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  1. Article ; Online: Respuesta a "Comentario al artículo: “Correlación entre ultrasonografía y radiografía portátil de tórax en pacientes con COVID-19”".

    Avelar-Garnica, Francisco José / Reyes-Olhagaray, Fernando Bernardo / Paredes-Manjarrez, Carlos / Arellano-Sotelo, Jorge / Luis-Jarquín, Viridiana Monserrat / Miguel-Puga, José Adán / Jáuregui-Renaud, Kathrine

    Revista medica del Instituto Mexicano del Seguro Social

    2023  Volume 61, Issue 6, Page(s) 720

    Abstract: Science, through scientific research, is an activity that generates new ideas. However, for the construction of new knowledge it is necessary to confront ideas with peers in the scientific world; which is exercised through scientific communication. ...

    Title translation Answer to "Comment on article: "Correlation between ultrasonography and thorax portable radiography in patients with COVID-19"".
    Abstract Science, through scientific research, is an activity that generates new ideas. However, for the construction of new knowledge it is necessary to confront ideas with peers in the scientific world; which is exercised through scientific communication.
    MeSH term(s) Humans ; COVID-19 ; Thorax/diagnostic imaging ; Radiography ; Ultrasonography
    Language Spanish
    Publishing date 2023-11-06
    Publishing country Mexico
    Document type English Abstract ; Journal Article ; Letter
    ZDB-ID 732133-8
    ISSN 2448-5667 ; 0443-5117 ; 0484-7849
    ISSN (online) 2448-5667
    ISSN 0443-5117 ; 0484-7849
    DOI 10.5281/zenodo.10064262
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2225: Show issues Location:
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  2. Article: Lung Ultrasound Elastography by SWE2D and "Fibrosis-like" Computed Tomography Signs after COVID-19 Pneumonia: A Follow-Up Study.

    Paredes-Manjarrez, Carlos / Avelar-Garnica, Francisco J / Balderas-Chairéz, Andres Tlacaelel / Arellano-Sotelo, Jorge / Córdova-Ramírez, Ricardo / Espinosa-Poblano, Eliseo / González-Ruíz, Alejandro / Anda-Garay, Juan Carlos / Miguel-Puga, José Adan / Jáuregui-Renaud, Kathrine

    Journal of clinical medicine

    2023  Volume 12, Issue 24

    Abstract: The aim of this study was to assess the shear wave velocity by LUS elastography (SWE2D) for the evaluation of superficial lung stiffness after COVID-19 pneumonia, according to "fibrosis-like" signs found by Computed Tomography (CT), considering the ... ...

    Abstract The aim of this study was to assess the shear wave velocity by LUS elastography (SWE2D) for the evaluation of superficial lung stiffness after COVID-19 pneumonia, according to "fibrosis-like" signs found by Computed Tomography (CT), considering the respiratory function. Seventy-nine adults participated in the study 42 to 353 days from symptom onset. Paired evaluations (SWE2D and CT) were performed along with the assessment of arterial blood gases and spirometry, three times with 100 days in between. During the follow-up and within each evaluation, the SWE2D velocity changed over time (MANOVA,
    Language English
    Publishing date 2023-12-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12247515
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Physicians' Distress Related to Moral Issues and Mental Health In-Between Two Late Waves of COVID-19 Contagions.

    Cooper-Bribiesca, Davis / Rascón-Martínez, Dulce María / Miguel-Puga, José Adan / Juárez-Carreón, María Karen / Sánchez-Hurtado, Luis Alejandro / Colin-Martinez, Tania / Anda-Garay, Juan Carlos / Espinosa-Poblano, Eliseo / Jáuregui-Renaud, Kathrine

    International journal of environmental research and public health

    2023  Volume 20, Issue 5

    Abstract: In addition to the sanitary constrains implemented due to the pandemic, frontline physicians have faced increased workloads with insufficient resources, and the responsibility to make extraordinary clinical decisions. In 108 physicians who were at the ... ...

