Horizonte Medico最新文献

{"title":"Detección de anticuerpos neutralizantes en profesionales de la salud vacunados contra el SARS-CoV-2","authors":"Arturo Pareja Cruz, J. Delgado, Pedro Javier Navarrete Mejía, Julio Cesar Dorado Espino","doi":"10.24265/HORIZMED.2021.V21N3.02","DOIUrl":"https://doi.org/10.24265/HORIZMED.2021.V21N3.02","url":null,"abstract":"Objetivo: Determinar la presencia y concentracion de los anticuerpos neutralizantes en el suero de individuos que recibieron la vacuna contra el SARS-CoV-2 desarrollada por la empresa Sinopharm. Materiales y metodos: Investigacion descriptiva y transversal. En el estudio se incluyeron 117 profesionales de la salud inoculados con dos dosis de la vacuna Sinopharm, en quienes se habia detectado la presencia de anticuerpos neutralizantes contra SARS-CoV-2 en el suero mediante la tecnica de inmunoensayo de electroquimioluminiscencia (eCLIA). Las variables consideradas en el estudio fueron la edad, el sexo, la concentracion de anticuerpos neutralizantes y el antecedente de haber tenido COVID-19. Resultados: Se evidencio el incremento significativo de la concentracion de anticuerpos neutralizantes en las personas que recibieron la vacuna y tuvieron una infeccion previa por SARS-CoV-2 (p < 0,001) respecto a las que se vacunaron, pero no presentaron infeccion previa. Conclusiones: El estudio evidencia que la vacunacion refuerza la inmunidad contra el nuevo coronavirus en los pacientes con diagnostico previo de COVID-19 y sugiere la relevancia de la aplicacion de una tercera dosis de esta vacuna.","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"21 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49012043","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":"The Delta variant and the change of strategy on the public health chessboard","authors":"F. L. Caparó, A. P. Cruz","doi":"10.24265/horizmed.2021.v21n3.01","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n3.01","url":null,"abstract":"","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41794407","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":"Esquema de manejo de COVID-19 en adultos","authors":"Ana Pumapillo Garcia, Carmen Zaira Quispe Castillo","doi":"10.24265/horizmed.2021.v21n1.11","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n1.11","url":null,"abstract":"","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68832418","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":"Características clínicas y morbimortalidad en cirugía abdominal de emergencia en pacientes con COVID-19","authors":"Daniel Pinares Carrillo, David Ortega Checa, Iván M. Vojvodic Hernandez, Katherine Rios Quintana, José Apaza Alvarez, Jorge Alemán López","doi":"10.24265/horizmed.2021.v21n1.02","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n1.02","url":null,"abstract":"","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68832393","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":"Seguridad y eficacia de ivermectina en tiempos de COVID-19","authors":"Arturo Pareja Cruz, Julio César Luque Espino","doi":"10.24265/horizmed.2021.v21n1.10","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n1.10","url":null,"abstract":"","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68832409","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":"Precisión del pronóstico de la dinámica de propagación del COVID-19 en Perú","authors":"Daniel Angel Córdova Sotomayor, Flor Benigna Santa María Carlos","doi":"10.24265/horizmed.2020.v20n3.06","DOIUrl":"https://doi.org/10.24265/horizmed.2020.v20n3.06","url":null,"abstract":"espanolObjetivo: Analizar la precision del pronostico del modelo suavizado de Brown para predecir la propagacion de la COVID-19 en Peru, entre el 6 de marzo al 30 de mayo del 2020. Materiales y metodos: Estudio descriptivo basado en un analisis de series de tiempo correspondiente al periodo comprendido entre el 6 de marzo al 30 de mayo del 2020 en Peru. Se utilizo la informacion de la cantidad de casos positivos de COVID-19 (155 671 personas). El modelo empleado como metodo de prediccion fue el pronostico suavizado de Brown que consiste en realizar dos suavizaciones exponenciales, a partir de las cuales se calcula el pronostico: en la primera se emplean los valores observados en la serie de tiempo; y la segunda, la serie que ha sido obtenida mediante la primera atenuacion. Las medidas de precision utilizadas fueron el error medio del pronostico (EMP), el error medio al cuadrado (EMC), la desviacion absoluta de la media (DAM) y el porcentaje de error medio absoluto (PEMA). Para determinar si los datos se ajustan al modelo evaluado se utilizo el coeficiente de determinacion (R2). Resultados: El error medio del pronostico (EMP) fue de 156,7; el error medio al cuadrado (EMC) fue de 506461,3; la desviacion absoluta de la media (DAM) fue 450,6 y el porcentaje de error medio absoluto (PEMA) fue 9,03 %. El coeficiente de determinacion (R2) fue de 0,8078. Conclusiones: El error de precision o porcentaje de error medio absoluto (PEMA) fue del 9,03 %, con un coeficiente de determinacion (R2) de 0,8078; lo que indica que los datos se ajustan en un 80,78 % al modelo evaluado. English Objective: To analyze the forecast accuracy of Brown's exponential smoothing model to predict the spread of COVID-19 in Peru from March 6 to May 30, 2020. Materials and methods: A descriptive study based on a time series analysis conducted from March 6 to May 30, 2020 in