Gac Med Mex
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The main complication associated with acute brain injury is the elevation of intracranial pressure (ICP) and it is associated with high morbidity and mortality. In these patients, multimodal neurological monitoring has emerged as a fundamental tool in the intensive care unit, with the minimally invasive trend seen in recent years. We report the case of a patient in which ICP monitoring was based on the measurement of the diameter of the optic nerve sheath (DONS), a procedure that has shown a good correlation with the ICP, as well as a high specificity, sensitivity, and low cost.
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The role of ethics in our everyday life responds to the need to understand a decisive reality, especially for us as physicians, a reality that we know as the human person. So, a personalized bioethical approach plays an important role against the accelerated dehumanization that we are experiencing, because every one of our actions has a direct impact on our patients.
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Dengue is one of the main vector-borne diseases and has become a severe Public Health problem during the last decade, both in Mexico and worldwide. This report analyses two decades (1990-2011) of dengue in Mexico, based on reports published by the Ministry of Health. ⋯ Additionally, during the last decade, the increase in the incidence rate of dengue and dengue hemorrhagic fever has shifted towards a younger population and the disease outbreaks showed a longer duration throughout the year. We conclude that dengue is showing a changing pattern and the factors involved remain to be analyzed.
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Biography Historical Article
[Vaccination in Mexico in the context of the "vaccine decades": achievements and challenges].