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<br class="Apple-interchange-newline"><div></div>   2797/5000   Mr. Editor Clinical trials are characterized by having one of the highest levels of scientific evidence1. A properly designed, executed and reported clinical trial constitutes the gold standard in the evaluation of medical interventions. Therefore, timely dissemination is essential to ensure that the clinical decisions made by physicians and patients reflect the best available evidence2. However, the literature reports that in the last decade only half of clinical trials carried out worldwide have been published3. A study conducted in the United States described that less than 30% of clinical trials were published within 2 years of completion in that country4. In the case of Latin America, only 15% of published clinical trials are reported5. In Peru, information regar...
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OBJETIVE: To evaluate the performance of ultrasound clinical trial proposed by the CLAP. MATERIALS AND METHODS: A descriptive study that evaluates the likelihood of association of small for gestational age (SGA) with factore risk and ultrasound findings. RESULTS: Correlation between risk factors and the cranial circumference (CC) and abdominal (CA) lower 5th percentile dle with PEG was found. CONCLUSIONS: A significant association between risk factors and the presence of small for gestational age fetus. The high specificity and negative predictive value DC and AC make this biometrics useful for the assessment of fetal growth.
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Objective: To identify, in the scientific literature on nursing education, the predominant curricular elements in the processes of incorporating the clinical competence-based approach. Competency-based education in the health field faces tensions derived from the transition from a traditional educational model to a competency-based one. Method: An umbrella review of scientific literature was conducted through a search in ten sources, including databases and scientific publishers: Science Direct, Web of Science, PubMed, EBSCO, Scopus, Embase, Dialnet, SciELO, Redalyc, and Springer. The Joanna Briggs Institute review protocol was adopted, which includes selection criteria, search strategy, study selection, methodological quality assessment, data collection, and synthesis. Inclusion criteria were: nursing students, clinical competencies, and literature reviews; exclusion criteria: reviews f...
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In the implant rehabilitations supported in the previous sector, a surgical and prosthetic protocol should be carried out as a mechanism to ensure the aesthetics and function of the procedure to be performed. The objective of this clinical case is to present a rehabilitation protocol in a soft tissue test and management document to preserve aesthetics through provisional prosthetic structures, ending with rehabilitation with the zirconium oxide abutment with titanium base and a crown of lithium disilicate as means to achieve high aesthetics. The prediction of a unitary implant in the anterior sector requires the clinician to know three-dimensional structures conjugated with a soft tissue and material handling in an appropriate way, to predict the medium- or long-term behavior in the protection and prevention of aesthetics.
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OBJECTIVE: To determine if the epidemiological, clinical and laboratorial features observed among hyperthyroid patients with Graves disease, influence the appearence of Graves Ophtalmopathy (GO). MATHERIAL AND METHODS: Analitical, observational and cross-sectional trial of 97 hyperthyroid patients. 69 patients completed the inclusion criteria. RESULTS: GO is more frequent among women (1, 1: 1) and in the fifth decade, although none of them were significant. Simultaneous onset between systemic complaints and GO, in the first six months, had statistical significance. Tobacco did correlate significantly with development of GO. Severe involvement of GO are more frequent in males. Exophtalmos was present in 27% of patients. CONCLUSIONS: The first six months of onset of clinical manifestations of Graves disease and smoking habit should alert us about the risk of GO development. Exophtalmos is ...
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Traumatic fibroma is a benign neoplasm that is triggered by the activation of platelet-derived growth factors (PDGF). These factors bind to specific receptors on the surface of fibroblasts, triggering the autophosphorylation of tyrosine residues and thus promoting the migration and proliferation of cells responsible for repair, such as fibroblasts. This injury arises mainly due to local, chronic or repetitive low-intensity traumatic factors, which can cause histological changes, such as pseudoepitheliomatous hyperplasia. The purpose of this work is to present a case of a traumatic fibroma derived from pausing and partially suspending dental consultations when wearing orthodontic appliances that are in contact with soft tissues. Demonstrating that in health emergency situations that lead to the closure of academic institutions where patients are treated, monitoring protocols must be imple...
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Vital signs like the fever usually are frustrating for the binomial doctor-patient; as such it is indispensable to have in mind a series of steps that direct us to the etiologic diagnosis of this pathological modality. We cannot face this disturbance by following protocols recommended by authors of the first world, as many times we remain halfway, constituting a loss of time and frustration. That is why we need to reorganize an established affluent protocol. In this paper, the English diagnosis protocol is reorganized in order to deduce the etiologic factor in Fever of unknown origin (FOD). Most of the authors expert on the subject recommend four divided diagnosis phases according to the tools (technological and scientific) of diagnosis. The intention of this paper is to regroup the diagnosis modality in benefit of hospital units of Latin America and other developing countries. We presen...
