{"title":"Trazando el Rumbo hacia la Inmunización: Explorando las Creencias, Actitudes, Desafíos y Estrategias de Vacunación en Estudiantes Universitarios ante la COVID-19","authors":"Anderson Díaz Pérez","doi":"10.47307/gmc.2023.131.4.18","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.18","url":null,"abstract":"La pandemia de la COVID-19 ha tenido un profundo impacto en la sociedad y en los estudiantes universitarios con la vacunación emergiendo como una herramienta esencial para enfrentarla. No obstante, la aceptación y participación en los programas de vacunación entre estudiantes varía ampliamente debido a creencias, actitudes y obstáculos diversos. Las creencias y percepciones estudiantiles están influenciadas por la percepción del riesgo, la confianza en las autoridades de salud y la desinformación. Las actitudes positivas hacia la vacunación se basan en la confianza en la ciencia y la responsabilidad comunitaria, mientras que actitudes negativas reflejan temores a los efectos secundarios y, por ende, a la desconfianza.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing Challenges in a Symptomatic Patient with Moderate Pulmonary Stenosis: A Case Report","authors":"Andi Alief Utama Armyn","doi":"10.47307/gmc.2023.131.4.22","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.22","url":null,"abstract":"Introduction: Pulmonary stenosis is a common form of obstruction in the right ventricular outflow tract, characterized by the narrowing of the pulmonary valve, which results in obstructed blood flow. Case Presentation: A 17-year-old female presented with recurring shortness of breath, chest pain, and palpitations, especially during physical activity. On examination, a grade III/VI continuous murmur was heard at the upper left sternal border. Echocardiography confirmed moderate pulmonary valve stenosis, a left-to-right patent ductus arteriosus (PDA), and mild to moderate pulmonary regurgitation.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"15 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgical Treatment of Abdominal Aortic Aneurysms","authors":"Edmond Nuellari","doi":"10.47307/gmc.2023.131.4.13","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.13","url":null,"abstract":"Introduction: Surgical treatment of abdominal aortic aneurysms poses a significant challenge in the field of vascular surgery, with numerous factors influencing operative technique and surgical outcome. Objective: This study aimed to assess the outcomes of open surgical treatment for patients with abdominal aortic aneurysms at the Vascular Surgery Service of Mother Teresa University Hospital Centre in Tirana, and provide recommendations for improving outcomes. Methods: A total of 206 patients who underwent transabdominal and retroperitoneal surgical access between January 2008 and December 2015 were included in the analysis.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"44 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outcomes of Lightweight Mesh Sacrocolpopexy for Pelvic Organ Prolapse Repair","authors":"R. Banakhevych","doi":"10.47307/gmc.2023.131.4.2","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.2","url":null,"abstract":"Objective: The research objective is to present and evaluate 3 years of experience in sacrospinal fixation using polypropylene mesh in the surgical treatment of genital prolapse in women. Methods: This retrospective study evaluated perioperative and mid-term outcomes in 68 women who underwent transvaginal sacroscopic cervicocolpopexy with lightweight polypropylene mesh for stage II-IV prolapse with apical involvement. Anatomical outcomes, complications, and symptoms were assessed using POP-Q staging and validated questionnaires preoperatively and at 12 and 36 months postoperatively. Results: No intraoperative complications were observed. In the long-term postoperative period, the following were observed: vaginal wall erosion in transvaginal Mesh-systems placement along the postoperative suture line at 2.9 % (2/68), and chronic pelvic pain at 2.9 % (2/68). The percentage of anatomical success in restoring the position of the apical vaginal segment was 98.5 % (67/68) 12 months after surgery and remained unchanged after 36 months of follow-up.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"35 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Resilience, Well-Being, Happiness, and Social Support on the Levels of Perceived Negative Emotions of Colombian People During the COVID-19 Pandemic","authors":"Ricardo Camilo Rueda Mora","doi":"10.47307/gmc.2023.131.4.7","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.7","url":null,"abstract":"The research established the relationships between resilient coping, subjective well-being, subjective happiness, and social support on anxiety levels, depression, and perceived stress among Colombians during the COVID-19 pandemic in the department of Córdoba, Colombia. Participants were 997 elderly people of both genders with literacy skills and without the presence of cognitive impairment. The Brief Resilient Coping Scale (BRCS), the Happiness Scale (SHS), the Subjective Wellness Scale (SWLS), the Duke-UNC 12 social support scale, the PHQ-4 scale (anxiety-depression), and the Perceived Stress Scale (PSS-14) were used as measuring instruments. We worked with a nonexperimental cross-sectional design and a correlative scope.