Revista de la Facultad de Medicina Humana最新文献_第2页

Vitamins B1, B6, and B12 and Peripheral Neuropathies: International expert consensus 维生素 B1、B6 和 B12 与周围神经病：国际专家共识

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6413

J. L. Longa López, J. L. Dinamarca-Montecinos, Koni Mejía-Rojas, Astrid C. Bernaola Cuadro, Jessica B. Ampuero Bárcena, Leonardo Palacios-Sánchez, Mariano Fernandez-Fairen

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Miliary tuberculosis in an immunocompetent patient: Case report 一名免疫功能正常患者的睫状体结核病：病例报告

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.5973

Renzo S. Valle Farfan, Alejandro M. Peña Villalobos, Walter J. Espinoza Hernandez, Steffano A. Valle Farfan

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Associated factors with jaundice requiring phototherapy: a case-control study in a hospital in Peru 需要光疗的黄疸相关因素：秘鲁一家医院的病例对照研究

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6340

María C. Huambo Panduro, Andrea P. Ramirez-Ortega, Luis Roldán-Arbieto, José M. Vela-Ruiz

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Blockchain technology applied in medicine: a systematic review 区块链技术在医学中的应用：系统综述

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.5900

C. J. Tinoco Plasencia

{"title":"Blockchain technology applied in medicine: a systematic review","authors":"C. J. Tinoco Plasencia","doi":"10.25176/rfmh.v24i1.5900","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.5900","url":null,"abstract":"Objective: Develop an articles review to evaluate the existing evidence on blockchain technology applied in medicine. Methods: The study was of a documentary type, bibliographic design, framed in a systematic review. The harvest of articles was carried out in the Scopus, Web of Sciences, Pro Quest and ScienceDirect databases from January 1, 2018 to July 31, 2023. The descriptors were blockchain, technology and medicine. The PRISMA diagram was prepared considering the inclusion criteria: original articles, with open access; that address the subject and in any language. The search yielded 70 articles, of which 11 formed the sample. Results: The various applications of blockchain technology in medicine were discussed, including its integration with artificial intelligence (AI) for data-centric analysis; regarding the development of traceability systems, however, its greatest applicability is in the registration of medical records of patients, whose application was successful. Despite this, its incipient use in medicine was verified due to the lack of studies in this regard. Conclusions: The application of blockchain technology in medicine is very scarce, despite the potential it has for the registration and safeguarding of medical data, therefore, its study should be deepened.","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":"140741394","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

The first clinical trial by a woman in Peru. Laura E. Rodríguez Dulanto, the first female physician graduated in Peru 秘鲁首次由女性进行临床试验。Laura E. Rodríguez Dulanto，秘鲁第一位毕业的女医生

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6427

Oswaldo Salaverry García

引用次数: 0

Transforming medical education in the 21st century: the role of competency-based medical education 21 世纪医学教育的变革：基于能力的医学教育的作用

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.5950

Fernando Ramos Zaga

引用次数: 0

Sociodemographic characteristics and bone health in Argentine adults with a plant-based diet 以植物性饮食为主的阿根廷成年人的社会人口特征与骨骼健康

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.5764

Paula Taboada, Marcela Manuzza, Silvina Mastaglia

{"title":"Sociodemographic characteristics and bone health in Argentine adults with a plant-based diet","authors":"Paula Taboada, Marcela Manuzza, Silvina Mastaglia","doi":"10.25176/rfmh.v24i1.5764","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.5764","url":null,"abstract":"Objective: To analyze the sociodemographic characteristics and bone health among adult consumers of plant-based diets (PBD). Methods: Individuals aged 18 to 75 were invited to complete a self-administered survey via a digital platform. Results: A total of 1151 participants completed the survey; the majority were women [n=958 (83.2%)], young [age (years): 18-25: 35.8%; 26-35: 39.8%, and 36-45: 17.4%] and single (67.1%). The pattern of PBD consumption was mainly represented by veganism (54.0%), followed by lacto-ovo-vegetarianism (27.7%). The primary reason for their dietary choice was animal welfare (83.5%). Adherence to PBD, based on duration (years), was <1: 12.3%; 1-5: 67.4%; 10-15: 14.8%, and >15: 5.5%. 16% of vegans reported having experienced fractures, and 5.1% reported undergoing bone densitometry. Of these, 88.1% reported normal results, and 11.8% presented osteopenia. No cases of osteoporosis were recorded in the survey. Vitamin B12 was the predominant supplement among PBD consumers (61.4%). Conclusions: PBD consumers constitute a significant minority in our country, predominantly composed of women under 35 years old, with a projected increase in the coming years.","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":"140742139","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

Analysis of Adverse Drug Reactions caused by antipsychotic drugs in a Mexican health institute 墨西哥一家医疗机构抗精神病药物引起的药物不良反应分析

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6060

Erick Rojas-Valladares, Ismael Aguilar-Salas, Karina Sánchez-Herrera, Ivo Heyerdahl-Viau, Jonatan Benitez-Morales, J. Martínez-Núñez

