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The Intensive Care are complex units, the simple fact of being admitted there generates anxiety, both for patients and family members. These patients suffer from an acute condition or disease which threatens their life, which makes the context of intensive care stressful. At present, great importance is given to the relationship between health personnel and the patient and their families, where the fundamental matter is to satisfy their needs, alongside an excellent medical care. Satisfying the informational needs of family members by providing them with simple and real information is one of the aspects needed to be taken into account. Adequate communication together with a humanized treatment by health personnel and the participation of family members in the patient's care produces very positive benefits for him and his family. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Investigación en Salud VIVE is the property of Revista de Investigacion en Salud VIVE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Hantavirus pulmonary syndrome (HPS) is an acute viral illness caused by members of the genus Orthohantavirus, family Hantaviridae. In Argentina, there is evidence of the circulation of several pathogenic genotypes in different rodent reservoirs. In addition, at least four non-pathogenic genotypes for humans have been identified. In 2020, a patient inhabiting Colonia Montefiore (province of Santa Fe) without any travel history was diagnosed with HPS. The orthohantavirus genotype detected in the patient was Alto Paraguay. This genotype had previously been detected only in Paraguay in rodents identified as Holochilus chacarius, but not in patients with HPS. Since the circulation of this genotype was unknown in Argentina, we studied the rodent communities in rural areas near the site of the human infection case. Fifty-nine rodents were captured, and one specimen of H. chacarius proved to be infected with the Alto Paraguay genotype. The viral sequences of the rodent were compared with those of the patient, finding 100 % nucleotide identity for the fragments of the S and M genomic segments. These results confirm the circulation of a new pathogenic genotype of orthohantavirus in Argentina, and provide evidence of its potential association with rodents of the species H. chacarius, important information for prevention measures. [ABSTRACT FROM AUTHOR]

Copyright of Argentinian Journal of Respiratory & Physical Therapy (AJRPT) is the property of Asociacion Civil Cientifica de Difusion y Promocion de la Kinesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The cardiovascular sequelae by the SARS-COV-2 infection is prevalent in a significant portion of the recovered patients from the acute presentation of the SARS-COV-2. Actually, the clinic cardiac control of the post-acute COVID syndrome has been working out without a well-established protocol, making the appropriate diagnosis of the cardiac diseases produced by the different damage mechanisms from COVID-19. Objectives: Standardize cardiovascular care and the follow up of COVID-19 survivors in the function on disease severity and identify patients who develop SPC-19A for timely care. Materials and methods: Through an extensive bibliographic review, this article has the purpose of provide the necessary information to make possible the early diagnosis and following of the cardiac complications that has been recorded trough the months after the acute disease from COVID-19. [ABSTRACT FROM AUTHOR]

Copyright of Revista Pediatría de Atención Primaria is the property of LUA Ediciones 3.0 S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. To analyze the level of welfare in Mexican households of children under five who presented acute diarrheal disease (ADD) in the last two weeks in Mexico, according to the National Health Survey (Ensanut) Continua 2022. Materials and methods. The survey was conducted between July and December 2022. Dependent variable: to present ADD. Independent variable: level of welfare house. Bivariate and logistic regression crude and adjusted analyses were performed. Results. It is estimated that 9.4% of children under five years of age presented ADD; of these, 76.4% (95%CI: 69.0,82.5) belonged to households with low-medium levels of well-being. Having ADD was more frequent in 1-year-old children (aOR 3.00; 95%CI: 1.76,5.11), compared to those younger than 1 year; and belonging to households where water is not treated (aOR 2.13; 95%CI: 1.11,4.08). Conclusions. It is a priority to strengthen sanitary measures to prevent ADD in one-year-old children, as well as implement actions to ensure the availability of drinking water or its adequate treatment for drinking. It is necessary to plan, execute and evaluate integral and multisectoral public policy actions that help to guarantee the human right to health in childhood. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Boletín Latinoamericano y del Caribe de Plantas Medicinales y Aromáticas is the property of Universidad de Santiago de Chile and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To describe the caring experiences of men who got sick with Covid-19 in Mexico City. Therefore, it seeks to answer the question: what are the meanings, practices and knowledge of caring for men who got sick with Covid-19? Methodology: The field work consisted in conducting 10 interviews about the care of men in Mexico City. Results: With the use of phenomenological contributions and gender theory, a brief review of the concept of experience is made for its use in understanding care. Thus, how men lived through the most acute moments of the disease, how their routines changed and what it meant to take care of themselves and others in private and public spaces is described. Conclusions: It is important to differentiate self-care, care of the self and care for oneself. [ABSTRACT FROM AUTHOR]

