Elbert Oberto Reyes Graterol, Jhonelly Jhoselyn Narváez Rodríguez, H. Parra, Willington René Zapata Salazar
{"title":"Tórax inestable, evolución sin osteosíntesis: presentación de un caso.","authors":"Elbert Oberto Reyes Graterol, Jhonelly Jhoselyn Narváez Rodríguez, H. Parra, Willington René Zapata Salazar","doi":"10.23961/CIMEL.2011.161.186","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.161.186","url":null,"abstract":"Blunt thoracic trauma is usually the result to direct impact to high velocity or falls being responsible of rib fractures. Flail chest is defined as fractures to three or four ribs in more than two segments of his length, causing a paradoxical phenomenon at thoracic box during respiration, collapsing during inhalation and expanding at exhalation. The anterior or lateral location is the most serious given their physiopathological impact; the diagnosis is established by physical examination, radiographs, chest CT and studies of respiratory physiology. Treatment is based on the internal pneumatic stabilization through mechanical ventilation and osteosynthesis. We present the case a female patient 18 years old who is admitted at General of South Hospital, because of complicated closed thoraco-abdominal trauma with right pneumothorax, left hemopneumothorax who needed chest tube placement and intubation, liver injury grade IV at the segments II and III and splenic flexure injury, entering UCI where she remained for twelve days under mechanical ventilation. It stresses the strengthening rib at absence of osteosynthesis or fixation with developments observable at imaging studies of periodic control.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68779971","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":"Aplicación de las guías de consenso: Promoviendo la calidad en la presentación de artículos en CIMEL","authors":"Victor Becerra-Gonzales, J. Montenegro-Idrogo","doi":"10.23961/cimel.2011.161.188","DOIUrl":"https://doi.org/10.23961/cimel.2011.161.188","url":null,"abstract":"La investigacion cientifica es la fuente mas importante de conocimientos, debido al impacto que genera el empleo de su informacion en el ambito individual, comunitario, social y politico. Por tal motivo, la revision de un trabajo no debe ser arbitraria, al contrario, debe regirse en el cumplimiento de estandares o normas promovidos por las revistas cientificas ya que cumplen un rol importante como medios de difusion, y de este modo favorecen la reproductividad del trabajo, valoracion de los sesgos, inclusion en estudios secundarios y el cumplimiento de los principios eticos de la investigacion...","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68780024","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}
P. Guerrero, Carla Sandoval, Kyra Ríos Melgar, D. Cruzado, Víctor Robles Pizarro, Rosalía Ballona Chambergo
{"title":"CLÍNICA Y EPIDEMIOLOGÍA DE LA DERMATITIS INFECTIVA EN EL SERVICIO DE DERMATOLOGÍA DEL INSTITUTO DE SALUD DEL NIÑO, LIMA, PERÚ","authors":"P. Guerrero, Carla Sandoval, Kyra Ríos Melgar, D. Cruzado, Víctor Robles Pizarro, Rosalía Ballona Chambergo","doi":"10.23961/CIMEL.2011.162.202","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.162.202","url":null,"abstract":"Objective: To describe the clinical and epidemiological characteristics of pediatric patients diagnosed with Infective Dermatitis. Methods:Retrospective descriptive study. Location: Department of Dermatology, National Institute of Child Health, Peru. Participants: Medical records of hospitalized and outpatient care pediatric patients with diagnosed with Infective dermatitis in the period 2007 to 2010. Interventions: Review of medical records, selected depending on the inclusion and exclusion criteria. We used the SPSS v.15 software for the data process. Main outcome measures: Measures of central tendency and dispersion for quantitative variables and frequencies and proportions for qualitative variables. Results: There were 12 cases, 58% were male and 42% female, mean age was 6 years and 11 months. The disease duration was 15 months. The most common differential diagnoses were atopic dermatitis (27%), seborrheic dermatitis (18%), tinea capitis (18%) and HTLV-1 infection (18%). The evolution of the disease was 25% favorable and 50% unfavorable. Skin lesions were most commonly on the scalp, 81%, being eczema the most common type of lesion (58.3%). Conclusions: Infective dermatitis is more common in men with an average age of 6 years and 11 months. The time of diagnosis was 46 weeks. Atopic dermatitis was the most common differential diagnosis, clinical expression is similar to that already reported being scalp eczema the most common manifestation. The evolution of the disease was unfavorable in most cases.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68780046","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}
M. Hart., Ángela María Mesa González, R. Sanchez, Luigi Romano Flores, M. M. Molina, F. Stock
