Revista médica del Instituto Mexicano del Seguro Social
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Rev Med Inst Mex Seguro Soc · Jan 2016
Biography Historical Article[Scientific contributions of Jules Hirsch regarding the physiopatogenesis of obesity].
Jules Hirsch was born in New York City and died at age 88 after a long illness. He was considered notorious leader in the study of human metabolism mainly in the area of lipids and obesity. His research at The Rockefeller University helps establish the mechanism of obesity and lipids metabolism. ⋯ At that time most scientific considered adipose tissue to be biologically inert such as a passive insulator in which the body reserved energy in the form of triglycerides. Hirsch had a natural characteristic of showing a nice smile and greeting for everyone he worked with at the university. Another important contribution was there relationship between diet and cardiovascular ailments as well as metabolism disturbance.
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Rev Med Inst Mex Seguro Soc · Nov 2015
Review Case Reports[Anaphylactic shock associated with ceftriaxone, case report and literature review].
This study presents a case of anaphylactic shock in a senile patient, who had a biphasic event associated with the administration of a beta-lactam cephalosporin (ceftriaxone), needing stay in the intensive care unit and support with vasoactive amines, which it is rare to see in this issue, already being in itself a difficult diagnosis and often undervalued by rejecting causes of shock in a senile patient other than cardiogenic or septic. Also, a case review is made based on epidemiological issues, clinical and paraclinical diagnosis, and current treatment implications based on current international guidelines and a review of the topic.
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Rev Med Inst Mex Seguro Soc · Jul 2015
[Quality care in an intensive therapy unit at private hospital].
The aim of this article is to evaluate the quality of care in intensive care, with international quality indices. ⋯ In this therapy the implementation of internationally recommended actions has helped maintain an adequate quality of care. The effort has impacted not only the patients with acute conditions of admission, but also patients with high mortality or Hazard.
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Rev Med Inst Mex Seguro Soc · May 2015
Randomized Controlled Trial Comparative Study[Locally administered ropivacaine vs. standard analgesia for laparoscopic cholecystectomy].
It is unknown which analgesic modality gives better results after a laparoscopic cholecystectomy. The aim of this study was to compare the analgesic efficacy of ropivacaine for local use against that of intravenous dipyrone in laparoscopic cholecystectomy. ⋯ Infiltration of 0.75 % ropivacaine at the trocar insertion sites and the gallbladder exhibits analgesia similar to IV dipyrone during the first 24 hours post-laparoscopic cholecystectomy without adverse effects.
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Rev Med Inst Mex Seguro Soc · May 2015
Observational Study[Lactate levels as a predictor of mortality in patients with septic shock].
The objective was to determine the association between serum lactate levels and mortality in patients with septic shock in the Emergency Room of the Instituto Mexicano del Seguro Social's Centro Médico Nacional Adolfo Ruiz Cortines. ⋯ The levels of serum lactate greater than four are associated to an increased risk of mortality in patients with septic shock.