Universidad Anáhuac Xalapa

Advancements in digital equipment have been applied to treating complex medical cases. However, the literature has not comprehensively reported these applications, and the outcomes of conventional surgeries have not been compared with robot-assisted surgeries to determine efficacy. Therefore, this literature review aimed to find and compare outcomes. According to existing literature, robot-assisted surgery has brought significant changes to various aspects of general surgical practice. The research outcomes have shown that robotic surgery minimizes surgical invasiveness by enabling smaller incisions, reducing blood loss, and accelerating patient recovery. The da Vinci Surgical System has shown enhanced surgical accuracy due to better control when operating in complex cases such as colorectal resections, pancreaticoduodenectomy, and hernia repairs. The use of robotic systems enables surgeons to remain comfortable while performing complex procedures because the system allows them to maintain ergonomic body positions. Robotic systems lead to better clinical outcomes for patients, such as rapid hospital discharge, fewer complications, and faster recovery times. The advantages of robotic surgery will become more apparent once technical challenges regarding costs, learning curves, and haptic feedback are fully addressed.

Performing a comprehensive history and physical examination is the first stage in treating any hand injury. This includes finding out the mechanism and timing of the injury, hand dominance, tetanus status, the patient's occupation, and baseline function. It is critical that the primary care physician oversee initial care in order to promote prompt healing and reduce long-term morbidity. It's crucial to identify injuries that need to be sent to hand surgeons as away. To enable prompt therapy of such an accident, direct phone communication between the on-call hand surgeon and the primary care physician is crucial.

Laparoscopic cholecystectomy quickly became the procedure of choice for treating patients with biliary discomfort and gallstone problems after the initial reports appeared in the late 1980s. Technical advancements, particularly in miniature video cameras and specialized equipment, played a crucial role in the evolution of laparoscopic cholecystectomy. Subsequent improvements in the design and production of instruments and equipment have further enhanced the safety and efficacy of minimally invasive surgery, extending its application to the treatment of various gastrointestinal illnesses, including gallstone disease.

The management of healing in burned patients is a critical aspect of burn care, with profound implications for patient outcomes. This bibliographic review article explores the epidemiology, transcendence, definition, risk factors, complications, and management of healing in burned patients. The discussion delves into various strategies and advances in the field, ultimately emphasizing the importance of a comprehensive approach to healing in the burned patient.

Understanding behavioral systems as emergent systems comprising the environment and organism subsystems, include spatial dynamics as a primary dimension in natural settings. Nevertheless, under the standard approaches, the experimental analysis of behavior is based on the single response paradigm and the temporal distribution of discrete responses. Thus, the continuous analysis of spatial behavioral dynamics is a scarcely studied field. The technological advancements in computer vision have opened new methodological perspectives for the continuous sensing of spatial behavior. With the application of such advancements, recent studies suggest that there are multiple features embedded in the spatial dynamics of behavior, such as entropy, and that they are affected by programmed stimuli (e.g., schedules of reinforcement) at least as much as features related to discrete responses. Despite the progress, the characterization of behavioral systems is still segmented, and integrated data analysis and representations between discrete responses and continuous spatial behavior are exiguous in the experimental analysis of behavior. Machine learning advancements, such as t-distributed stochastic neighbor embedding and variable ranking, provide invaluable tools to crystallize an integrated approach for analyzing and representing multidimensional behavioral data. Under this rationale, the present work (1) proposes a multidisciplinary approach for the integrative and multilevel analysis of behavioral systems, (2) provides sensitive behavioral measures based on spatial dynamics and helpful data representations to study behavioral systems, and (3) reveals behavioral aspects usually ignored under the standard approaches in the experimental analysis of behavior. To exemplify and evaluate our approach, the spatial dynamics embedded in phenomena relevant to behavioral science, namely, water-seeking behavior and motivational operations, are examined, showing aspects of behavioral systems hidden until now.

Stability analysis plays an essential role in control systems design. This analysis can be done using different techniques that show the equilibrium points are stable (or unstable). This paper focuses on fractional systems of order 0 < α < 1 modeled by the Atangana–Baleanu derivative of Riemann–Liouville type (ABR), which allows consistent modeling of a large class of physical systems with complex dynamics. The main contribution of the paper consists of some novel inequalities for the Atangana–Baleanu derivative of the Riemann–Liouville type. Furthermore, the proposed study allows considering both quadratic and convex Lyapunov functions to analyze stability in ABR systems by applying the Direct Lyapunov Method.

We aimed to determine the prevalence of decreased kidney function in a potential chronic kidney disease (KD) of unknown aetiology hotspot in Mexico, assess its distribution across occupations and examine the associated risk factors. A cross-sectional study collected sociodemographic, occupational, medical and biometric data from 616 men and women aged 20-60 years who were residents of three communities within the Tierra Blanca region in Mexico. Kidney function was assessed by standardized serum creatinine and estimated glomerular filtration rate (eGFR) and semi-quantitative albumin-to-creatinine ratio (ACR). To examine the distribution of decreased kidney function within the population, age- and sex-adjusted prevalence of low eGFR (≤60 mL/min/1.73 m2) was estimated for all participants and across occupations. Multivariable logistic regression was used to assess the association of occupation with having low eGFR. Of the 579 participants analysed (37 excluded due to missing data), the age- and sex-adjusted prevalence of low eGFR was 3.5%. Agriculture was the occupation associated with the highest adjusted prevalence of low eGFR (8.8%), with 1 in every 11 agricultural workers having low eGFR. Working in agriculture was independently associated with more than a 5-fold risk of having low eGFR [odds ratio 5.2 (95% confidence interval 1.1-24.3), P = 0.032], after adjustment for age, sex, diabetes, hypertension, body mass index, ACR and family history of KD. Additionally, a quarter of the population (25%) had either low eGFR or an ACR >30 mg/g, mostly due to albuminuria. Our work suggests that there is a high prevalence of decreased kidney function in Tierra Blanca, particularly amongst agricultural workers.

El aflojamiento asptico y ostelisis es actualmente la tercera causa de falla e indicacin para revisin en la artroplastia total de cadera. El mejor entendimiento de la fisiopatologa, las causas y las formas de prevencin de la ostelisis han disminuido significativamente su prevalencia durante los ltimos 20 aos. Hoy en da 10-15% de las cirugas ATC de revisin tienen como indicacin el AA y ostelisis, de estas revisiones 41% de los casos requieren revisin de todos los componentes, y 50% de los casos requieren slo recambio de alguno de los tres componentes (13-17% componente femoral, 13-17% componente acetabular y 13-17% cambio de cabeza femoral-liner acetabular). La mayora de los casos de AA son asintomticos hasta la falla total del implante. En todos los casos de aflojamiento es obligatorio descartar que no se trate de un aflojamiento sptico. La tomografa computarizada es el mtodo ideal para clasificar el grado de ostelisis, tanto femoral como acetabular, y para una correcta planificacin preoperatoria.