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Abstract Ectopic pregnancy is considered a public health problem worldwide. This research aimed to establish the foundations of ectopic pregnancy and the health policies required for its mitigation. This bibliographic review included various texts, articles, printed and digital materials related to ectopic pregnancy, consulting databases and directories such as SciELO, LILACS, Latindex, and Medline; through the use of keywords in Spanish, 18 articles published between 1990 and 2023 were selected. Based on a social-historical approach to ectopic pregnancy, it was determined that timely clinical decision-making depends on the early diagnosis of this pathology, the identification of risk factors, and the relevant action accordingly.

Resumen El embarazo ectópico se considera un problema de salud pública a nivel mundial, se hizo una investigación con el objetivo de establecer los fundamentos acerca del embarazo ectópico y las políticas de salud que se requieren para su mitigación. Esta revisión bibliográfica integrativa incluyó diversos textos, artículos, materiales impresos y digitales relacionados con el embarazo ectópico, consultando además en las bases de datos y directorios: SciELO, LILACS, Latindex, Medline; el proceso se realizó mediante el uso de palabras clave en español, quedando seleccionados 18 artículos publicados entre 1990 y 2023. Desde un enfoque histórico social del embarazo ectópico, se determinó que de la toma de decisiones clínicas oportunas, depende el diagnóstico temprano de esa patología; así como de la identificación de factores de riesgo y la actuación pertinente en consecuencia.

https://doi.org/10.37135/ee.04.20.08

Sífilis secundária: fator de descompensação de doença hepática subjacente? A propósito de um caso clínico
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León, Alexandra Rodrigues

; Mascarenhas, Ana Luísa Melo

; Reis, Ana Maria Ribeiro e

; Ferreira, António Miguel Cruz

; Montenegro, Marta Álvares Ribeiro de Sousa Coutinho da Silveira

Revista Portuguesa de Medicina Geral e Familiar

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apr 2024, Volume 40 N. 2 Pages 173 - 179

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

Abstract Introduction: Syphilis is a notifiable infection, mostly sexually acquired, caused by the bacterium Treponema pallidum. Clinical manifestations vary on the stage of the disease: early syphilis, (primary and secondary disease) and late syphilis (latent or tertiary). The secondary disease is systemic and develops within weeks or a few months, in approximately 1/4 of individuals with untreated primary infection. At this stage, the illness may appear as constitutional symptoms, adenopathies, macular or papular rash including palms and soles, and hepatic, renal, or neurological manifestations, among others. Serologic testing provides a presumptive diagnosis, therefore nontreponemal and treponemal-specific tests are needed for the diagnosis of syphilis. The difficult interpretation of the serologic findings allied to a wide variety of signs and symptoms and an increasing incidence in the last years challenge the diagnosis of this disease. Case description: The authors describe a clinical case of an adult who appears with swollen lower limbs, fatigue, and the perception of abdominal distension. Objectively, exhibits erythematous maculopapular lesions, with peripheral desquamation, non-pruritic, on the palms and soles. After a complete clinical interview, the hypothesis of decompensation of liver disease in the context of secondary syphilis/syphilitic hepatitis is raised and the patient is sent to the Emergency Department, where the infection is confirmed. Comment: This case report demonstrates the challenge of diagnosing syphilis due to the wide variety of clinical manifestations. Once the diagnosis of syphilis, treatment is curable simply with an only-dose injection of penicillin, preventing severe consequences due to systemic disease. In summary, a family doctor must be capable of recognizing this infection and acquainted with the serologic tests that may be used and the recommended treatment.

Resumo Introdução: A sífilis é uma infeção de notificação obrigatória, maioritariamente transmitida por via sexual, causada pela bactéria Treponema pallidum. As manifestações clínicas variam conforme o estadio da doença: sífilis precoce (doença primária e secundária) e sífilis tardia (latente ou terciária). A doença secundária é sistémica e desenvolve-se, após semanas ou meses, em aproximadamente 1/4 dos indivíduos com infeção primária não tratada. Neste estadio, a doença pode manifestar-se através de sintomas constitucionais, adenopatias, erupções cutâneas maculopapulares palmoplantares, manifestações hepáticas, renais ou neurológicas, entre outras. A serologia fornece um diagnóstico presuntivo, sendo necessários testes não treponémicos e treponémicos para estabelecer o diagnóstico de sífilis. A difícil interpretação dos achados serológicos associada a uma grande variedade de manifestações clínicas e a uma incidência crescente nos últimos anos torna o seu diagnóstico um desafio. Descrição do caso: Os autores descrevem o caso clínico de um adulto que apresenta um quadro de edema inaugural dos membros inferiores, cansaço e noção de distensão abdominal. Objetivamente apresenta lesões maculopapulares eritematosas, com descamação periférica, não pruriginosas, nas palmas das mãos e plantas dos pés. Após entrevista clínica completa coloca-se a hipótese de descompensação de doença hepática em contexto de sífilis secundária/hepatite sifilítica e envia-se o doente ao serviço de urgência, onde é confirmada a infeção. Comentário: Este caso demonstra que a grande variedade de manifestações clínicas torna o diagnóstico de sífilis um desafio. Uma vez feito o diagnóstico deve ser instituído tratamento com dose única de penicilina intramuscular, evitando potenciais consequências graves decorrentes da doença sistémica. Em suma, um médico de família deve ser capaz de reconhecer esta infeção, interpretando corretamente os testes serológicos e instituindo o tratamento recomendado.

https://doi.org/10.32385/rpmgf.v40i2.13710

Control glucémico en pacientes con diabetes mellitus tipo 2 según esquema de tratamiento
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Fabela-Mendoza, Karla

; Mendoza-Romo, Miguel A.

; Barbosa-Rojas, Julieta B.

; Salazar-Ramírez, Patricia

; Zamora-Cruz, Abraham

; Coronado-Juárez, Cinthya G.

