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Postoperative peritonitis diagnosis features in abdominal sepsis 腹部败血症术后腹膜炎的诊断特点
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.10
Ihor Shevchuk
{"title":"Postoperative peritonitis diagnosis features in abdominal sepsis","authors":"Ihor Shevchuk","doi":"10.47307/gmc.2023.131.2.10","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.10","url":null,"abstract":"Introduction: Despite significant advances in modern medicine, postoperative peritonitis is the cause of death in 50-86 % of patients. Postoperative peritonitis remains one of the most common causes of relaparotomy, accounting for 35 %-56 % of all intraabdominal complications. The diagnosis of postoperative peritonitis is based on clinical and biochemical examinations, the informative value of which is insufficient. One of the most informative methods of diagnosis of postoperative peritonitis with abdominal sepsis is a study of indices of endogenous intoxication and immune response of the body, such as medium-mass molecules, IgA, IgM, IgG, and complement activity. Objective: The objective of the research is to study the changes in immune response in patients with postoperative peritonitis with abdominal sepsis.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42780284","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
Enfermedad de Crohn con afectación perianal: reporte de caso 克罗恩病并肛周受累1例
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.20
María Vanessa Rocano Cueva
{"title":"Enfermedad de Crohn con afectación perianal: reporte de caso","authors":"María Vanessa Rocano Cueva","doi":"10.47307/gmc.2023.131.2.20","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.20","url":null,"abstract":"La enfermedad inflamatoria intestinal (EII), comprende la enfermedad de Crohn (EC) y la Colitis Ulcerosa (CU). La enfermedad de Crohn (EC), se caracteriza por afectación transmural y granulomatosa en cualquier parte del tubo digestivo, presenta periodos de actividad y remisión, su manejo clínico debe ser multidisciplinario, debido a varias manifestaciones heterogéneas o extraintestinales, que se podrían simular otro tipo de trastorno inflamatorio, por lo tanto, un diagnóstico acertado, representa un desafío en atención primaria. El desarrollo de fístulas perianales, se presentan entre el 20 % y 30 % de los pacientes, al menos una vez en el trascurso de su vida, sin embargo, el 70 % son asintomáticos.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44490028","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
Determinants of Complications in Patients with Diabetes Mellitus at the Mangasa and Tamamaung Community Health Centers in Makassar 望加锡Mangasa和Tamamaung社区卫生中心糖尿病患者并发症的决定因素
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.7
Miranda Claudya Baso
{"title":"Determinants of Complications in Patients with Diabetes Mellitus at the Mangasa and Tamamaung Community Health Centers in Makassar","authors":"Miranda Claudya Baso","doi":"10.47307/gmc.2023.131.2.7","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.7","url":null,"abstract":"Objective: Diabetes mellitus is also known as the “silent killer” if the symptoms are neglected, and complications are found. Diabetes mellitus is one of the four non-communicable diseases causing 60% of deaths—and the prevalence of diabetes mellitus complications in South Sulawesi is 32.71 %. This study aimed to examine the risks of obesity, duration of diabetes, physical activity, smoking habits, and hypertension for complications in patients with diabetes mellitus. Methods: This study is analytical observational with a case-control study design, in which data were collected from 150 patients with diabetes mellitus in Makassar, selected by purposive sampling with 50 respondents in the case group and 100 respondents in the control group, respectively. Data were collected using a questionnaire and the relationship between research variables was analyzed using the Odds Ratio and multiple logistic regression.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41953572","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
La disbiosis en la aparición y progresión de la periodontitis: una revisión de la literatura 牙周炎的出现和进展中的生态失调:文献综述
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.14
Cynthia Jazmín Herrera-Cruz
{"title":"La disbiosis en la aparición y progresión de la periodontitis: una revisión de la literatura","authors":"Cynthia Jazmín Herrera-Cruz","doi":"10.47307/gmc.2023.131.2.14","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.14","url":null,"abstract":"El objetivo de este trabajo es abordar la importancia de los conceptos actuales del proceso salud-enfermedad y las implicaciones de una disbiosis en el microbioma oral para la aparición y progresión de la periodontitis. El creciente avance en el área de la epigenética lleva a otorgar un protagonismo a los microrganismos, especialmente aquellos causantes de enfermedades progresivas. La cavidad oral es un complejo anatómico ideal para el desarrollo de microrganismos patógenos, que darán lugar a procesos de enfermedades bucales. Las bacterias de la boca se encuentran en un estado simbiótico cohabitando en un equilibrio constante. Cuando existe una disrupción entre esa homeostasis, se genera un proceso de disbiosis, donde los microorganismos patógenos toman el control y dan origen al surgimiento de diversas patologías orales como la enfermedad periodontal.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44277228","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
Melanoma primario de clítoris. Reporte de un caso ¿Qué sabemos actualmente de los melanomas? 阴蒂原发性黑色素瘤。病例报告我们目前对黑色素瘤了解多少?
