Revista médica del Instituto Mexicano del Seguro Social
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Rev Med Inst Mex Seguro Soc · May 2014
[Clinical conditions at hospitalization and its relation with admission to pediatric intensive care unit].
The admission to a pediatric intensive care unit (PICU) depends on several factors, but the chances of recovery of the patient are the main cause. Most of the patients are admitted from urgency or surgery room, and a minority from hospitalization areas. The aim of this study was to find the differences between the clinical conditions at the time of hospitalization and when the patients were transferred to PICU. ⋯ Medical conditions at the time of admission to a hospital could alert the medical staff for the early decision to transfer a patient to the PICU. Health history or previous diseases are important.
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Rev Med Inst Mex Seguro Soc · Jan 2014
Comparative Study[Difficult for intubation in a simulator with laryngoscope with and without mirror].
The mirror laryngoscope blade (Siker blade) is used often in patients with anatomical variations, because it improves the visibility of epiglottis, shortening the intubation time. The objective was to compare the degree of difficulty in intubation with Macintosh blade versus Siker blade in a simulator, among anesthesiologists and residents in training. ⋯ It was more difficult for anesthesiologists and residents in training the use of the Siker blade in both stages, with normal or difficult airway on a simulator.
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Rev Med Inst Mex Seguro Soc · Jan 2014
[Serum lactate as a biomarker of severe sepsis in children with cancer, neutropenia and fever].
Neutropenia is a common chemotherapy-derived complication in cancer patients, in whom the prevalence of sepsis ranges from 12.9 % to 17.4 %, with a lethality rate of 16 %. The aim of this study was to determine the usefulness of serum lactate as a biomarker of severe sepsis in children with cancer, fever and neutropenia. ⋯ A serum lactate level greater than or equal to 2 mmol/L is consistent with severe sepsis in children with cancer, fever and neutropenia who are hemodynamically stable and without hypoperfusion.
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Rev Med Inst Mex Seguro Soc · Jan 2014
Observational Study[Blood and urine lead levels in children with attention deficit hyperactivity disorder].
Attention deficit hyperactivity disorder is the most common neuropsychiatric disorder in children; symptoms can persist into adult life by 60 %. Our objective was to quantify the levels of lead in blood and urine in pediatric patients with attention deficit hyperactivity disorder. ⋯ Levels of lead exposure during early childhood have been shown to be inversely proportional to neurological development in the first seven years of life. Data results are insufficient to relate them with causality.
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burnout syndrome is a state of physical and emotional exhaustion that can occur among workers who interact directly with others. This could affect job performance. The objective was to determine the prevalence of this syndrome and its associated factors among family physicians. ⋯ the results are consistent with similar studies. Working extra shifts or having a second job were the related factors most associated to this syndrome.