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  1. Article ; Online: Impact of COVID-19 on surgical residency training programs in Mexico City: The third victim of the pandemic. A resident's perspective.

    Oropeza-Aguilar, Mariano / Cendejas-Gómez, José de Jesús / Quiroz-Compeán, Alejandro / Buerba, Gabriela A / Domínguez-Rosado, Ismael / Mendez-Probst, Carlos E

    Cirugia y cirujanos

    2022  Volume 90, Issue 2, Page(s) 165–171

    Abstract: Objective: The aim of this study is to assess the perceptions of the impact of health-care disruption due to COVID-19 on the academic training and skills of surgical trainees.: Material and methods: We developed a 32-question survey assessing the ... ...

    Title translation Impacto del COVID-19 en los programas de residencias quirúrgicas en la Ciudad de México: La tercera víctima de la pandemia. Perspectiva de los residentes.
    Abstract Objective: The aim of this study is to assess the perceptions of the impact of health-care disruption due to COVID-19 on the academic training and skills of surgical trainees.
    Material and methods: We developed a 32-question survey assessing the clinical and surgical impact of COVID-19 on surgical training programs and proposals to compensate for the decrease in surgical education. We got 453 responses of surgical trainees in Mexico City.
    Results: Sixty-six percent of the respondents answered that their centers had converted to the exclusive attention of COVID-19 patients. Ninety-five percent reported a decrease in surgical skills learning and 91.8% reported a decrease to clinical exposure. On proposals, 75.6% reported that it is essential to take the necessary measures to recover the clinical and surgical milestones lost. In the binary logistic regression analysis, we found that the postgraduate year (≥ PG-Y3) was statistically significant factor (p ≤ 0.000) related to a favorable opinion to developing an academic contingency plan and postponing the end of the academic residency year.
    Conclusion: More than 90% of the survey respondents reported having been affected by COVID-19 mitigation strategies. Our data calls for urgent training adjustments by hospital and university program leaders to mitigate downstream educational repercussions.
    MeSH term(s) COVID-19/epidemiology ; Humans ; Internship and Residency ; Mexico/epidemiology ; Pandemics ; Surveys and Questionnaires
    Language English
    Publishing date 2022-03-28
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 730699-4
    ISSN 2444-054X ; 0009-7411
    ISSN (online) 2444-054X
    ISSN 0009-7411
    DOI 10.24875/CIRU.21000278
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 797: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Routine systematic prostate biopsies not replaced by magnetic resonance imaging-targeted biopsy.

    Gómez-Ortiz, David / Garza-Gangemi, Adrián M / Oropeza-Aguilar, Mariano / Rangel-Suárez, Sergio / Espinosa-Cruz, Verónica / Villegas-Hernández, Antonio C / Martínez-Martínez, Ricardo / Castillejos-Molina, Ricardo A

    Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion

    2022  Volume 74, Issue 4, Page(s) 212–218

    Abstract: Background: Multiparametric magnetic resonance imaging improves the performance of prostate cancer (PCa) diagnostics through a better selection of patients.: Objectives: The aim of the study was to study the detection rate (DR) of systematic and ... ...

    Abstract Background: Multiparametric magnetic resonance imaging improves the performance of prostate cancer (PCa) diagnostics through a better selection of patients.
    Objectives: The aim of the study was to study the detection rate (DR) of systematic and targeted cognitive biopsies in a cohort with the previous negative systematic biopsies. A secondary objective was to describe the value of prostate-specific antigen density (PSAd) in the detection of clinically significant PCa (CSPCa).
    Methods: We designed a prospective, single-center, and comparative study to determine the DR of systematic and targeted cognitive biopsies. The clinical and pathological characteristics of each patient were described.
    Results: A total of 111 patients with Prostate Imaging Reporting and Data System lesions > 3 were included in the study. PCa was detected in 41.4% (46 of 111 patients); 42 (91.3%) were detected by systematic biopsy and 30 (65.2%) by targeted biopsy. CSPCa was detected in 26 (23.4%), 23 (88.5%) by systematic biopsy, and 21 (76.9%) by targeted biopsy. PSAd > 0.15 was directly associated with CSPCa.
    Conclusion: The detection of PCa by systematic biopsy in this series was higher than 80%; hence, its routine use should not be replaced by targeted biopsy, since it continues to be the cornerstone of the diagnosis in patients with prior negative biopsies.
    MeSH term(s) Biopsy ; Humans ; Image-Guided Biopsy/methods ; Magnetic Resonance Imaging/methods ; Male ; Prospective Studies ; Prostate/diagnostic imaging ; Prostate/pathology ; Prostatic Neoplasms/diagnostic imaging ; Prostatic Neoplasms/pathology
    Language English
    Publishing date 2022-07-01
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 138348-6
    ISSN 0034-8376
    ISSN 0034-8376
    DOI 10.24875/RIC.22000084
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 288: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Short- and Mid-Term Impact of Tobacco Smoking on Donor Renal Function Following Living Kidney Donation at a Tertiary Referral Hospital.

