Revista de la Facultad de Medicina Humana最新文献

Early detection of mental health problems in university students 大学生心理健康问题的早期发现

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6080

Allyson D. Espinoza García

引用次数: 0

Associated factors with treatment adherence in children aged 1 to 3 years: a study at the “Señor de los Milagros” Health Center, Huaycan – Ate 1 至 3 岁儿童坚持治疗的相关因素：瓦伊肯-阿特 "Señor de los Milagros "保健中心的一项研究

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6338

Imelda L. Oscanoa Huamán, L. E. Podestá Gavilano

{"title":"Associated factors with treatment adherence in children aged 1 to 3 years: a study at the “Señor de los Milagros” Health Center, Huaycan – Ate","authors":"Imelda L. Oscanoa Huamán, L. E. Podestá Gavilano","doi":"10.25176/rfmh.v24i1.6338","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6338","url":null,"abstract":"Objective: To determine the factors associated with treatment adherence in children aged 1 to 3 years at the \"Señor de los Milagros\" Health Center in Huaycán – Ate. Methods: This observational, retrospective, cross-sectional study investigated adherence to anti-anemic treatment in 169 children aged 1 to 3 years diagnosed with anemia, selected from an initial group of 300. Using a data collection form, variables covering maternal, sociocultural, treatment, and health system aspects were evaluated through bivariate analysis and Pearson's Chi-square test. Results: The results highlighted low treatment adherence, with only 4.7% of children showing high adherence and 15.4% demonstrating non-adherence. Higher adherence was observed in mothers with secondary education, homemakers, and those living with their partners. Factors such as receiving understandable information, respectful treatment, and proximity to the health center positively influenced adherence. Conclusion: There is a significant association between adherence to anti-anemic treatment and maternal, sociocultural, and treatment-related factors (p<0.05), suggesting that improving communication, socioeconomic support, and accessibility could enhance therapeutic adherence.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744753","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}

引用次数: 0

Short and prolonged fasting prior to the performance of tracheostomies in intensive therapy: a retrospective study 在强化治疗中实施气管造口术前短期和长期禁食：一项回顾性研究

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6086

Lucas G. Duran, María E. Beilman, Araceli N. Quiroga, Magdalena Cruz, Alejandra V. Millan, Micaela J. Ojeda, Fabiana Ciccioli, Micaela G. Montenegro Fernandez, Wendy E. Monrroy Miro, Valentina T. Malisia, Nicolas A. Grassi, Nazareno I. Zelaya de Leon, Franco E. Espinoza, Marina Otamendi, Paula Zorzano Osinalde, Marcos Petasny

{"title":"Short and prolonged fasting prior to the performance of tracheostomies in intensive therapy: a retrospective study","authors":"Lucas G. Duran, María E. Beilman, Araceli N. Quiroga, Magdalena Cruz, Alejandra V. Millan, Micaela J. Ojeda, Fabiana Ciccioli, Micaela G. Montenegro Fernandez, Wendy E. Monrroy Miro, Valentina T. Malisia, Nicolas A. Grassi, Nazareno I. Zelaya de Leon, Franco E. Espinoza, Marina Otamendi, Paula Zorzano Osinalde, Marcos Petasny","doi":"10.25176/rfmh.v24i1.6086","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6086","url":null,"abstract":"Introduction: International guidelines on aid prior to invasive procedures usually generate longer aid than in intensive care (IT) patients. This fact represents a high risk of malnutrition and, consequently, a worse prognosis. The objective of the present investigation was to analyze the degree of association between the fasting time prior to tracheostomy of patients under mechanical ventilatory assistance (MVA) and the appearance of pneumonia. Methods: Retrospective cohort study that included patients admitted to our IT from 10/01/2018 to 08/31/2022 and with a tracheostomy performed. Two cohorts were defined characterized by fasting ≤3 hours vs. >3 hours. Fisher's exact test and Mann-Whitney test were used for bivariate analysis. A p value <0.05 was shown to be significant. Results: 141 patients were hospitalized with a tracheostomy, 9 were excluded, leaving 132 patients. The cohort with fasting ≤3 hours was made up of 15 patients and the one with fasting >3 hours was made up of 117, the latter presented an average fast of 2.5 hours (IR 2-3), days of AVM prior to the procedure of 13 days (IR 12-18), while the other cohort presented an average fast of 6 hours (IR 5-8), days of AVM prior to the procedure of 12 days (IR 10-14.5). When analyzing the association between the type of fasting and the appearance of pneumonia, an OR of 0.958 (95% CI: 0.32-2.87) was obtained, p value of 0.743. Conclusions: No significant differences were found regarding fasting time and the appearance of pneumonia as referred to in the international literature.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140741016","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}