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From January 1995 to February 1996 in the Department of Surgery at Guillermo Almenara Irigoyen Hospital (General Surgery Service N° 5) we resolved to prepare a protocol of assessment and/or nutritional support in patients who are awaiting for surgery or who recently has undergone surgery. Our porponse is to decrease the morbimortality rate. After several work meetings, we resolved to offer this protocol for its aplication, as well as evaluation and follow up of the patients.
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Objective: To evaluate the frequency and distribution of adverse events that occur in the development of dental treatments performed by clinical operators of a Teaching Dental Clinic during 2015. Material and Methods: An observational and descriptive longitudinal and prospective study was carried out to evaluate the frequency of adverse events in the dental practice of Dentistry students, for which a System for the Registration and Notification of Adverse Events in Dentistry was implemented aimed at 110 clinical operators in the areas of Restorative Dentistry, Oral Surgery, Endodontics and Oral Rehabilitation during 2015. Results: 167 adverse events were reported, representing 10.18% of the total treatments performed during the monitoring and evaluation period. Common, depending on the clinical field, were “Post-restorative treatment hypersensitivity” (restorative dentistry), “Over...
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Sr. Editor.Debido a la pandemia por COVID-19, las universidades dejaron de tener clases presenciales para pasar a la virtualidad. Sin embargo, carreras profesionales como Odontología se han visto afectadas, ya que la educación presencial y clínica es fundamental para su adecuado aprendizaje. Se sabe que los odontólogos son los profesionales de salud más expuestos a este nuevo virus debido al contacto directo con la saliva 1. Por este motivo, es muy importante tener en cuenta algunas consideraciones y recomendaciones para los nuevos protocolos e infraestructura que debe tener una clínica odontológica universitaria.
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Sr. Editor.Debido a la pandemia por COVID-19, las universidades dejaron de tener clases presenciales para pasar a la virtualidad. Sin embargo, carreras profesionales como Odontología se han visto afectadas, ya que la educación presencial y clínica es fundamental para su adecuado aprendizaje. Se sabe que los odontólogos son los profesionales de salud más expuestos a este nuevo virus debido al contacto directo con la saliva 1. Por este motivo, es muy importante tener en cuenta algunas consideraciones y recomendaciones para los nuevos protocolos e infraestructura que debe tener una clínica odontológica universitaria.
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Objectives: To evaluate the clinical effects and radiographically analyze the effectiveness of fibrin-rich plasma (FRP) in post-extraction bone preservation in a resource-limited community, considering its potential to mitigate complications and facilitate future rehabilitation. Materials and Methods: A case series was conducted in San Vicente Chicoloapan, State of Mexico, analyzing four patients treated with FRP after dental extractions. The protocol included centrifugation of blood at 1300 rpm for 8 minutes to obtain FRP, which was placed in the alveolus after extraction. Clinical and radiographic follow-up was performed using Handy Dentist software to assess healing, changes in bone height, and density. Results: In all four cases, complete gingival healing was achieved without complications. The case with the longest follow-up showed 97.8% bone preservation at seven months. Radiograph...
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<br class="Apple-interchange-newline"><div></div>   2797/5000   Mr. Editor Clinical trials are characterized by having one of the highest levels of scientific evidence1. A properly designed, executed and reported clinical trial constitutes the gold standard in the evaluation of medical interventions. Therefore, timely dissemination is essential to ensure that the clinical decisions made by physicians and patients reflect the best available evidence2. However, the literature reports that in the last decade only half of clinical trials carried out worldwide have been published3. A study conducted in the United States described that less than 30% of clinical trials were published within 2 years of completion in that country4. In the case of Latin America, only 15% of published clinical trials are reported5. In Peru, information regar...
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The oral rehabilitation of periodontally compromised patients present a clinical challenges because takes many sensible steps, especially the patient's commitment to perform a maintenance plan. Therefore, in order to achieve the expected results, a multidisciplinary treatment involving specialties that work under a coordinated treatment plan is essential. The introduction of dental implants has provided benefits to leading to improving the quality of life and the satisfaction of the patient. In the present article a clinical case of a periodontal compromised patient is related, treatment and follow-up for six years to the success of such treatment an implant supported rehabilitation type hybrid prosthesis in the maxilla and crowns cemented on implants in the lower jaw is reported following a protocol that provides us with adequate treatment predictability and high patient satisfaction.
