Medicina
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In Argentina, dengue is an emerging health problem, with high morbidity during epidemic periods, which generates a significant burden on the population. Despite the efforts that have been made to control it, the disease has managed to spread rapidly due to the favorable conditions for its development. Faced with this situation, there is a need, in a private outpatient care center, for adequate control and clinical management of dengue cases, which is why the objective of carrying out a SWOT analysis (strengths, opportunities, weaknesses and threats) was established to develop a model that improves operational-care results. ⋯ The results include trained personnel, the possibility of early diagnosis and timely control generated from spontaneous demand, which is why we determined that the institution has the capacity to respond to outbreaks, epidemics and pandemics. This analysis presents a strengthening activity between different areas through a comprehensive approach and the identification of new cases, which can respond to the needs of the population with dengue. By this means, valid and reliable information is provided for the approach and strategy of possible new outbreaks.
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Multicenter Study
[Sex differences in hospitalized patients for COVID-19. Argentine Registry of Cardiovascular Complications of COVID-19 (RACCOVID-19)].
SARS-CoV-2 can cause mild upper respiratory tract involvement to pulmonary disease of varying severity, as well as cardiovascular complications with increased mortality. The prevalence is similar in men and women, although there are sex differences in disease characteristics and outcome. In this study, we analyze the clinical characteristics, progression, and in-hospital outcome by sex of patients included in the RACCOVID-19 registry. ⋯ In the RACCOVID-19 registry, men had worse performance status and higher incidence of cardiovascular complications with higher in-hospital mortality. Male sex, hypertension, diabetes, and history of other diseases were independent predictors of in-hospital mortality.
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The case involves a 61-year-old female patient with a history of systemic lupus erythematosus, who sought urgent medical attention due to abdominal pain and an abdominal tomography consistent with colonic obstruction. Exploratory laparotomy followed by transverse colectomy was performed. ⋯ It results from mucosal ulceration followed by submucosal inflammation and fibrosis. Management involves, in addition to discontinuation of the medication, surgical resection in acute cases, or diagnostic-therapeutic endoscopy in uncomplicated cases.
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Congenital central alveolar hypoventilation (CCAH), previously called Ondine Syndrome, is a rare disease, with an incidence of 1/200000 births and a prevalence of 1/500000. It is a defect in the central control of ventilation, not explained by muscular, neurological, cardiological, or pulmonary abnormalities. Early diagnosis is important to avoid episodes of hypoxia and hypercapnia, which overshadow the prognosis. ⋯ Two members of the same family are presented, mother and daughter with different clinical presentations. CCAH is a diagnostic challenge. Suspected or confirmed cases should be evaluated in reference centers.