{"title":"Analysis of Adverse Drug Reactions caused by antipsychotic drugs in a Mexican health institute","authors":"Erick Rojas-Valladares, Ismael Aguilar-Salas, Karina Sánchez-Herrera, Ivo Heyerdahl-Viau, Jonatan Benitez-Morales, J. Martínez-Núñez","doi":"10.25176/rfmh.v24i1.6060","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6060","url":null,"abstract":"Introduction: Adverse Drug Reactions (ADR) are unwanted clinical or laboratory manifestations that are related to drug use. ADR are common and are associated with significant risk of morbidity, mortality and hospital admissions. Antipsychotics have a reduced therapeutic window, and have been related to the manifestation of a variety of ADR. Objective: To evaluate the pattern of ADRs due to antipsychotic drugs detected in patients treated at the Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz between December 2021 and May 2022. Methods: Observational, descriptive, prospective and cross-sectional study of a series of cases. The seriousness, severity, and quality of the information in the notification of the ADR were defined in accordance with NOM-220-SSA1-2016, Installation and Operation of Pharmacovigilance, while causality was determined using the Naranjo algorithm. Results: The incidence of ADRs was 59%, with one or more ADR detected in 52 of the 88 patients who were receiving antipsychotic treatment during the study period. Forty-five percent of the ADR had probable causality and 55% possible; only three ADR were classified as serious as they prolonged the hospital stay and endangered the patient's life. Conclusions: The ADR of the gastrointestinal and endocrine systems were the most incidental, with hyperprolactinemia being the most frequent. Olanzapine and clozapine were the medications that caused the most ADR. It is recommended to promote the culture of notification and follow-up of ADR caused by antipsychotic drugs.","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":"140745939","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

Toxic megacolon. Case report 中毒性巨结肠病例报告

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6468

Roger A. Sernaque Mechato, Stephanie T. Castillo Arias, Silvana RS. Ñaupari Jara, Flor M. Mendoza Barreto

{"title":"Toxic megacolon. Case report","authors":"Roger A. Sernaque Mechato, Stephanie T. Castillo Arias, Silvana RS. Ñaupari Jara, Flor M. Mendoza Barreto","doi":"10.25176/rfmh.v24i1.6468","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6468","url":null,"abstract":"Toxic megacolon is a fatal disease, most commonly occurring as a complication of inflammatory bowel disease, infections, and intestinal ischemia. It is characterized by the presence of bloody diarrhea, abdominal distension, signs of systemic toxicity, and segmental colonic dilation is observed in imaging studies. The diagnosis according to Jalan's criteria are: colonic dilation more than 6cm, three of the following: fever, tachycardia, leukocytosis or anemia, and any of the following criteria: hypotension, hypovolemia, electrolyte disorder and altered mental status. This article presents the case of a female patient who was admitted with abdominal pain and chronic diarrhea with an imaging study showing dilation of the entire colonic framework. The corresponding studies were carried out which indicated that she had a toxic megacolon due to colitis. ulcerative, receives medical treatment with favorable evolution, is discharged and readmitted for septic shock, studies are performed and Clostridium difficile infection is identified, antibiotic treatment is started but the evolution is unfavorable, which caused the death of the patient. The present case represents the high mortality of this disease.","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":"140744040","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

Hyperglycemia as a risk factor for in-hospital mortality in myocardial infarction 高血糖是心肌梗死住院死亡率的一个风险因素

Revista de la Facultad de Medicina Humana Pub Date : 2024-04-04 DOI: 10.25176/rfmh.v24i1.6341

Ciro Barrantes-Alarcón, Rosalia Fernández-Coronado, Adriel Olortegui-Yzu

{"title":"Hyperglycemia as a risk factor for in-hospital mortality in myocardial infarction","authors":"Ciro Barrantes-Alarcón, Rosalia Fernández-Coronado, Adriel Olortegui-Yzu","doi":"10.25176/rfmh.v24i1.6341","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6341","url":null,"abstract":"Introduction: Myocardial infarction continues with high mortality rates, from 4.6% to 13.1%. There are predictive risk stratification models, such as the Grace Score, which does not include glycemia as a variable. Patients hospitalized for myocardial infarction with hyperglycemia on admission may have higher mortality, in ST elevated and non-elevated infarcts. Objectives: The objective of this review is to identify and systematize the evidence on hyperglycemia on admission as a biomarker of mortality and heart failure in acute myocardial infarction. Materials and Methods: The search was carried out in the MEDLINE database including the MeSH terms hyperglycemia and hospital mortality or heart failure in myocardial infarction, selecting 12 articles. Results: Hospital mortality was calculated in 11 articles, in 9 of them a significant association was found between hyperglycemia and hospital mortality, both in the bivariate and multivariate analysis, and in 2 articles this association was not demonstrated. For in-hospital mortality, the results of 11 articles included in this review were synthesized. The frequency of occurrence of heart failure was determined in 11 articles, finding a higher frequency in 9 of them. For in-hospital mortality, the results of 11 articles included in this review were synthesized and analyzed, in 8 the analysis was performed in non-diabetics, obtaining OR: 4.15, IC 95% (2.853-6.035), in 3 for diabetics obtaining OR 2.365 IC 95% (1.778- 3,146) and in 6 for the total population finding OR 3,314 (2,910-3,774). Conclusions: Hyperglycemia on admission is associated with increased mortality and frequency of occurrence of heart failure during hospitalization for myocardial infarction, with evidence of moderate quality.","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":"140741862","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