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Colombia Médica
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Documentos disponibles con este título uniforme (24)
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Albendazole-induced liver injury: a case report / David Ríos Patiño ; Juan Carlos Restrepo Gutiérrez
Título : Albendazole-induced liver injury: a case report Otros títulos : Lesión hepática inducida por albendazol: reporte de un caso Tipo de documento : documento electrónico Autores : David Ríos Patiño, ; Juan Carlos Restrepo Gutiérrez, Fecha de publicación : 2013 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Hepatitis albendazole drug-induced liver injury (DILI) Resumen : We report a case of a 47-year-old male, who was referred to the clinical hepatology services at Pablo Tobón Uribe Hospital for evaluation of a jaundice syndrome. After undergoing several exams, we diagnosed hepatic hydatidosis and the patient was treated with albendazole; however, after five months of uninterrupted treatment the patient again consulted and his liver test showed marked hepatocellular damage. This time, the patient was diagnosed with drug-induced liver injury due to albendazole, based on information from the clinical record, history of drug consumption, clinical and laboratory tests improved after discontinuing the medication and after discarding other possible causes; this diagnosis was supported by the CIOMS/RUCAM scale, which showed a “likely” correlation between hepatocellular damage and drug toxicity etiology. Mención de responsabilidad : David Ríos, Juan C Restrepo Referencia : Colomb Med (Cali). 2013 Jun 30;44(2):118-20 DOI (Digital Object Identifier) : 10.25100/cm.v44i2.1021 PMID : 24892458 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1021 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3706 Albendazole-induced liver injury: a case report = Lesión hepática inducida por albendazol: reporte de un caso [documento electrónico] / David Ríos Patiño, ; Juan Carlos Restrepo Gutiérrez, . - 2013.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Hepatitis albendazole drug-induced liver injury (DILI) Resumen : We report a case of a 47-year-old male, who was referred to the clinical hepatology services at Pablo Tobón Uribe Hospital for evaluation of a jaundice syndrome. After undergoing several exams, we diagnosed hepatic hydatidosis and the patient was treated with albendazole; however, after five months of uninterrupted treatment the patient again consulted and his liver test showed marked hepatocellular damage. This time, the patient was diagnosed with drug-induced liver injury due to albendazole, based on information from the clinical record, history of drug consumption, clinical and laboratory tests improved after discontinuing the medication and after discarding other possible causes; this diagnosis was supported by the CIOMS/RUCAM scale, which showed a “likely” correlation between hepatocellular damage and drug toxicity etiology. Mención de responsabilidad : David Ríos, Juan C Restrepo Referencia : Colomb Med (Cali). 2013 Jun 30;44(2):118-20 DOI (Digital Object Identifier) : 10.25100/cm.v44i2.1021 PMID : 24892458 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1021 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3706 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000279 AC-2013-047 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2013-047.pdfAdobe Acrobat PDF Ocular trauma from land mines among soldiers treated at a University Hospital in Medellín, Colombia / Carlos Alberto Restrepo Peláez ; José David Paulo Trujillo ; Jorge Hernando Donado Gómez ; Marta Lucía Muñoz ; John Jairo Aristizábal Gómez
Título : Ocular trauma from land mines among soldiers treated at a University Hospital in Medellín, Colombia Otros títulos : Caracterización del trauma ocular por minas antipersonales en soldados antendidos en un hospital universitario en Medellín, Colombia Tipo de documento : documento electrónico Autores : Carlos Alberto Restrepo Peláez, ; José David Paulo Trujillo, ; Jorge Hernando Donado Gómez, ; Marta Lucía Muñoz, ; John Jairo Aristizábal Gómez, Fecha de publicación : 2013 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Eye injuries eye foreign bodies penetrating ocular injuries trauma severity index Resumen : Introduction: Currently ocular combat injuries are complex and associated with poor visual outcomes. Our objective is to characterize the military population that suffer land mine combat ocular trauma in Colombia and indentify the type of wound, treatment and visual outcomes. Methods: Retrospectively review of medical history of soldiers evaluated in Pablo Tobon Uribe Hospital, whom had land mine trauma during January of 2004 and December 2012. Results: 635 soldiers had land mine trauma, 153 of them had ocular trauma (226 eyes). Open ocular trauma was observed in 29.6%. The Ocular Trauma Score was