; Almanza-Mendoza, Simón

Revista mexicana de medicina familiar

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mar 2024, Volume 11 N. 1 Pages 9 - 16

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

Resumen Antecedentes La medición de la hemoglobina glucosilada A1c (HbA1c) con un valor por debajo del 7% indica un adecuado control glucémico. Los esquemas farmacológicos están basados en cinco clases terapéuticas. Objetivo Describir los esquemas de tratamiento utilizados y hacer una comparación indirecta de ellos, con respecto al control de la glucosa determinada por la HbA1c, en pacientes con diabetes mellitus tipo 2 (DM2). Material y métodos Estudio descriptivo, transversal y retrospectivo, con muestreo sistemático. Fue aprobado con número de registro R-2022-2402-046. Información basada en expedientes entre enero de 2019 y diciembre de 2022. Se incluyeron pacientes con DM2, mayores de 18 años, de ambos sexos, con Hb1Ac reciente, parámetro de control 7% o menos, y con el mismo tratamiento farmacológico por lo menos 3 meses. Se excluyeron pacientes con diabetes mellitus tipo 1 y con diabetes gestacional. Análisis con estadística descriptiva. Resultados Se incluyeron 180 mujeres (64.1%) y 101 hombres (35.9%). Se utilizaron 58 esquemas farmacológicos diferentes. Porcentajes de control de HbA1c: monoterapia 50%, terapia dual 45%, terapia triple 48% y esquema cuádruple 28%. Conclusiones El porcentaje de control glucémico varía según el tipo de tratamiento farmacológico y existe poco uso de fármacos nuevos. El gran número de esquemas utilizados revela que no se estandarizan tratamientos, sino que se considera la individualidad del paciente.

Abstract Background The glicated hemoglobin A1c(HbA1c) measurement, whose value is below 7% indicates adequate glycemic control. The pharmacological regimens are based on five therapeutic classes. Objective Describe the treatment schemes used and make an indirectly compare them concerning glucose control, determined by HbA1c, in patients with type 2 diabetes mellitus (DM2). Materials and methods Descriptive, cross-sectional and retrospective study, with systematic sampling. Registration number R-2022-2402-046 was approved. Information based on records between January 2019 and December 2022. Patients with DM2, over 18 years of age, both sexes, with recent Hb1Ac, control parameter 7% or less and with the same pharmacological treatment for at least 3 months were included. Type 1 and gestational diabetes were excluded. Analysis with descriptive statistics. Results 180 women (64.1%) and 101 men (35.9%) were included. 58 pharmacological regimens were used (58). HbA1c control percentages: monotherapy 50%, dual therapy 45%, triple therapy 48% and quadruple regimen 28% were used. Conclusions The percentage of glucose control varies about the type of pharmacological treatment and there is little use of new drugs. The large number of schemes used reveals not standardizing treatments, but rather considering the individuality of the patient.

https://doi.org/10.24875/rmf.23000114

Riesgo cardiovascular en pacientes con esclerosis sistémica
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Chico Capote, Araceli

; Estévez del Toro, Miguel Hernán

; Cruz Cárcamo, Orlando Antonio

; Puente Carmona, Rolando

Revista Cubana de Medicina

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2024, Volume 63 elocation e3408

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

ABSTRACT Introduction: Cardiovascular risk is important in the evaluation of patients with systemic sclerosis. Objective: To determine the cardiovascular risk in patients with systemic sclerosis. Methods: A cross-sectional and descriptive study was carried out in protocolized patients of Rheumatology Service, from January 2020 to January 2022. Demographic and clinical variables were collected, and Framingham cardiovascular risk calculator was used. Results: One hundred five patients were included with a mean age of 48.6 ± 15.3 years, the most frequent group was 50 to 59 years (36.2%), female sex (92.2%) predominated, as well as white skin color (74.3%). The evolution time was greater than 5 years (66.7%) with a mean of 10.5 ± 9.3. The average value of modified Medsger severity scale was 5.1 ± 2.7 and 72.4% had mild involvement. Raynaud's phenomenon and pulmonary fibrosis were more common at 89.5% and 55.2%. Rodnan index on average was 13.1 ± 8.0 and the acute phase reactants were normal in the majority. The most frequent cardiovascular risk factors were HBP (30.2%) and dyslipidemia (19.9%). The predominant body mass index was adequate weight (54.3%). Low cardiovascular risk according to Framingham score prevailed (86%). There were significant differences between the mean duration of evolution and cardiovascular risk (10 ± 6.9 vs. 9.6 ± 8.8 vs. 16.9 ± 10.8; p = 0.032). Conclusions: The cardiovascular risk in patients with systemic sclerosis was low.

RESUMEN Introducción: El riesgo cardiovascular es importante en la evaluación de los pacientes con esclerosis sistémica. Objetivo: Determinar el riesgo cardiovascular en pacientes con esclerosis sistémica. Métodos: Se realizó un estudio transversal y descriptivo en pacientes protocolizados del Servicio de Reumatología, en el período de enero 2020 a enero 2022. Se recogieron variables demográficas, clínicas, y se aplicó la calculadora de riesgo cardiovascular Framingham. Resultados: Se incluyeron 105 pacientes con edad media de 48,6 ± 15,3 años, el grupo más frecuente de 50 a 59 años (36,2 %), predominó el sexo femenino 92,2 % y el color de piel blanca (74,3 %), el tiempo de evolución fue mayor a 5 años (66,7 %) con una media de 10,5 ± 9,3. El valor promedio de la escala de gravedad modificada de Medsger fue 5,1 ± 2,7 y el 72,4 % con afectación leve. El fenómeno de Raynaud y la fibrosis pulmonar fueron más frecuentes con un 89,5 % y 55,2 %. El índice de Rodnan en promedio fue de 13,1 ± 8,0 y los reactantes de fase aguda normales en la mayoría. Los factores de riesgo cardiovascular más frecuentes fueron la HTA (30,2 %) y dislipidemia (19,9 %). El índice de masa corporal que predominó fue de peso adecuado (54,3 %). Predominó el riesgo cardiovascular bajo según score de Framingham (86 %). Existieron diferencias significativas entre las medias del tiempo de evolución y el riesgo cardiovascular (10 ± 6,9 frente a 9,6 ± 8,8 frente a 16,9 ± 10,8; p = 0,032). Conclusiones: El riesgo cardiovascular en los pacientes con esclerosis sistémica fue bajo.