Chagas disease is a zoonosis caused by a hemoflagellate protozoan called Trypanosoma cruzi. We describe the clinical presentation of an acute outbreak of Chagas disease by oral transmission in a group of 3 cousins aged 10, 14, 16 years, with clinical picture of 18 days of fever peaks at 38 °C and moderate epigastric abdominal pain. The maternal grandmother was positive for Chagas disease, with no other history. On physical examination tachycardic, the rest without alteration. Paraclinical findings on admission: elevated CRP and negative thick drop. At 24 hours, positive Trypanosoma cruzi antibody in the 3 patients and positive febrile antigen for Proteus ox-19 1/320 in the youngest. Acute Chagas disease in pediatrics is usually asymptomatic; however, it is evident that it can rapidly progress to chagasic myocarditis and severe thrombocytopenia, increasing considerably the risk of cardiogenic shock, cardiac decompensation, and even death. [ABSTRACT FROM AUTHOR]

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. To estimate the percentage of acute diarrheal disease (ADD) in children under five years of age in the last two weeks, according to data from the Encuesta Nacional de Salud y Nutrición Continua 2022 (Ensanut Continua 2022). Materials and methods. Data for children under five years included in the Ensanut Continua 2022 regarding ADD in the last two weeks were analyzed. These data were compared with those of previous Ensanut. Results. The percentage of ADD in Mexico was 9.4% (95%CI: 7.9,11.2), similar to that of 2000; with differences by age group. During the ADD episode, 38.7% (95%CI: 27.7,51.0) of caregivers offer less amount of food. Conclusions. The high percentage of ADD in children under five years in Mexico in 2022 shows the need to strengthen prevention and health promotion strategies. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To identify Escherichia coli pathotypes in a pediatric population with acute diarrheal disease (ADD) in the city of Rosario, Argentina to adopt timely and effective intervention measures in Public Health. Material and methods: A total of 360 fecal samples from pediatric patient with ADD and who attended in a pediatric hospital in Rosario, Argentina, were studied. The research was carried out from January 2021 to April 2022. The identification of pathotypes was carried out by polymerase chain reaction. Results: 21.11% diarrheagenic Escherichia coli (DEC) strains were identified. The virulence genes corresponding to all the pathotypes studied were detected as follow: enteroaggregative E. coli (EAEC) (42.10%), enteroinvasive E. coli (EIEC) (23.68%), enterotoxigenic E. coli (ETEC) (14.47%), enteropathogenic E. coli (EPEC) (15.79%), and enterohemorrhagic E. coli (EHEC) (1.32%). Mixed EAEC/EPEC (1.32%) and ETEC/EAEC (1.32%) infections were also detected. Conclusions: Molecular diagnostic methods are a fundamental tool for studying the epidemiology of acute diarrheal disease. The application of these techniques is essential to identify the E. coli pathotypes causing ADD, thus contributing to decrease the spread of these pathogens and reduce morbidity and mortality associated with diarrhea in pediatric population. [ABSTRACT FROM AUTHOR]

Copyright of QhaliKay: Revista de Ciencias de la Salud is the property of QhaliKay Revista de Ciencias de la Salud and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

During the current pandemic, acute coronavirus disease 2019 (COVID-19) due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) provokes overwhelming inflammatory response leading to a wide range of clinical presentations including, a rare multisystem inflammatory syndrome and cardiac injury. Not only during the acute phase of the disease but a delayed immunologic response to SARS-CoV-2 infection among people with hyperinflammatory illness several weeks postacute phase of the infection is recently recognized. We report a young adult male who presented with acute myocarditis and heart failure associated with laboratory evidence of hyperinflammatory syndrome 5 weeks after a full recovery from COVID-19 infection. We believe that health-care providers need to be aware and recognize this syndrome as a rare sequela of COVID-19 infection. [ABSTRACT FROM AUTHOR]

