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Silva A.B.,Benito Juarez Autonomous University of Oaxaca | Canseco S.P.,Benito Juarez Autonomous University of Oaxaca | de la Torre M.P.G.,Benito Juarez Autonomous University of Oaxaca | Silva A.M.,Hospital Regional de Alta Especialidad de Oaxaca | And 5 more authors.
Gaceta Medica de Mexico | Year: 2014

Introduction: Living with dogs leads one to consider the necessity of identifying canine infections found in the people with whom the dogs live. Objective: Dogs which were clinically and serologically positive with the infections Ehirlichia canis, Anaplasma phagocytophilum, Borrelia burgdorferi, and Dirofilaria Immitis were sought. People with the same infections were also identified. Material and methods: From a population of 80 dogs identified in the villages of San Bartolo Coyotepec and San Agustín Etla (suburbs peripheral to the city of Oaxaca, Mexico), 27 dogs were selected for study, all of which had adenomegaly, hepatomegaly, splenomegaly, and fevers of at least 43° C. Using enzyme immunoassay in this population of dogs and their closest human contacts, antibodies for Ehirlichia canis, Anaplasma phagocytophilum, Borrelia burgdorferi, and the antigen for Dirofilaria immitis were sought. Positive results in humans were confirmed by polymerase chain reaction (PCR). Results: Te n dogs with the clinical signs mentioned above tested positive for antibodies to Ehrlichia canis; two cases tested positive for Anaplasma phagocytophilum; one case tested positive for Dirofilaria Immitis. From human contact, one person tested positive for Ehirlichia canis; this case was confirmed by DNA amplification by means of PCR. Conclusion: It is necessary to identify the population of sick dogs in order to reduce related infections in people. Source

Calderon-Colmenero J.,Secretaria de Salud | Palacios-Macedo A.,Instituto Nacional Of Pediatria | Bolio-Cerdan A.,Hospital Infantil de Mexico Dr. Federico Gomez | Alarcon A.V.,Hospital Infantil de Mexico Dr. Federico Gomez | And 12 more authors.
Revista de Investigacion Clinica | Year: 2013

Introduction. Current world tendency is the detection of health problems in order to offer solution alternatives by means of the development of computarized data bases. Objective. To present the results of a computerized data base developed for the registry of pediatric cardiac surgery with the support of Asociación Mexicana de Especialistas en Cardiopatías Congénitas (AMECC, A.C.). Material and methods. A one-year analysis (from August 1, 2011 to July 31, 2012) of a computerized data base was performed with the support of AMECC and the participation of the most important Mexican institutions for pediatric surgical heart disease health care, particularly for the uninsured population. Results. There were 7 health institutions voluntarily incorporated to the national data base registry, and in the first year of observation, 943 surgical procedures in 880 patients and 7% re-operations (n = 63), were reported. Patients up to one-year old accounted for 38%. The most frequent types of operated congenital heart diseases were: patent ductus arteriosus (n = 96) ventricular septal defect (n = 86) tetralogy of Fallot (n = 72), atrial septal defect (n = 68), and aortic coarctation (n = 54). Elective procedures were 90%, and 62% of them were performed with the use of cardiopulmonary bypass. Overall mortality was 7.5% with the following RACHS-1 score risk distribution: 1 (n = 4.2%), 2 (n = 19.6%), 3 (n = 22.8%), 4 (n = 12.19%), 5 (n = 1.25%), 6 (n = 6.44%) and not classifiable (n = 2.9%). Conclusions. Although this analysis gives a representative vision of the cardiovascular surgical health care for the uninsured national pediatric population, the incorporation of other health institutions to this data base may lead us to have a most realistic overview in relation to the surgical cardiovascular health care for the up to 18 year-old population. Source

Turaga K.,Medical College of Wisconsin | Levine E.,Wake forest University | Barone R.,Sharp Health Care | Sticca R.,University of North Dakota | And 38 more authors.
Annals of Surgical Oncology | Year: 2014

Background: The American Society of Peritoneal Surface Malignancies (ASPSM) is a consortium of cancer centers performing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC). This is a position paper from the ASPSM on the standardization of the delivery of HIPEC. Methods: A survey was conducted of all cancer centers performing HIPEC in the United States. We attempted to obtain consensus by the modified method of Delphi on seven key HIPEC parameters: (1) method, (2) inflow temperature, (3) perfusate volume, (4) drug, (5) dosage, (6) timing of drug delivery, and (7) total perfusion time. Statistical analysis was performed using nonparametric tests. Results: Response rates for ASPSM members (n = 45) and non-ASPSM members (n = 24) were 89 and 33 %, respectively. Of the responders from ASPSM members, 95 % agreed with implementing the proposal. Majority of the surgical oncologists favored the closed method of delivery with a standardized dual dose of mitomycin for a 90-min chemoperfusion for patients undergoing cytoreductive surgery for peritoneal carcinomatosis of colorectal origin. Conclusions: This recommendation on a standardized delivery of HIPEC in patients with colorectal cancer represents an important first step in enhancing research in this field. Studies directed at maximizing the efficacy of each of the seven key elements will need to follow. © 2013 Society of Surgical Oncology. Source

Mayoral-Silva A.,Hospital Regional de Alta Especialidad de Oaxaca | Ascencio-Ibarra H.C.,Pediatra adscrita al Hospital Pediatrico Shriners
Revista Mexicana de Anestesiologia | Year: 2013

Peritoneal carcinomatosis was characterized by numerous nodules of various sizes on the surface of the peritoneum. Consequential locoregional progression of gastrointestinal cancers (colorectal, appendiceal and gastric) or gynecological or some primary tumors. It has been shown that intraperitoneal chemotherapy with intraoperative hyperthermia survival of patients with prolonged carcinomatosis, unlike intravenous chemotherapy only. However, this procedure is not innocuous and may present several complications, both surgical, and by the use of chemotherapeutic agents and physiological changes that are very important to know the whole picture anesthetic perioperatively. The Highly s southeast reference site for this surgical treatment, with the support of Dr. Jesus Esquivel and Dr. Paul Sugar Baker, world leaders that process. Source

Cervantes Acevedo A.M.,Medico adscrito al Servicio de Dermatologia | Garcia Olivera I.,Medico adscrito al Servicio de Reumatologia | Aquino Salgado J.L.,Medico adscrito al Servicio de Hematologia | Matus Ruiz M.G.,Medico Internista Dermatologa | Navarro Hernandez Q.C.,Hospital Regional de Alta Especialidad de Oaxaca
Dermatologia Revista Mexicana | Year: 2013

Cutaneous T-cell lymphoma type hydroa is a form of centrofacial lymphoma. Primarily affects pediatric patients; it is characterized by areas of edema, blisters, vesicles, crusts, ulcers and scars of varioliformis aspect. It mainly affects face and extremities accompanied by lymphadenopathy and hepatosplenomegaly. We report the case of a 27-year-old female with this condition. Source

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