Revista de la Facultad de Medicina Humana最新文献_第6页

VULNERABILITY OF THE SANITARY INFRASTRUCTURE IN RELATION TO COVID-19 IN THE DISTRICT OF CASTILLA-PIURA 2021-2022 2021-2022年卡斯蒂利亚-皮乌拉地区卫生基础设施与新冠肺炎的脆弱性

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5619

Luis F. Chero Córdova, Guisela Yabar-Torres

{"title":"VULNERABILITY OF THE SANITARY INFRASTRUCTURE IN RELATION TO COVID-19 IN THE DISTRICT OF CASTILLA-PIURA 2021-2022","authors":"Luis F. Chero Córdova, Guisela Yabar-Torres","doi":"10.25176/rfmh.v23i3.5619","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5619","url":null,"abstract":"Objective: The relationship between the sanitary infrastructure, considering three aspects such as: equipment and supplies; built environments; humanization of care against COVID-19 in the district of Castilla - Piura in the year 2022. Methods: It adopts the Hermeneutic paradigm, with a cross-sectional, qualitative design, based on surveys applied to a statistical sample from the Castilla sector, unstructured interviews were conducted, aimed at health professional experts. Results: It is observed that 100% of the II and III level hospitals and health centers in Piura are in inadequate conditions to achieve efficiency and effectiveness in care, both in infrastructure-equipment, in built environment and humanized. Conclusion: The deficient state of health establishments has determined the increase in cases of COVID 19, during the pandemic, because they do not have adequate environments to treat different pathologies, as well as due to inadequate zoning of respiratory and vector isolation areas. , those that must respond to the reality of this Region; This situation raises the need to formulate a regional contingency plan, the same one that guarantees priority and quality care in emergency situations, as well as life during the pandemic.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46017892","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

ORAL HEALTH PRACTICES DURING THE FIRST 1000 DAYS OF LIFE: LITERATURE REVIEW 生命最初1000天的口腔健康实践:文献综述

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.4904

Kamila J. Sihuay Torres, Ivo Luna Mazzola, Rosa C. Lara Verástegui, Lauro M. Rivera Félix

{"title":"ORAL HEALTH PRACTICES DURING THE FIRST 1000 DAYS OF LIFE: LITERATURE REVIEW","authors":"Kamila J. Sihuay Torres, Ivo Luna Mazzola, Rosa C. Lara Verástegui, Lauro M. Rivera Félix","doi":"10.25176/rfmh.v23i3.4904","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.4904","url":null,"abstract":"Objective: To conduct a bibliographic literature review on current good practices in oral health during the first 1000 days of life, encompassing the gestation period and the initial two years of the child. Materials and methods: A scientific literature review was conducted in February and March 2022, utilizing the Pubmed and Scopus databases. The inclusion criteria encompassed original articles and systematic reviews (with or without meta-analysis) published between 2016 and 2022. Search strategies incorporating English keywords derived from MeSH were employed. Additionally, the grey literature was reviewed to define some key concepts. Results: 72 scientific articles, and four references from the grey literature (one clinical practice guide and three reports) were selected. The identified themes were categorized as follows: good oral hygiene practices, good feeding practices for pregnant women and infants, parafunctional habits, and dental visits. Based on the findings, the key recommendations for promoting good oral health practices during this crucial period include the use of fluoride toothpaste for oral hygiene once teeth erupt, avoidance of free sugar consumption, encouragement of breastfeeding over bottle-feeding, and early dental visits before birth. Conclusion: Good oral health practices during the first 1000 days of life significantly impact the child’s oral and general health, necessitating preventive measures starting from gestation, with a focus on oral hygiene and nutrition. The collaborative efforts of a multidisciplinary healthcare team during pregnancy and the initial two years of life are vital for enhancing both oral and general health outcomes for the population.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136276831","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

Medical vocation, beyond the duty of care: a review of literature from ethical and philosophical perspectives. 医疗职业，超越照顾的责任:从伦理和哲学的角度回顾文献。

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5635

Ricardo J. Ayala García, Lisset G. Huamaní Huamán

引用次数: 0

Antiseptics solutions for Prevention of surgical wound infection in appendectomized patients by complicated acute appendicitis 预防并发急性阑尾炎阑尾切除患者手术创面感染的抗菌液

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5906

Arturo García Galicia, Álvaro J. Montiel Jarquín, Leonardo Corona Olmedo, Yaciel E. Flores Ramos, Ricardo A. Parker Bosquez, Jorge Loría Castellanos, Víctor Victoria De la Rosa, Janeth Ramírez Mendoza

