117 results match your criteria: "Hospital J.M. Ramos Mejia[Affiliation]"

Article Synopsis
  • Susac syndrome, multiple sclerosis, and primary angiitis of the central nervous system often present similar symptoms, making accurate diagnosis a challenge; the study aimed to improve this through a new scoring system called the SPAMS score.
  • The research involved 99 patients from South America and utilized an elastic-net model to determine important MRI features for distinguishing between these conditions.
  • The SPAMS score demonstrated high diagnostic accuracy, effectively differentiating SuS from MS and PACNS, highlighting the importance of specific MRI findings for timely interventions and potentially better patient outcomes.
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Introduction: The primary objective of the core data set is to reduce heterogeneity and promote harmonization among data sources in EM, thereby reducing the time needed to execute real life data collection efforts. Recently, a group led by the Multiple Sclerosis Data Alliance has developed a core data set for collecting real-world data on multiple sclerosis (MS) globally. Our objective was to adapt this global data set to the needs of Latin America, so that it can be implemented by the registries already developed and in the process of development in the region.

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Evolutionary trends in antifungal resistance: a meta-analysis.

Microbiol Spectr

April 2024

Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education of Guizhou & Key Laboratory of Microbiology and Parasitology of Education Department of Guizhou, School of Basic Medical Sciences, Guizhou Medical University, Guiyang, China.

Unlabelled: The present paper includes a meta-analysis of literature data on 318 species of fungi belonging to 34 orders in their response to 8 antifungal agents (amphotericin B, caspofungin, fluconazole, itraconazole, ketoconazole, posaconazole, terbinafine, and voriconazole). Main trends of MIC results at the ordinal level were visualized. European Committee on Antimicrobial Susceptibility Testing and Clinical & Laboratory Standards Institute (CLSI) clinical breakpoints were used as the staff gauge to evaluate MIC values ranging from resistance to susceptibility, which were subsequently compared with a phylogenetic tree of the fungal kingdom.

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Objectives: To evaluate the trajectory of students enrolled in the specialty training in rheumatology.

Methods: Retrospective analysis (2009-2016). Promotion, repetition, and dropout rates were determined.

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Late adult-onset Niemann Pick type C (NPC): An "atypical" typical presentation at the age of 62. Expert commentary.

Parkinsonism Relat Disord

March 2024

Movement Disorders Section, Division of Neurology, Hospital J.M. Ramos Mejia, Buenos Aires, Argentina; Neurogenetics Unit, Division of Neurology, Hospital J.M. Ramos Mejía, Buenos Aires, Argentina; Faculty of Medicine, University Center of Neurology "Jose Maria Ramos Mejia,", Buenos Aires University, Buenos Aires, Argentina. Electronic address:

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Article Synopsis
  • - The frequent renaming of medically significant fungi is complicating the work of clinical labs and healthcare providers, highlighting the need for better communication and resources in this area.
  • - Different factors drive name changes at the species and genus levels, prompting the authors to suggest maintaining larger genera and providing diagnostic markers for new classifications to help simplify identification.
  • - The authors call for an open-access online database to track these changes, recommending a committee to regularly review new names so that clinicians can access consistent and validated information about fungal species.
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Article Synopsis
  • The study examined cases of Guillain-Barré syndrome (GBS) following COVID-19 vaccination compared to non-vaccinated GBS cases in Buenos Aires, involving 91 patients treated from March 2020 to March 2022.
  • Patients who had been vaccinated showed a higher incidence of cranial nerve involvement and bilateral facial paralysis, but overall clinical severity scores and other neurophysiological characteristics were similar between the two groups.
  • The findings suggest a need for further research to clarify any potential link between COVID-19 vaccination and GBS, particularly through ongoing vaccine safety monitoring and epidemiological studies.
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Background: Optic neuritis (ON) can be an initial manifestation of neuromyelitis optica spectrum disorder (NMOSD) associated with aquaporin 4-antibody (AQP4-Ab) or myelin oligodendrocyte glycoprotein antibody (MOG-Ab)-associated disease (MOGAD). Additionally, both diseases may have overlapping paraclinical and radiological features. These diseases may have different outcomes and prognoses.

