Horizonte Médico (Lima)最新文献_第2页

Funcionalidad del miembro inferior con exposición ósea con el uso de terapia con presión negativa VAC® vs. colgajo de gemelo medial VAC®负压治疗与内侧双胞胎皮瓣下骨暴露的下肢功能

Horizonte Médico (Lima) Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.04

Enrique Antonio Chau Ramos

{"title":"Funcionalidad del miembro inferior con exposición ósea con el uso de terapia con presión negativa VAC® vs. colgajo de gemelo medial","authors":"Enrique Antonio Chau Ramos","doi":"10.24265/horizmed.2023.v23n2.04","DOIUrl":"https://doi.org/10.24265/horizmed.2023.v23n2.04","url":null,"abstract":"Objective: To compare two reconstructive surgery techniques for lower limb injury with exposed bone and demonstrate that the VAC® (vacuum-assisted closure) negative pressure wound therapy is an alternative for potential recovery showing no significant changes that could lead to functional compromise. Materials and methods: An analytical, prospective, quantitative and longitudinal study conducted with all the patients of Clínica Stella Maris with traumatic injuries of the lower limb and exposure of the middle third of the tibia treated with the VAC® system and the medial calf flap in 2019. Results: The measurement obtained with the functional ambulation categories (FAC) scale showed better results among the patients treated with the VAC® technique (since 50 % got grade V) than those who underwent the flap technique (50 % got grade IV), being the differences statistically significant (p < 0.05). It was observed that the time to closure was longer with the VAC® technique due to the progressive regeneration process consisting of the complete filling or coverage of the lesion area. On the other hand, the difference in the postoperative pain intensity between the two techniques was evident, being moderate to intense with the flap technique and mild, for the most part, with the VAC® technique. Conclusions: The VAC® suction system is effective for bone coverage in traumatic defects of the anterior middle third of the tibia. It is an alternative for potential recovery that does not change the anatomical structures because it provides better functional results and fewer complications. It is a useful and safe option that stimulates wound closure and minimizes the need for surgical treatment.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127798589","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

Percepciones de los estudiantes de ciencias de la salud sobre el aprendizaje cooperativo en la modalidad virtual 健康科学学生对虚拟模式下合作学习的看法

Horizonte Médico (Lima) Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.03

Edith Chambi-Mescco, Ofelia Calero Escurra, Milagros Salazar De La Torre, Maritza Yovany Mestanza Tejada, Pilar Julia Paucar Miranda, Laura Ysabel Ballarta Rodríguez, Miguel Alfredo Durand Veramatus, Yolanda Segura Medina, Janet Cordori Carpio, Sara Pamela Sánchez Sandoval, Melisa Matos Carhuaricra

引用次数: 0

Apendicolito libre postapendicectomía

Horizonte Médico (Lima) Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.11

Hubert James Mendoza Rojas

{"title":"Apendicolito libre postapendicectomía","authors":"Hubert James Mendoza Rojas","doi":"10.24265/horizmed.2023.v23n2.11","DOIUrl":"https://doi.org/10.24265/horizmed.2023.v23n2.11","url":null,"abstract":"Dropped appendicolith following an appendectomy is a rare complication which may occur as a consequence of appendicolith expulsion from the appendix due to a previous perforation or failure to identify the appendicolith. A fecalith generally becomes symptomatic over time, as a result of abscess formation, intestinal obstruction, fistula tract or inflammation of the appendiceal stump. Two cases of dropped appendicolith following an appendectomy are described hereinbelow. Case 1: A 23-year-old female patient, who underwent an appendectomy the previous day, was admitted to the emergency room due to hypogastric pain. A computed tomography (CT) scan revealed a dropped appendicolith in the right iliac fossa, and a diagnostic laparoscopy showed intra-abdominal abscesses and a dropped appendicolith in the appendicular stump. Case 2: A 77-year-old male patient, who underwent surgery for acute appendicitis caused by appendicoliths, showed abdominal distension on the sixth postoperative day. The CT scan revealed intestinal obstruction and a dropped appendicolith at bowel loops. In the surgical reintervention, erosion of the mesentery caused by the appendicolith was evidenced. Both patients progressed after the reoperations. The incidence of dropped appendicolith following an appendectomy is currently unknown since few data are available in the literature worldwide. Therefore, it is important to present these cases to expand the casuistry, learn more about dropped appendicoliths following an appendectomy, demonstrate their complications if they are not removed early and show how to prevent them. In conclusion, dropped appendicoliths following an appendectomy must be removed early to avoid complications.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"256 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133339999","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