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.16
Mikhael Karim Chidiak Tawil
{"title":"Melanoma primario de clítoris. Reporte de un caso ¿Qué sabemos actualmente de los melanomas?","authors":"Mikhael Karim Chidiak Tawil","doi":"10.47307/gmc.2023.131.2.16","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.16","url":null,"abstract":"os melanomas son neoplasias que surgen de la malignización de los melanocitos, generalmente relacionados con el daño solar acumulado por lo que la mayoría son cutáneos. Sin embargo, también puede aparecer en las superficies mucosas representando solo el 3%. Las mutaciones del gen c-KIT se encuentran en 21,6 % a diferencia de los melanomas cutáneos donde la mutación es rara. Por el contrario, las mutaciones NRAS y BRAF ocurren solo en el 10,2 % y 8,2 % de los melanomas vulvares, respectivamente, siendo más frecuente en los cutáneos. La mayoría de los melanomas vulvares se diagnostican en mujeres posmenopáusicas. Las manifestaciones clínicas incluyen: prurito, ulceración, sangrado o secreción vaginal, presentándose en etapas avanzadas.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47614199","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
Acute electrocardiographic correlates post heart transplant in a non-compacted myocardium obese patient: A case report 非致密性心肌肥胖患者心脏移植后急性心电图相关性:1例报告
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.19
Francisco Antônio da Cunha-Ferreira
{"title":"Acute electrocardiographic correlates post heart transplant in a non-compacted myocardium obese patient: A case report","authors":"Francisco Antônio da Cunha-Ferreira","doi":"10.47307/gmc.2023.131.2.19","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.19","url":null,"abstract":"This work describes a patient with non-compacted myocardium with a very low ejection fraction, type I obesity, with a history of atrial septal defect (ASD) correction, who underwent heart transplantation and the immediate electrocardiographic changes after the procedure. The immediate alterations included atrial fibrillation with a high ventricular response, bradycardia requiring pacing, and alterations due to right ventricular pressure overload (right bundle branch block). After the initial perioperative course, we observed good evolution after transplantation and clinical treatment. At the one-year follow-up, the patient remained without signs of rejection and with grade I functional capacity, free of cardiovascular events.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44125911","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
Validity and Reliability Test of Rome IV Functional Dyspepsia Diagnostic Questionnaire (R4-FDDQ) on Indonesian Population 罗马IV型功能性消化不良诊断问卷（R4-FDDQ）对印尼人群的有效性和可靠性检验
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.5
Muhammad Muhibbuddin Hilmy Asari
{"title":"Validity and Reliability Test of Rome IV Functional Dyspepsia Diagnostic Questionnaire (R4-FDDQ) on Indonesian Population","authors":"Muhammad Muhibbuddin Hilmy Asari","doi":"10.47307/gmc.2023.131.2.5","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.5","url":null,"abstract":"Introduction: Currently there has not been a specific instrument to assess the presence of functional dyspepsia, which is specially designed for the Indonesian population. The main objective was to determine the validity and reliability of the Indonesian version of the Rome IV Functional Dyspepsia (FD) Questionnaire Criteria. Methods: A total of 80 participants (age ≥21 years) with a complaint of dyspepsia were recruited. The Kruskal-Wallis test is used to analyze the difference between demographic data and the type of FD. Pearson’s product-moment correlation and Cronbach’s alpha tests were used to assess the validity and reliability.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41776190","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 Self-Management Behaviour among Type 2 Diabetes Mellitus Patients 2型糖尿病患者自我管理行为的相关因素
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.4
Fadli .