{"title":"Antiseptics solutions for Prevention of surgical wound infection in appendectomized patients by complicated acute appendicitis","authors":"Arturo García Galicia, Álvaro J. Montiel Jarquín, Leonardo Corona Olmedo, Yaciel E. Flores Ramos, Ricardo A. Parker Bosquez, Jorge Loría Castellanos, Víctor Victoria De la Rosa, Janeth Ramírez Mendoza","doi":"10.25176/rfmh.v23i3.5906","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5906","url":null,"abstract":"Surgical wound infection secondary to complicated acute appendicitis is frequent. The objective was to compare the Dakin and the Superoxidative solutions to prevent surgical wound infections in complicated acute appendicitis. It was a comparative, cross-sectional study, in 104 patients with complicated acute appendicitis (medium age 36.29 years, 69(66.43%) men). Group 1: 52 patients with surgical wound lavage with Dakin modified solution. Group 2: 52 patients with superoxidative solution (Microdacyn®). All patients received ceftriaxone 1 g before surgery; conventional appendectomy was performed and the wall closure with Vicryl 1 and Nylon 2/0. Surgical wound was evaluated 7 days after surgery, looking for pus, edema, erythema, local heat. X2 and Student's t were used. Surgical wound infection was present in 11 (10.6%) patients, 3(5.8%) patients from group 1 and 8(15.4%) from group 2 (p=0.1). Both solutions are useful to prevent surgical wound infections in patients operated by complicated acute appendicitis.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277183","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

Association between hematological parameters and metabolically unhealthy phenotypes in children and adolescents 儿童和青少年血液学参数与代谢不健康表型之间的关系

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5603

Gabriel Horta-Baas, Maria L. Pizano Zárate, Arturo J. Núñez Hernández, Verónica De León Camacho, María del S. Romero Figueroa, Alvaro Montiel Jarquín

{"title":"Association between hematological parameters and metabolically unhealthy phenotypes in children and adolescents","authors":"Gabriel Horta-Baas, Maria L. Pizano Zárate, Arturo J. Núñez Hernández, Verónica De León Camacho, María del S. Romero Figueroa, Alvaro Montiel Jarquín","doi":"10.25176/rfmh.v23i3.5603","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5603","url":null,"abstract":"Introduction. Metabolic syndrome has been associated with changes in several hematological parameters, such as red blood cells, platelets, and leucocytes. Therefore, hematologic parameters can be used to identify the subjects at risk of metabolically unhealthy phenotypes (MUP). The current study investigated if hematological parameters can serve as biomarkers to distinguish metabolically healthy phenotype (MHP) from MUP in children and adolescents. Methods. Two hundred ninety-two children and adolescents were enrolled in this cross-sectional study. The MUP was diagnosed using consensus-based criteria. Group comparisons were performed using one-way ANOVA. Multiple logistic regression analysis was used to determine if sex, age group, nutritional status, puberty, hematological parameters, and insulin resistance were associated with MUP. Results. The subject's age mean was 11 years (SD: 2.61). RDW values were significantly lower in children in the metabolically unhealthy normal weight (MUNW) group compared to children with metabolically unhealthy obesity (MUO) group (12.33 ± 0.90 vs. 13.67 ± 0.52; p = 0.01) and in metabolically healthy obesity (MHO) compared to MUO group (13.15 ± 0.53 vs. 13.67 ± 0.52; p = 0.04). In adolescents, the platelet-to-lymphocyte ratio was higher in the MHNW group, with a mean value of 152.60 (SD 62.97) compared to 111.16 (SD 44.12) for the MHO group. However, after adjusting for age, nutritional status, and puberty, hematological indices were not associated with MUP. Conclusions. The study demonstrates that hematologic parameters are not independently associated with the MUP, and it is unlikely that they represent reliable biomarkers for screening for the MUP in the pediatric population.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136271930","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

Systemic sclerosis sine scleroderma in a woman with centromere antinuclear antibodies, pulmonary and digestive involvement: Case report 有着丝粒抗核抗体累及肺部和消化道的女性硬皮病并发系统性硬化症1例报告

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5670

Freddy Liñán Ponce, Juan Leiva Goicochea, José Chávez Corrales

引用次数: 0

Vaginal estrogen therapy and the risk of recurrence in women with a history of breast cancer 阴道雌激素治疗与有乳腺癌病史的妇女的复发风险

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5692

María A. Boada Fuentes, Raquel E. Toncel Herrera, Andrea L. Wadnipar Gutiérrez, Daniel F. Delgado Ruiz, Julio M. Rojas Salinas, Robert A. Rodríguez Niño, Liliana C. Cortés Velásquez, Yelson A. Picón Jaimes