Investigación científica en el campo de las ataxias espinocerebelosas: una mirada bibliométrica
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Cruz Ramírez, Miguel

; Rodríguez-Labrada, Roberto

; Velázquez-Pérez, Luis Clodovaldo

Revista Cubana de Información en Ciencias de la Salud

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2024, Volume 35 elocation e2284

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

RESUMEN El objetivo del presente estudio consistió en caracterizar la producción científica relacionada con el campo de las ataxias espinocerebelosas, las cuales constituyen enfermedades neurodegenerativas, manifestadas por cuadros clínicos progresivos e invalidantes. La investigación es de tipo censal-documental y recupera metadatos de Scopus, correspondientes a 5654 investigaciones relacionadas con este problema de salud, durante el período 1961-2020. El procesamiento explora las principales características bibliométricas de los documentos publicados, el ritmo de crecimiento, la paternidad de las obras, el impacto por índice de citas, así como las redes de colaboración y la estructura que sigue el flujo del conocimiento. Se observa un despegue notable de la producción científica desde inicios de los años 90 del siglo pasado, coincidiendo con el desarrollo de investigaciones afines en el campo de la genética. También se constata un predominio en el estudio de los tipos SCA1, SCA2, SCA3, SCA6, y SCA17, donde los cuatro primeros corresponden a las ataxias de mayor prevalencia a escala mundial. El corpus documental refleja la consolidación de grupos de investigación relativamente estables, encabezados por líderes científicos y caracterizados por la ampliación sostenida de la colaboración internacional y por el trabajo colectivo e interdisciplinario. También se aprecia la tendencia hacia el aumento del número de referencias dentro de cada documento. Los mayores volúmenes productivos se concentran en países desarrollados, junto a países en vías de desarrollo donde existen elevados niveles de prevalencia en esta enfermedad.

ABSTRACT The objective of the present study was to characterize the scientific production related to the field of spinocerebellar ataxias, which constitute neurodegenerative diseases, manifested by progressive and disabling clinical conditions. The research is census-documentary type and recovers metadata from Scopus, corresponding to 5,654 investigations related to this health problem, during the period 1961-2020. The processing explores the main bibliometric characteristics of the published documents, the pace of growth, the authorship of the works, the impact by citation index, as well as the collaboration networks and the structure that follows the flow of knowledge. A notable takeoff in scientific production has been observed since the beginning of the 90s of the last century, coinciding with the development of related research in the field of genetics. There is also a predominance in the study of the types SCA1, SCA2, SCA3, SCA6, and SCA17, where the first four correspond to the most prevalent ataxias worldwide. The documentary corpus reflects the consolidation of relatively stable research groups, headed by scientific leaders and characterized by the sustained expansion of international collaboration and collective and interdisciplinary work. There is also a trend towards increasing the number of references within each document. The largest productive volumes are concentrated in developed countries, along with developing countries where there are high levels of prevalence of this disease.

Caracterização físico-mecânica da madeira de tuturubá (Pouteria oblanceolata Pires) físicomecânica físico mecânica Pouteria Pires
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Lima, Vinícius de Sousa

; Silva, Maria Gabriela Sales da

; Menezes, Gabriel Cruz

; Cunha, Rita Dione Araújo

; César, Sandro Fábio

; Pereira, Andrea Ferraz Silva

; Dias, João Miguel Santos

Matéria (Rio de Janeiro)

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2024, Volume 29 N. 1 elocation e20230270

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

ABSTRACT Knowledge of the physical and mechanical properties of wood is crucial for the safety and efficiency of structural design. In addition to promoting diversification and supply in the timber market, determining these properties for different types of native woods can contribute to reduce the concentrated overexploitation of tropical woods. Among the woods available for construction purposes in the Tocantina region of Maranhão State is tuturubá (Pouteria oblanceolata Pires). In this context, the present study aimed to evaluate the physical and mechanical properties of tuturubá wood for its use in building structures. The characterizations carried out were: moisture content, apparent density, compressive strength parallel and perpendicular to the grain, shear strength parallel to the grain, flexural strength, modulus of elasticity in compression parallel to the grain and three-point bending test. For the average moisture content, a percentage value of 13.88% was checked, and for the average apparent density, a value of 992.04 kg.m-3 was obtained. For the compressive strength parallel to the grain, an average value of 60.03 MPa was determined, while the characteristic value was 56.86 MPa. The compressive modulus of elasticity parallel to the grain determined was equal to 22761 MPa. The average values for compressive strength perpendicular to the grain and shear strength parallel to the grain were 10.74 MPa and 10.47 MPa, respectively. For flexural strength, average and characteristic values were 154.82 and 128.37 MPa, respectively. For the flexural modulus of elasticity, an average value of 21026 MPa was determined. The results allowed tuturubá wood to be classified in mechanical resistance class D50. Compared to other commercially available wood species, tuturubá has better mechanical properties than pequiá (Cary-ocar villosum) and tauari (Couratari oblongifolia) woods. This physical-mechanical characterization high-lights the potential of tuturubá wood for use in building structures. design market Pouteria Pires. Pires . Pires) context structures content density threepoint three point test 1388 13 88 13.88 checked 99204 992 04 992.0 kg.m3 kgm3 kgm kg.m 3 kg m kg.m- obtained 6003 60 03 60.0 5686 56 86 56.8 2276 1074 10 74 10.7 1047 47 10.4 respectively 15482 154 82 154.8 12837 128 37 128.3 2102 D50 D species Caryocar Cary ocar villosum Couratari oblongifolia physicalmechanical highlights high lights 138 1 8 13.8 9920 99 0 992. m3 600 6 60. 568 5 56. 227 107 7 10. 104 4 1548 15 154. 1283 12 128. 210 D5 13. 9 22 21 2