Copyright of Revista Nutrición Clínica y Dietética Hospitalaria is the property of Sociedad Espanola de Dietetica y Ciencias de la Alimentacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Lipoprotein(a) (Lp (a)) is a plasmatic lipid protein complex, which represents a risk factor for atherosclerotic cardiovascular disease (ASCVD). However, conventional lipid assays are unable to measure or estimate Lp (a) and there are no specific therapies approved to substantially reduce Lp (a) concentrations. We report the case of a 49-year-old man with low cardiovascular risk who developed an acute myocardial infarction with ST elevation probably due to elevation of Lp (a) is reported. The purpose of this case report is to highlight the detection and analysis of Lp (a) in the assessment of cardiovascular risk. In addition, current and emerging therapies are described in patients with elevated Lp (a). [ABSTRACT FROM AUTHOR]

Copyright of Hospital a Domicilio is the property of Centro Internacional Virtual de Investigacion en Nutricion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. To evaluate the use of a rapid immunochromatographic test, associated with a complete blood count and the search for viral inclusions as a method of diagnosing distemper in dogs. Materials and methods. Nineteen dogs, males and females, aged 2 to 120 months, with clinical suspicion of distemper, were examined at the UFFS Veterinary Hospital. Conjunctival swabs were collected to perform the rapid immunochromatographic test and 3-5 ml blood samples were drawn for complete blood count and Lentz corpuscle investigation. After performing the blood count, the blood was centrifuged, and the plasma was used to perform a second test. Results. Among the 19 suspect animals, 7 were positive in the rapid test, both in blood plasma and conjunctival swab material, in 2 of these Lentz bodies were observed. Conclusions. The association of the rapid immunochromatographic test with the complete blood count in dogs with clinical suspicion of distemper improves the chances of diagnosing the disease in the acute phase and the test can also be performed with blood plasma, using the same sample sent for complete blood count. The hematological study revealed that anemia and lymphopenia are the main changes in positive animals. [ABSTRACT FROM AUTHOR]

Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has revolutionized the current public health panorama. The acute form of the disease tends to display a primarily respiratory clinical picture. However, not all patients with COVID-19 appear to fully recuperate days to weeks after the acute episode. Increasing evidence supports subacute and long-term effects of COVID-19 in several organs and systems. The term post-acute COVID-19 (COVID-pa) or prolonged COVID has been coined to refer to patients with extended recovery periods. A significant percentage of COVID-19 survivors tend to present with sequelae for up to 6 months, and considering we're still in early stages of general recovery, these lapses could continue to grow, resulting in chronic conditions. Further research is needed to determine which patients are at risk of presenting these complications after the acute presentation in order to take appropriate preventive measures. The objective of this review is to evaluate key epidemiologic and pathophysiologic aspects of C [ABSTRACT FROM AUTHOR]

Objective. To determine the level of evidence on the probability of transmission of acute respiratory diseases on collective public transport. Materials and methods. We followed the Cochrane rapid review methodology. The search strategy encompasses one academic database until December 10, 2020. Results. 16 manuscripts met the inclusion criteria. Pooling of cohort studies showed that the odd of seroconversion to influenza A or B was 54% greater in people with frequent use of public transport compared to people with infrequent use (odds ratio: 1.54; 95%CI: 1.06-2.01). Conclusions. The probability of contagion from acute respiratory diseases may increase with the use of public transport. Some recommendations to reduce the probability of contagion in collective public transport include the use of face masks, to avoid speaking or singing, and to reduce the number of passengers and the travel time. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To determine the frequency of exclusive breastfeeding (EBF) and the maternal factors related with EBF cessation. MATERIALS AND METHODS: Cross-sectional comparative study performed at the Conocoto Health Center (Pichincha - Ecuador). Maternal data, nutritional status of infants, characteristics of breastfeeding and number of previous acute diseases (diarrheal and respiratory) were recorded. RESULTS: We selected 155 infants (age 12.6 ± 4.8 months; 53.5% male). Only 49.6% (95% CI: 41.9-57.4%) of the infants had EBF for six months and in the others duration was just 2.7 ± 1.7 months. Nutritional status was similar between groups (EBF and no-EBF), nevertheless respiratory infections (=6 episodes) were more common in the last ones (1.3 vs 9.0%; p = 0.03). Factors related with EBF cessation were primiparous mother (OR: 2.51; 95% CI: 1.31-4.82; p <0.01), unmarried cohabitation (OR: 2.26; 95%CI: 1.19-4.31; p = 0.03) and mother who studies or works outside the home (OR: 3.07; 95% CI: 1.58-5.98; p <0.001). CONCLUSIONS: Only half of the children had an EBF. An early EBF cessation (first three months) mainly happens when the mothers are primiparous, unmarried and has activities outside the home. To determine the situation in other rural communities seems relevant, at the time to increase EBF promotion. [ABSTRACT FROM AUTHOR]

