Gac Med Mex
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Spotted fever rickettsiosis is a serious disease with a high mortality rate if not timely detected. ⋯ Starting adequate treatment 72 hours after the onset of fever may be an important risk factor for mortality, hence the importance of timely diagnosis and appropriate treatment of this disease.
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Observational Study
COVID-19 medical care direct costs during the first year of pandemic in a hospital converted for increasing bed capacity.
COVID-19 health emergency caused an increase in the demand for hospitalization and high costs for the health system. ⋯ The costs of COVID-19 medical care represent a large amount of resources. Most part of the costs (95%) were derived from hospital stay, respiratory therapy without assisted mechanical ventilation and costs related to personal protective equipment, hygiene, infrastructure adaptation and payments to medical personnel.
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The impact of diabetes mellitus has been shown to be differentially expressed between social groups. ⋯ The inequalities present in diabetes mortality should be considered for the design of health strategies.
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Stereotactic body radiation therapy (SBRT) is a modality that delivers high doses of radiation to a well-defined tumor target in a single or a few fractions and with high precision, which significantly reduces the dose received by surrounding normal tissues. SBRT is indicated for inoperable, early stage (T1 and T2) primary non-small cell lung cancer, lung metastases with a controlled primary tumor, prostate tumors and oligometastatic disease. Despite the lack of long-term or phase III studies, efficacy results in local control are higher than 90%, with similar toxicity to that reported with conventional fractionated radiotherapy. This article describes SBRT technology and technique, along with clinical applications, indications and limitations of this therapeutic modality.
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Home confinement policies during the COVID-19 pandemic limited sun exposure and may have influenced on vitamin D levels. ⋯ The restrictions due to the COVID-19 pandemic led to a higher frequency of hypovitaminosis D and lower frequency of optimal values.