RESUMO O conhecimento das propriedades físicas e mecânicas da madeira é crucial para a segurança e eficácia do dimensionamento das estruturas. Além de favorecer a diversificação e abastecimento do mercado madeireiro, a determinação de tais propriedades, para diferentes espécies nativas, pode contribuir para a redução da exploração concentrada de madeiras tropicais. Entre as madeiras disponíveis para a construção civil na Região Tocantina do Maranhão encontra-se o tuturubá (Pouteria oblanceolata Pires). Neste contexto, este estudo teve como objetivo determinar as propriedades físicas e mecânicas da madeira de tuturubá, visando o seu uso em estruturas de edificações. Foram determinados: o teor de umidade, a densidade aparente, as resistências à compressão paralela e perpendicular às fibras, a resistência ao cisalhamento paralelo às fibras, a resistência à flexão e os módulos de elasticidade à compressão paralela às fibras e à flexão. Obteve-se um teor de umidade médio de 13,88%, uma densidade aparente média de 992,04 kg.m-3, o valor médio da resistência à compressão paralela às fibras igual a 60,03 MPa e o valor característico de 56,86 MPa, sendo o módulo de elasticidade à compressão paralela às fibras de 22761 MPa. A resistência média à compressão perpendicular às fibras foi de 10,74 MPa e a resistência média ao cisalhamento paralelo às fibras foi igual a 10,47 MPa. A resistência à flexão média foi de 154,82 MPa e o valor característico igual a 128,37 MPa, enquanto o valor médio do módulo de elasticidade à flexão foi de 21026 MPa. Os resultados permitiram classificar a madeira de tuturubá como pertencente à classe de resistência mecânica D50. Comparativamente com outras espécies disponíveis no mercado madeireiro, a madeira de tuturubá apresentou propriedades mecânicas superiores às madeiras de pequiá (Caryocar villosum) e tauari (Couratari oblongifolia). Esta caracterização físico-mecânica evidencia o potencial da madeira de tuturubá para utilização em estruturas de edificações. madeireiro nativas tropicais encontrase encontra se Pouteria Pires. Pires . Pires) contexto edificações determinados Obtevese Obteve 1388 13 88 13,88% 99204 992 04 992,0 kg.m3, kgm3 kgm kg.m 3, kg m 3 kg.m-3 6003 60 03 60,0 5686 56 86 56,8 2276 1074 10 74 10,7 1047 47 10,4 15482 154 82 154,8 12837 128 37 128,3 2102 D50 D Caryocar villosum Couratari oblongifolia. oblongifolia oblongifolia) físicomecânica físico 138 1 8 13,88 9920 99 0 992, m3 kg.m3 kg.m- 600 6 60, 568 5 56, 227 107 7 10, 104 4 1548 15 154, 1283 12 128, 210 D5 13,8 9 22 21 13, 2

https://doi.org/10.1590/1517-7076-rmat-2023-0270

Active surveillance is a feasible and safe strategy in selected patients with papillary thyroid cancer and suspicious cervical lymph nodes detected after thyroidectomy
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Solórzano, Marlín

; Lustig, Nicole

; Mosso, Lorena

; Espinoza, Martín

; Santana, Roberto

; Gonzalez, Hernan

; Montero, Pablo H.

; Cruz, Francisco

; Solar, Antonieta

; Domínguez, José Miguel

Archives of Endocrinology and Metabolism

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2024, Volume 68 elocation e230146

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: After initial treatment, up to 30% of patients with papillary thyroid cancer (PTC) have incomplete response, mainly cervical lymph node (LN) disease. Previous studies have suggested that active surveillance (AS) is a possible option for these patients. Our aim was to report the results of AS in patients with PTC and cervical LN disease. Materials and methods: In this retrospective observational study, we included adult patients treated and followed for PTC, who presented with cervical LN disease and were managed with AS. Growth was defined as an increase ≥ 3mm in either diameter. Results: We included 32 patients: 27 (84.4%) women, age of 39 ± 14 years, all initially treated with total thyroidectomy, and 22 (69%) with therapeutic neck dissection. Cervical LN disease was diagnosed 1 year (0.3-12.6) after initial management, with a diameter of 9.0 mm (6.0-19.0). After a median AS of 4.3 years (0.6-14.1), 4 (12.5%) patients had LN growth: 2 (50%) of whom were surgically removed, 1 (25%) was effectively treated with radiotherapy, and 1 (25%) had a scheduled surgery. Tg increase was the only predictive factor of LN growth evaluated as both the delta Tg (p < 0.0366) and percentage of Tg change (p < 0.0140). None of the included patients died, had local complications due to LN growth or salvage therapy, or developed distant metastases during follow-up. Conclusions: In selected patients with PTC and suspicious cervical LNs diagnosed after initial treatment, AS is a feasible and safe strategy as it allows effective identification and treatment of the minority of patients who progress. Objective 30 (PTC response (LN (AS methods study Results 3 84.4% 844 84 (84.4% women thyroidectomy 69% 69 (69% dissection 0.312.6 03126 0.3 12.6 0 12 6 (0.3-12.6 management 90 9 9. 6.019.0. 60190 6.0 19.0 . 19 (6.0-19.0) 43 4. 0.614.1, 06141 0.6 14.1 , (0.6-14.1) 12.5% 125 5 (12.5% 50% 50 (50% removed 25% 25 (25% radiotherapy surgery p 0.0366 00366 0366 0.0140. 00140 0.0140 0140 0.0140) died therapy followup. followup follow up. follow-up Conclusions progress 84.4 8 (84.4 (69 312 0.312. 0312 03 0. 126 12. (0.3-12. 019 6.019.0 6019 60 6. 190 19. (6.0-19.0 614 0.614.1 0614 06 141 14. (0.6-14.1 12.5 (12.5 (50 (25 0.036 0036 036 0014 0.014 014 84. (84. (6 31 0.312 031 (0.3-12 01 6.019. 601 (6.0-19. 61 0.614. 061 (0.6-14. (12. (5 (2 0.03 003 001 0.01 (84 ( 0.31 (0.3-1 6.019 (6.0-19 0.614 (0.6-14 (12 0.0 00 (8 (0.3- 6.01 (6.0-1 0.61 (0.6-1 (1 (0.3 (6.0- (0.6- (0. (6.0 (0.6 (0 (6.

