Revista de la Facultad de Medicina Humana最新文献_第9页

Clinical considerations and surgical outcomes of breast implant-associated cancer: An emerging disease of interest 乳房植入物相关癌症的临床考虑和手术结果:一种新兴的感兴趣的疾病

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-18 DOI: 10.25176/rfmh.v23i2.5652

Abel Enrique Manjarres Guevara, Miguel Andres Montalvo Clavijo, Fares Juan José Martinez Sierra, Diego Armando Franco Arias, Nathalia Maria Esmeral Zuluaga, Astrid Juliana Velandia Suárez, Yarath Zeneth Rodríguez Cabarca, Michael Gregorio Ortega Sierra

{"title":"Clinical considerations and surgical outcomes of breast implant-associated cancer: An emerging disease of interest","authors":"Abel Enrique Manjarres Guevara, Miguel Andres Montalvo Clavijo, Fares Juan José Martinez Sierra, Diego Armando Franco Arias, Nathalia Maria Esmeral Zuluaga, Astrid Juliana Velandia Suárez, Yarath Zeneth Rodríguez Cabarca, Michael Gregorio Ortega Sierra","doi":"10.25176/rfmh.v23i2.5652","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5652","url":null,"abstract":"Breast cancer continues to be one of the main priorities in global health and public health, and remains the most frequent and deadly malignant neoplasm in women worldwide. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare type of non-Hodgkin's lymphoma, whose pathogenesis and pathophysiology are not well known, but which is seen with increasing frequency due to the increase in cosmetic procedures. To date, there are limitations in terms of knowledge about the clinical behavior of the disease, which can manifest itself in many forms, with a variable evolution time and uncertain surgical outcomes in the medium- and long-term. Based on the above, the aim of this review is to summarize evidence on the clinical considerations and surgical outcomes of breast implant-associated cancer to facilitate the identification and management of this condition. A bibliographic search was performed in the search engines and databases PubMed, ScienceDirect, Embase, EBSCO and MEDLINE. Within the clinical and surgical considerations, the type of implant used (textured), the time of the implant history, the severity of the manifestations, and the staging, must be taken into account in order to determine the opportunity for surgical intervention and neoadjuvant therapy, and to try to guarantee survival and avoid recurrence. Patients who undergo complete capsulectomy with radiotherapy have better outcomes.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44807457","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

Pre-pandemic climate and job satisfaction of nursing staff in an emergency service 流行病前气候与急诊护理人员工作满意度

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-18 DOI: 10.25176/rfmh.v23i2.5646

Melina Liliana Chávez Patilongo, M. P. Placencia Medina, María Elena Muñoz Zambrano, Margot Quintana Salinas, Amelia Olortegui Moncada

{"title":"Pre-pandemic climate and job satisfaction of nursing staff in an emergency service","authors":"Melina Liliana Chávez Patilongo, M. P. Placencia Medina, María Elena Muñoz Zambrano, Margot Quintana Salinas, Amelia Olortegui Moncada","doi":"10.25176/rfmh.v23i2.5646","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5646","url":null,"abstract":"Objective: To determine the relationship between work environment and job satisfaction of nursing staff in the emergency service of Hospital de Vitarte. Methods: Quantitative, correlational and cross-sectional research. The population and sample consisted of 70 members of the nursing staff of the emergency service. With the prior informed consent of each participant, two questionnaires validated in other studies were applied through a survey. Results: The participating nursing staff was mainly between 30 and 39 years old (50%), was female (62,9%), with the same number of professionals and technicians, with a slight predominance of contracted (51,4%) and had between 6 to 10 years of service. The dimensions of the work environment: self-realization (81,4%), work involvement (82,9%), supervision (82,9%) and communication (54,3%) were considered moderately favorable; working conditions were unfavorable (42,9%). The dimensions of satisfaction: physical conditions - materials (81,43%), administrative policies (72,86%) were unsatisfactory; while in social benefits – remuneration (87,14%), social relationships (47,14%), personal development (65,71%), task development (72,86%) and performance beyond the position (80%) were moderately satisfactory. The work environment was considered moderately favorable (48,57%) and job satisfaction was moderately satisfactory (42,86%). Conclusions: A statistically significant relationship was found between work environment and job satisfaction (p=0,023) in the nursing staff in the emergency service of the Hospital de Vitarte.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44852131","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

