Revista de la Facultad de Ciencias Médicas
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Rev Fac Cien Med Univ Nac Cordoba · Jan 2003
[Diagnostic and therapeutic options for traumatic sternal fractures].
Sternal fractures are uncommon injuries observed in the direct impact of the sternum against the steering wheel in car accidents with the likelihood of associated thoracic injuries. ⋯ Sternal fracture should be suspected in patients with anterior chest trauma from road accidents. A lateral x-ray of the sternum is useful in fracture evaluation. Possible associated thoracic Injuries need to be necessarily evaluated. Osteosintesis should be performed on patients with bony deformity and severe pain, while for stable, not displaced or conminuted fractures, pain relief should be performed.
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Rev Fac Cien Med Univ Nac Cordoba · Jan 2002
[Preliminary evaluation of a treatment protocol for total hip arthroplasty].
The hip arthrosis is a degenerative joint disease occurring mainly in the elderly patients, a recently growing population. Rational measures are needed to better carry out the surgical procedures and to reduce cost for the health system, since almost two thirds of the costs are due to the admission period. Therefore, a global, multidisciplinary assistance program for total hip arthroplasty (THAAP), including ambulatory appointments and programmed home care by a nursing team, was established to guide patients and their relatives for the procedure. ⋯ All patients in group 2 left bed on the fourth POD. In conclusion, the present protocol demonstrated to be feasible, team adherence was adequate and resulted in a reduced admission period. The progress of the program shall determine its efficacy and the feasibility of programmed nursing home care.
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Rev Fac Cien Med Univ Nac Cordoba · Jan 2000
[Interventional study in the natural evolution of Chagas disease. Evaluation of specific antiparasitic treatment. Retrospective-prospective study of antiparasitic therapy].
In this study is presented the comparative therapeutical experience comparing the Allopurinol, Benznidazol y Nifurtimox, in a prospective following in a long term, considering the responses to the parasitemia, specific serology and evolution of the clinic manifestations and complementaries in the 535 chronic chagasic cases (44.5%), instead of 668 patients who did not get any treatment (1203 chagasic cases followed for more than 5 years average). This study was done between April 1984 and April 1994 in patients with and without cardiopathy, in the Córdoba Hospital and the Salud Estudiantil Direccion, Universidad Nacional de Córdoba (U. N. ⋯ The biggest proportion of Progression in the Cardiopathies, Complications, General Mortality and Attributed Mortality in "No Treated" (specially in older than 30 years) significant both for infected patient and slight cardiopathy, stabilises the possibility of stopping or reducing the morbid course of the Chronic Chagasic Cardiopathy, specially relevant in the formers, where the pathogenic process seems to be accelerated related to the latters. The negativation of the parasitemia and the parasitemia and the title disminution of the specific serology like effectiveness treatment parameters, and the stopping in the progression or dissemination of the incidence in new cases of Chronic Chagasic Cardiopathies were considered to be the real benefit of the antiparasitaric therapeutic in the Chagas Disease. As a conclusion, it is thought that the further the instauration of the specific antiparasitaric treatment the more the possibilities of effectiveness, as well as the increase in the probabilities of preventing or reducing the incidence of cardiopathy in chronic infected, or to stop its evolution and reduce its morbimortality in patients with already installed cardiopathy.