https://doi.org/10.20945/2359-4292-2023-0146

Importance of genetic cancer risk assessment as a strategy to stratify risk and provide precision prevention in high-risk patients and families highrisk high
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Ashton-Prolla, Patricia

; Achatz, Maria Isabel Waddington

; Moreira, Miguel Angelo Martins

; Palmero, Edenir Inez

; Soares, Diogo Cordeiro de Queiroz

; Ferraz, Victor Evangelista de Faria

; Caires, Inacelli Queiroz de Souza

; Guindalini, Rodrigo Santa Cruz

; Gifoni, Ana Carolina Leite Vieira Costa

Revista da Associação Médica Brasileira

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2024, Volume 70 Suppl. 1 elocation e2024S117

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1806-9282.2024s117

Materiales docentes para la enseñanza de la terapéutica en enfermedades cardiovasculares
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Jiménez Fernández, Liset

; Armada Esmoris, Zoila

; Chala Tandrón, Juan Miguel

; Monteagudo Méndez, Cruz Idania

; Guillen León, Laura Adalys

; Izaguirre Artiles, Alianys

EDUMECENTRO

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2024, Volume 16 elocation e2717

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

ABSTRACT Background: teaching aids help improve the educational process because, among other advantages, they facilitate the proposal of critical reflections that evaluate the quality of a study aimed at raising awareness of educational work. Objective: to develop teaching aids on the topic Medications that act on the cardiovascular and hemolymphopoietic system that allow perfecting the teaching-learning process of the subject Clinical Pharmacology in the Medicine degree. Methods: Development research was carried out at the Villa Clara University of Medical Sciences in the period from January to July 2022. The research was organized in three stages. Theoretical methods were used: analysis-synthesis and induction-deduction; Empirical ones: documentary review and specialist criteria for evaluating the designed product. Results: the topics related to the therapy of cardiovascular diseases in the subject Clinical Pharmacology have had a low promotion in their results, which evidenced the need to develop teaching aids based on the preparation of the students. Conclusions: teaching aids on the therapy of cardiovascular diseases were developed that allow specialists to improve the teaching of the subject Clinical Pharmacology in the Medicine program by guiding students in their independent learning activity.

RESUMEN Fundamento: los materiales docentes propician mejorar el proceso educacional porque, entre otras ventajas, facilitan la propuesta de reflexiones críticas que ponderan la calidad de un estudio direccionado a concienciar la labor educativa. Objetivo: elaborar materiales docentes sobre el tema Medicamentos que actúan sobre el sistema cardiovascular y hemolinfopoyético que permitan perfeccionar el proceso enseñanza aprendizaje de la asignatura Farmacología Clínica en la carrera de Medicina. Métodos: se realizó una investigación de desarrollo en la Universidad de Ciencias Médicas de Villa Clara en el período comprendido enero-julio 2022. La investigación se organizó en tres etapas. Se utilizaron métodos teóricos: análisis-síntesis e inducción-deducción; empíricos: revisión documental y criterios de especialistas para la valoración del producto diseñado. Resultados: los temas relacionados con la terapéutica de enfermedades cardiovasculares en la asignatura Farmacología Clínica han tenido una baja promoción en sus resultados, lo cual evidenció la necesidad de la elaboración de materiales docentes en función de la preparación de los estudiantes. Conclusiones: se elaboraron materiales docentes sobre la terapéutica de enfermedades cardiovasculares que permitan perfeccionar la enseñanza de la asignatura Farmacología Clínica en la carrera de Medicina los especialistas al orientar a los estudiantes en su actividad de aprendizaje independiente.

10.

The liberal foundation of western democratic education: The pedagogical legacy of Locke and Rousseau education
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Flores-Rodríguez, Cruz

; Martín-Sánchez, Miguel

História da Educação

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2024, Volume 28 elocation e129782

RESUMO O objetivo deste artigo é estabelecer a diferença entre duas correntes de pensamento que, embora provenientes da mesma tradição liberal, deram origem a correntes políticas nos dias de hoje, intervindo na democratização da escola contemporânea. A pedagogia Hermenêutica é utilizada como método de trabalho para analisar o caminho histórico, político e educativo do liberalismo, bem como as suas implicações atuais. Desta forma, são identificadas duas tradições liberais, cada uma das quais tem defendido um modelo pedagógico diferente, reconstruindo um microcosmo político nas escolas a fim de se reproduzir. Conclui com a ideia de que a nossa contemporaneidade se baseia numa ideia errada da extrema democratização das escolas, o que leva a um questionamento permanente da escola como instituição. liberal hoje contemporânea histórico liberalismo atuais forma liberais diferente reproduzir instituição

RESUMEN El objetivo de este artículo es establecer la diferencia entre dos corrientes de pensamiento que, aunque proceden de una misma tradición liberal, han dado lugar a sendas corrientes políticas en la actualidad, interviniendo sobre la democratización de la escuela contemporánea. Se utiliza la pedagogía hermenéutica como método de trabajo para analizar el recorrido histórico, político y educativo del liberalismo, así como su implicación en la actualidad. De este modo, se identifican dos tradiciones liberales que han abogado por sendos modelos pedagógicos, que reconstruyen un microcosmos político en las escuelas con el objeto de reproducirse. Se concluye con la idea de que nuestra contemporaneidad parte de una equivocada idea de extrema democratización de las escuelas que provoca un cuestionamiento permanente de la escuela como institución. liberal actualidad contemporánea histórico liberalismo modo pedagógicos reproducirse institución

