Publications by authors named "Fernando Lipovestky"

Obesity is one of the non-communicable chronic diseases with the highest increase in recent decades in Latin America, affecting children, adolescents, and especially young adults. Forty percent of adults have a body mass index greater than 25 kg/m2. Numerous studies have demonstrated a relationship between obesity and cardiovascular diseases such as hypertension, coronary artery disease, heart failure, cardiac arrhythmias, diabetes, sleep apnea, and oncological diseases, among others.

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Article Synopsis
  • The classification system for intra-abdominal infections categorizes patients based on infection onset, peritonitis type, and disease severity, and has shown effective risk stratification in ICU settings.
  • A study focusing on 165 ICU patients with pancreatic infections found a mortality rate of 35.2%, with older age, localized peritonitis, and persistent inflammation as key risk factors.
  • Ultimately, the research indicates that ongoing inflammation and complications in managing pancreatic infections are critical for predicting short-term patient outcomes.
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Background: Acute kidney injury (AKI) is associated with high morbidity and mortality rates in the intensive care unit (ICU). In low- and middle-income countries (LMICs), epidemiological information about this condition is still scarce. Our main objective was to characterize its epidemiology, prognosis, and its treatment.

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Objective: To describe epidemiology and age-related mortality in critically ill older adults with intra-abdominal infection.

Methods: A secondary analysis was undertaken of a prospective, multi-national, observational study (Abdominal Sepsis Study, ClinicalTrials.gov #NCT03270345) including patients with intra-abdominal infection from 309 intensive care units (ICUs) in 42 countries between January and December 2016.

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Article Synopsis
  • - The study highlights a global concern: medical students often lack adequate nutrition education to meet the competencies and attitudes necessary for effective nutrition care as physicians.
  • - A panel of Latin American nutrition experts participated in a Delphi survey to identify and agree upon 130 essential nutrition competencies, categorized into four main areas: basic nutrition concepts, public nutrition, nutrition status and disease, and nutrition care processes.
  • - The research concludes that medical school curricula should incorporate these competencies to enhance health promotion, disease prevention, and treatment related to nutrition, ultimately improving healthcare outcomes.
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Rationale: The gap between the nutrition education provided to medical students and the nutrition competences and attitudes needed for doctors to provide effective nutrition care is a global concern. The goal of this study was to investigate the curricular content on nutrition education in Latin American medical schools and to evaluate the self-perceived knowledge, attitudes, and barriers to nutrition practice of final-year medical students.

Methods: Eighty-five public and private medical schools from 17 Latin American countries were invited to participate in the study.

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Purpose: To describe the epidemiology of intra-abdominal infection in an international cohort of ICU patients according to a new system that classifies cases according to setting of infection acquisition (community-acquired, early onset hospital-acquired, and late-onset hospital-acquired), anatomical disruption (absent or present with localized or diffuse peritonitis), and severity of disease expression (infection, sepsis, and septic shock).

Methods: We performed a multicenter (n = 309), observational, epidemiological study including adult ICU patients diagnosed with intra-abdominal infection. Risk factors for mortality were assessed by logistic regression analysis.

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