Gac Med Mex
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Biography Historical Article
[Luis Hidalgo y Carpio, Editor of Gaceta Médica de México (1818-1879)].
Luis Hidalgo y Carpio (1818-1879) was a notable physician who made important contributions to the field of medicine during his time. Nevertheless, reference sources on the aspect from Hidalgo y Carpio that we would like to emphasize (i.e. as an editor of a medical journal) are scarce since precisely when Hidalgo y Carpio was named President of the Medical Society (later the Academia Nacional de Medicina), in 1987, the publication of the Gaceta Médica de México was temporarily interrupted. Hidalgo y Carpio played a key role as an editor at a time when the medical community of Mexico required a means whereby the scientific achievements could be published and discussed among peers and colleagues. Under Hidalgo y Carpio, the Gaceta Médica de México soon reached a wide audience, not only as a periodical publication but also for the prestige of the Academy that represented.
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Determine the severity and the course of Acinetobacter baumannii blood infections (AbBI). ⋯ AbBI displayed an endemic pattern during the study period. Severe sepsis and septic shock were the most common clinical presentations of AbBI. AbBI are associated with a significant increase in the death rate of patient in the ICU studied.
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Comparative Study
[Oxygen peripheral saturation using pulse oxymetry among healthy term newborns at Mexico's altitude (2240 m)].
Oxygen peripheral saturation (SpO2) is crucial for an adequate management of critically-ill newborns infants (NB). The objective of the present study was to determine SpO2 by pulse oxymetry among healthy term and preterm NBs at an altitude of 2240 m above sea level. ⋯ SpO2 in Mexico City's altitude is on average lower when compared to that observed at sea level. In general with a minimum and maximum values found in our study the SpO2 needed to maintain a critically sick NB with supplementary O2, is suggested. Values should be kept at between 88% and 94% to avoid hypoxemia and hyperoxemia.
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Transoperative biliary tract injury during open or laparoscopic cholecystectomy is a catastrophic event associated with significant morbidity and mortality. Our objective was to determine if wound size during open cholecystectomy is associated with more complex biliary tract injuries. ⋯ Our findings suggest that minor surgical access during open cholecystectomy may constitute a risk factor since smaller incisions were associated with more severe biliary tract injuries and an inability to observe this damage during the surgical procedure. We suggest to adhere strictly to the guidelines of an adequate surgical exposure during open cholecystectomy to prevent biliary tract injuries.
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Fibular-free-flap is currently considered the optimum choice in mandible reconstruction. ⋯ Fibular-free-flap is a safe alternative in mandible reconstruction. Primary reconstruction offers better functional results.