Résumé L'objectif de cet article est d'établir la différence entre deux courants de pensée qui, bien qu'issus de la même tradition libérale, ont donné naissance à des courants politiques différents à l'heure actuelle, intervenant sur la démocratisation de l'école contemporaine. La pédagogie herméneutique est utilisée comme méthode de travail pour analyser le parcours historique, politique et éducatif du libéralisme, ainsi que ses implications actuelles. On identifie ainsi deux traditions libérales, qui ont chacune prôné un modèle pédagogique différent, reconstruisant un microcosme politique dans les écoles afin de se reproduire. Il conclut sur l'idée que notre contemporanéité repose sur une idée erronée de la démocratisation extrême de l'école, qui conduit à une remise en cause permanente de l'école en tant qu'institution. Lobjectif L objectif détablir d établir quissus qu issus libérale lheure l heure actuelle lécole école contemporaine historique libéralisme actuelles libérales différent reproduire lidée lécole, école, quinstitution. quinstitution institution. institution qu'institution

ABSTRACT The aim of this article is to establish the difference between two currents of thought which, although they come from the same liberal tradition, have given rise to different political trends in the present day, intervening on the democratisation of the contemporary school. Hermeneutic pedagogy is used as a working method to analyse the historical, political and educational path of liberalism, as well as its implications. In this way, two liberal traditions are identified, each of which has advocated a different pedagogical model, reconstructing a political microcosm in schools in order to reproduce itself. It concludes with the idea that our contemporaneity is based on a mistaken idea of the extreme democratisation of schools, which leads to a permanent questioning of the school as an institution. tradition day historical liberalism implications way identified model itself institution

https://doi.org/10.1590/2236-3459/129782

11.

Therapies used for the management of myofascial temporomandibular disorders: bibliometric analysis disorders
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Batista, Jessica Fernanda Lima

; Lima Júnior, Laércio Guedes de

; Silva, Sérgio Soares da

; Nascimento, Marcela Carla

; Cruz, Miguel Meira e

; Heimer, Mônica Vilela

BrJP

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2024, Volume 7 elocation e20240024

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

ABSTRACT BACKGROUND AND OBJECTIVES: Temporomandibular disorder (TMD) is the term used to describe a set of painful and functional conditions that can affect the temporomandibular joint (TMJ), the masticatory muscles and/or their associated structures. For myofascial TMD, conservative therapies, including drugs, physical therapy, occlusal splint and pain self-management show the best benefits to the patient. The objective of this study was to carry out, through a bibliometric analysis, a review of the existing knowledge regarding the treatments used in myofascial TMD. CONTENTS: The search was conducted in the Web of Science (WOS) and SCOPUS databases in July and updated in December 2023, through the MeSh descriptors “Temporomandibular Joint Dysfunction Syndrome” and “Therapeutics”. Moreover, bibliometric mapping was performed using the VOSviewer software. For the analysis, data on the terms of the title and abstract, type of document, number of citations, name of journals, most cited article and year of publication were included. Besides these, the country of the corresponding author, type of treatment, type of study and the results were included in the analysis. Of the 760 articles identified, 63 were selected to compose this review. Of these, most were original articles, clinical trials and were published in 2012. The most frequent treatments were: occlusal splint, laser, manual therapy, botulinum toxin and dry needling. Of the 15 countries analyzed, Brazil was the country with the highest number of publications. CONCLUSION: There was an increase in articles published on the topic, with Brazil being the country with the highest number of publications. Finally, the most used treatments were occlusal splint and laser. OBJECTIVES TMD (TMD TMJ, TMJ , (TMJ) andor or structures therapies drugs therapy selfmanagement self management patient out analysis CONTENTS WOS (WOS 2023 Syndrome Therapeutics. Therapeutics . “Therapeutics” Moreover software abstract document citations journals these author treatment 76 identified 6 2012 laser needling 1 analyzed publications CONCLUSION topic Finally (TMJ 202 “Therapeutics 7 201 20 2

RESUMO JUSTIFICATIVA E OBJETIVOS: Disfunção temporomandibular (DTM) é um termo utilizado para descrever um conjunto de condições dolorosas e funcionais que podem afetar a articulação temporomandibular (ATM), os músculos mastigatórios e/ou suas estruturas associadas. Para DTM miofascial, terapias conservadoras, incluindo fármacos (analgésicos e/ou anti-inflamatórios), fisioterapia, placa oclusal e autogestão da dor apresentam os melhores benefícios para o paciente. O objetivo deste estudo foi abordar, através de uma análise bibliométrica, o conhecimento existente sobre os tratamentos utilizados na DTM de origem miofascial. CONTEÚDO: A busca foi realizada na base de dados Web of Science (WOS) e SCOPUS, em julho e atualização em dezembro de 2023, por meio dos descritores do MeSh “Temporomandibular Joint Dysfunction Syndrome” e “Therapeutics”. Além disso, um mapeamento bibliométrico foi realizado no software VOSviewer. Para análise, foram incluídos dados sobre os termos do título e do resumo, tipo de documento, número de citações, nome dos periódicos, artigo mais citado e ano de publicação e, além destes, o país do autor correspondente, tipo de tratamento, tipo de estudo e resultados. Dos 760 artigos identificados, 63 foram selecionados para compor esta revisão. Destes, a maioria era artigos originais, ensaios clínicos e foram publicados em 2012. Os tratamentos mais frequentes foram: placa oclusal, laser, terapia manual, toxina botulínica e agulhamento a seco. Dos 15 países analisados, o Brasil foi o país com maior número de publicações. CONCLUSÃO: Houve um aumento de artigos sobre a temática publicados, sendo o Brasil o país com mais publicações e os tratamentos mais utilizados foram placa oclusal e laser. OBJETIVOS (DTM ATM, ATM , (ATM) eou ou associadas miofascial conservadoras analgésicos antiinflamatórios, antiinflamatórios anti inflamatórios anti-inflamatórios) fisioterapia paciente abordar bibliométrica CONTEÚDO WOS (WOS SCOPUS 2023 Temporomandibular Syndrome Therapeutics. Therapeutics . “Therapeutics” disso VOSviewer resumo documento citações periódicos destes correspondente tratamento resultados 76 identificados 6 revisão Destes originais 2012 laser manual seco 1 analisados CONCLUSÃO (ATM anti-inflamatórios 202 “Therapeutics 7 201 20 2

https://doi.org/10.5935/2595-0118.20240024-en

12.

