Gac Med Mex
-
To determine the prevalence of Burnout syndrome among anesthesiologists in Mexicali, Mexico. ⋯ Our study differs slightly from the literature, although this may be attributed to the medical specialty we chose to survey. We suggest similar studies be carried out in other cities in Mexico to be able to have comparison groups.
-
A 19 moth-old child who presented seizures secondary to intractable hypoglycemia, fulfilling the clinical and biochemical criteria for hyperinsulinism was studied. Histopathological findings of the pancreas showed the presence of small clusters of b cell islets throughout acinar tissue near ducts, in both the head and the proximal third of the body. Proximal pancreatectomy (60%) and distal pancreatic-jejunostomy (Roux-in-Y) were performed. This procedure was effective in reverting hypoglycemia and constitutes the first successful alternative treatment.
-
Letter Biography Historical Article
[Anniversary of the death of Dr Manuel Velasco Suárez: paradigm of a human being (1914-2001)].
-
The evolution of medical thought from the precientific phase during Renaissance toward the beginning of scientific phase in the XVII Century is reviewed. This phase was dominated by the great event of the discovery of blood circulation. The irradiation of this doctrine was parallel to that of Copernican theory. ⋯ However only toward the middle of XX century it was possible to create and sistematize a cardiological specialty, thanks to the foresight of Dr. Ignacio Chávez. Cardiology today constitutes a mother discipline fragmented in a great number of subspecialities, each one having own characteristics, methodology and focussing.
-
Randomized Controlled Trial Clinical Trial
[Prevention of hypoxic-ischemic encephalopathy with high-dose, early phenobarbital therapy].
To assess usefulness of high-dose early phenobarbital therapy for prevention of hypoxic-ischemic encephalopathy (HIE) secondary to perinatal asphyxia (PNA). ⋯ There was no significant difference in the overall frequency of HIE, nor in the incidence of seizures or stage II of HIE in both groups. According to these results and even though there were no side effects, we think phenobarbital is not useful for these purposes. Long-term follow-up of the treated infants is justified, since phenobarbital might have a beneficial effect on neuro-behavioral development.