    Abstract In addition to the sanitary constrains implemented due to the pandemic, frontline physicians have faced increased workloads with insufficient resources, and the responsibility to make extraordinary clinical decisions. In 108 physicians who were at the forefront of care of patients with COVID-19 during the first two years of the pandemic, mental health, moral distress, and moral injury were assessed twice, in between two late waves of COVID-19 contagions, according to their adverse psychological reactions, in-hospital experience, sick leave due to COVID-19, quality of sleep, moral sensitivity, clinical empathy, resilience, and sense of coherence. Three months after the wave of contagions, the adverse emotional reactions and moral distress decreased, while moral injury persisted. Moral distress was related to clinical empathy, with influence from burnout and sick leave due to COVID-19, and moral injury was related to the sense of coherence, while recovery from moral distress was related to resilience. The results suggest that measures to prevent physician infection, as well as strengthening resilience and a sense of coherence, may be helpful to prevent persistent mental damage after exposure to a sanitary crisis.
    MeSH term(s) Humans ; Mental Health ; COVID-19 ; Morals ; Burnout, Psychological ; Physicians
    Language English
    Publishing date 2023-02-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20053989
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Correlación entre ultrasonografía y radiografía portátil de tórax en pacientes con COVID-19.

    Avelar-Garnica, Francisco José / Reyes-Olhagaray, Fernando Bernardo / Paredes-Manjarrez, Carlos / Arellano-Sotelo, Jorge / Luis-Jarquín, Viridiana Monserrat / Miguel-Puga, José Adán / Jáuregui-Renaud, Kathrine

    Revista medica del Instituto Mexicano del Seguro Social

    2022  Volume 60, Issue 1, Page(s) 44–51

    Abstract: Background: During the COVID-19 pandemic, portable chest radiography (portable CRx) and lung ultrasonography (LUS) have been widely used to follow up hospitalized patients. Yet, it is scarce the information about the relation between the signs observed ... ...

    Title translation Correlation between ultrasonography and thorax portable radiography in patients with COVID-19.
    Abstract Background: During the COVID-19 pandemic, portable chest radiography (portable CRx) and lung ultrasonography (LUS) have been widely used to follow up hospitalized patients. Yet, it is scarce the information about the relation between the signs observed by means of each method in patients with COVID-19.
    Objective: To assess the correlation between concurrent images acquired by LUS and portable CRx during the follow-up of hospitalized patients with COVID-19.
    Material and methods: We performed 113 LUS and 113 corresponding CRx during the follow-up of 44 patients (30 men/14 women, 30-85 years old) with COVID-19 (RT-qPCR). Images were stored in a picture communication system and were revised by two specialists of each imaging method independently. Statistical analysis was performed using Gamma correlation and t test (significance level of 0.05).
    Results: The most frequent LUS sign was confluent B lines, and it was related to the most frequent portable CRx signs (ground-glass opacities and consolidations). An inverse relationship was observed between A lines (gas in the lungs) and B7 lines (suggestive of interstitial edema). Confluent B lines also showed a strong inverse correlation with A lines (more frequent confluent B lines were related to low frequent A lines), a moderate inverse correlation with B7 lines, and a mild inverse correlation with B3 lines.
    Conclusion: During the follow-up of hospitalized patients with COVID-19, LUS and portable CRx may complement each other to provide information about lung damage.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; COVID-19/diagnostic imaging ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Radiography ; SARS-CoV-2 ; Thorax ; Ultrasonography
    Language Spanish
    Publishing date 2022-02-01
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 732133-8
    ISSN 2448-5667 ; 0443-5117 ; 0484-7849
    ISSN (online) 2448-5667
    ISSN 0443-5117 ; 0484-7849
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2225: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Lung Ultrasound Elastography by SWE2D and “Fibrosis-like” Computed Tomography Signs after COVID-19 Pneumonia

