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M García Sánchez

Publications and source records attributed to M García Sánchez.

11 recordsLinked to original sources
PubMed2000

[The Charity (La Caridad) Hospital in Coruna. Foundlings and secret deliveries].

The ideas of the Age of Enlightenment brought about an important advance in the attitudes regarding education and the importance that children have in society. This made it possible to start opening dispensaries, to paying more attention to child care, to contemplating special measures in the care for foundlings and for those mothers who were not able to give birth to their children inside a family structure. This article analyzes the cases of foundlings in La Coruña during the 18th and 19th centuries bearing in mind the care provided by the Charity Hospital in La Coruña and in the Maternity Center in Lugo. A summary of this article was presented as a open communication at the 16th National Congress of Nursing for Neonatal and Pediatrics Intensive Care.

Child↗
PubMedDate not supplied

[Role of early colonoscopy in severe acute lower gastrointestinal bleeding].

BACKGROUND: Severe acute lower gastrointestinal bleeding (SALGIB) accounts for 15% of cases of acute lower gastrointestinal bleeding (ALGIB). The incidence increases with age and comorbidity. Identification of the origin of bleeding may be difficult. Colonoscopy has been proposed as the primary investigative tool. AIM: To assess the role of early colonoscopy as the primary method of evaluation in patients with SALGIB. PATIENTS AND METHOD: Retrospective study based on a guideline for clinical practice approved in our institution. The study included 50 patients with SALGIB admitted to our gastrointestinal bleeding unit between January 1998 and April 2000. SALGIB was suspected when patients fulfilled two or more of the following criteria: 1) significant hemodynamic compromise, 2) decrease in hemoglobin 2 g/dl, and 3) transfusion requirement >= 2 blood units. Early colonoscopy was performed within 24 hours of onset of bleeding. An accurate endoscopic diagnosis was established if a lesion with active bleeding, visible non-hemorrhagic vessel or adherent red clot was identified. A presumptive diagnosis was made when hematochezia or fresh blood localized in a colonic segment, associated with a single, potentially hemorrhagic lesion, was observed and when the results of esophagogastroduodenoscopy were negative. Colonoscopy, esophagogastroduodenoscopy, barium studies, nuclear scan and angiography were performed. RESULTS: Two hundred twenty-two patients were admitted for ALGIB. Fifty patients(22%) fulfilled the SALGIB criteria. The male/female ratio was 1:1. Definitive diagnosis was accurate in 20 patients. The most frequent cause was angiodysplasia (6 patients) and rectal ulcer (6 patients). Eighteen patients had a presumptive diagnosis; of these 14 had diverticulosis. In 12 patients, no cause was identified. Colonoscopy was performed in 45 patients, of which 32 were performed early and 13 electively. Accurate endoscopic diagnosis was more frequently established with early colonoscopy than with elective colonoscopy (15 [47%] vs 2 [15%], p < 0.05). The results of urgent nuclear scans contributed to accurate diagnosis in 5 out of the 10 patients in whom this technique was performed. Angiography was performed in 2 patients. Endoscopic therapy was attempted in 4 patients, all during early colonoscopy. Ten patients (20%) underwent surgery and 3 patients (6%) died. CONCLUSIONS: In 22% of patients with ALGIB admitted to our hospital bleeding was severe. Colonoscopy is the diagnostic tool of choice. When performed within 24 hours of hospital admission, this technique provides more accurate diagnosis than when performed electively.

Acute Disease↗
PubMedDate not supplied

[Primary malignant melanoma of the penis. Considerations apropos of a case].

The authors present a case of primitive malignant melanoma of the penis. At the same time they make a review of the world bibliography on this illness, in which they find only 50 cases published. They make a series of comments on the peculiar evolution of the case presented, in comparison to those described. They feel that the most important factor of the case presented is its rarity and the diagnostic difficulties involved.

Aged↗