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  1. Article ; Online: Viruela símica: características en población femenina, Buenos Aires, Argentina.

    Sánchez Doncell, Javier / Lemos, Melina / Francos J, José L / González Montaner, Pablo

    Medicina

    2024  Volume 84, Issue 1, Page(s) 143–147

    Abstract: Monkeypox is a zoonotic viral disease caused by a virus of the genus Orthopoxvirus. As of January 1, 2022, it has been reported in 110 WHO Member States. It presents with fever, fatigue, painful lymphadenopathy, and rash. It lasts between 2 and 4 weeks. ... ...

    Title translation Monkeypox: characteristics in female population, Buenos Aires, Argentina.
    Abstract Monkeypox is a zoonotic viral disease caused by a virus of the genus Orthopoxvirus. As of January 1, 2022, it has been reported in 110 WHO Member States. It presents with fever, fatigue, painful lymphadenopathy, and rash. It lasts between 2 and 4 weeks. It is usually self-limited, but severe cases have been described in immunocompromised people. This study describes cases of monkeypox in women, diagnosed between June 2022 and February 2023, and it reports epidemiology, clinical aspects, and complications after infection. A retrospective observational study was carried out in the Febrile Emergency Unit (UFU), reviewing positive cases (RT-PCR) for monkeypox and the population with female biological sex was selected. They were questioned about gynecological complications, menstrual pattern, dyspareunia and pelvic pain. 340 consultations for monkeypox were made, 214 (63%) were positive, 211 cases (99%) male and 3 cases (1%) female. Among these cases is a trans woman, who was not included. The average age is 31 years, immunocompetent, with a negative serology report for HIV, syphilis, hepatitis B and C. Both cases had sexual intercourse without a barrier method. The most frequent symptoms are asthenia and skin lesions, especially in the upper and lower limbs, perianal and genital region. As a risk factor they presented unprotected sexual contact. Within the differential diagnoses, other sexually transmitted infections (STIs) should be considered. There were no gynecological complications reported during follow-up.
    MeSH term(s) Humans ; Male ; Female ; Adult ; Mpox (monkeypox)/diagnosis ; Mpox (monkeypox)/epidemiology ; Argentina/epidemiology ; Sexually Transmitted Diseases/epidemiology ; Syphilis ; Risk Factors
    Language Spanish
    Publishing date 2024-01-15
    Publishing country Argentina
    Document type Observational Study ; Case Reports ; English Abstract
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Análisis FODA: fortalecimiento de la prevención y el control de la tuberculosis en post pandemia de COVID-19, Hospital Muñiz, Buenos Aires.

    Sánchez Doncell, Javier / Braga, Ignacio / Cognigni, Lucia / Menéndez Veloz, Sandra / Francos, José L / González Montaner, Pablo

    Medicina

    2024  Volume 84, Issue 1, Page(s) 73–80

    Abstract: Introduction: The Hospital Muñiz's "Strengthening Epidemiological Surveillance in Tuberculosis (VET) Project" is focused on improving operational outcomes, specifically by enhancing early TB diagnosis. Our primary aim is to promptly identify individuals ...

    Title translation SWOT analysis: strengthening tuberculosis prevention and control in post COVID-19 pandemic, Hospital Muñiz, Buenos Aires.
    Abstract Introduction: The Hospital Muñiz's "Strengthening Epidemiological Surveillance in Tuberculosis (VET) Project" is focused on improving operational outcomes, specifically by enhancing early TB diagnosis. Our primary aim is to promptly identify individuals with tuberculosis (TB) who seek care at our institution following the COVID-19 pandemic.
    Methods: A SWOT analysis (Strengths, Weaknesses, Opportunities, and Threats) was carried out. It is an essential tool in strategic planning, which provides information for the implementation of actions and corrective measures in the generation of new improvement projects. The internal situation of the institution was evaluated to determine SWOT after the COVID-19 pandemic, in order to strengthen VET, through field epidemiological surveillance.
    Results: There are trained personnel, the possibility of early diagnosis and its opportune control generated from the Febrile Emergency Unit. The on-call service has an adequate control of the TB population that enables coordination and joint work with other programs (HIV), response capacity of the institution to outbreaks, epidemics and pandemics.
    Discussion: The application of this project will incorporate a strengthening activity in epidemiological surveillance, where the Muñiz Hospital, through a comprehensive approach and the identification of new cases, responds to the needs of the local population with TB. This will provide valid and reliable information for the prevention and control of TB in the institution after the COVID-19 pandemic.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Tuberculosis/epidemiology ; Tuberculosis/prevention & control ; Pandemics/prevention & control ; Hospitals ; Disease Outbreaks
    Language Spanish
    Publishing date 2024-01-15
    Publishing country Argentina
    Document type English Abstract ; Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Análisis del dengue autóctono en un hospital de enfermedades infecciosas en la ciudad de Buenos Aires, Argentina.