{"title":"Vaginal estrogen therapy and the risk of recurrence in women with a history of breast cancer","authors":"María A. Boada Fuentes, Raquel E. Toncel Herrera, Andrea L. Wadnipar Gutiérrez, Daniel F. Delgado Ruiz, Julio M. Rojas Salinas, Robert A. Rodríguez Niño, Liliana C. Cortés Velásquez, Yelson A. Picón Jaimes","doi":"10.25176/rfmh.v23i3.5692","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5692","url":null,"abstract":"Breast cancer remains the most common malignant neoplasm and one of the leading causes of mortality in women, making it a significant target for global health efforts and a public health priority. Through the use of innovative therapies, survival rates have improved, leading to the emergence of associated conditions such as genitourinary menopausal syndrome. Hormonal therapy is employed for managing this condition, significantly alleviating its symptoms and, in some cases, serving as the sole solution. The most commonly utilized approach is vaginal estrogen therapy. Nevertheless, there have been reports of a potential risk of breast cancer recurrence associated with its use. In the Spanish-speaking context, there is limited evidence discussing this topic. A search was conducted across PubMed, ScienceDirect, and MEDLINE databases, using the terms \"Vaginal Estrogen Therapy,\" \"Recurrence,\" and \"Breast Cancer.\" It was determined that, on a global scale, vaginal estrogen therapy is an effective and safe therapeutic option for managing genitourinary menopausal syndrome in women with a history of breast cancer. This therapy does not appear to increase the risk of recurrence, with the exception of those undergoing treatment with aromatase inhibitors. For these individuals, alternative therapies are recommended to mitigate this potential risk.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136276830","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

Cytogenetic findings and maternal age in patients with Down syndrome in a pediatric referral hospital from Peru 秘鲁一家儿科转诊医院唐氏综合征患者的细胞遗传学发现和母亲年龄

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5503

Yesica Llimpe Mitma de Barrón, Maribel S. Ccoyllo Álvarez, Milana Trubnykova, Rocío M. González Moreno

{"title":"Cytogenetic findings and maternal age in patients with Down syndrome in a pediatric referral hospital from Peru","authors":"Yesica Llimpe Mitma de Barrón, Maribel S. Ccoyllo Álvarez, Milana Trubnykova, Rocío M. González Moreno","doi":"10.25176/rfmh.v23i3.5503","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5503","url":null,"abstract":"Introduction: Down syndrome is a congenital disorder caused by a total or partial trisomy of chromosome 21 and is considered the most common genetic cause of congenital malformations and intellectual disability. The objective of this study was to describe the cytogenetic alterations of patients with Down syndrome and their relationship with maternal age. Methods: Cross-sectional, descriptive-analytical study. 436 patients with Down syndrome admitted to the Instituto Nacional de Salud del Niño during the 2017-2019 period were included. The variables analyzed were: cytogenetic diagnosis and maternal age. Results: It was found that 99,3% (n=433) of patients presented some type of cytogenetic alteration and three patients presented a normal karyotype. The age of the patients at the time of sampling was between 0,03 and 17 years, the male/female ratio was 1.2:1. The most frequent cytogenetic alteration was free trisomy 21 (94,7%), followed by Robertsonian translocation (n=16) and mosaicism (n=6). In the case of maternal age, a median of 37 years was found (range: 13-47). Conclusions: Free trisomy 21 is the most common cytogenetic condition in Down syndrome; however, the Robertsonian translocation and mosaicisms were more frequent in patients whose mothers were les than 35 years old, suggesting that there are other risk factors than advanced maternal age in this group.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136271636","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

Can vitamin D be the ray of sunshine that lights up the treatment of gastric cancer? 维生素D能成为照亮胃癌治疗的一缕阳光吗?

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5904

Alfredo W. Campos Perez, Sacha Barrios Healey, José M. Vela Ruiz

引用次数: 0

Spontaneous pneumothorax and bullous emphysema in a young patient? About a case 年轻患者自发性气胸和大疱性肺气肿?关于一个案例

Revista de la Facultad de Medicina Humana Pub Date : 2023-09-30 DOI: 10.25176/rfmh.v23i3.5878

María M. Rodríguez Gutiérrez, Hernán Cardona Gaviria, Luisa M. Hincapie Cano, María C. Oyuela Gutiérrez, Tatiana X. Quevedo Cristancho, Daniela Valencia Riascos, Juliana Gómez Raigosa, María C. Díaz Rivera

{"title":"Spontaneous pneumothorax and bullous emphysema in a young patient? About a case","authors":"María M. Rodríguez Gutiérrez, Hernán Cardona Gaviria, Luisa M. Hincapie Cano, María C. Oyuela Gutiérrez, Tatiana X. Quevedo Cristancho, Daniela Valencia Riascos, Juliana Gómez Raigosa, María C. Díaz Rivera","doi":"10.25176/rfmh.v23i3.5878","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5878","url":null,"abstract":"Introduction Pneumothorax is a pathology prevalent in traumatic accidents in the thorax, but it can also be found spontaneously due to causes attributable to bullous disease, pneumonia, airway obstruction, malignancy, among others. Case report Young male patient who debuted with spontaneous pneumothorax who required management in the intensive care unit with subsequent appearance of bullae in diagnostic images and pathology. Discussion Primary spontaneous pneumothorax (PSP) in the young population is influenced by psychosocial factors such as age, gender, habits, environment, and genetic factors. In 80% of patients with PSP, the presence of bullae or apical blebs has been demonstrated, in addition from the porosity of the pleura that usually occurs in tall adolescents with athletic bodies; but it is also observed that tobacco use can increase the risk. Conclusions Spontaneous pneumothorax due to bullous emphysema has increased in young people due to the use of psychoactive substances, vapers, and cigarettes.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136271807","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