    Carlos Paredes-Manjarrez / Francisco J. Avelar-Garnica / Andres Tlacaelel Balderas-Chairéz / Jorge Arellano-Sotelo / Ricardo Córdova-Ramírez / Eliseo Espinosa-Poblano / Alejandro González-Ruíz / Juan Carlos Anda-Garay / José Adan Miguel-Puga / Kathrine Jáuregui-Renaud

    Journal of Clinical Medicine, Vol 12, Iss 24, p

    A Follow-Up Study

    2023  Volume 7515

    Abstract: The aim of this study was to assess the shear wave velocity by LUS elastography (SWE2D) for the evaluation of superficial lung stiffness after COVID-19 pneumonia, according to “fibrosis-like” signs found by Computed Tomography (CT), considering the ... ...

    Abstract The aim of this study was to assess the shear wave velocity by LUS elastography (SWE2D) for the evaluation of superficial lung stiffness after COVID-19 pneumonia, according to “fibrosis-like” signs found by Computed Tomography (CT), considering the respiratory function. Seventy-nine adults participated in the study 42 to 353 days from symptom onset. Paired evaluations (SWE2D and CT) were performed along with the assessment of arterial blood gases and spirometry, three times with 100 days in between. During the follow-up and within each evaluation, the SWE2D velocity changed over time (MANOVA, p < 0.05) according to the extent of “fibrosis-like” CT signs by lung lobe (ANOVA, p < 0.05). The variability of the SWE2D velocity was consistently related to the first-second forced expiratory volume and the forced vital capacity (MANCOVA, p < 0.05), which changed over time with no change in blood gases. Covariance was also observed with age and patients’ body mass index, the time from symptom onset until hospital admission, and the history of diabetes in those who required intensive care during the acute phase (MANCOVA, p < 0.05). After COVID-19 pneumonia, SWE2D velocity can be related to the extent and regression of “fibrotic-like” involvement of the lung lobes, and it could be a complementary tool in the follow-up after COVID-19 pneumonia.
    Keywords COVID-19 pneumonia ; shear wave velocity ; lung “fibrosis-like” signs ; Medicine ; R
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Therapeutic Interventions for Vascular Parkinsonism: A Systematic Review and Meta-analysis.

    Miguel-Puga, Adán / Villafuerte, Gabriel / Salas-Pacheco, José / Arias-Carrión, Oscar

    Frontiers in neurology

    2017  Volume 8, Page(s) 481

    Abstract: Background: Vascular parkinsonism (VP) is defined as the presence of parkinsonian syndrome, evidence of cerebrovascular disease, and an established relationship between the two disorders. However, the diagnosis of VP is problematic, particularly for the ...

    Abstract Background: Vascular parkinsonism (VP) is defined as the presence of parkinsonian syndrome, evidence of cerebrovascular disease, and an established relationship between the two disorders. However, the diagnosis of VP is problematic, particularly for the clinician confronted with moving from diagnosis to treatment. Given the different criteria used in the diagnosis of VP, the effectiveness of available therapeutic interventions for this disease are currently unknown.
    Methods: To assess the clinical response of all published therapeutic interventions for VP that have been reported in the literature, we conducted a systematic review looking for VP subjects treated with any therapeutic intervention. To clarify the prevalence of responsiveness to levodopa among VP subjects, we conducted a meta-analysis of 17 observational studies retrieved with the search criteria of our review. Also, four studies were included in a second analysis to explore if nigrostriatal lesion affected the prevalence of levodopa response in VP subjects. Relevant articles were identified from MEDLINE, Scopus, and Web of Science published until June 2017.
    Results: 436 non-duplicate citations were identified for screening, 107 articles were assessed for eligibility, and only 23 observational studies were included in this review. No randomized clinical trials were found. Four different therapies were found in the literature; among them, levodopa was the only one repetitively reported. The calculated event rate of levodopa response in VP subjects was of 0.304 [95% confidence interval (CI) of 0.230-0.388]. The overall odds ratio for good response to levodopa in VP with lesion in the nigrostriatal pathway vs. no lesion in the nigrostriatal pathway was 15.15 (95% CI: 5.2-44.17).
    Conclusion: Despite the lack of randomized controlled trials, results of this systematic review and meta-analysis show that VP subjects, as operationally defined here, have a low response rate to levodopa; nigrostriatal lesion could be used as a proxy predictor of levodopa response in VP subjects. Other therapies seem to be co-adjuvant. Randomized controlled trials with a clear definition of VP are necessary to be able to assign positive or negative predictive values to available treatments and to recommend any of the therapeutic interventions for these subjects.
    Language English
    Publishing date 2017-09-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2017.00481
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Burnout, depersonalization, and anxiety contribute to post-traumatic stress in frontline health workers at COVID-19 patient care, a follow-up study.