Methodological recommendations for the elaboration of the discussion of the clinical case report 阐述临床病例报告讨论的方法学建议

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-18 DOI: 10.25176/rfmh.v23i2.5654

Rafael Pichardo Rodriguez, Marcos Saavedra Velazco, Juan Jesús Bracamonte Hernández, Willy Peña Oscuvilca, O. R. Ruiz Franco

{"title":"Methodological recommendations for the elaboration of the discussion of the clinical case report","authors":"Rafael Pichardo Rodriguez, Marcos Saavedra Velazco, Juan Jesús Bracamonte Hernández, Willy Peña Oscuvilca, O. R. Ruiz Franco","doi":"10.25176/rfmh.v23i2.5654","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5654","url":null,"abstract":"Introduction: Case reports are a type of biomedical publication that allow us to share experiences regarding the etiology, diagnosis, therapeutics, and prognosis of anecdotal events that occur both in one and in several patients during clinical practice. Objective: to elaborate methodological recommendations for the elaboration of the discussion of a clinical case report. Methods: A narrative review of international guidelines and available evidence was carried out. Results: A total of 411,227 articles were located, finally selecting 10 narrative review articles. Discussion: The discussion is the most relevant section of the case report despite being considered by some journals as an optional contribution. We recommend for the elaboration of the discussion, to follow the following four steps: a) finding and comparison with the current evidence, b) justification of the causality of the findings, c) limitations and strengths in the management of the exposed case and d) clinical implications and prospects for the future. Conclusion: It is recommended to follow the four sequential steps for the elaboration of the discussion and to evaluate its impact on the scientific production in undergraduate and postgraduate students.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45775914","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

Gastrointestinal dysautonomia as a manifestation of transverse myelitis: Case report 横贯性脊髓炎表现为胃肠自主神经异常1例

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-18 DOI: 10.25176/rfmh.v23i2.5655

Abel Lugo Peláez, Viridiana Robles Sánchez, Rodrigo Esteban Sóstenes, Á. M. Montiel Jarquín, Nancy Rosalía Bertado Ramírez, Arturo García Galicia

引用次数: 0

Is diet quality affected by nutritional knowledge and practices in individuals doing regular physical activity?: A cross-sectional study 饮食质量是否受到营养知识和个人定期体育锻炼的影响?横断面研究

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-18 DOI: 10.25176/rfmh.v23i2.5638

B. Başpinar, Nazlı Nur Aslan-Çin, Ayşe Özfer Özçelik

{"title":"Is diet quality affected by nutritional knowledge and practices in individuals doing regular physical activity?: A cross-sectional study","authors":"B. Başpinar, Nazlı Nur Aslan-Çin, Ayşe Özfer Özçelik","doi":"10.25176/rfmh.v23i2.5638","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5638","url":null,"abstract":"Background: This study aimed to determine the relationship between diet quality and nutrition knowledge (CN) and nutrition practices (NP) of people who perform physical activity (PA) regularly. Methods: Two hundred healthy individuals who attended the gym at least three times a week were studied. The quality of the diet is calculated using the Healthy Eating Index-2015 (HEI-2015). Linear regression models were used multiplex to assess associations between NC and PN scores and dietary variables. Results: Of the participants, 47.0% had poor NC and 48.0% had poor NP. It was determined that the PN scores were significantly associated with whole grain, seafood, and herbal protein and quality total diet (p < 0.05), while CN scores were not associated with the quality of the diet or its components (p > 0.05). A one-unit increase in CN score resulted in a 26.7% increase in snack consumption adjusted for age, sex, educational level, body mass index (BMI), smoking, alcohol consumption, and activity physical (PA)( p < 0.001). The evaluation of the PN score was related to the main meals (β = 0.065±0.013; 95% CI 0.04–0.09; p < 0.001), snack consumption (β = 0.029±0.014, 95% CI 0.01–0.06; p < 0.05), and total quality of diet (β = 0.894±0.329; 95% CI 0.24–1.54; p < 0.05). Additionally, about 17% of the variability in the PN score could be explained by CN scores. Conclusions: Elevated NC was associated with an increase in BW scores and indirectly with an increase in diet quality. In order to see the beneficial effects of PA on health, people must rely on a healthy diet, increasing your CN.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48600822","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