    Sánchez Doncell, Javier / Sotelo, Carina A / Menéndez, Sandra E / Braga, Ignacio / Giamperetti, Sergio / Francos, José L

    Medicina

    2024  Volume 84, Issue 1, Page(s) 81–86

    Abstract: Introduction: Dengue is a disease transmitted by mosquitoes of the Aedes genus; this has presented a historical increase in cases in South America, which represents a public health problem. From the Febrile Emergency Unit (UFU) of Hospital Muñiz, the ... ...

    Title translation Analysis of indigenous dengue in an infectious diseases Hospital in Buenos Aires, Argentina.
    Abstract Introduction: Dengue is a disease transmitted by mosquitoes of the Aedes genus; this has presented a historical increase in cases in South America, which represents a public health problem. From the Febrile Emergency Unit (UFU) of Hospital Muñiz, the laboratory results were analyzed and the circulating serotype was identified at the level of the Autonomous City of Buenos Aires (CABA), confirming the proportion of indigenous cases, recording symptoms and epidemiology. The objective of this analysis is to highlight the increase in indigenous cases of dengue in CABA.
    Methods: An observational and retrospective study was carried out, from January 1 to May 8, 2023, of the positive PCR results for dengue.
    Results: 1159 patients with febrile symptoms were assisted, of which 554 (47.7%) were probable cases while the remaining 542 (46.7%) were febrile syndromes of another etiology. Of the probable cases, 162 with positive PCR results (29%) were evaluated, of which 18 (11%) were imported and 144 (89%) native. DENV-2 predominated (86% of confirmed cases). The clinical manifestations were fever (100%), myalgia (100%), headache (98%), arthralgia (87%), nausea (46%), and retroocular pain (39%).
    Discussion: For 10 years, there has been an increase in the number of indigenous dengue cases in CABA. In the analysis of this article, autochthonous dengue appears as an outbreak at the city level. Notification of the clinic and epidemiology is important to consider public health strategies in the fight against dengue and possible new studies related to outbreaks and epidemics.
    MeSH term(s) Animals ; Humans ; Dengue/diagnosis ; Dengue/epidemiology ; Argentina/epidemiology ; Retrospective Studies ; Communicable Diseases/epidemiology ; Disease Outbreaks
    Language Spanish
    Publishing date 2024-01-15
    Publishing country Argentina
    Document type Observational Study ; English Abstract ; Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Análisis de los dos primeros años de pandemia COVID-19 en un hospital de enfermedades infecciosas, en Buenos Aires.

    Sánchez Doncell, Javier / Sotelo, Carina A / Lagrutta, Laura / Francos, José L / González Montaner, Pablo

    Medicina

    2023  Volume 83, Issue 2, Page(s) 233–240

    Abstract: Introduction: At the Muñiz Hospital, the Febrile Unit (UF) was established, a device that operates during the COVID-19 pandemic. Its implementation has demonstrated the importance of public policies in the health system, in addition to the possible ... ...

    Title translation Analysis of the first two years of the COVID-19 pandemic in an infectious diseases hospital in Buenos Aires.
    Abstract Introduction: At the Muñiz Hospital, the Febrile Unit (UF) was established, a device that operates during the COVID-19 pandemic. Its implementation has demonstrated the importance of public policies in the health system, in addition to the possible development of epidemiological surveillance and monitoring strategies that provide health contributions. An analysis of the first two years of the pandemic at UF-Muñiz was carried out. The objective of this unit is to determine which patients have poor prognostic criteria and define hospitalization. One of the most important characteristics of this UF is the care of a population with infectious diseases because this is a Hospital dedicated to this type of pathology.
    Methods: A retrospective, cross-sectional observational study was carried out with the objective of evaluating the hospitalizations made at UF-Muñiz during the period between January 2020 and December 2021.
    Results: 153 546 consultations were received, 2872 patients were admitted. In 2020, 1001 COVID-19 positive patients (76%) were admitted, 87 with tuberculosis (TB) (6.6%) and 102 with HIV (7.7%). In 2021, 991 positive COVID-19 patients (66%) were admitted, 151 with TB (10%) and 157 with HIV (10.5%) Conclusions: Only 1.9% of the consultations led to hospitalization, and the majority corresponded to COVID-19 positives, followed by HIV and TB cases in a smaller proportion. Chronic obstructive pulmonary disease (COPD) and obesity were the comorbidities that most frequently required hospitalization in COVID-19 patients.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Pandemics ; Retrospective Studies ; Cross-Sectional Studies ; Tuberculosis/epidemiology ; Hospitals ; Hospitalization ; HIV Infections/epidemiology ; Communicable Diseases/epidemiology
    Language Spanish
    Publishing date 2023-04-24
    Publishing country Argentina
    Document type Observational Study ; English Abstract ; Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Momentos históricos de la epidemiología en el Hospital Muñiz, Buenos Aires, Argentina.