{"title":"SARCOMA SINOVIAL EN ADOLESCENTE. PRESENTACIÓN DE UN CASO Y REVISIÓN DE LA LITERATURA","authors":"M. Hart., Ángela María Mesa González, R. Sanchez, Luigi Romano Flores, M. M. Molina, F. Stock","doi":"10.23961/CIMEL.2011.161.185","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.161.185","url":null,"abstract":"Synovial sarcoma (SS) is a mesenchymal spindle cell malignant tumor with areas of epithelial differentiation with variable grades of dysplasia. It represents the second most common malignant neoplasia in adolescents and young adults, after rhabdomyosarcoma. SS affects primarily the extremities, especially the lower limbs. According with surgical stages, the III / IVA stage has been associated with a much more precarious prognosis. For patients with unresectable disease at diagnosis (grade III), survival rates has been reported between 50 and 70%. The objective is to present a rare clinical case and understand the behavior of the tumor. 16 year old female patient with a medial and distal left arm mass, not mobile and painful on palpation. The Ultrasound reported soft tissue heterogeneous space-occupying lesion adjacent to 1/3 of the left humerus. The biopsy reported a Primary monophasic synovial sarcoma grade I ST III. Chemotherapy and radiotherapy were indicated for treatment, with satisfactory evolution. The patient is currently asymptomatic, without evidence of tumor activity. Synovial sarcoma is a rare tumor, the pathogenesis of SS is still unknown and there are not well-established risk factors. Its treatment is multidisciplinary and complex.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"44-47"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68779956","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":"ESTUDIOS BIBLIOMÉTRICOS COMO LÍNEA DE INVESTIGACIÓN EN LAS CIENCIAS BIOMÉDICAS: UNA APROXIMACIÓN PARA EL PREGRADO","authors":"F. Romaní, C. Huamaní, G. González-Alcaide","doi":"10.23961/CIMEL.2011.161.187","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.161.187","url":null,"abstract":"Bibliometrics is a branch of the Scientometrics that permits the study of the scientific activity. The original article is their unit analysis. The interest in this area is based in their implications on decision making and Knowledge Management. Because it suggests research in topics poorly studied or evaluates others. Bibliometrics also evaluates scientific production of researchers, institutions and countries. In this article we realize a brief review of the bibliometric research lines, mathematical principles and basis of methodology to perform this kind of research.The aim is","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"52-62"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68779983","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":"DISECCIÓN CORONARIA ESPONTANEA EN PACIENTE FUMADOR","authors":"Juan Carlos Juez, G. Lozada","doi":"10.23961/CIMEL.2011.161.184","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.161.184","url":null,"abstract":"Coronary dissection is a tear of the layers in the coronary arteries. The incidence is 0.07% to 1.1% in cardiac catheterization. It is a rare disease in postpar tum women, with few reports in men. The etiology of this disease remains unclear; this case presents a smoker without other risk factor. Therefore, we review the endothelial damage that smoking causes and the pathophysiology of coronary dissection. It also presents the clinical, transthoracic echo and coronary angiography findings, and medical treatment.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68779939","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":"HIPERTENSION EN EL PERSONAL ADMINISTRATIVO DE UNA UNIVERSIDAD PÚBLICA DE HUANUCO, 2009","authors":"J. R. Vidal, O. Vidal, B. D. Mata","doi":"10.23961/CIMEL.2011.161.180","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.161.180","url":null,"abstract":"Objectives: Hypertension decreases the life quality and the survival of the population; it is an important disease to public health. The objective was to determine the prevalence of Hypertension and the related Factors at Administrative Personnel of Public University. Methods: Design was cross-sectional, prospective and observational study. Size sample was 110 people and we used probabilistic sampling. We used survey and take blood pressure (BP) to adult people. We described related factors to diagnosis of Hypertension. We used JNC VII. We obtained statistical association (p<0.05) with Chi2 about in qualitative variables and t-Student about in quantitative variables. We used SPSS. Results: The prevalence of Hypertension was 10%. Mean of Age was 46.8+9.6 years-old. There were 52.7% males. Only 4.3% was obese. Dyslipidemia was 9%. IMC mean was 25.5+3.7 kg/m2, Abdominal Circumference mean was 82.3+10 cm, Systolic BP was 109+13.5 mmHg and Diastolic BP was 72.6+8.7 mmHg. In analysis bivariate we found statistical association with age (≥55years) [p=0.010; OR=5.7 (IC 95% 1.6; 21.2)] Conclusions: The prevalence of Hypertension was 10%. Age (≥55 years-old) was major factor related to Hypertension. The systolic hypertension was prevailing.