Gac Med Mex
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[Morbility at the Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, 1995-2001].
Hospital statistics are very important as tools that help to define research objectives and design health programs. ⋯ This study is not a population study, but it helps to increase knowledge of the main causes of hospitalization at one of the most important neurologic institutions in the world, which provides care for thinsured population throughout Mexico. These findings facilitate analysis and decision-making to undertake specifications to improve the quality of neurologic medical attention.
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Historical Article
[The Dr. Manuel Gea General Hospital: past, present, and future].
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Arginine-vasopressin (VP), also known as the antidiuretic hormone, is essential for water homeostasis. Its synthesis and liberation depends on regulation of osmotic, hypovolemic, hormonal, and nonosmotic stimuli. ⋯ Shock state with refractory vasodilation seen in sepsis, systemic inflammatory response, hypovolemia, cardiac arrest, polytrauma, etc., is characterized by an initial phase of liberation and increased levels of VP followed by a second phase characterized by inappropriately low levels of this hormone that are associated with refractoriness to management with volume, inotropics, and vasopressors. It has been demonstrated in clinical and experimental studies that exogenous VP treatment under this condition increases systemic vascular resistance, perfusion pressure, and oxygen supply to peripheral tissues, which makes it possible to decrease and to suspend vasopressors and also to increase survival.
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Embolic complications in pregnancy are not common, but require prompt attention due to their high mortality, with reports of numbers up to 80% in patients with presence of amniotic fluid embolism. Of the embolic complications, deep vein thrombosis is the most frequent and 15-24% of patients could present with amniotic fluid embolism. In the case of a 42-year-old female who had this syndrome, it was considered an obstetric catastrophe. A review of the world literature was carried out to report on the physiopathology of the case.