Peru. The information on the number of positive cases of COVID-19 (155,671 people) was used. The prediction method was Brown's exponential smoothing model, which consists in carrying out two exponential smoothings from which the forecast is calculated: the time series values were used in the first smoothing, and the first attenuation series was used in the second one. Accuracy measures used in the research were: mean forecast error (MFE), mean squared error (MSE), mean absolute deviation (MAD) and mean absolute percentage error (MAPE). The coefficient of determination (R2) was used to establish if the data fits the evaluated model.Results: MFE was 156.7, MSE was 506461.3, MAD was 450.6 and MAPE was 9.03 %. R2 accounted for 0.8078. Conclusions: Accuracy error or MAPE was 9.03 % and R2 was 0.8078, which indicates that the data fits by 80.78 % to the evaluated model.","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":" ","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49231966","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":"Definiciones, criterios diagnósticos y valoración de terminalidad en enfermedades crónicas oncológicas y no oncológicas","authors":"José Amado, T. Oscanoa","doi":"10.24265/HORIZMED.2020.V20N3.11","DOIUrl":"https://doi.org/10.24265/HORIZMED.2020.V20N3.11","url":null,"abstract":"espanolLos cambios demograficos mundiales han producido nuevos retos en el sistema de salud. La atencion de pacientes de mayor edad y con problemas de salud mas complejos se ha incrementado de manera importante y sobrepasan nuestra capacidad de respuesta; el Peru no escapa a esta realidad. Estos pacientes necesitan cada vez mayores cuidados y la enfermedad cronica en fase avanzada requiere un cambio de enfoque; de los tratamientos agresivos con fines curativos hacia un enfoque paliativo, de mejora de la calidad de vida, asociado a un importante contenido social. La enfermedad en fase terminal se situa en la etapa final de la vida, en la que existe dano irreversible y multiples sintomas somaticos, psicologicos y espirituales, con gran impacto en el paciente y su familia. Se ha estudiado con relativa frecuencia la enfermedad oncologica en fase terminal, sin embargo, las no oncologicas tienen mayor frecuencia y sobrevida. El objetivo de la presente revision es hacer un compendio de las definiciones operacionales de esta condicion, describir criterios diagnosticos especificos de terminalidad, resumir instrumentos para identificar necesidad de cuidados paliativos y escalas de pronostico publicadas en la literatura cientifica. EnglishGlobal demographic changes have generated new challenges in the health system. Treating increasingly older patients with more complex health problems has significantly raised and exceeded our response capacity, and Peru is not indifferent to this situation. These patients need more and more care, and late-stage chronic diseases require an approach change: from aggressive healing treatments to palliative ones which improve quality of life and are associated with an important social content. Late-stage diseases occur in the final stage of life, where irreversible damage; multiple somatic, psychological and spiritual symptoms; as well as great impact in the patients and their families take place. Late-stage cancer diseases have been studied on a relatively frequent basis; however, non-cancer diseases occur more often and result in better survival rates. This review article aims at gathering the operational definitions of this condition, describing the specific diagnostic criteria of terminality, and summarizing the instruments to identify the need of palliative care and the prognostic scales published in the scientific literature.","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"20 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42958017","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":"Índices ecocardiográficos y estancia hospitalaria en pacientes con insuficiencia cardiaca aguda en el Hospital Guillermo Almenara Irigoyen, 2015","authors":"Ciro Barrantes Alarcón","doi":"10.24265/horizmed.2020.v20n3.02","DOIUrl":"https://doi.org/10.24265/horizmed.2020.v20n3.02","url":null,"abstract":"espanolObjetivo: Conocer la asociacion entre el tiempo de estancia hospitalaria en casos de insuficiencia cardiaca aguda con cuatro indices ecocardiograficos en los pacientes hospitalizados en la Unidad de Cuidados Coronarios del Hospital Guillermo Almenara. Los indices estudiados son la relacion velocidad de onda E por doppler pulsado del flujo mitral/ velocidad de onda e’ por doppler tisular en anillo mitral (E/e’), el diametro de la vena cava inferior, la presion sistolica de la arteria pulmonar y el indice de colapso de la vena cava inferior.Materiales y metodos: Se realizo un estudio cuantitativo, descriptivo, retrospectivo y correlacional con todos los pacientes hospitalizados por insuficiencia cardiaca aguda durante el ano 2015. La asociacion entre el tiempo de estancia hospitalaria y la relacion E/e’, el diametro de vena cava inferior y la presion sistolica de la arteria pulmonar se estudio con la prueba de Pearson. Se empleo odds ratio (OR) para establecer la relacion de la estancia hospitalaria con el indice de colapso de vena cava inferior. Resultados: Se incluyeron 65 pacientes con una media de edad de 67,8 anos y la mayoria era de sexo masculino (61,5 %). La media de la estancia hospitalaria fue 5,83 dias. El diagnostico