Revista médica del Instituto Mexicano del Seguro Social
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Rev Med Inst Mex Seguro Soc · Mar 2012
Comparative Study[Effect of two crystalloid fluids schemes on glucose serum levels in patients with severe preeclampsia].
treatment of severe preeclampsia (SP) includes administration of crystalloid solutions to expand plasma circulating volume. Our objective was to compare the effects of two schemes of crystalloid solutions on glycemia in patients with SP. ⋯ patients receiving a 10 % glucose solution presented significant hyperglycemia but not in the group receiving Ringer lactate solution.
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Rev Med Inst Mex Seguro Soc · Nov 2011
[Breast cancer risk through assessment tool of breast cancer risk].
A predictive model of breast cancer risk is the Breast Cancer Risk Assessment Tool (BCRAT), designed by scientists at the National Cancer Institute. The objective was to determine the risk of breast cancer (BC) through the BCRAT. ⋯ According to the literature, the results obtained showed that sex, age over 50 years; family history and a previous conducted breast biopsy are the most important risk factors. According to the BCRAT risk was determined by averaging 0.6 probabilities to develop BC at five years in women over 35 years.
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Rev Med Inst Mex Seguro Soc · Nov 2011
Comparative Study[The osteomyoplastic flap, a contribution to neurosurgery].
the cosmetic deformities that appear after a pterional craniotomy are usually the result of atrophy of the temporal muscle, lesion of the frontotemporal branch of the facial nerve or occur as a consequence of the way the craniotomy was done.The objective was to compare the functional and aesthetic complications from both the classic pterional approach and the osteomyoplastic flap type approach in patients with supratentorial surgical pathology either vascular or tumoral. ⋯ the osteomyoplastic flap showed a less severe hollowing in the temple although it demands more time in order to perform it. The frequency of complications seems to be the same.
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Acute lung injury (ALI) has been recognized as a consequence of blood transfusion (BT) since 1978; the Food and Drug Administration, has classified it as the third BT mortality issue, in 2004, and in first place related with ALI. It can be mainly detected as: Acute respiratory distress syndrome (ARDS), transfusion associated circulatory overload (TACO) and transfusion related acute lung injury (TRALI). The clinical onset is: severe dyspnea, bilateral lung infiltration and low oxygen saturation. ⋯ Antileukocyte antibodies in blood donors plasma, caused TRALI in 89 % of cases; also it has been found antigen specificity against leukocyte blood receptor in 59 %. The UCI patients who received a BT have ALI as a complication in 40 % of cases. The capillary pulmonary endothelia is the target of leukocyte antibodies and also plasma biologic modifiers of the stored plasma, most probable like a Sanarelli-Shwar-tzman phenomenon.
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Rev Med Inst Mex Seguro Soc · Mar 2011
Case Reports[Clinical and therapeutic approach to Klippel-Feil syndrome in the primary care medicine].
A case of Klippel-Feil syndrome in a female nine years is informed. The patient presented a clinical picture compatible with Klippel-Feil syndrome: short neck with joint movements diminished and low hair implantation. We showed the diagnostics and treatment approach at the primary medicine level, the follow-up until the presence of clinical manifestations of the main clinical problems associated. The liver, cardiovascular, audiology, and muscle-bones are describe and finally some aspects of her physical rehabilitation.