Validación de Escalas de Estrés, Fatalismo y Preocupación por Contagio de COVID-19 en Docentes Mexicanos
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Luna Pérez, David Gabriel

; Figuerola Escoto, Rosa Paola

; Vargas de la Cruz, Ivette

; Barrera Hernández, Laura Fernanda

; Montiel Cortés, Miguel

; Lezana Fernández, Miguel Ángel

; Meneses González, Fernando

Psicumex

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dec 2023, Volume 13 elocation e568

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

Resumen El COVID-19 ha provocado consecuencias negativas en la salud mental de los docentes, especialmente ante la instrumentación de un regreso gradual a actividades presenciales. El objetivo del estudio fue validar la estructura factorial de los instrumentos: escala de preocupación por el contagio de la COVID-19 (EPCov-19), escala de estrés percibido relacionado con la pandemia de COVID-19 (EEP-10-C) y escala de fatalismo ante la posibilidad de contagio por el coronavirus (F-COVID-19) en docentes mexicanos del nivel medio superior, superior y posgrado. Participaron 276 docentes de diferentes estados de México, de entre 24 y 77 años (M = 46.88; DE = 10.62), quienes respondieron una ficha de identificación, además de las escalas EPCov-19, EEP-10-C y F-COVID-19. La validez de constructo de las escalas se calculó a través de análisis factorial exploratorio y confirmatorio, previo a estos, se llevó a cabo un análisis paralelo. La consistencia interna se obtuvo mediante α de Cronbach y ω de McDonald. Se detectó que cada una de las escalas posee una estructura unifactorial, que explican entre el 53 % y 78 % de la varianza y poseen una consistencia interna de elevada a muy elevada. Las escalas presentan adecuadas propiedades psicométricas y pueden ser utilizadas en docentes mexicanos.

Abstract COVID-19 has shown negative consequences on the mental health of teachers, especially because of the implementation of a gradual return to mostly face-to-face activities. The objective of the study was to identify the factorial structure of the instruments: COVID-19 Concern Scale (EPCov-19), Pandemic-Related Perceived Stress Scale of Covid-19 (EEP-10-C), and the Fatalism by COVID-19 Scale (F-COVID-19) in Mexican teachers at high school, higher and postgraduate levels. Method. 276 teachers from different states of Mexico, from 24 to 77 years old participated (M = 46.88; SD = 10.62) who answered an identification form, the EPCov-19, EEP-10-C and F-COVID-19. The construct validity of the scales was calculated through exploratory and confirmatory factor analysis, prior to these, a parallel analysis was carried out. Internal consistency was obtained using Cronbach's α and McDonald's ω. Results. It was detected that each of the scales has a unifactorial structure, which explains between 53% and 78% of the variance and has a high to very high internal consistency. Conclusions. The scales have adequate psychometric properties and can be used in Mexican teachers.

https://doi.org/10.36793/psicumex.v13i1.568

13.

Rehabilitation in post-cardiac transplantation. Experience in Mexico's General Hospital
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Martínez-Camacho, Miguel Á.

; Jones-Baro, Robert A.

; Melo-Villalobos, Andrea

; Morales-Hernández, Diego

; Cruz-Rivero, Monserrat

; Ku-González, Andrés

; Ayala-Hernández, Eduardo

; Castaño-Guerra, José R.

Revista médica del Hospital General de México

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dec 2023, Volume 86 N. 4 Pages 156 - 160

Abstract: En | Text: En | PDF: En

Abstract Post-heart transplant patient care is a challenging task for multidisciplinary teams. Thus, patient rehabilitation is of paramount importance. Phase I of cardiac rehabilitation helps prevent the pulmonary and functional sequelae found in patients whilst in ICU and during hospitalisation. Functional progression based on the global muscle strength, mobility, and exercise tolerance seem to be a good alternative for this population. The role of physiotherapy in critical care is crucial for the proper treatment of these patients.

https://doi.org/10.24875/hgmx.23000003

14.

Third National Registry of Cardiac Rehabilitation Programs in Mexico (RENAPREC III-2022)
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Lara-Vargas, Jorge A.

; Ilarraza-Lomelí, Hermes

; García-Saldivia, Marianna

; Pineda-García, Alfredo D.

; Leyva-Valadez, Eduardo A.

; Justiniano-Cordero, Samuel

; Sahagún-Olmos, Roberto

; Zavala-Ramírez, Juana

; Cassaigne-Guasco, María E.

; Sánchez-Limón, Edgar-F

; Castañeda-López, Javier

; Cerón-Enríquez, Norma

; Ku-González, Andrés

; Arteaga-Martínez, Rodolfo

; Hinojosa-López, Tania

; Vergara-Guzmán, Jéssica

; Pérez-Vázquez, Daniel I.

; Gasca-Zamudio, Pedro D.

; Aranda-Ayala, Zulema L.

; Vacío-Reyes, Martha E.

; Reza-Orozco, Marco

; Alcocer-Gamboa, Miguel A.

; Hernández-González, Pedro A.

; Pérez-Reyes, Angélica A.

; Núñez-Urquiza, Juan P.

; Alonso-Sánchez, Jesús

; Franco-Valles, Sarahí

; Romo-Escamilla, Ricardo E.

; Nuriulú-Escobar, Patricia

; Serna-Santamaría, Iván

; Avilés-González, Jorge

; Salgado-Solorio, María C.

; Muñoz-Gutiérrez, Luz M.

; Mendoza-Díaz, Pedro M.

