Objetivos: describir las características de la población con diabetes mellitus tipo 2 (dm2) infectada por sars-CoV-2 y evaluar si existe asociación entre antecedente de dm2 y severidad a covid-19. Métodos: muestreo no probabilístico por conveniencia, se obtuvo información del Sistema de Notificación en Línea para la Vigilancia Epidemiológica (sinolave) de la Unidad de Medicina Familiar No. 28 del Instituto Mexicano del Seguro Social. Se identificaron 1688 casos confirmados de covid-19 y se agruparon en pacientes con y sin dm2. Se realizó análisis estadístico bivariado con los programas Excel 2019 y Stata v. 15.1; se utilizaron medidas de asociación mediante regresión logística de Poisson y prueba de χ2 con significancia estadística <0.05. Resultados: se observó que, en los pacientes con covid-19 y dm2, la razón de prevalencia de infección respiratoria aguda grave, el diagnóstico de neumonía, la hospitalización y defunción fueron mayores en comparación con el grupo sin dm2. Conclusión: la frecuencia de características desfavorables fue mayor en el grupo de pacientes con dm2. Las condiciones sanitarias ocasionadas por la covid-19 refuerzan la pertinencia de realizar una búsqueda intencionada de pacientes diabéticos no diagnosticados, sin tratamiento o bajo tratamiento con mal control glucémico, a fin de evitar complicaciones mayores de salud.
Objectives: To describe the characteristics of the population diagnosed with type 2 Diabetes Mellitus (dm2) infected by sars-CoV-2, and to evaluate whether there is an association between dm2 history and covid-19 severity. Methods: non-probabilistic by convenience sampling, information was obtained from the Online Notification System for Epidemiological Surveillance (sinolave) of the Family Medicine Unit No. 28 of the Mexican Institute of Social Security. A total of 1688 confirmed cases of covid-19 were identified and grouped into patients with and without dm2. Bivariate statistical analysis was performed with Excel 2019 and Stata v. 15.1 programs; measures of association were used using Poisson logistic regression and χ2 test with statistical significance <0.05. Results: it was observed that, in patients with covid-19 and dm2, the prevalence ratio of severe acute respiratory infection, diagnosis of pneumonia, hospitalization, and death were higher compared to the group without dm2. Conclusion: the frequency, of unfavorable characteristics, was higher in the group of patients with dm2. Health conditions caused by covid-19 reinforce the relevance of an intentional search for undiagnosed diabetic patients, untreated or under treatment with poor glycemic control, in order to avoid major health complications.
The objective of the study was to describe our surgical and technical experience by reporting a series of 51 aneurysms treated by a pterional craniotomy as a unique approach for aneurismatic lesions of the cerebral arterial circle (Willis polygon). Retrospective study that reports a series of 37 patients (25 females and 12 males) with diagnosis of aneurismatic lesions from different localization in the Willis polygon from January 2012 to March 2015. Fifty one (51) aneurismatic lesions were treated by a unique pterional craniotomy, including 8 cases of multiple aneurismatic disease and 9 giant aneurysms. Every lesion was clipped by the same pterional modified approach. Every step of this procedure was described and illustrated sequentally. This analysis establishes that the modified frontotemporoesfenoidal (pterional) craniotomy allows surgical access to the clipping of these vascular lesions, from the circle of Willis which correlates with previous evidence. The detailed description of the surgical technique promotes a proper understanding of surgical anatomy and allows playback of this technique.
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