{"title":"Factors Associated with Self-Management Behaviour among Type 2 Diabetes Mellitus Patients","authors":"Fadli .","doi":"10.47307/gmc.2023.131.2.4","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.4","url":null,"abstract":"Objective: This study aims to analyse the associated factors with self-management behaviour in type 2 diabetes mellitus (T2DM) patients. Method: The study used a cross-sectional approach with a total sample of 115 T2DM patients in Sidrap Regency, South Sulawesi, selected through multistage random sampling. Data were analysed with Chi-Square test and logistic regression. Results: Respondents with good self-management knowledge were 94 times more likely to manage the disease (Ex(b) = 94.26), and those with good self-efficacy were 54 times more likely to practice good self-management behaviour. Conclusion: Factors greatly affecting self-management are knowledge, self-efficacy, and family support. Self-management can also prevent complications.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43552581","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
Papel de la Gaceta Médica de Caracas en la producción científica sobre la COVID-19 加拉加斯Gaceta medica在COVID-19科学生产中的作用
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.1
E. G. Estrada-Araoz
{"title":"Papel de la Gaceta Médica de Caracas en la producción científica sobre la COVID-19","authors":"E. G. Estrada-Araoz","doi":"10.47307/gmc.2023.131.2.1","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.1","url":null,"abstract":"La producción científica hace referencia a aquella actividad primordial en el progreso de un país, ya que a través de ella se generan nuevos conocimientos, se desarrollan tecnologías y se brindan soluciones a los problemas que afectan a la sociedad. Ahora bien, para ofrecer respuestas a la emergencia sanitaria ocasionada por la pandemia, la comunidad científica incrementó su producción científica asociada a dicha temática. En el caso de la Gaceta Médica de Caracas, tuvo un papel importante a nivel regional e internacional en la producción científica, pues publicó 136 documentos con temas relacionados a la COVID-19 desde enero del año 2020 hasta el mes de abril de 2023. Los tipos de documentos más publicados fueron los artículos originales (57,4 %), los artículos de revisión (18,4 %), las editoriales (7,4 %) y las introducciones (7,4 %). Por lo expuesto, resulta importante que la revista continúe fomentando la participación de investigadores de diferentes latitudes del mundo mediante la publicación de los resultados de sus estudios, ya que cumple con estándares editoriales y actualmente se encuentra indizada en bases de datos de alto impacto.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42462346","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
Bioética en salud pública: propuesta de la digievolución 公共卫生中的生物伦理学：Digievolution的建议
Gaceta Medica de Caracas Pub Date : 2023-06-21 DOI: 10.47307/gmc.2023.131.2.21
Jeiv Gómez
{"title":"Bioética en salud pública: propuesta de la digievolución","authors":"Jeiv Gómez","doi":"10.47307/gmc.2023.131.2.21","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.2.21","url":null,"abstract":"Objetivo: Elaborar una propuesta metodológica con un enfoque holístico integrador dentro de las corrientes de pensamiento prevalecientes en la bioética latinoamericana para afrontar la inequidad originada por la crisis del sector salud en Venezuela, desde el año 2013 hasta la actualidad, con énfasis en lo institucional – social. Métodos: Se investigaron los lineamientos en la bioética latinoamericana con énfasis en lo institucional – social, articulando las corrientes de pensamiento con mayor relevancia. Resultados: Se elaboró una propuesta metodológica basada en la digievolución, dotada de un enfoque holístico integrador con énfasis en lo institucional y social adaptada a las características específicas de la crisis del sector salud en Venezuela para proyectar políticas sanitarias que afronten de forma eficaz la inequidad imperante.","PeriodicalId":35684,"journal":{"name":"Gaceta Medica de Caracas","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42467294","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: 1
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