calculated in 183 eyes, the initial visual acuity was not possible to be reported in the rest of them; the 45% of the eyes were classified in category 3. Three patients had no light perception in both eyes. 97.3% of the eyes received medical treatment and 49.1% had surgery also. Primary evisceration was made in 5.8% and enucleation in 1.8%. Intraocular foreign body was observed by ultrasonography in 11.1% and in 5.8% by orbital tomography. Eleven patients were legally blind at discharge. Conclusions: The ocular trauma related to a landmine is highly destructive at an ocular level. The treatments associated with better visual outcomes are primary closure of globe and systemic antibiotics; although the characteristics of the wound itself are the main prognostic factor. The Ocular trauma score is a useful tool for determining visual outcome in combat ocular trauma. Mención de responsabilidad : Liliana Moreno, Luis F Velasquez, Carlos A Restrepo, Jose D Paulo, Jorge Donado, Marta L Muñoz, John J Aristizabal Referencia : Colomb Med (Cali). 2013 Dec 31;44(4):218-23. PMID : 24892238 Derechos de uso : CC BY En línea : http://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1356 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4517 Ocular trauma from land mines among soldiers treated at a University Hospital in Medellín, Colombia = Caracterización del trauma ocular por minas antipersonales en soldados antendidos en un hospital universitario en Medellín, Colombia [documento electrónico] / Carlos Alberto Restrepo Peláez, ; José David Paulo Trujillo, ; Jorge Hernando Donado Gómez, ; Marta Lucía Muñoz, ; John Jairo Aristizábal Gómez, . - 2013.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Eye injuries eye foreign bodies penetrating ocular injuries trauma severity index Resumen : Introduction: Currently ocular combat injuries are complex and associated with poor visual outcomes. Our objective is to characterize the military population that suffer land mine combat ocular trauma in Colombia and indentify the type of wound, treatment and visual outcomes. Methods: Retrospectively review of medical history of soldiers evaluated in Pablo Tobon Uribe Hospital, whom had land mine trauma during January of 2004 and December 2012. Results: 635 soldiers had land mine trauma, 153 of them had ocular trauma (226 eyes). Open ocular trauma was observed in 29.6%. The Ocular Trauma Score was calculated in 183 eyes, the initial visual acuity was not possible to be reported in the rest of them; the 45% of the eyes were classified in category 3. Three patients had no light perception in both eyes. 97.3% of the eyes received medical treatment and 49.1% had surgery also. Primary evisceration was made in 5.8% and enucleation in 1.8%. Intraocular foreign body was observed by ultrasonography in 11.1% and in 5.8% by orbital tomography. Eleven patients were legally blind at discharge. Conclusions: The ocular trauma related to a landmine is highly destructive at an ocular level. The treatments associated with better visual outcomes are primary closure of globe and systemic antibiotics; although the characteristics of the wound itself are the main prognostic factor. The Ocular trauma score is a useful tool for determining visual outcome in combat ocular trauma. Mención de responsabilidad : Liliana Moreno, Luis F Velasquez, Carlos A Restrepo, Jose D Paulo, Jorge Donado, Marta L Muñoz, John J Aristizabal Referencia : Colomb Med (Cali). 2013 Dec 31;44(4):218-23. PMID : 24892238 Derechos de uso : CC BY En línea : http://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1356 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4517 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001016 AC-2013-103 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2013-103.pdfAdobe Acrobat PDF Prediction of prolonged mechanical ventilation for intensive care unit patients: A cohort study / Álvaro Enrique Sanabria Quiroga
Título : Prediction of prolonged mechanical ventilation for intensive care unit patients: A cohort study Otros títulos : Predicción de la ventilación mecánica prolongada en pacientes de la unidad de cuidado intensivo: Estudio de cohorte Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2013 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : tracheostomy artificial respiration intensive care units ventilator weaning intratracheal intubation risk factors Resumen : Introduction: There are no established guidelines for selecting patients for early tracheostomy. The aim was to determine the factors that could predict the possibility of intubation longer than 7 days in critically ill adult patients. Methods: This is cohort study made at a general intensive care unit. Patients who required at least 48 hours of mechanical ventilation were included. Data on the clinical and physiologic features were collected for every intubated patient on the third day. Uni- and multivariate statistical analyses were conducted to determine the variables associated with extubation. Results: 163 (62%) were male, and the median age was 59±17 years. Almost one-third (36%) of patients required mechanical ventilation longer than 7 days. The variables strongly associated with prolonged mechanical ventilation were: age (HR 0.97 (95% CI 0.96-0.99); diagnosis of surgical emergency in a patient with a medical condition (HR 3.68 (95% CI 1.62-8.35), diagnosis of surgical condition-non emergency (HR 8.17 (95% CI 2.12-31.3); diagnosis of non-surgical-medical condition (HR 5.26 (95% CI 1.85-14.9); APACHE II (HR 0.91 (95% CI 0.85-0.97) and SAPS II score (HR 1.04 (95% CI 1.00-1.09) The area under ROC curve used for prediction was 0.52. 