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Purpose: This study describes the therapeutic strategies in NMOSD and MOGAD adopted by neurologists to treat both conditions in Latin America (LATAM) with main focus on rituximab (RTX) and the disease outcome.

Methods: retrospective study in a cohort of NMOSD and MOGAD patients followed in specialized MS/NMOSD centers from eight countries and 14 LATAM reference centers. Demographics and clinical characteristics were collected.

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Background: Neuromyelitis optica spectrum disorder (NMOSD) misdiagnosis (i.e. the incorrect diagnosis of patients who truly have NMOSD) remains an issue in clinical practice.

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[Monkeypox: description of two cases under follow-up in Buenos Aires].

Medicina (B Aires)

October 2022

área de Investigación en Enfermedades Emergentes y Clínica de Salud Sexual, Hospital J.M. Ramos Mejía, Buenos Aires, Argentina.

Monkeypox is an endemic disease in several African countries. In May 2022, an outbreak was reported in dozens of non-endemic countries. On July 23, 2022, the WHO Director-General declared this multinational outbreak a public health emergency of international concern.

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Approved drug treatments for Alzheimer´s disease (AD) are symptomatic and don´t modify the disease course. These include acetylcholinesterase inhibitors (AchI) and N-methyl-D-aspartate receptor antagonist, memantine. Around 20 years ago, these drugs were approved for Alzheimer type Dementia.

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Ataxia Myoclonus Syndrome in Mild Acute COVID-19 Infection.

Cerebellum

October 2023

Edmond J. Safra Program in Parkinson's Disease, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, UHN, 399 Bathurst St, 7McL412, Toronto, ON, M5T 2S8, Canada.

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Multidimensional overview of neurofilament light chain contribution to comprehensively understanding multiple sclerosis.

Front Immunol

August 2022

Centro de Altos Estudios en Ciencias Humanas y de la Salud, Universidad Abierta Interamericana, Consejo Nacional de Investigaciones Científicas y Técnicas (CAECIHS. UAI-CONICET), Buenos Aires, Argentina.

Multiple sclerosis (MS) is an inflammatory neurodegenerative disease characterized by demyelination, progressive axonal loss, and varying clinical presentations. Axonal damage associated with the inflammatory process causes neurofilaments, the major neuron structural proteins, to be released into the extracellular space, reaching the cerebrospinal fluid (CSF) and the peripheral blood. Methodological advances in neurofilaments' serological detection and imaging technology, along with many clinical and therapeutic studies in the last years, have deepened our understanding of MS immunopathogenesis.

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Observational cohort study of rilpivirine (RPV) utilization in Europe.

AIDS Res Ther

August 2022

Centre for Clinical Research, Epidemiology, Modelling and Evaluation (CREME), Institute for Global Health, University College London, Rowland Hill St, London, NW3 2PF, UK.

Article Synopsis
  • The study looked at the safety and effectiveness of two HIV treatments: RPV and EFV, using data from a large group of patients over several years.
  • They found that fewer people had problems with the RPV treatment compared to EFV, especially related to the nervous system.
  • Overall, RPV seemed to be a safer choice with lower chances of treatment failure and less severe side effects than EFV.
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Several cases of Guillain-Barré Syndrome (GBS) associated with COVID-19 vaccination have been reported, including the rare subtype known as Bilateral Facial Palsy with paresthesias (BFP). To date, it is not known whether a causal relationship may exist between the two. We report 9 cases of BFP in patients vaccinated against COVID-19 in the previous month.

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Alternative end-joining originates stable chromosome aberrations induced by etoposide during targeted inhibition of DNA-PKcs in ATM-deficient tumor cells.

Chromosome Res

December 2022

Laboratorio de Mutagénesis, Instituto de Medicina Experimental (IMEX), CONICET-Academia Nacional de Medicina, Buenos Aires, Argentina.