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"12 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual Disorders in Women: Causes and their Correction","authors":"Liana Spytska","doi":"10.47307/gmc.2023.131.4.15","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.15","url":null,"abstract":"Introduction: Difficulties caused by sexual disorders can lead to psychological problems in women associated with feelings of loneliness, shame, alienation, conflicts, and physical and psychological violence, therefore this issue needs detailed consideration. This research was conducted since sexual health is an integral part of a woman’s life and inextricably affects psychological well-being, a sense of happiness, and quality of life. Objectives: The research aimed to identify the prerequisites for the occurrence of sexual disorders and to select methods for effective psychocorrection. Methods: Several research methods were used in the work, such as dialectical, interpretive, synthesis and analysis, and questionnaire. The causes of sexual dysfunctions in women were analyzed, the relationship with psychological, physiological, and interpersonal factors was described, and the diagnostic criteria of certain types of disorders and their prevalence were given. The consequences of sexual disorders on the general psychological state of women and their relationships with partners are emphasized.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Importancia de la Nueva Clasificación OMS para la Caracterización Molecular de Oligodendrogliomas: A Propósito de un Caso Clínico","authors":"Sara Giraldo Acevedo","doi":"10.47307/gmc.2023.131.4.20","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.20","url":null,"abstract":"En 2021, la Organización Mundial de la Salud (OMS) emitió la nueva clasificación de tumores del sistema nervioso central destacando el diagnóstico molecular, histológico e inmunohistoquímico. Se presenta el caso clínico de una paciente femenina de 22 años quien durante 5 años tuvo movimientos anormales e involuntarios y un único episodio de alteración del estado de consciencia. Mediante estudios imagenológicos, histopatológicos e hibridación fluorescente in situ (FISH) se diagnostica oligodendroglioma con mutación de isocitrato deshidrogenasa (IDH) y co-deleción 1p19q. Se realizó craneotomía parcial y radioterapia adyuvante. La nueva clasificación de la OMS permite una terapia orientada y resultados clínicos favorables.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"32 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Infective Endocarditis in the Colombian Caribbean Region: Clinical Profile, Microbiological Insights, and Risk Factors for Mortality","authors":"Gabriela Solarte Bastidas","doi":"10.47307/gmc.2023.131.4.17","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.17","url":null,"abstract":"Background: Infective endocarditis (IE) is defined as the infectious and inflammatory process of the heart’s internal structures. It can be caused by a broad group of bacteria and, rarely, fungi, with potentially life-threatening consequences. Objective: To profile bacterial resistance and identify mortality risk factors in IE patients. Methods: This cross-sectional study included clinically diagnosed IE patients. Sociodemographic, comorbidity, clinical, and microbiological data were recorded. Descriptive analyses, Chi-Square/Fisher’s exact tests, and Student’s t-tests examined variables in relation to IE outcomes (survival vs. mortality). Multivariate logistic regression calculated odds ratios and confidence intervals.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"24 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Silicone Rubber/Polyvinyl Alcohol /Zirconium Oxide Compound on Mesenchymal Stromal Cells","authors":"Muhammad Reza Arifianto","doi":"10.47307/gmc.2023.131.4.8","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.8","url":null,"abstract":"Objective: This study aimed to conduct a cytotoxicity test in determining the viability and proliferation profile for novel material of silicone rubber/polyvinyl alcohol (PVA) with or without Zirconium oxide on mesenchymal stromal cell culture. Methods: An in vitro study was carried out on adipose-derived mesenchymal stromal cell culture. Samples were divided into five groups: control, silicone rubber/polyvinyl alcohol (PVA) without Zirconium oxide, silicone rubber/polyvinyl alcohol (PVA) with Zirconium oxide 1 %, 3 %, and 5 %. Each group contained 2×105 seeded MSCs/well stained with MTT for its viability. For proliferation, MTT staining was performed on days 1, 3, and 5 to assess the trend of the percentage of the living cell. Statistical analysis was conducted using ANOVA, or the Kruskal-Walli’s test with a CI of 95%.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"35 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors that Influence Malnutrition Among Toddlers in Padang, Indonesia after COVID-19","authors":"Deswita","doi":"10.47307/gmc.2023.131.4.9","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.9","url":null,"abstract":"Objective: This study aims to determine the factors influencing malnutrition among toddlers in Padang, Indonesia, post-COVID-19. Method: This study uses explanatory quantitative methods through a cross-sectional approach. Respondents were all mothers with malnourished children in Padang, totaling 256 people. Variables consist of early breastfeeding; exclusive breastfeeding; complementary feeding; infectious disease; socio-economic; parenting style; and environmental sanitation. All variables were measured through a survey using a questionnaire. Result: The bivariate statistical test using the Chi-Square test proved that all factors had a statistically significant p-value <0.05, meaning all variables significantly affected the incidence of partial malnutrition.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"14 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}