Recurrent neonatal gastric perforation: An unusual case report 新生儿胃穿孔复发1例

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-18 DOI: 10.25176/rfmh.v23i2.5694

Percy Edilberto Velarde-Paredes, Genoveva Inés Chumbe-Mendoza, José Manuel Vilchez-Aponte

引用次数: 0

Factors associated with excess body weight in university students in times of COVID-19 2019冠状病毒病期间大学生体重超标的相关因素

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-01 DOI: 10.25176/rfmh.v23i2.5658

Cinthya Santa Cruz López, Sheyla Tenorio Villanueva, Dámaris Pérez Ramírez, José Elías Cabrejo Paredes

{"title":"Factors associated with excess body weight in university students in times of COVID-19","authors":"Cinthya Santa Cruz López, Sheyla Tenorio Villanueva, Dámaris Pérez Ramírez, José Elías Cabrejo Paredes","doi":"10.25176/rfmh.v23i2.5658","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5658","url":null,"abstract":"Introduction: Excess body weight affects the quality of life of millions of young people around the world. Objective: To determine the factors associated with the prevalence of overweight and obesity in university students during COVID-19, from October to December 2020. Methods: Analytical, cross-sectional research with non-experimental design. There was a population of 325 students of the professional career of medical technology and a sample of 169 students of both sexes. Body mass index and waist circumference diameter were used to calculate overweight and obesity. The associated factors were determined by means of a survey validated by expert judgment. Results: 49.1% of the students were overweight or obese, with females being the most affected. Of overweight or obese students, 59.0% were at high risk of abdominal obesity. According to eating habits, 97.6% of young people ate three or more meals per day, 81.9% consumed foods rich in carbohydrates and 54.2% consumed junk food 1 -2 times per week. In relation to sedentary lifestyle, 71.0% of students remained seated between 5 and 8 hours a day, 67.4% slept less than 7 hours a day and 57.8% did not perform any physical activity. Conclusions: The intake of food with high carbohydrate content, junk food, hours spent sleeping and sitting daily are the factors associated with the high prevalence of overweight and obesity among students during the COVID-19 period.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44942866","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

Comparison of quality of life in sphincter-conserving vs non-conservative surgery for rectal cancer 直肠癌保括约肌手术与非保守手术的生活质量比较

Revista de la Facultad de Medicina Humana Pub Date : 2023-04-01 DOI: 10.25176/rfmh.v23i2.5642

José Manuel Carlos Segura González, Samantha Isabel Hernández Muñoz, Arturo García Galicia, Esmeralda Gracián Castro, Iris Isamar Tiscareño Lozano, María Guadalupe Vera Sánchez, Á. M. Montiel Jarquín, Nancy Rosalía Bertado Ramírez

