Characteristics of Transport of Ill Pediatric Patients in the Emergency Department: A Latin America Multicenter Prospective Study.

Objective: The aim was to describe the characteristics of the transport system of critically ill pediatric patients in the emergency departments (EDs) in Latin America (LA).

Methodology: This is a prospective cross-sectional study in a 1-year period. Patients were recruited on days 1, 7, 14, 21, and 28 of each month in the EDs in LA.

Intra-arterial chemotherapy for retinoblastoma treatment in Chile: Experience and results 2013-2020.

Objective: To establish the success rate of salvage intra-arterial chemotherapy (IAC), defined as the percentage of eyes that achieved tumoral remission and avoided enucleation. The second objective was the clinical characterization, catheterization results, and associated local and systemic complications.

Methods: Retrospective, interventional case series of 29 patients (35 eyes) with persistent or recurrent retinoblastoma.

Short- and medium-term complications after emergency department treatment of patients with atrial fibrillation: design and internal validation of the CoSTuM risk scale.

Objectives: To design and validate a clinical risk scale for 90-day adverse events after emergency department (ED) discharge of patients with atrial fibrillation (AF).

Material And Methods: Prospective, observational CoSTuM (Spanish acronym for comorbidity, symptoms, treatments, and poor heart rate control) study of patients with AF. We recorded all adverse events occurring during follow-up and used multivariate logistic regression analysis to identify variables independently associated with the occurrence of any such event.

The tibiocalcaneal bundle of the deltoid ligament - Prevalence and variations.

Introduction: A precise understanding of the anatomy of the multiple bundles of the deltoid ankle ligament might have clinical impact. The most relevant deltoid anatomical series report a variable frequency of the tibiocalcaneal ligament, possibly the most important bundle to be reconstructed in medial ankle insufficiency. Our purpose was to access the deltoid's tibiocalcaneal ligament morphology in a large anatomical study as well as to perform a historical literature review on the reasons for its variable prevalence.

The Os Peroneum incidence - A cadaveric study.

Background: The Os Peroneum (OP) is a small sesamoid bone, which can be found in the Peroneus Longus Tendon (PLT) sheath, near the calcaneocuboid joint. Size and shape variability is quite common as well as a multipartite OP that can be found in some cases. Trying to explore and understand this variability, this study was carried out in order to provide us with answers about the presence and shape of OP in our specimens.

Insertional anatomy of peroneal brevis and longus tendon - A cadaveric study.

Background: Peroneal Tendon (PT) complex is formed by the Peroneus Longus Tendon (PLT) and Peroneus Brevis Tendon (PBT), their synovial sheath, the superior and inferior retinaculum, and the Os Peroneum (OP). Their insertion is associated with some anatomic variability. Knowing these variants helps to understand the PT pathology and it may support the decision-making concerning the operative approach.

Development of appropriateness criteria for hip arthroscopy in patients with femoroacetabular impingement.

Introduction: The use of hip arthroscopy as a treatment for femoroacetabular impingement (FAI) has increased exponentially in recent years without robust evidence or consensus about the patients who benefit from it.

Objective: To develop explicit criteria for the appropriate indication of hip arthroscopy in FAI.

Method: A panel of experts was formed with 11 traumatologists following the RAND/UCLA method to identify the appropriateness criteria for hip arthroscopy in patients with FAI.

[Bacterial etiology of acute otitis media in Spain in the post-pneumococcal conjugate vaccine era].

Introduction: Acute otitis media (AOM) is common in children aged <3 years. A pneumococcal conjugate vaccine (PCV) (PCV7; Prevenar, Pfizer/Wyeth, USA) has been available in Spain since 2001, which has a coverage rate of 50-60% in children aged <5 years.

Materials And Methods: Children aged ≥3 to 36 months with AOM confirmed by an ear-nose-throat specialist were enrolled at seven centers in Spain (February 2009-May 2012) (GSK study identifier: 111425).

At 10 years of chlormadinone use in Latin America: a review.

Chlormadinone acetate (CMA) is a progesterone derivative (17α-acetoxy-6-chloro-4,6-pregnadiene-3,20-dione), first synthesized in 1961. It was used as progestin-based hormone replacement therapy; since 1999 it was first used for oral contraception combined with ethinyl estradiol (EE). CMA exerts a potent progestagenic effect, about one third higher than that observed with endogenous progesterone.