; Ávila-Estrada, Ángel

; Morales-Medina, Carlos

; Lara-Vázquez, Eduardo

; Rodríguez-Herrera, Paulina

; Galván-López, María

; Segoviano-Mendoza, Georgina

; De-la-Torre-Cruz, Fabiola

; Jiménez-Campos, Cecilia

; Ramírez-Meléndez, Alejandra

; Almaraz-Ríos, Alejandro

; González-Bonilla, Mezthly

; Rojano-Castillo, Jessica

; Rius-Suarez, María D.

Archivos de cardiología de México

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dec 2023, Volume 93 N. 4 Pages 405 - 416

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

resumen está disponible en el texto completo

Abstract Introduction: In Mexico, cardiac rehabilitation (CR) as an interdisciplinary intervention with therapeutic impact in patients with heart disease is growing. There is the need to know actual conditions of CR in our country. Objectives: The objective of this National Registry is to follow-up those existing and new CR units in Mexico through the comparison between the two previous registries, RENAPREC-2009 and RENAPREC II-2015 studies. This is a descriptive study focused on diverse CR activities such as assistance training, and certification of health professionals, barriers, reference, population attended, interdisciplinarity, permanence over time, growth prospects, regulations, post-pandemic condition, integrative characteristics, and scientific research. Results: Data were collected from 45 CR centers in the 32 states, 75.5% are private practice units, 67% are new, 33% were part of RENAPREC II-2015, and 17 have continued since 2009. With a better distribution of CR units along the territory, the median reference of candidates for CR programs is 9% with a significant reduction into tiempo of enrollment to Phase II admission (19 ± 11 days). Regarding to previous registries, the coverance of Phases I, II, and III is 71%, 100%, and 93%, respectively; and a coverance increases in evaluation, risk stratification, and prescription, more comprehensive attendance and prevention strategies. Conclusions: CR in Mexico has grown in the past 7 years. Even there is still low reference and heterogeneity in specific processes, there are strengths such as interdisciplinarity, scientific professionalization of specialists, national diversification, and an official society that are consolidated over time.

https://doi.org/10.24875/acm.22000235

15.

Rendimiento diagnóstico de once indicadores para resistencia a la insulina en una muestra de pobladores peruanos
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Vera-Ponce, Víctor Juan

; Valencia, Jamee Guerra

; Poma, Miguel Ángel

; Loayza-Castro, Joan A.

; Zeñas-Trujillo, Gianella Zulema

; Zuzunaga-Montoya, Fiorella E.

; Torres-Malca, Jenny Raquel

; Cruz-Vargas, Jhony A. De La

Medicina clínica y social

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dec 2023, Volume 7 N. 3 Pages 168 - 176

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

RESUMEN Introducción: La resistencia a la insulina (RI) es una de las principales causas del desarrollo de patologías crónicas. Es indispensable su detección temprana, por ello es importante estudiar métodos más asequibles y menos costosos como los biomarcadores. Objetivo: Determinar la precisión diagnóstica de once biomarcadores para RI en una muestra de pobladores peruanos. Metodología: Estudio de pruebas diagnósticas. Análisis de base de datos secundario del estudio PERU MIGRANT. Para medir RI se utilizó como referencia la evaluación del modelo homeostático (HOMA-IR) ≥ 2,8. Los biomarcadores se basaron en la ratio de lípidos, los indicadores de lípido visceral, los indicadores con triglicéridos y glucosa (TyG), y los indicadores con cintura abdominal. Para la precisión se utilizó el análisis de la curva de características operativas del receptor y el área bajo la curva (AUC) con sus respectivos intervalos de confianza al 95% (IC95%). Resultados: Se estudió a 938 participantes. La prevalencia de RI fue del 9,91%. En relación con el análisis ROC, el índice TyG - índice de masa corporal (TyG - IMC) tuvo el mayor AUC, tanto en hombres: AUC=0,85 (0,81 - 0,90), corte=241,55; sens=92,5 (79,6 - 98,4) y esp=78,3 (73,9 - 82,2); como en mujeres: AUC=0,81 (0,76 - 0,85), corte=258,77; sens=79,2 (70,3 - 86,5) y esp= 82,1 (78,0 - 85,8). Discusión: Según los datos analizados, el índice TyG-IMC es el mejor indicador para medir RI. Es un índice simple que se puede tomar de manera rutinaria en la práctica clínica diaria. Es conveniente añadir futuros estudios prospectivos que confirmen su capacidad predictiva.

ABSTRACT Introduction: Insulin resistance (IR) is one of the main causes of chronic disease. Early detection is essential, which is why it is important to study more affordable and less expensive methods, such as biomarkers. Objective: To determine the diagnostic accuracy of 11 biomarkers of IR in a sample of Peruvian residents. Method: diagnostic tests. Secondary Database Analysis of the PERU-MIGRANT Study. To measure RI, a homeostatic model evaluation (HOMA-IR) ≥ 2.8 was used as a reference. Biomarkers were based on the lipid ratio, visceral lipid indicators, indicators of triglycerides and glucose (TyG), and indicators of abdominal waist. For precision, the receiver operating characteristic curve and area under the curve (AUC) with their respective 95% confidence intervals (95%CI) were used. Results: A total of 938 participants were studied. The prevalence of IR was 9.91%. In relation to the ROC analysis, the TyG index - body mass index (TyG - BMI) had the highest AUC, both in men: AUC=0.85 (0.81 - 0.90), cut-off=241.55; sens=92.5 (79.6 - 98.4) and sp=78.3 (73.9 - 82.2); as in women: AUC=0.81 (0.76 - 0.85), cut-off=258.77; sens=79.2 (70.3 - 86.5) and esp= 82.1 (78.0 - 85.8). Discussion: According to the data analyzed, the TyG-IMC index is the best indicator for measuring IR. It is a simple index that can be routinely used in clinical practice. Future prospective studies are needed to confirm its predictive capacity.

https://doi.org/10.52379/mcs.v7i3.292

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