引用次数: 0

Factors associated with suicidal ideation in adults from the Lambayeque Region, Peru, during the COVID-19 pandemic COVID-19 大流行期间秘鲁兰巴耶克地区成年人自杀倾向的相关因素

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6013

Almir C. Sánchez-Neyra, Herry Lloclla-Gonzales, Heber Silva-Díaz

引用次数: 0

Association between insufficient venous systems and clinical manifestations in chronic venous disease of the lower limbs 下肢慢性静脉疾病中静脉系统不足与临床表现之间的关系

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6011

Hubert J. Mendoza Rojas

{"title":"Association between insufficient venous systems and clinical manifestations in chronic venous disease of the lower limbs","authors":"Hubert J. Mendoza Rojas","doi":"10.25176/rfmh.v24i1.6011","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6011","url":null,"abstract":"Introduction: The clinical, etiological, anatomical, and pathophysiological classification (CEAP) standardizes the manifestations of lower limb venous disease. Objective: To investigate the association between insufficient venous systems and the clinical classification of CEAP. Methods: A quantitative, cross-sectional, analytical, correlational study was conducted. Sampling was non-probabilistic and convenience-based. The sample size was 136 lower limbs from 71 patients. Chi-square, Monte Carlo and Odd ratio (OR) statistical tests were used with 95% confidence intervals through bivariate logistic regression (p<0.05). Results: 71.8% of the subjects were female, with an average age of 66.1 years. The most frequent insufficient venous system was the superficial system, present in 61.7% of cases. 100% of the dilated great saphenous veins (GSV) had insufficiency. The most common CEAP clinical class was C2 (44.9%); 35.1% of C1 (telangiectasia) cases had an insufficient venous system; 50% of C2 cases had GSV insufficiency (p=0.227). There was an association between the insufficiency of both superficial and deep venous systems and the CEAP clinical classification (p=<0.001). The deep venous system was associated with severe chronic venous disease of the lower limbs, OR (6.04) with a 95% CI (1.02-35.73) and p=0.047. Conclusions: The study demonstrated an association between the insufficiency of both superficial and deep venous systems and the CEAP clinical classification. One third of the lower limbs with C1 (telangiectasias) had an insufficient venous system.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140742086","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}

引用次数: 0

Non-Fatal strangulation/suffocation in context of gender violence: Medicolegal aspects and implications in clinical practice 性别暴力背景下的非致命扼颈/窒息：医疗法律问题和对临床实践的影响

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6333

Mónica A. Núñez Garrido, Sergio Herrera Umanzor

{"title":"Non-Fatal strangulation/suffocation in context of gender violence: Medicolegal aspects and implications in clinical practice","authors":"Mónica A. Núñez Garrido, Sergio Herrera Umanzor","doi":"10.25176/rfmh.v24i1.6333","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6333","url":null,"abstract":"Despite the numerous efforts of the international community to eradicate all forms of violence against women, this problem is far from being resolved. According to the UN, one in three women has suffered physical or sexual violence from an intimate partner, sexual violence outside the couple, or both at least once in their life. Addressing this problem as a social health need of population groups allows an approach to gender violence as a collective health problem. At the level of physical violence, strangulation/suffocation has been identified as one of the most lethal forms of domestic violence and sexual assault. Victims of domestic violence who have been choked or strangled are 7.5 times more likely to be killed by their partner. A victim of strangulation/suffocation can lose consciousness in seconds or die within minutes, days or weeks after the attack, as well as suffer permanent brain damage or disability or emotional trauma. Recently, legal changes have been generated in the configuration of this crime, the penalties have increased in United Kingdom, the United States, Australia and New Zealand. The current non-systematic narrative review of literature sought to explore updated medico-legal aspects of non-fatal strangulation/suffocation in the context of gender violence, and are highlightedrelevant implications for clinical practice.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744343","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}