{"title":"Comparison of quality of life in sphincter-conserving vs non-conservative surgery for rectal cancer","authors":"José Manuel Carlos Segura González, Samantha Isabel Hernández Muñoz, Arturo García Galicia, Esmeralda Gracián Castro, Iris Isamar Tiscareño Lozano, María Guadalupe Vera Sánchez, Á. M. Montiel Jarquín, Nancy Rosalía Bertado Ramírez","doi":"10.25176/rfmh.v23i2.5642","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5642","url":null,"abstract":"Background: Colorectal cancer (CRC) is the third most common cancer and the second leading cause of death worldwide with an incidence of 10.2%. The treatment of CRC has changed over the past 25 years. Two surgical procedures are used: abdominoperineal resection (AR) and low anterior resection (LAR) and ultra-low (ULAR). The recurrence rate and quality of life are similar. Objective: To compare quality of life for rectal cancer (CRC) patients treated with abdominoperineal resection vs conservative resections: low anterior (LAR) and ultra-low (ULAR) in UMAE Puebla. Methods: A comparative, observational, cross-sectional study was conducted in CRC patients treated during 2015-2019 in a 3rd level hospital in Puebla. Two groups were formed: those managed with RA, and those managed with LAR/ULAR. The EORT QLQ CR-29 and EuroQol scale was applied. Descriptive statistics and Man-Whitney U were applied for comparisons. Results: A total of 26 patients were recruited: 18with AR and 18 with LAR/ULAR. A mean QoL was recorded in the RAP group of 73.72 (SD 16.92, minimum 31.46, maximum 95.09) and in the RAB/RAUB group of 56.22 (SD 6.29, minimum 47.51, maximum 68.96), with a value of p=0.005. Conclusion: There is no significant difference in the quality of life of patients of CRC patients operated by AR, LAR and ULAR (non-conservative and conservative approach).","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42953374","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

Important advances in regenerative medicine. A vision to the future of ophthalmology 再生医学的重要进展。对眼科未来的展望

Revista de la Facultad de Medicina Humana Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5534

Rafael Iván Hernández, Eduardo Alan Borobio Guede, Catherine Suárez Egóavil, Jhony A. De La Cruz Vargas

引用次数: 0

Identification of palliative care requirement in hospital inpatients in internal medicine services in a peruvian reference hospital 秘鲁参考医院内科服务住院患者姑息治疗需求的确定

Revista de la Facultad de Medicina Humana Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v22i3.4621

Annie Velasquez-Manrique, Claudia Benavides-Luyo, Susan Chaupi-Rojas, Sandra Andahua-Inuma, Manuel Andrade-Acuña, Rubén R. Sánchez-Ruiz, A. Soto

{"title":"Identification of palliative care requirement in hospital inpatients in internal medicine services in a peruvian reference hospital","authors":"Annie Velasquez-Manrique, Claudia Benavides-Luyo, Susan Chaupi-Rojas, Sandra Andahua-Inuma, Manuel Andrade-Acuña, Rubén R. Sánchez-Ruiz, A. Soto","doi":"10.25176/rfmh.v22i3.4621","DOIUrl":"https://doi.org/10.25176/rfmh.v22i3.4621","url":null,"abstract":"Introduction: Hospitals of greater complexity tend to care for patients with advanced chronic diseases, which is why it is important to recognize the need for palliative care. Objective: To identify the proportion of patients who require palliative care in the medicine department of a Peruvian referral hospital. Methodology: Observational, analytical, cross-sectional study. All hospitalized patients were studied in the Department of Internal Medicine of the Peruvian hospital during the period April-May 2018. To determine the need for palliative care, the NECPAL CCOMS-ICO © instrument was used. The quantitative variables are presented as median and interquartile range (IQR); and numerical variables, such as frequencies and percentages. For the comparison of numerical variables, the Mann Whitney test was used and the chi-square test for categorical variables. Results: They were evaluated in 281, where 102 (37.9%) required palliative care. The median age in patients requiring palliative care was 69.5 (IQR: 58-81) years. The median hospital stay in patients with and without the need for palliative care was 7 days (IQR: 4-11) and 9 days (IQR: 5-19) respectively, the mortality in patients with and without the need for palliative care was 37.25% and 4.19% respectively. Conclusions: There is a high frequency of need for palliative care in patients hospitalized in internal medicine wards, the requirement for palliative care was associated with higher mortality and hospital stay, which evidences the need for comprehensive and personalized care based on medical services specialized.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44651952","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