    Sánchez Doncell, Javier / Sotelo, Carina / Cano, Eliana / Cesari, Cecilia / Francos, José Luis / González Montaner, Pablo

    Medicina

    2022  Volume 83, Issue 3, Page(s) 442–454

    Abstract: The Muñiz hospital is an institution with historical, cultural and health heritage. A historical analysis of the different epidemics/pandemics and outbreaks is carried out here, assessing the epidemiological management (surveillance, prevention, control ... ...

    Title translation Historical events in epidemiology, at the Muñiz Hospital, Buenos Aires, Argentina.
    Abstract The Muñiz hospital is an institution with historical, cultural and health heritage. A historical analysis of the different epidemics/pandemics and outbreaks is carried out here, assessing the epidemiological management (surveillance, prevention, control and emergency management) in the institution and the reason for its architecture. To this end, a systematic review of the literature on the history of the Muñiz hospital and its references was carried out, since 1980 to 2023, following the PRISMA format. Thirty-six publications were found that met the required methodological and epidemiological criteria. The review shows the relevant health problems, the events present in an epidemic/ pandemic, the importance of preventive measures and to assess the need for a continuous epidemiological surveillance system, as well as the contribution of historical methodological references that allow obtaining useful information in the health area. We have addressed great historical moments in epidemiology, explaining the management of diseases or epidemics/pandemics at the Muñiz hospital, which were largely related to the society of the time (paradigms). It should be noted that population growth spread diseases throughout the planet, generating threats, and that epidemics/pandemics transformed societies and quite possibly have decisively changed the course of history, as happened with the COVID-19 pandemic.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Pandemics ; Argentina/epidemiology ; Disease Outbreaks ; Hospitals
    Language Spanish
    Publishing date 2022-05-18
    Publishing country Argentina
    Document type Review ; English Abstract ; Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Viruela símica: Vigilancia epidemiológica en la Unidad de Monitoreo Ambulatorio Muñiz, Buenos Aires.

    Sánchez Doncell, Javier / Sotelo, Carina A / Braga, Ignacio / Francos, José L / Romano, Mónica / Gonzalez Montaner, Pablo

    Medicina

    2022  Volume 82, Issue 6, Page(s) 816–821

    Abstract: Introduction: Monkeypox (SV) is a zoonotic viral disease. Monkeypox virus belongs to the Orthopoxvirus genus of the Poxviridae family. In 1970 it was detected for the first time in humans, in the Democratic Republic of the Congo. It is currently ... ...

    Title translation Monkeypox: Epidemiological surveillance in the Muñiz Outpatient Monitoring Unit, Buenos Aires.
    Abstract Introduction: Monkeypox (SV) is a zoonotic viral disease. Monkeypox virus belongs to the Orthopoxvirus genus of the Poxviridae family. In 1970 it was detected for the first time in humans, in the Democratic Republic of the Congo. It is currently considered an endemic disease in central and western Africa. It can present with fever, malaise, painful lymphadenopathy and rash, and last between 2 and 4 weeks. It is usually selflimited, although severe cases have been described, mainly in immunocompromised people, with lethality varies between 3% and 6% in endemic countries. The objectives of epidemiological surveillance in suspected cases of SV are: to describe the personal variables, time and place of the reported cases, to track and follow up their contacts, to identify outbreaks and perform clinical epidemiological follow-up.
    Methods: A retrospective cohort study was conducted from June 9 to September 15, 2022.
    Results: 82 patients with compatible symptoms have been treated, 56 cases were positive and 26 negative. Of the 26 negative cases, 7 cases (27%) corresponded to chickenpox, 4 cases (15%) to syphilis, and 2 cases (8%) to herpes zoster.
    Conclusions: The first symptoms began two to five days prior to consultation, the most frequent being fever, myalgia, asthenia, headache, and painful lymphadenopathy. Epidemiological surveillance of SV provides timely detection of cases, continuous and systematic follow-up of contacts through an integrated process between surveillance and laboratory, to generate timely, valid and reliable information, which allows guiding prevention and control measures.
    MeSH term(s) Animals ; Humans ; Mpox (monkeypox)/diagnosis ; Mpox (monkeypox)/epidemiology ; Retrospective Studies ; Monkeypox virus ; Zoonoses ; Fever/epidemiology ; Lymphadenopathy/epidemiology
    Language Spanish
    Publishing date 2022-12-27
    Publishing country Argentina
    Document type English Abstract ; Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

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