Copyright of Gerokomos is the property of Indemm Farma SL and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Inventum. Ingenieria, Tecnologia e Investigacion is the property of Corporacion Universitaria Minuto de Dios and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. To evaluate the impact of rotavirus (RV) vaccination after 10 years of it's universalization on morbidity and mortality from Acute Diarrheal Disease (ADD) in mexican children under five years of age. Materials and methods. Annual median numbers for ADD new cases, hospitalizations and deaths were compared between pre and post universalization periods; absolute and relative reductions were calculated, considering p<0.05 values as significant. Results. Mortality, hospitalizations and new cases from ADD in children under five decreased 52.6, 46, and 15.5% respectively, in the posuniversalization period. During rotavirus seasons, reduction in mortality, hospitalizations and new cases was 66.9, 64.7, and 28.7% respectively. Conclusions. As of the universal introduction of RV vaccination in Mexico, significant and sustained reductions are appreciated for mortality and hospitalizations from ADD, less so for incidence. A most prominent effect is observed during the winter season. [ABSTRACT FROM AUTHOR]

The present study aimed to analyze the relationship between perceived stress and happiness in Mexican adults, and test for differences in both variables according to the health- disease condition. The sample consisted of 762 Mexican adults with an average age of 44.96 years, of which 70.3% reported not suffering from any disease. The Perceived Stress Scale and the Authentic Happiness Inventory were used. In addition, participants reported if they suffer from any disease, later selecting from a list of options. Using the SPSS v.24, frequency, descriptive, correlation and analysis of variance of one factor were performed. Negative and statistically significant correlation between perceived stress and happiness was found. On the other hand, only significant differences were observed in the subscale of perceived stress "overwhelmed by the situation" being greater in the group of people with an acute illness, compared to the group of healthy people. The main findings as well as implications for psychological practice are discussed. [ABSTRACT FROM AUTHOR]

Objective. Identify the presence of West Nile virus in horses and mosquitoes in eight municipalities of the department of Meta. Materials and methods. The research was supported by the Bioethics Committee of the University of Los Llanos. 613 samples of Creole and quarter-mile equine horses, intended for sports and work activities, with an age range of 2 to 15 years, were analyzed using serological and molecular tests in the transects: Villavicencio-Restrepo-Cumaral, San Martín- Castilla la Nueva-Granada and Puerto López-Puerto Gaitán, analyzed in 62 pools and 213 mosquitoes. The pool of sera of horses and mosquitoes were analyzed by ELISA and PCR. Results. No seropositive animals were found by the ELISA test and molecular tests were also negative. Conclusions. Although in this study the presence of IgM antibodies was not evidenced by the Elisa technique, and molecular tests (RT-PCR) were also negative for viral circulation, in the municipalities under study, it is important to indicate that the molecular detection in sera, it requires representative levels of viremia and that the animal is in the acute phase of the disease. Although it is possible that the equine population remains free of contact with the virus, epidemiological surveillance should be maintained against this important pathogen for human health, especially due to the outbreak of other zoonotic viruses such as Eastern Equine Encephalitis and Encephalitis Venezuelan Equine in the departments of Meta and Casanare, adjacent to this. [ABSTRACT FROM AUTHOR]

Introduction: Background: survivors of childhood acute leukemia are at risk for obesity. The purpose was to evaluate the different clinical measurements of body composition and to compare with body mass index (BMI). Methods: cross-sectional study of 39 survivors with more than ten years of survivorship since diagnosis. Anthropometry and body composition accuracy measurements were determined and also obesity risk factors. Results: obesity prevalence by body fat percentage were: 38.5% for BMI; 46.1% for waist circumference; 51.3% for skinfolds and 56.4% for bioelectrical impedance analysis (BIA). There was a good correlation among the measurements, but BMI underestimated the percent body fat among childhood leukemia survivors in comparison with: waist circumference (-1.03 ± 2.01), skinfolds (-2.95 ± 5.78) and BIA (-3.78 ± 7.4), and this bias appears to be more variable with increasing percent of body fat > 30%. Three patients showed sarcopenia and only one sarcopenic obesity. Waist circumference fat mass was the better predictor of cardiovascular risk factors (LDL-cholesterol: r = 0.703; HDL-cholesterol: r = -0.612; p < 0.05 and hypertension: OR 4.17; IC 95%: 1.012-19.3). Obesity risk factors were: female sex, high-risk tumor, radiotherapy and stem cell transplantation. Conclusions: BMI underestimates obese childhood leukemia survivors in comparison with waist circumference, skinfolds and bioelectrial impedance analysis. BMI use could misclassify obese survivors as non-obese. Female sex, high tumoral risk and coadyuvant treatments (radiotherapy and stem cell transplant) are risk factors for adiposity. [ABSTRACT FROM AUTHOR]

Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Extracorporeal membrane oxygenation (ECMO) is an important procedure because it provides assistance to patients suffering from some type of cardiac and/or respiratory condition that prevents them from proper blood circulation. There are mainly two types of ECMO, veno-venous and venoarterial, the first being used in patients with purely respiratory problems. With regard to its evolution, numerous advances have shown an increase in its efficiency in relation to the riskbenefit of the affected, as well as its application in people with acute respiratory diseases such as Acute Respiratory Distress Syndrome (ARDS), which cannot be solved through regular techniques. Basically it is a procedure that is carried out to prevent the cardiopulmonary system from failing, after complications that can make this condition intractable through traditional methods. In relation to ECMO therapy, ARDS is one of the situations that has most led to studies due to its complications that endanger the life of the individual, several analyzes show that this technique is indeed effective as evidenced by the CESAR test, improving the survival of the patient and in general refining the mortality rates. The results of this method have been encouraging, implying a great improvement against mechanical ventilation, however, not everything is positive because it also has difficulties linked to bleeding and nosocomial infection. In general, it is concluded that this technique seeks and in a significant proportion of cases it manages to optimize the condition of life of the person. [ABSTRACT FROM AUTHOR]

Objective. To compare the prevalence of acute respiratory infections (ARI) and acute diarrheal disease (ADD) among children younger than five years of age living in localities with less than 100 000 inhabitants in Encuesta Nacional de Salud y Nutrición (Ensanut) 2012 and Ensanut 100k (2018). In Ensanut 100k, we evaluate the associated factors. Materials and methods. Analysis of both surveys and of the Mexican Meteorological System. Results. The estimated prevalence of ARI was 45.1% in 2012 vs. 32.9% in 2018. The decrease was significant among medium and high-income households. There were no changes in trends for ADD. Among households with lower EC, ARI was associated with roofing material, temperature, and rainy precipitation while ADD was associated with lack of piped water. Conclusions. The estimated prevalence of ARI has decreased in medium and high income households. Some households and weather conditions are associated with ARI and ADD. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To estimate the overall mortality and mortality related to types of weaning from mechanical ventilation as well as to describe factors related to failure in weaning in an intensive care unit (ICU). Methods: An observational study was carried-out among 147 patients undergoing weaning from mechanical ventilations who were admitted with the diagnosis of acute respiratory failure to the intensive care unit of Hospital Cayetano Heredia in 2014. Results: overall mortality in weaned patients was 27%; higher mortality (42%) was observed among those with prolonged weaning, followed by those with difficult weaning (29%) and simple weaning (15%, p=0.039). The overall mortality increased with longer stay at ICU and longer duration of mechanical ventilation. Factors related to failure in achieving weaning were low level of conscience (Glasgow coma score <8) and agitation (p=0,018). Conclusions: Prolonged weaning was associated to increased mortality in patients on mechanical ventilation due to acute respiratory failure. Factors related to weaning failure were related to the level of conscience. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: the prevalence of hospital malnutrition is high and involves an increase in health care costs. Home hospitalization (HH) allows better clinically stable patient control after an acute illness by a highly specialized health care team.Objective: to know the nutritional condition of home hospitalization patients using a computer application that allows the implementation of early nutritional measures at home and improves post-hospital control of these patients.Material and Methods: prospective multicenter study of the nutritional condition of patients in four different home hospitalization centers during a period of two consecutive months in 2016. Variables were collected: home hospitalization, age, gender, reason for admission, associated morbidity, origin, diagnosis, social assessment, previous nutritional support, height, weight, weight loss, time of weight loss, total proteins, albumin, lymphocytes, cholesterol, body mass index (BMI), nutritional condition, type and degree of malnutrition. Nutritional condition was assessed using the application HEN-Persan and results were statistically analyzed using the SPSS 21.0 software.Results: no significant differences were found between the four centers. In home hospitalization patients, 36% presented a normal nutritional screening and 87% presented some degree of malnutrition, while combined malnutrition prevailed (63%). Depending on the nutritional degree, 36% of patients had mild malnutrition, 27% presented moderate malnutrition and 35% had severe malnutrition.Conclusions: a computer application allows for an immediate, secure and reliable nutritional assessment in home hospitalization that helps introduce early nutritional measures and improve post-hospital control of patients. [ABSTRACT FROM AUTHOR]

