Revista de la Facultad de Ciencias Médicas
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AbstractUniversidad Nacional de Córdoba
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Rev Fac Cien Med Univ Nac Cordoba · Jun 2019
Case ReportsBilateral single sesion whole lung lavage under venous-venous ECMO in a case of severe pulmonary alveolar proteinosis: five years follow up.
Introduction: Pulmonary alveolar proteinosis (PAP) is a rare disease caused by accumulation of proteinaceous material in the alveolar spaces. The most common mechanism implied is the development of antibodies directed to granulocyte macrophage colony stimulating factor (GM-CSF). which inhibits activation of alveolar macrophage, thereby causing accumulation of surfactant. Standard treatment is considered to be whole lung lavage (WLL).
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AbstractUniversidad Nacional de Córdoba
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Rev Fac Cien Med Univ Nac Cordoba · Feb 2019
[Cross-cultural adaptation of the “barriers to incontinence care seeking questionnaire” in a elderly women population in an outpatient clinic.]
Urinary incontinence is a very frequent pathology in the female population, however it remains a hidden health problem. The main objective of the work is to cross-culturally adapt the BISC-Q questionnaire to be use spanish speaking population. Material and method: The cross-cultural adaptation of the Questionnaire (BICS-Q) was carried out in the following stages: initial translation, synthesis of the translations, retro-translation, expert committee, pre-test and review of the adaptation process by the researchers. Then, a content validation was carried out through a survey looking for new barriers that were not part of the original questionnaire. The responses of the patients were unified and categorized within the 5 original domains. Women over 65 years of age were included in an outpatient specialized center for older adults. Results: The survey included 164 women, 56% reported urine losses in the last 12 months, of which 71% never consulted the doctor about this problem. The answers about the barriers to consult were predominantly related to ignorance of the disease, shame and misconceptions about the treatment. The responses of the patients were unified and categorized within the 5 original domains. The new questionnaire retains three of the five domains of the BICS-Q, the domain "costs" and "related to the site" was removed and a new one was added on "lack of information". Conclusions: The Argentine version of the BICS-Q questionnaire is an instrument adapted for the evaluation of barriers to medical consultation due to urinary incontinence in spanish speaking women over 65 years of age. ⋯ The Argentine version of the BICS-Q questionnaire is an instrument adapted for the evaluation of barriers to medical consultation due to urinary incontinence in spanish speaking women over 65 years of age.
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Rev Fac Cien Med Univ Nac Cordoba · Nov 2018
Risk factors for surgical site infection in colon surgery in our population.
Surgical site infection (SSI) is the most common nosocomial infection in surgical patients with an incidence that varies between 5-30%. ⋯ We found that male sex, having undergone previous chemotherapy, conversion, reintervention within 30 postoperative days and AL are risk factors for SSI in our population. These results should be considered in implementing preventive measures for SSI.