    Kauffman-Ortega, Christopher / Martínez-Delgado, Guillermo H / Garza-Gangemi, Adrián M / Oropeza-Aguilar, Mariano / Gabilondo-Pliego, Bernardo / Gabilondo-Navarro, Fernando / Rodríguez-Covarrubias, Francisco

    Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion

    2021  Volume 73, Issue 4, Page(s) 238–244

    Abstract: Background: The negative impact of tobacco smoking on renal function has been widely studied. However, there is limited knowledge about the effect of smoking on pre-operative and post-operative renal function in living kidney donors.: Objective: The ... ...

    Abstract Background: The negative impact of tobacco smoking on renal function has been widely studied. However, there is limited knowledge about the effect of smoking on pre-operative and post-operative renal function in living kidney donors.
    Objective: The objective of the study was to evaluate the short- and mid-term impact of smoking on donor renal function.
    Methods: This is a retrospective study of 308 patients who underwent living donor nephrectomy (LDN) at a tertiary referral hospital. We compared baseline characteristics as well as functional outcomes following LDN according to history of tobacco smoking. Estimated glomerular filtration rate (eGFR) was calculated with the modification of diet in renal disease equation in 6 time periods: pre-operative, 1 week, 1 month, 6 months, 12 months, and 24 months after surgery. We performed a Kaplan-Meier analysis for chronic kidney disease (CKD) outcome and binary logistic regression analysis to identify risk factors associated with CKD at 24 months of follow-up.
    Results: Among donors, 106 (34.4%) reported a smoking history before nephrectomy. Smoking donors had worse pre-operative eGFR than non-smokers (90 ± 26.3 mL/min/1.73m2 vs. 96 ± 27 mL/min/1.73 m2, respectively; p = 0.02) and lower eGFR at 1 week (p = 0.01), 1 month (p ≤ 0.01), 6 months (p = 0.01), and 12 months (p = 0.01) after LDN. Tobacco smoking (OR 3.35, p ≤ 0.01) and age ≥ 40 years at donation (OR 6.59, p ≤ 0.01) were associated with post-operative development of CKD at 24 months after LDN.
    Conclusions: Living kidney donors with a tobacco smoking history had an increased risk of developing chronic kidney disease following nephrectomy. Smoking-cessation strategies should be implemented.
    MeSH term(s) Adult ; Glomerular Filtration Rate ; Humans ; Kidney/physiopathology ; Kidney Transplantation ; Living Donors ; Nephrectomy ; Renal Insufficiency, Chronic/epidemiology ; Retrospective Studies ; Smoking/adverse effects ; Tertiary Care Centers ; Tobacco Smoking
    Language English
    Publishing date 2021-04-12
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 138348-6
    ISSN 0034-8376
    ISSN 0034-8376
    DOI 10.24875/RIC.20000622
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 288: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  4. Article ; Online: Current and future trends in multimodality imaging of coronary artery disease.

    Alexanderson-Rosas, Erick / Guinto-Nishimura, Gerardo Y / Cruz-Mendoza, Jose Raul / Oropeza-Aguilar, Mariano / De La Fuente-Mancera, Juan Carlos / Barrero-Mier, Alejandro F / Monroy-Gonzalez, Andrea / Juarez-Orozco, Luis Eduardo / Cano-Zarate, Roberto / Meave-Gonzalez, Aloha

    Expert review of cardiovascular therapy

    2015  Volume 13, Issue 6, Page(s) 715–731

    Abstract: Nowadays, there is a wide array of imaging studies available for the evaluation of coronary artery disease, each with its particular indications and strengths. Cardiac single photon emission tomography is mostly used to evaluate myocardial perfusion, ... ...

    Abstract Nowadays, there is a wide array of imaging studies available for the evaluation of coronary artery disease, each with its particular indications and strengths. Cardiac single photon emission tomography is mostly used to evaluate myocardial perfusion, having experienced recent marked improvements in image acquisition. Cardiac PET has its main utility in perfusion imaging, atherosclerosis and endothelial function evaluation, and viability assessment. Cardiovascular computed tomography has long been used as a reference test for non-invasive evaluation of coronary lesions and anatomic characterization. Cardiovascular magnetic resonance is currently the reference standard for non-invasive ventricular function evaluation and myocardial scarring delineation. These specific strengths have been enhanced with the advent of hybrid equipment, offering a true integration of different imaging modalities into a single, simultaneous and comprehensive study.
    MeSH term(s) Coronary Artery Disease/diagnosis ; Coronary Artery Disease/physiopathology ; Humans ; Magnetic Resonance Imaging/methods ; Multimodal Imaging/methods ; Positron-Emission Tomography/methods ; Tomography, Emission-Computed, Single-Photon/methods ; Tomography, X-Ray Computed/methods
    Language English
    Publishing date 2015-06
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2192343-7
    ISSN 1744-8344 ; 1477-9072
    ISSN (online) 1744-8344
    ISSN 1477-9072
    DOI 10.1586/14779072.2015.1039991
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6107: Show issues Location:
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