Caso clínico: presentamos una paciente de 33 años con anorexia nerviosa de 15 años de evolución con uno de los pocos casos reportados de fallo hepático agudo severo secundario a la desnutrición.Discusión: tras el soporte nutricional protocolizado para evitar el síndrome de realimentación y un adecuado manejo multidisciplinar, la paciente evoluciona favorablemente logrando normalizar los electrolitos, la función hepática y las alteraciones en la coagulación. [ABSTRACT FROM AUTHOR]

Objective: To determine the frequency of and associated factors to develop renal sequela after an acute episode of hemolytic uremic syndrome (HUS) in children. Methods: A descriptive-retrospective study that evaluated medical charts of patients with HUS at HNCH from 1997 to 2012 was conducted. Clinical features, laboratory findings including renal function tests on admission, discharge and after 6 months of follow-up were retrieved. Patients with incomplete data on renal function tests were contacted to complete the missing information. Results: 7 out of 12 patients presented a reduction in the glomerular filtration rate (GFR), proteinuria or hypertension 6 months or more after the acute episode, with a mean of 30,75 months of follow-up. Factors associated with sequela such as hypertension, proteinuria at discharge, need for dialysis, oligoanuria, leukocytosis > 20 000 cells/mm3 and neurologic symptoms were equally distributed among patients with and without sequela. However, the frequency of proteinuria and oligoanuria were below previously reported rates. Conclusions: Renal sequela does occur after an acute episode of HUS with predicting factors well described in the medical literature. [ABSTRACT FROM AUTHOR]

Background: It has been found that despite the many cytoprotective functions, ferritin is also a source of active iron catalyst, causing oxidative damage with superoxide radicals generated by cell stimulation, which may cause the release of iron from ferritin. Many studies have been commissioned to monitor the association between levels of this molecule and the relationship with ischaemic heart disease. Objective: To determine if there is a relation between levels of ferritin determined at entering and seven days after the event and the postinfarction left ventricular ejection fraction. Material and method: An observational, cross-sectional study was done at General Hospital of Cuautitlan, Estado de Mexico, from June 20, 2013 to January 2014, in which were included patients attending to Emergency room with acute coronary syndrome type myocardial acute infarction with elevation of ST segment, during the first hours of the beginning of th event. It was performed the enzymatic determination of total and fraction MB creatinin-phosphokinase, lactic deshidrogenase and transaminases at entering, besides determining levels of ferritin, glucose, uric acid, cholesterol and triglycerides and doing a complete hematic biometry. Also, the diagnosis of myocardial acute infarction with elevation of segment ST was established with the criteria of the third universal definition of infarction and following the guides ACC/AHA. Results: The mean level of the first and second determination of ferritin was of 448.2 and 516 ng/dL, respectively; the mean left ventricular ejection fraction was of 42%. Conclusions: This study is consistent with many of the articles that refer that there is no relationship between left ventricular ejection fraction and ferritin levels in acute myocardial infarction. [ABSTRACT FROM AUTHOR]