16% of patients were extubated after day 8 of intubation. Conclusions: It was not possible to predict early extubation in critically ill adult patients with invasive mechanical ventilation with common clinical scales used at the ICU. However, the probability of successfully weaning patients from mechanical ventilation without a tracheostomy is low after the eighth day of intubation. Mención de responsabilidad : Alvaro Sanabria, Ximena Gomez, Valentin Vega, Luis Carlos Dominguez, Camilo Osorio DOI (Digital Object Identifier) : 10.25100/cm.v44i3.1285 Derechos de uso : CC BY-NC-ND En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1285 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4527 Prediction of prolonged mechanical ventilation for intensive care unit patients: A cohort study = Predicción de la ventilación mecánica prolongada en pacientes de la unidad de cuidado intensivo: Estudio de cohorte [documento electrónico] / Álvaro Enrique Sanabria Quiroga, . - 2013.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : tracheostomy artificial respiration intensive care units ventilator weaning intratracheal intubation risk factors Resumen : Introduction: There are no established guidelines for selecting patients for early tracheostomy. The aim was to determine the factors that could predict the possibility of intubation longer than 7 days in critically ill adult patients. Methods: This is cohort study made at a general intensive care unit. Patients who required at least 48 hours of mechanical ventilation were included. Data on the clinical and physiologic features were collected for every intubated patient on the third day. Uni- and multivariate statistical analyses were conducted to determine the variables associated with extubation. Results: 163 (62%) were male, and the median age was 59±17 years. Almost one-third (36%) of patients required mechanical ventilation longer than 7 days. The variables strongly associated with prolonged mechanical ventilation were: age (HR 0.97 (95% CI 0.96-0.99); diagnosis of surgical emergency in a patient with a medical condition (HR 3.68 (95% CI 1.62-8.35), diagnosis of surgical condition-non emergency (HR 8.17 (95% CI 2.12-31.3); diagnosis of non-surgical-medical condition (HR 5.26 (95% CI 1.85-14.9); APACHE II (HR 0.91 (95% CI 0.85-0.97) and SAPS II score (HR 1.04 (95% CI 1.00-1.09) The area under ROC curve used for prediction was 0.52. 16% of patients were extubated after day 8 of intubation. Conclusions: It was not possible to predict early extubation in critically ill adult patients with invasive mechanical ventilation with common clinical scales used at the ICU. However, the probability of successfully weaning patients from mechanical ventilation without a tracheostomy is low after the eighth day of intubation. Mención de responsabilidad : Alvaro Sanabria, Ximena Gomez, Valentin Vega, Luis Carlos Dominguez, Camilo Osorio DOI (Digital Object Identifier) : 10.25100/cm.v44i3.1285 Derechos de uso : CC BY-NC-ND En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1285 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4527 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001026 AC-2013-113 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2013-113.pdfAdobe Acrobat PDF
Título : Congenital orbital teratoma, case report Otros títulos : Teratoma orbitario congénito, informe de caso Tipo de documento : documento electrónico Autores : Gloria I. Salazar, ; Gloria Patricia Monsalve Arias, Fecha de publicación : 2012 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Orbit teratoma eye enucleation Resumen : Orbital teratoma is a rare tumor composed of tissue derived from the three germinal layers, it usually occurs in otherwise healthy newborns as a fluctuating mass in orbit, with extreme proptosis and periorbital deformity. There are few reports in literature about this topic; we present a case report with severe stretching and deformity of periocular tissue, which underwent enucleation and careful removal of the tumor, properly sparing the eyelids and other structures in the anophthalmic cavity to fit an ocular prosthesis. It did well, improving the patient’s cosmetic appearance and preserving his orbitofacial development. Even though in many cases it is not possible to preserve visual function in patients with congenital orbital teratoma, it is equally important to achieve the best possible cosmetic result. Mención de responsabilidad : Cristina González, Carlos A Restrepo, Gloria I Salazar, Patricia Monsalve Referencia : Colomb Med. 2012; 43: 82-5. DOI (Digital Object Identifier) : 10.25100/cm.v43i1.1062 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1062 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3596 Congenital orbital teratoma, case report = Teratoma orbitario congénito, informe de caso [documento electrónico] / Gloria I. Salazar, ; Gloria Patricia Monsalve Arias, . - 2012.