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68779910","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":"Sociedades Científicas de Estudiantes de Medicina del Perú: Situación actual y perspectivas futuras","authors":"Á. Taype-Rondan, J. Huaccho-Rojas, Lizeth Guzmán","doi":"10.23961/CIMEL.2011.162.206","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.162.206","url":null,"abstract":"Objetivo: Describir las actividades que realizan y planean realizar las Sociedades Cientificas de Estudiantes de Medicina (SOCEM) peruanas. Metodologia: Se realizo un estudio observacional, descriptivo y transversal, mediante la aplicacion de encuestas a los presidentes de las SOCEM peruanas. Se recogieron variables relacionadas al presidente encuestado (capacitacion y produccion cientifica), a las actividades de la SOCEM (las que fueron realizadas en el ultimo ano, y las que se planean realizar en el proximo ano), y la opinion de los presidentes sobre las actividades que deberia realizar la Sociedad Cientifica Medico Estudiantil Peruana (SOCIMEP). Estos datos fueron tabulados en Microsoft Excel 2010, y presentados en forma descriptiva. Resultados: Se encuesto a 26 presidentes, de los cuales 25 han realizado o estan realizando algun trabajo de Investigacion, y solo cinco tienen alguna publicacion. Los principales obstaculos de las SOCEM fueron el no contar con asesores cientificos y los pocos incentivos que brindan las facultades para que los estudiantes realicen investigacion. Las actividades realizadas con mayor frecuencia fueron los cursos de capacitacion en investigacion. En opinion de los presidentes, estos cursos deben seguir siendo realizados por las SOCEM y la SOCIMEP. Conclusion: Es necesario que las SOCEM y la SOCIMEP elaboren cursos de investigacion, organicen un sistema de asesoria e inviertan tiempo en concientizar sobre la importancia de la investigacion no solo a los estudiantes sino tambien a las autoridades de cada facultad de Medicina.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"31 1","pages":"90-95"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68780169","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":"REPORTE DE UN CASO DE DISPLASIA TANATOFÓRICA","authors":"F. Prieto, Esmeralda Montalbán Sandoval","doi":"10.23961/CIMEL.2011.162.207","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.162.207","url":null,"abstract":"Introduccion: Las displasias esqueleticas son patologias raras, que se han clasificado en 37 grupos y 372 subgrupos, segun la nosologia y clasificacion de los desordenes esqueleticos geneticos. Caso Clinico: Mujer de cuatro meses de edad presenta dificultad respiratoria severa, macrocefalia, fontanelas amplias, Craneosinostosis multisutural del tipo craneo en trebol, higado a 4 cm debajo del reborde costal derecho, extremidades superiores e inferiores acortadas, rizomelia (brazos – muslos), mesomelia (antebrazos – piernas), acromelia (manos – pies). Discusion: El factor de riesgo para este sindrome, es la edad avanzada del padre, el cual no presenta la paciente; sin embargo, ser hijo de una madre mayor a 46 anos, implica un riesgo para el feto, predisponiendole a malformaciones congenitas. El periodo de vida maximo reportado es de 150 dias, coincidiendo con el pronostico de esta paciente; debido a sus complicaciones cardio-respiratorias severas. Las manifestaciones clinicas incluyen sus anomalias esqueleticas y la dificultad respiratoria severa debido a una caja toracica severamente restrictiva, siendo esta la causa de muerte temprana. Palabras clave: Displasia Tanatoforica, Condrogenesis.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"96-98"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68780177","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}
Y. R. F. Molina, Jiroska Tibisay Moran Fernández, F. Hernández
{"title":"DIAGNÓSTICO CLÍNICO Y MANEJO DE LA TROMBOSIS VENOSA CEREBRAL. PRESENTACIÓN DE UN CASO CLÍNICO.","authors":"Y. R. F. Molina, Jiroska Tibisay Moran Fernández, F. Hernández","doi":"10.23961/CIMEL.2011.162.208","DOIUrl":"https://doi.org/10.23961/CIMEL.2011.162.208","url":null,"abstract":"Thrombosis of the dural sinus and/or cerebral veins (CVT) is an uncommon form of stroke, usually affecting young individuals. Affects approximately 5 people per million annually and accounts for 0.5% to 1% of all strokes. We describe the case of a male patient aged 31 with no medical history known, who consulted in the emergency department holocraneal headache and generalized tonic-clonic movements, underwent brain computed tomography and arteriography of 4 vessels, discarding arteriovenous malformations and / or brain aneurysms. Angioresonance requested that reveals images of defect suggestive of superior sagittal sinus thrombosis, so anticoagulation is indicated with Low Molecular Weight Heparin and Warfarin Sodium, obtaining a favorable outcome. Regarding this case, a review of the literature with special emphasis on diagnosis, risk factors and therapeutic controversies.","PeriodicalId":31054,"journal":{"name":"CIMEL Ciencia e Investigacion Medica Estudiantil Latinoamericana","volume":"16 1","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68780190","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}