previo de insuficiencia cardiaca mostro asociacion con una estancia hospitalaria mayor a 5 dias (prueba de la X2). No hubo asociacion entre la fraccion de eyeccion del ventriculo izquierdo y la estancia hospitalaria (OR de 1,016 [IC 95 % = 0,380 - 2,717]). Se encontro asociacion significativa entre el incremento en la relacion E/e’ (p = 0,002), el mayor diametro de vena cava inferior (p = 0,006) y el indice de colapso de vena cava inferior menor a 50 % (p EnglishObjective: To know the association between the length of hospital stay for acute heart failure and four echocardiographic indices among inpatients in the Coronary Care Unit of the Hospital Guillermo Almenara Irigoyen. The study indices were the ratio of mitral valve inflow velocity of pulsed-wave Doppler E and mitral annular tissue velocity of pulsed-wave Doppler e’ (E/e’), inferior vena cava diameter, inferior vena cava collapse rate and pulmonary artery systolic pressure.Materials and methods: A quantitative, descriptive, retrospective and correlational study was conducted with all patients hospitalized for acute heart failure during 2015. The association that the length of hospital stay has with the E/e’ ratio, inferior vena cava diameter and pulmonary artery systolic pressure was analyzed using Pearson’s correlation coefficient. The relationship between the length of hospital stay and the inferior vena cava collapse rate was determined using the OR. Results: The study population consisted of 65 patients whose mean age was 67.8 years and who were mainly males (61.5 %). The mean hospital stay was 5.83 days. The diagnosis of heart failure was associated with a hospital stay greater than 5 days (chi-square test). There was no association between left ventricu","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"20 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45623616","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":"La vacuna contra la influenza: una nueva herramienta de prevención cardiovascular","authors":"Frank Lizaraso Caparó, Enrique Ruiz Mori","doi":"10.24265/horizmed.2020.v20n3.01","DOIUrl":"https://doi.org/10.24265/horizmed.2020.v20n3.01","url":null,"abstract":"La prevencion es el campo que debe crecer en el ambito sanitario de todos los paises, y esto se ha demostrado con la pandemia del SARS-CoV-2, que ha ocasionado, y sigue ocasionando, altas tasas de morbilidad y mortalidad en la poblacion, sin distinguir el estrato social, el tipo de pasaporte, la raza, etc. El tratamiento farmacologico efectivo que nunca llego puso al descubierto que los sistemas sanitarios no lograban cubrir los requerimientos de los enfermos. La unica herramienta util hasta el momento, y por mucho tiempo, es la prevencion. El uso de la mascarilla, el distanciamiento personal y las normas de aseo respectivas son las nuevas armas del siglo XXI que debemos aprender a utilizar, tanto el personal sanitario como la comunidad.","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"20 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41830406","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":"Calidad de servicio y satisfacción de pacientes sometidos a tratamientos estéticos faciales mínimamente invasivos de una clínica privada. Lima-Perú. 2019","authors":"Karen Lissette Ramos Miranda, Luis Enrique Podestá Gavilano, Raúl Alberto Ruiz Arias","doi":"10.24265/horizmed.2020.v20n3.07","DOIUrl":"https://doi.org/10.24265/horizmed.2020.v20n3.07","url":null,"abstract":"Objective: To establish the relationship between quality of service and satisfaction among patients who underwent minimally invasive facial cosmetic treatments in a private clinic, Lima-Peru, 2019. Materials and methods: An observational, descriptive and cross-sectional study with a quantitative and correlational approach. One hundred twenty-three (123) patients were surveyed by means of the service performance (SERVPERF) model and the outpatient service user satisfaction (SUCE) questionnaire, which were adapted to the study population. The IBM SPSS Statistics version 20 and the Spearman’s rank correlation test were used. Results: Twenty-three percent (23 %) of the patients reported a high quality of service; 58 %, a medium quality of service; and 19 %, a low quality of service. Additionally, a medium-level quality prevailed in the following quality of service dimensions: reliability (49 %), responsiveness (48 %), security (56 %), empathy (52 %) and tangible aspects (57 %). Regarding satisfaction, 95 % of the patients reported a medium-level satisfaction and 5 %, a low-level satisfaction after receiving the service. Likewise, in both dimensions of the satisfaction variable (administrative service and healthcare service), a medium-level satisfaction was observed. The research demonstrated that there is a relationship between quality of service and satisfaction. It also demonstrated that there is a significant relationship (sig 0.05) was found between two dimensions of the quality of service variable (security and empathy) and the satisfaction variable. Conclusions: There is a significant relationship between quality of service and satisfaction among patients who underwent minimally invasive facial cosmetic treatments in a private clinic, Lima-Peru, 2019.","PeriodicalId":30557,"journal":{"name":"Horizonte Medico","volume":"20 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46256216","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}