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Orbit teratoma eye enucleation Resumen : Orbital teratoma is a rare tumor composed of tissue derived from the three germinal layers, it usually occurs in otherwise healthy newborns as a fluctuating mass in orbit, with extreme proptosis and periorbital deformity. There are few reports in literature about this topic; we present a case report with severe stretching and deformity of periocular tissue, which underwent enucleation and careful removal of the tumor, properly sparing the eyelids and other structures in the anophthalmic cavity to fit an ocular prosthesis. It did well, improving the patient’s cosmetic appearance and preserving his orbitofacial development. Even though in many cases it is not possible to preserve visual function in patients with congenital orbital teratoma, it is equally important to achieve the best possible cosmetic result. Mención de responsabilidad : Cristina González, Carlos A Restrepo, Gloria I Salazar, Patricia Monsalve Referencia : Colomb Med. 2012; 43: 82-5. DOI (Digital Object Identifier) : 10.25100/cm.v43i1.1062 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1062 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3596 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000166 AC-2012-006 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2012-006.pdfAdobe Acrobat PDF Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study / Sandra Milena Alzate Jaramillo
Título : Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study Tipo de documento : documento electrónico Autores : Sandra Milena Alzate Jaramillo, Fecha de publicación : 2012 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Nutritional support enteral nutrition parenteral nutrition complications adults hospitalization Resumen : Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p = 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p Mención de responsabilidad : Gloria María Agudelo, Nubia Amparo Giraldo, Nora Luz Aguilar, Beatriz Elena Restrepo, Marcela Vanegas, Sandra Alzate, Mónica Martínez, Sonia Patricia Gamboa, Eliana Castaño, Janeth Barbosa, Juliana Román, Angela María Serna, Gloria Marcela Hoyos Referencia : Colomb Med (Cali). 2012 Jun 30;43(2):147-53 DOI (Digital Object Identifier) : 10.25100/cm.v43i2.830 PMID : 24893056 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/830 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3593 Incidence of nutritional support complications in patient hospitalized in wards. Multicentric study [documento electrónico] / Sandra Milena Alzate Jaramillo, . - 2012.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Nutritional support enteral nutrition parenteral nutrition complications adults hospitalization Resumen : Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p = 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p Mención de responsabilidad : Gloria María Agudelo, Nubia Amparo Giraldo, Nora Luz Aguilar, Beatriz Elena Restrepo, Marcela Vanegas, Sandra Alzate, Mónica Martínez, Sonia Patricia Gamboa, Eliana Castaño, Janeth Barbosa, Juliana Román, Angela María Serna, Gloria Marcela Hoyos Referencia : Colomb Med (Cali). 2012 Jun 30;43(2):147-53 DOI (Digital Object Identifier) : 10.25100/cm.v43i2.830 PMID : 24893056 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/830 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3593 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000163 AC-2012-003 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2012-003.pdfAdobe Acrobat PDF Clinical and epidemiological characteristics of pediatric patients with positive serology for mycoplasma pneumoniae, treated in the third level hospital from 2006 to 2008 / Jorge Hernando Donado Gómez ; David Andrés Espinal BoteroPermalinkBarriers and facilitating communication skills for breaking bad news: from the specialists’ practice perspective / Enna Catalina Payán GómezPermalinkSíndrome de currarino. Informe de un caso / Jorge Alberto Rivera Echeverry ; Abraham Alberto Chams Anturi ; David Andrés Espinal BoteroPermalinkUveitis en pacientes con espondiloartropatías seronegativas. Hospital Pablo Tobón Uribe, Medellín, Colombia / Jorge Hernando Donado GómezPermalink