Guides for Cardiopulmonary Resuscitation

The objective of the present article is the approach of 2010 ECC & CPR Guidelines and their principal modifications. Guidelines are the result of scientific evidence and clinical research that support statements and new recommendations. Some important changes in 2010 present in the Chain of Survival which includes aspects of Postresuscitation Care1,2. CPR Guidelines were published and uploaded on-line (Resuscitation and Circulation publication) in October 18th, 20109,10. One of the most important training and learning strategies is the dissemination of concepts from ILCOR CPR and ECC Guidelines which had extended into ERC and AHA. This has allowed the medical personnel to treat patients victims of cardiac arrest or cardiac emergency efficiently. We are convinced that interactive methodology and clinical simulation are essential for training and learning. We cannot know cardiopulmonary resuscitation without discussion of science and performance of lively clinical scenery cases for each of the main topics in CPR and ECC; El presente artículo busca como objetivo primordial, una aproximación a las Guías 2010 y principales cambios; estamos convencidos que el entrenamiento y aprendizaje de ella se basa en los conceptos de metodología activa y simulación clínica, no podemos tener un conocimiento de la ciencia y protocolos de reanimación cardiopulmonar sin antes no haber experimentado la discusión de temas y desarrollo de casos escenarios vivenciales, para cada uno de los tópicos descritos a continuación. Una de las estrategias más importantes es la diseminación de los conceptos contenidos en las Guías ILCOR de Reanimación Cardiopulmonar que se han consensuado en la ERC y AHA. Ello ha permitido que el personal de salud trate a los pacientes victimas de paro cardiaco o emergencias cardiacas con mayor eficiencia. Las guías actuales fundamentan todos sus aspectos en investigación y recomendaciones, los cambios se iniciaron con una variación sustantiva de la cadena de supervivencia incorporando conceptos de integración de cuidados postparo1,2. Las Guías de Reanimación Cardiopulmonar fueron publicadas y puestas on-line (Resuscitation y American Heart Association) en Octubre 18, 20109,10.
Authors: Escalante-Kanashiro, Raffo
Source: Acta méd. peruana 

URL: http://hdl.handle.net/10757/323461

Rectal mucosal prolapse syndrome: study of cases. Hospital Daniel A Carrion, Lima, Peru, 2010-2013

Objective: to describe the clinical, endoscopic, and histological characteristics of rectal mucosal prolapse syndrome, formerly known as Solitary rectal ulcer, in patients from a general hospital. Material and methods: All patient diagnosed as rectal mucosal prolapse syndrome during 2010-2013 was selected; the medical history war reviewed and the histological slides were reevaluated by two pathologists. Results: 17 cases of rectal mucosal prolapse syndrome were selected, the majority were males under 50 years, the most common clinical findings were rectal bleeding (82%) and constipation (65%), the endocopic findings were heterogeneous,: erythema (41%), ulcers (35%) and elevated lesions (29%). All cases presented fibromuscular hyperplasia in lamina propia and crypt distortion in the microscopic evaluation. Conclusion: In our study of rectal mucosal prolapse syndrome. The most common clinical findings were rectal bleeding and constipation. Erythematous mucosa was the most common endoscopic finding.; Objetivo: Describir el espectro clínico endoscópico e histológico de síndrome de prolapso de mucosa rectal, antes llamado ulcera rectal solitaria, en pacientes de un hospital general. Material y métodos: Se recolectaron los casos diagnosticados como síndrome de prolapso de mucosa rectal durante los años 2010-2013. Las historias clínicas fueron revisadas y las láminas fueron reevaluadas por 2 patólogos. Resultados: Se seleccionaron 17 casos de prolapso de mucosa rectal, la mayoría en varones menores de 50 años, los hallazgos clínicos más frecuentes fueron rectorragia (82%) y constipación (65%), con hallazgos endoscópicos muy variables que incluyó eritema (41%), ulceras (35%) y lesiones elevadas (29%). Todos los casos presentaron hiperplasia fibromuscular en lámina propia y distorsión de criptas en la evaluación histológica Conclusión: En nuestro estudio de síndrome de prolapso de mucosa rectal la rectorragia y la constipación fueron los hallazgos clínicos más frecuentes. El eritema mucoso fue la presentación endoscópica más frecuente.
Authors: Arévalo Suarez, Fernando; Cárdenas Vela, Irene; Rodríguez Rodríguez, Kriss; Pérez Narrea, María Teresa;Rodríguez Vargas, Omar; Montes Teves, Pedro; Monge Salgado, Eduardo
Source: Rev. gastroenterol. Perú

URL: http://hdl.handle.net/10757/323460

Probiotics, prebiotics, and symbiotics in the irritable bowel syndrome

Irritable intestine syndrome is a common condition that affects millions of persons all over the world. It has a significant impact in the quality of life of affected persons, influencing their social and working environments and leading to individual suffering and a macroeconomic impact because of increased absenteeism and poor working performance. Prebiotics and probiotics are supplements of nondigestible diet, made up of some chemicals and live microorganisms (bacteria or yeasts from the intestinal commensal flora), which, when ingested in optimal amounts (symbiotic therapy), are beneficial for human health. With no doubt, the intestinal mucosa is the greatest surface in the human body exposed to external stimuli, and it also contains a high proportion of immune cells. Any alteration in homeostasis between beneficial and potentially harmful microorganisms in the intestinal microflora is expressed as an increased risk for the occurrence of infectious and immune and inflammatory diseases; therefore, prebiotics and probiotics may help to maintain a harmonic environment in the intestine.
Authors: Guzmán Calderón, Edson; Montes Teves, Pedro; Monge Salgado, Eduardo
Source: Acta méd. peruana

URL: http://hdl.handle.net/10757/323261

Cytomegalovirus pancreatitis in immunocompromised patients: A case report

We report two cases of pancreatitis secondary to cytomegalovirus infections which were tested by reverse transcription polymerase chain reaction (RT-PCR) in patients with human immunodefi ciency virus (HIV). Other causes were ruled out by laboratory fi ndings. Both patients were treated with ganciclovir and improved clinically and as indicated by laboratory fi ndings. This condition should not be ignored in HIV-positive patients in spite of the absence of the clinical characteristics of acute pancreatitis.
Authors: Salazar-Huayna, Lourdes; Vélez-Segovia, Eduardo; Ruelas-Figueroa, José; Mendo-Urbina, Fernando; Montiel-Gonzales, Marco
Source: Rev Col Gastroenterol
URL: http://hdl.handle.net/10757/322906

Passive smoking could still represent a risk factor in Mexican children with asthma

We have read with interest the article by Bedolla et al. [1] and we believe the lack of association between passive smoking and asthma might be a consequence of the way the variable was measured. They defined passive smoking as follows: “smoking was considered as passive when one or more cigarettes were consumed by one or by both parents in the presence of the children”. We would like to highlight some factors that could have been taken into count when defining this variable: time of smoking, frequency and number of cigarettes.
Authors: Pinedo Pichilingue, Aranza; Quijano Ono, Javier
Source: Asia Pacific Allergy

URL: http://hdl.handle.net/10757/322423