled-out as a risk factors for EL.

https://doi.org/10.20453/rmh.v33i2.4242

15.

Latin American Consensus on management of residual cardiometabolic risk. A consensus paper prepared by the Latin American Academy for the Study of Lipids and Cardiometabolic Risk (ALALIP) endorsed by the Inter-American Society of Cardiology (IASC), the International Atherosclerosis Society (IAS), and the Pan-American College of Endothelium (PACE)
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Ponte-Negretti, Carlos I.

; Wyss, Fernando S.

; Piskorz, Daniel

; Santos, Raul D

; Villar, Raul

; Lorenzatti, Alberto

; López-Jaramillo, Patricio

; Toth, Peter P.

; Amaro, A. Juan J.

; Rodrigo, Alfonso K.

; Lanas, Fernando

; Urina-Triana, Miguel

; Lara, Jofre

; Valdés, T. Osiris

; Gomez-Mancebo, José R.

; Bryce, Alfonso

; Cobos S., Leonardo

; Puente-Barragan, Adriana

; Ullauri-Solórzano, Vladimir E.

; Medina-Palomino, Felix A.

; Lozada, Alfredo F.

; Duran, Maritza

; Berrospi, Percy

; Miranda, David

; Badimon, Juan J.

; González, J. José R.

; Libby, Peter

Archivos de cardiología de México

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mar 2022, Volume 92 N. 1 Pages 99 - 112

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

Abstract Background: Hypertension, hyperglycemia, dyslipidemia, overweight, obesity, and tobacco (smoking, chewing, and vaping), together with a pro-inflammatory and procoagulant state, are the main risk factors related to atherosclerotic cardiovascular disease. Objective and methods: A group of experts from the Americas, based on their clinical expertise in cardiology, cardiovascular prevention, and cardiometabolic (CM) diseases, joined together to develop these practical recommendations for the optimal evaluation and treatment of residual CM risk factors in Latin America, using a modified Delphi methodology (details in electronic TSI) to generate a comprehensive CM risk reduction guideline, and through personalized medicine and patient-centered decision, considering the cost-benefit ratio The process was well defined to avoid conflicts of interest that could bias the discussion and recommendations. Results: Residual risk reduction should consider therapeutic options adapted to specific patient needs, based on five treatment objectives: triglyceride-rich lipoproteins, inflammation, impaired glucose metabolism, high blood pressure, and prothrombotic status. Comprehensive control of all CM risk factors should be a priority to deal with this important public health problem and prevent premature deaths. The recommendations in this paper address the evidence-based treatment of CM risk and are intended for clinical application in Latin American countries.

Resumen Antecedentes: Un grupo de factores de riesgo cardiometabólicos (hipertensión, hiperglucemia, dislipidemia, sobrepeso, obesidad y tabaco (fumado, masticado, vaporizado), junto con un estado proinflamatorio y procoagulante, son los principales factores de riesgo relacionados con la enfermedad cardiovascular aterosclerótica. Objetivo y métodos: Basándose en su experiencia en cardiología, prevención cardiovascular y enfermedades cardiometabólicas, un grupo de expertos de las Américas se unió para desarrollar estas recomendaciones prácticas para la evaluación y tratamiento óptimos de los factores de riesgo cardiometabólicos residuales en América Latina, utilizando una metodología Delphi modificada con el objetivo de generar una guía integral de pautas para la reducción del riesgo cardiometabólico, mediante la medicina personalizada y la decisión centrada en el paciente teniendo en cuenta la relación costo-beneficio. El proceso fue bien definido para evitar conflictos de intereses que podrían sesgar la discusión y las recomendaciones. Resultados: La reducción del riesgo residual debe considerar opciones terapéuticas adaptadas a las necesidades específicas del paciente, basadas en 5 objetivos de tratamiento: lipoproteínas ricas en triglicéridos inflamación, metabolismo de la glucosa, presión arterial alta y estado protrombótico. El Control integral de todos los factores de riesgo cardiometabólicos debe ser una prioridad para hacer frente a este importante problema de salud pública y prevenir las muertes prematuras. Las recomendaciones de este documento abordan el tratamiento basado en evidencia del riesgo cardiometabólico y están destinadas a la aplicación clínica en los países de América Latina.

https://doi.org/10.24875/acm.21000005 55 downloads

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