Objetivo: evaluar los factores que condicionan el desenlace funcional a tres meses en pacientes con infarto cerebral agudo (ICA) que hayan recibido terapias de reperfusión cerebral (trombólisis intravenosa, trombectomía mecánica, o ambas) en países latinoamericanos. Antecedentes: el ICA es una patología altamente discapacitante. Se considera que su desenlace funcional se asocia a comorbilidades del paciente y al tipo de tratamiento cerebral agudo implementado. Métodos: realizamos un estudio multicéntrico entre los años 2012 a 2021 que incluyó pacientes mayores de 18 años, de ocho países latinoamericanos (México, Costa Rica, Colombia, Perú, Argentina, Brasil, Paraguay, y Chile), con diagnóstico de ICA y que recibieron terapia de reperfusión (trombólisis endovenosa, trombectomía mecánica, o ambas), en quienes se evaluaron antecedentes médicos (hipertensión arterial, diabetes, fibrilación auricular, etc.), puntaje en la escala de NIHSS al llegar al hospital, recurrencia del infarto o transformación hemorrágica intracraneal y se determinó su impacto en la mortalidad y desenlace funcional desfavorable [puntaje en la escala de Rankin modificado (eRm) 3 a 6] a los tres meses, mediante modelos multivariados de regresión de Poisson con varianza robusta, obteniendo riesgos relativos ajustados (aRR) con sus intervalos de confianza al 95%. Núm. de registro del protocolo: 26/22 Resultados: se incluyeron 1141 pacientes, 536 (46.9%) hombres, con una edad promedio de 67.8±15.6 años. En 606 (53.1%) se identificó un buen desenlace funcional a los tres meses, y 90 (7.9%) fallecieron. Los factores asociados a desenlace funcional desfavorable (eRm 3-6) fueron el puntaje de NIHSS de 17 a 25 puntos (aRR:4.38, 95%IC 2.74-7.00) o mayor de 25puntos (aRR:5.13, 95%IC 2.72-9.65) y una eRm previa mayor o igual a 2 (aRR:1.61, 95%IC 1.53-3.33); mientras que la mortalidad se ve incrementada por hemorragia intracraneal (aRR:2.26, 95%IC 1.38-3.69), recurrencia infarto cerebral (aRR:3.09, 95%IC1.62-5.89), puntaje de NIHSS de 17 a más puntos (aRR:5.89, 95%IC 1.79-19.33). Conclusiones: las terapias de reperfusión tienen un buen porcentaje de éxito en varios países de Latinoamérica, con buenos desenlaces funcionales y baja mortalidad. [ABSTRACT FROM AUTHOR]

Acute esophageal necrosis (black esophagus) is a rare entity whose etiology is unknown. The endoscopic findings show a black circumferential coloration of the esophageal mucosa and mucosal necrosis. We report the case of a 59-year-old man with a history of diabetes mellitus, hypertension, haemodyalisis, alcoholic liver cirrhosis and hepatitis C. He developed sepsis and on the seventh day after he was hospitalized, he presented mane and vomiting in coffee grounds, diagnostic endoscopy showed black esophagus and bulb ulcer Forrest IIB; 72 hours after diagnosis presented with cardiac arrest sudden death without responding to resuscitation. [ABSTRACT FROM AUTHOR]

Cases of intravenous leiomyoma with intracardiac extension are rare. Patients with signs of right-sided overload who present symptoms of acute heart failure and whose symptoms do not improve with conventional management, we must consider this entity. It is important to comprehensively assess with imaging studies such as electrocardiogram, echocardiogram, Tomography (CT scan) or magnetic resonance. The following is a report of the case of a 46 year old woman with symptoms of acute heart failure and inadequate response to conventional drugs. The echocardiographic show findings of a tumor in the right atrium, protruding to the right ventricle causing tricuspid regurgitation. The CT scan confirmed the extent of the tumor to the inferior vena cava and right ventricle, and was resolved surgically with radical resection and histology lineage confirmed by pathologic examination. [ABSTRACT FROM AUTHOR]

Objective: to study 112 isolates of Shigella spp., received in the National Reference Laboratory of Acute Diarrheal Disease, at the "Pedro Kourí" Tropical Medicine Institute, from ten provinces of the country, during 2008-2010. Method: these were characterized by phenotypic techniques such as the serotyping scheme as Ewing and Edwards and antimicrobial susceptibility by the method Kirby Bauer. Results: Shigella sonnei (50.0%) was the species most frequently identified; followed by Shigella flexneri (33.0%), Shigella dysenteriae (14.3%) and Shigella boydii (1.8%), only one strain was not typable (Shigella sp). The percentages most significant of resistance were: nalidixic acid 54.5%, trimethoprim sulfamethozaxole 47.3% and tetracycline 40.2%. The 24.1 % of the isolates were resistant to three or more antimicrobials and identifying 18 patternss, the most frequent was: sulfonamide, trimethoprim sulfamethozaxole, tetracycline, chloramphenicol and ampicillin (20%). Nalidixic acid was included in 11 of the 18 patterns found. Shigella flexneri was the specie as predominated in the multirresistant isolated. Conclusion: the present study demonstrates a change in the prevalence of Shigella spp., and shows an increased resistance to nalidixic acid, a drug of choice for the treatment of shigellosis in Cuba. [ABSTRACT FROM AUTHOR]