    Miguel-Puga, José Adán / Cooper-Bribiesca, Davis / Avelar-Garnica, Francisco José / Sanchez-Hurtado, Luis Alejandro / Colin-Martínez, Tania / Espinosa-Poblano, Eliseo / Anda-Garay, Juan Carlos / González-Díaz, Jorge Iván / Segura-Santos, Oscar Bernardo / Vital-Arriaga, Luz Cristina / Jáuregui-Renaud, Kathrine

    Brain and behavior

    2020  Volume 11, Issue 3, Page(s) e02007

    Abstract: Introduction: We designed a follow-up study of frontline health workers at COVID-19 patient care, within the same working conditions, to assess the influence of their general characteristics and pre-existing anxiety/depression/dissociative symptoms and ... ...

    Abstract Introduction: We designed a follow-up study of frontline health workers at COVID-19 patient care, within the same working conditions, to assess the influence of their general characteristics and pre-existing anxiety/depression/dissociative symptoms and resilience on the development of symptoms of post-traumatic stress disorder (PTSD), while monitoring their quality of sleep, depersonalization/derealization symptoms, acute stress, state anxiety, and burnout.
    Methods: In a Hospital reconfigured to address the surge of patients with COVID-19, 204 frontline health workers accepted to participate. They completed validated questionnaires to assess mental health: before, during, and after the peak of inpatient admissions. After each evaluation, a psychiatrist reviewed the questionnaires, using the accepted criteria for each instrument. Correlations were assessed using multivariable and multivariate analyses, with a significance level of .05.
    Results: Compared to men, women reporting pre-existing anxiety were more prone to acute stress; and younger age was related to both pre-existent common psychological symptoms and less resilience. Overall the evaluations, sleep quality was bad on the majority of participants, with an increase during the epidemic crisis, while persistent burnout had influence on state anxiety, acute stress, and symptoms of depersonalization/derealization. PTSD symptoms were related to pre-existent anxiety/depression and dissociative symptoms, as well as to acute stress and acute anxiety, and negatively related to resilience.
    Conclusions: Pre-existent anxiety/depression, dissociative symptoms, and coexisting acute anxiety and acute stress contribute to PTSD symptoms. During an infectious outbreak, psychological screening could provide valuable information to prevent or mitigate against adverse psychological reactions by frontline healthcare workers caring for patients.
    MeSH term(s) Adult ; Anxiety/epidemiology ; COVID-19/epidemiology ; Depersonalization/epidemiology ; Female ; Follow-Up Studies ; Health Personnel/psychology ; Humans ; Male ; Middle Aged ; Patient Care/psychology ; Patient Care/statistics & numerical data ; Stress Disorders, Post-Traumatic/epidemiology
    Language English
    Publishing date 2020-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2623587-0
    ISSN 2162-3279 ; 2162-3279
    ISSN (online) 2162-3279
    ISSN 2162-3279
    DOI 10.1002/brb3.2007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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