引用次数: 0

Correlation of histopathological results and tomographic findings in patients with liver lesions suspicious for malignancy 肝脏病变疑似恶性肿瘤患者的组织病理学结果与断层扫描结果的相关性

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6012

Luis P. Valencia Montiel, Jorge R. Hernández Santos, Arturo García-Galicia, Álvaro J. Montiel-Jarquín, Diana López García, Maricarmen Tapia Venancio, Nancy R. Bertado-Ramírez

{"title":"Correlation of histopathological results and tomographic findings in patients with liver lesions suspicious for malignancy","authors":"Luis P. Valencia Montiel, Jorge R. Hernández Santos, Arturo García-Galicia, Álvaro J. Montiel-Jarquín, Diana López García, Maricarmen Tapia Venancio, Nancy R. Bertado-Ramírez","doi":"10.25176/rfmh.v24i1.6012","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6012","url":null,"abstract":"Introduction. Liver cancer is the seventh most common neoplasm worldwide and the second cause of mortality directly associated with cancer. In Mexico it has an incidence of 3.9% in the entire population. Although computed tomography (CT) is the imaging study of choice, the final diagnosis is established with the anatomopathological study of the lesion. Objective. Correlate the tomographic findings with the histopathological result in patients with liver lesions with suspicion of malignancy, who underwent USG-guided biopsy. Methods. Descriptive, correlation, retrolective, homodemographic and single-center study. The study period was from September 2021 to February 2022. Patients older than 18 years with liver lesions suspicious of malignancy were selected and underwent Computed Axial Tomography and ultrasound-guided biopsy. Shapiro Wilk tests (for normality) were used and chi-square was used for an analysis of association of categorical variables. Results. Twenty-four patients were included, who underwent Tomography and lesion biopsy, finding an average size of lesions of 2.39cm. The results of the correlation between the tomographic diagnosis and the definitive histopathological diagnosis did not have statistical significance p=0.069. Conclusion. No significant correlation was found between the histopathological study and tomographic findings in liver lesions suggestive of malignancy.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745859","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}

引用次数: 0

Heart failure secondary to a snake bite. The intensivist's vision: case report 继发于蛇咬伤的心力衰竭。重症监护医生的视角：病例报告

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6099

Andrés A. Restrepo Bastidas, Mateo Aguirre Flórez, J. A. Hoyos Muñoz, Melissa Gonzales Ramírez, D. R. Echeverry Piedrahita

{"title":"Heart failure secondary to a snake bite. The intensivist's vision: case report","authors":"Andrés A. Restrepo Bastidas, Mateo Aguirre Flórez, J. A. Hoyos Muñoz, Melissa Gonzales Ramírez, D. R. Echeverry Piedrahita","doi":"10.25176/rfmh.v24i1.6099","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6099","url":null,"abstract":"Background: Ophidic accident is a neglected disease that affects tropical countries. Latin America is the second region after Africa, with the most cases worldwide. Local lesions accompany its clinical course up to systemic affectations such as renal, hematological, and neurological lesions. Cardiac complications are rare, especially in patients who do not have cardiovascular risk factors. There are reports of acute myocardial infarction, but there is little information about heart failure due to Bothrops spp. Case report: We present the case of a 25-year-old man without cardiovascular risk factors who was admitted to the intensive care unit and developed heart failure with cardiogenic shock and multi-organ failure secondary to a snake bite. Conclusions: Although the characteristic clinical course of a bothropic ophidian accident and its systemic manifestations are mainly related to coagulation abnormalities, there are cardiovascular complications within its clinical presentation that, although rare, if not detected promptly and not adequately managed, are associated with high morbidity and mortality.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743462","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}

引用次数: 0

Forensic Genetics and Genomics in Peru: Current situation and future challenges 秘鲁的法医遗传学和基因组学：现状与未来挑战

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6456

C. Neyra-Rivera

引用次数: 0

Lymph node tuberculosis with genital involvement: Case report 淋巴结结核伴生殖器受累：病例报告

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.5905

Joel I. Atencio Paulino, Waldir Paucar Huaman, Deivi N. Galarza Caceres, Jeampier Bendezu Meza, Jhonatan M. Crispin Ayala

引用次数: 0