ATM and DNA-PKcs coordinate the DNA damage response at multiple levels following the exposure to chemotherapy. The Topoisomerase II poison etoposide (ETO) is an effective chemotherapeutic agent that induces DNA double-strand breaks (DSB), but it is responsible from the chromosomal rearrangements frequently found in therapy-related secondary tumors. Targeted inhibition of DNA-PKcs in ATM-defective tumors combined with radio- or chemotherapy has been proposed as relevant therapies.

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Drugs Recommended in Adult Rheumatic Diseases, But Considered for Off-Label Use in Argentina.

Reumatol Clin (Engl Ed)

May 2022

Servicio de Reumatología, Hospital J. M. Ramos Mejia, Urquiza 609, Ciudad Autónoma de Buenos Aires, Argentina.

Background: Off-label (OL) drug use is the prescription of a drug for indications other than those authorised in its technical datasheet. The objective of this study was to identify drugs recommended in rheumatology but considered for off-label use in Argentina.

Methods: A list of medications for certain selected rheumatic conditions was compiled.

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Introduction: The aim of this research is to establish and evaluate the frequency of anxiety, burnout and post-traumatic stress disorder in health personnel during the COVID-19 pandemic according to the degree of exposure in three public healthcare facilities with different levels of complexity in Buenos Aires, Argentina.

Methods: Multicenter, prospective, analytical study. The sample was taken through a three-step voluntary and anonymous online form with three invento- ries: Gad 7, Maslach Inventory and Davidson Trauma Scale and a self-perceived risk questionnaire.

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An overview of COVID-19 related to fungal infections: what do we know after the first year of pandemic?

Braz J Microbiol

June 2022

Consejo Nacional de Investigaciones Científicas Y Tecnológicas (CONICET), Buenos Aires, Argentina.

In 2019, severe acute respiratory syndrome caused by CoV-2 virus became a pandemic worldwide, being the fast spread of the disease due to the movement of infected people from one country to another, from one continent to another, or within the same country. Associated comorbidities are important factors that predispose to any fungal coinfections. Because of the importance of fungal infections in COVID-19 patients, the aim of this work was to collect data of the more encountered mycoses related to patients undergoing this disease.

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Acute optic neuritis: What do complementary tests add to diagnosis?

Mult Scler Relat Disord

January 2022

Sección de Neuroinmunología, División Neurología. Hospital J. M. Ramos Mejía. Centro Universitario de Neurología. Universidad de Buenos Aires (UBA), Buenos Aires, Argentina; Centro Argentino de Neuroinmunología (CADENI), Facultad de Medicina. Universidad de Buenos Aires, Argentina.

Introduction: Optic neuritis (ON) is the inflammation of the optic nerve due in many cases, to a pathological immune response. Since its symptoms can be subtle, diagnosis is sometimes challenging. The value of complementary tests for diagnosis and prognosis of ON was demonstrated in retrospective analysis, but their utility in the acute period of ON has been scarcely studied.

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Background And Purpose: Optic neuritis (ON) is often the initial symptom of neuromyelitis optica spectrum disorder (NMOSD) and myelin oligodendrocyte glycoprotein-associated disease (MOGAD). We aimed to compare the frequency and pattern of chiasmatic lesions in MOGAD-related ON (MOGAD-ON) and NMOSD-related ON (NMOSD-ON) using conventional brain imaging (magnetic resonance imaging [MRI]) in Latin America (LATAM).

Methods: We reviewed the medical records and brain MRI (≤30 days from ON onset) of patients with a first event of MOGAD-ON and NMOSD-ON.

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Hypersensitivity reaction (HSR) and hepatotoxicity are rare, but potentially serious side-effects of antiretroviral use. To investigate discontinuations due to HSR, hepatotoxicity or other reasons among users of dolutegravir (DTG) vs. raltegravir (RAL) or elvitegravir (EVG) in the EuroSIDA cohort.

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