Monetary delay discounting in gambling and cocaine dependence with personality comorbidities.

Background: Cocaine addiction and pathological gambling are commonly associated with steeper (impulsive) discounting of delayed rewards, which promotes ongoing drug and gambling behaviors. However, it is yet unclear whether impulsive delay discounting is a stable trait in cocaine and gambling disorders during abstinence, and whether it is significantly impacted by dysfunctional personality beliefs.

Methods: The aim of this study was to compare the delay discounting rates of four groups: 47 cocaine users with comorbid personality disorders, 41 cocaine users without psychiatric comorbidities, 28 pathological gamblers without psychiatric comorbidities, and 36 healthy comparison individuals.

[Managing complications in severe traumatic injury with VAC therapy with instillation].

The complex fractures caused by high energy trauma, poses a major surgical challenge. Vessels, skin and subcutaneous tissues. The Vacuum Assisted Therapy (VAC) has become a very useful tool since the last century's 90 decade.

[The change of paradigm in stroke prevention in atrial fibrillation. Challenges and emerging opportunities for the family physician].

Atrial fibrillation (AF), is the most prevalent sustained arrhythmia in general population, affecting up to 10% in patients of advanced age. AF doubles overall mortality and increases up to 5-6 times the risk of stroke, which have the characteristic of being particularly harmful. The basis of treatment on AF are the rhythm or rate control and the prevention of thromboembolism.

[Changes in core beliefs associated with addiction among substance-dependent patients with vs. without comorbid personality disorders].

The aims of this study were: 1) To evaluate the predictive ability of cognitive beliefs about craving and alcohol use during treatment; and 2) To examine the course of cognitive beliefs, over a nine-month follow-up, as a function of comorbidity with personality disorders (PDs). Participants in the study were sixty-five alcohol-dependent patients initiating treatment at the Provincial Drug-Dependence Centre in Granada (Spain), 56.4% of whom had comorbid personality disorder.

[Longitudinal study on quality of life, craving and psychological adjustment in alcohol-dependent patients: variations depending on the personality disorders].

The goal of this study was to determine the evolution of variables such as quality of life, craving, or psychological adjustment during treatment in a sample of 65 patients with alcohol-dependence disorder, 56.3% of whom also presented a personality disorder (PD). Five measurements were taken over the course of the treatment, at 3-month intervals.

[Quality of life in patients with alcohol dependence disorder with personality disorders: relation to psychological adjustment and craving].

The purpose of this study is to determine the self-perceived quality of life of abstinent patients with alcohol dependence disorder during the first month of treatment, and how the presence of personality disorders, psychological adjustment, and the level of craving affect this perception. For this purpose, a sample was used comprising 65 participants with mean age of 43.26 years, of whom 70.

[Clinical and epidemiological features and HLA association in patients with pars planitis].

Background And Objectives: Epidemiological studies on North American patients reported an association between HLA DR15 and pars planitis. This association has not been studied in the Spanish population. The objectives of the present study were to describe the clinical and epidemiological features of patients with pars planitis diagnosed in our hospital as well as the prevalence of multiple sclerosis and HLA class I and II.

[Influence of personality disorders and consumption patterns on the efficacy of a relapse-prevention program for the treatment of alcoholism].

The purpose of this study is to analyze to efficacy of a cognitive-behavioral treatment program, in individual and group format, for people with alcohol problems, and to determine the role of some personality variables in the process of therapeutic recovery. The sample was made up of 80 patients diagnosed as alcoholics, 83.8% of whom were men (n=67) and 16.

Erythema multiforme: a review of twenty cases.

The clinical histories of twenty children hospitalized for erythema multiforme (EM) were reviewed. Three forms of the illness were defined according to clinical criteria: minor (EMm), intermediate (EMt) and major (EMM). Previous infections were associated with the process in 30% of the cases, administration of drugs also in 30%, and a combination of the two factors in 30% of the subjects.

Transient movement disorders in children.

Transient movement disorders are quite common in pediatrc practice, occurring mainly in infants. They are underdiagnosed but represent about 20% of cases of movement disorders (tics excluded) seen in a neuropaediatric department. Dystonia, tremor and myoclonus are the most common.

[Complete urethral duplication].

Objectives: Three cases of complete epispadial urethral duplication are described. The limitations of the preoperative evaluation and the importance of a suitable surgical treatment are underscored.

Methods: The patients comprised three boys aged 2, 6 and 7 years.