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Introduction: The premature loss of one or more primary teeth in children under 10 years of age, mainly due to dental trauma or a cariogenic process, causes a reduction of space for definitive teeth; in this case, it is essential to use space maintainers depending on each specific case, since the choice of an adequate method would prevent later problems arising from the loss of space as well as from inadequate use of these devices. Objective: To analyze the use of fixed retainers in the absence of primary molars in patients under 10 years of age. Materials and methods: A descriptive review of the literature was carried out using search strategies in the PubMed database published between 2017 and 2022. Results: Through the strategies used, 53 articles were found, from which those that did not contain com­parisons between space maintainers and cementation failures were removed, leaving 14...
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Introduction: The premature loss of one or more primary teeth in children under 10 years of age, mainly due to dental trauma or a cariogenic process, causes a reduction of space for definitive teeth; in this case, it is essential to use space maintainers depending on each specific case, since the choice of an adequate method would prevent later problems arising from the loss of space as well as from inadequate use of these devices. Objective: To analyze the use of fixed retainers in the absence of primary molars in patients under 10 years of age. Materials and methods: A descriptive review of the literature was carried out using search strategies in the PubMed database published between 2017 and 2022. Results: Through the strategies used, 53 articles were found, from which those that did not contain com­parisons between space maintainers and cementation failures were removed, leaving 14...
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Objective: To propose the use of extraoral laser therapy to treat odynophagia associated with radioinduced hypopharyngeal mucositis. Odynophagia is characterized by swallowing pain, often requiring diet changes, which directly impacts the patient’s quality of life. Material and Methods: The investigation was an observational descriptive study with case series report. Was performed application of extraoral photobiomodulation for three oncologic patients with odynophagia associated with oral and hypopharyngeal mucositis radioinduced, with low-level laser therapy (Therapy XT DMC®) with λ808nm, 100mW power and 4J energy, 40 seconds per point. Reports of three patients who underwent treatment were collected, transcribed and reviewed qualitatively. The laser application points were proposed based on a previous anatomical study in cadavers, which sought to identify the best area of applicat...
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Squamous cell carcinoma arises from the epithelium of the oral mucosa, common in the fifth and sixth decades of life and is typically associated with risk factors such as smoking and alcohol consumption. Worldwide, the incidence of oral cancer is higher among men than women. The increase in the incidence of cancer in Mexico requires proper management and the use of vascularized flaps to repair defects generated by a hemimandibulectomy with safety margins. Despite the advent of vascularized free tissue grafts, the myocutaneous pectoralis major flap remains a pedunculated flap widely used for the reconstruction of soft tissue defects in the oral and maxillofacial region. The surgical protocol carried out at the ISSSTE “General Ignacio Zaragoza” Regional Hospital for the treatment of mandibular squamous cell carcinoma is shown.
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The goal was to compare the characteristics of affection in women victims and non victims of couple violence in a university clinic by Rorschach . It was based on a mixed approach quantitative descriptive comparative and qualitative turn through discourse analysis of the responses given by subjects in the protocols. Affectivity in women victims and non-victims of partner violence was characterized , to that end the Rorschach and Self-Diagnosis Questionnaire violence by intimate partners , who collected data on participants and information on dating violence was applied suffered . A quantitatively significant differences (p < 0.05) between female victims and non-victims of violence in some Rorschach variables that make up the cluster indicators affectivity control and modulation of emotions (FC), emotional responsivity (Afr) were revealed, search of independence and assertiveness (S) a...
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BACKGROUND AND OBJECTIVES: Traumatic brain injury (TBI) is a major global public health problem. It is a leading cause of death and disability in children and adolescents worldwide. Although increased intracranial pressure (ICP) is common and associated with death and poor outcome after pediatric TBI, the efficacy of current ICP-based management remains controversial. We intend to provide Class I evidence testing the efficacy of a protocol based on current ICP monitor-based management vs care based on imaging and clinical examination without ICP monitoring in pediatric severe TBI. METHODS: A phase III, multicenter, parallel-group, randomized superiority trial performed in intensive care units in Central and South America to determine the impact on 6-month outcome of children aged 1-12 years with severe TBI (age-Appropriate Glasgow Coma Scale score ?8) randomized to ICP-based or non-ICP-b...