Objective: To associate the knowledge, attitudes and practices (KAP) on breastfeeding mothers with the frequency of ICD in the last 6 months of the child under two years. Methodology: Design: Analytic, Cross-sectional study. Location: Huaylas, Ancash, Peru, in February 2011. Participants: 34 mothers of children under two years. Interventions: KAP survey by home interview. Main outcome measures: Points obtained in the survey for the different variables CAP. Results: We found knowledge of medium to low in 76,5% of the mothers surveyed, 58,8% neutral attitudes and practices favorable in 20,6 and 64,7% neutral and 23,5% inadequate. No correlation was found between these. Conclusion: It was not possible to establish any significant association between knowledge, attitudes and practices of breastfeeding with acute infectious diarrhea. [ABSTRACT FROM AUTHOR]

Objective: To determine the morbidity and mortality patterns of patients with acute respiratory distress syndrome (ARDS)/acute pulmonary injury (API) due to influenza A H1N1 who required cardiopulmonary support in a general hospital. Methods: Retrospective case series. Clinical charts, mechanical ventilation and hemodynamic monitoring charts of patients with ARDS/API due to influenza A HINI admitted to the general intensive care unit (GICU) of Hospital Nacional Cayetano Heredia from May to September 2009 were reviewed. The diagnosis of influenza H1N1 was confirmed with RT-PCR. Results: 99 patients with influenza A H1N1 were attended; 9 were admitted in the GICU with ARDS/API; five patients required invasive mechanical ventilation (IMV); three non-invasive mechanical ventilation (NIMV) and one did not require ventilatory support. Mean age was 43.3 ± 18.3 years; mean duration of symptoms was 8 ± 3 days. On admission, 100% of patients had fever and dyspnea; mean APACHE II score was 10.5 ± 4.1 and mean SOFA score was 5.6 ± 3.2; the mean PaO2/FiO2 was 96.74 ± 28.6. In 4/5 of patients requiring IMV the PaO2/FiO2 at 12 hours and at the end of mechanical ventilation was < 200. Estimated pulmonary wedge pressure was 15.69 ± 3.6 and the cardiac index estimated by esophageal doppler ultrasound was 2.4 ± 0.34. AST was 160 ± 152.15, LDH was 2366.33 ± 1862.13 and CK was 216 ± 298.25. All patients received oseltamivir 150 mg every 12 hours per 10 days. Four patients died. Conclusions: Patients with ARDS/API due to influenza A H INI were young adults with protracted disease with fever and lymphopenia, without cardiovascular involvement and with refractory hypoxemia as the main cause of death [ABSTRACT FROM AUTHOR]

Background. Panic disorder affects 2-5% of the general population. In Argentina, one million people would be affected with a 91% rate of psychiatric comorbidity. Aim. To compare efficacy parameters between sublingual (ALP-SL) and conventional (ALP-CT) tablets of alprazolam in the treatment of acute phase of panic disorder with and without agoraphobia. Subjects and Methods. A comparative, multicenter (6 sites), double blind, randomized study was carried out. A total of 190 outpatients with (n=117) and without (n=73) agoraphobia were treated with ALP-SL or ALP-CT for 12 weeks. Outcome was assessed with the Clinical Global Impressions (CGI-S/CGI-I), Hamilton Rating Scale for Anxiety (HAM-A), Arizona Sexual Experiences Scale (ASEX), Patient Global Impression (PGI), Psychological General Well-Being Index (PGWBI), Panic Disorder Severity Scale (PDSS) also by the number of panic attacks and extension and intensity of panic attacks and anticipatory anxiety. Results. Both treatments resulted in statistically significant clinical improvement in all measures. ASEX presented no changes during the study. The average dose of alprazolam for 12 weeks was 1.36 ± 0.70 mg/day (1.39 ± 0.77 ALP-CT and 1.33 ± 0.64 ALP-SL). With ALP-SL, panic attacks were shorter (p < 0.05) with shorter extension (p=0.16) and intensity of anticipatory anxiety (p=0.14). The treatment was well tolerated, there being no differences between both groups. Conclusions. Alprazolam has been demonstrated to have efficacy, safety and good tolerability in the treatment of the acute phase of panic disorder, the sublingual tablets showing some comparative advantages. [ABSTRACT FROM AUTHOR]