Uso y resultados del astegolimab en el manejo del asma severa: ¿qué se conoce? 阿斯替格单抗在严重哮喘治疗中的应用和结果:已知的情况?

Horizonte Médico (Lima) Pub Date : 2023-01-31 DOI: 10.24265/horizmed.2023.v23n1.13

Iván David Lozada Martínez, Gonzalo Andrés Domínguez Alvarado, Fernando Torres Perez, Leidy Johanna Cruz Rodríguez, Lesmer Alirio Galindo Ruiz, María Camila Gamboa Perdomo, Luisa Fernanda Hurtado Quiros, Karen Elena Reales Hernández

引用次数: 0

Asociación entre el nivel del establecimiento de salud y el cumplimiento de los elementos informativos en los formatos de consentimiento informado, 2019-2021 2019-2021年，卫生设施水平与知情同意格式中信息元素的依从性之间的关联

Horizonte Médico (Lima) Pub Date : 2023-01-31 DOI: 10.24265/horizmed.2023.v23n1.01

José Luis Angeles Fuentes, Maritza Dorila Placencia Medina

引用次数: 0

Clases teóricas, ¿cosa del pasado en la docencia de ciencias básicas en Medicina? 理论课，医学基础科学教学的过去?

Horizonte Médico (Lima) Pub Date : 2023-01-31 DOI: 10.24265/horizmed.2023.v23n1.00

Enrique Ruiz-Mori

引用次数: 0

Compromiso del parénquima pulmonar secundaria a la inyección subcutánea de geles de silicona: reporte de caso 皮下注射硅胶凝胶继发性肺实质损伤:病例报告

Horizonte Médico (Lima) Pub Date : 2023-01-31 DOI: 10.24265/horizmed.2023.v23n1.10

Renzo Steffano Valle Farfán, Enver Vantroi Palacios Ordoñez, Ysabel Lozano Rodas, Stefano Alessandro Valle Farfán

{"title":"Compromiso del parénquima pulmonar secundaria a la inyección subcutánea de geles de silicona: reporte de caso","authors":"Renzo Steffano Valle Farfán, Enver Vantroi Palacios Ordoñez, Ysabel Lozano Rodas, Stefano Alessandro Valle Farfán","doi":"10.24265/horizmed.2023.v23n1.10","DOIUrl":"https://doi.org/10.24265/horizmed.2023.v23n1.10","url":null,"abstract":"Pulmonary parenchymal involvement secondary to the subcutaneous injection of silicone gels is an unusual condition which occurs more frequently in women aged between 22 and 55 years. Although different theories have been put forward about its etiology, it is unknown and the condition may cause local and systemic complications and even have a fatal outcome. Few cases have been reported in South America and there is no report of this unique entity in Peru. We present the case of a previously healthy 28-year-old male transgender patient who, after an illegal subcutaneous injection of silicone gels in the gluteal region given by a non-healthcare professional, showed progressive respiratory distress and stabbing chest pain of approximately 7 out of 10 on the pain scale within the first 24 hours. Upon admission to the emergency room, respiratory failure was objectively evidenced since the patient had an oxygen saturation of 72 % at a FiO2 of 21 %, as well as pulmonary parenchymal involvement both in the CT scan and chest X-ray with signs highly suggestive of this pathology. Using a SARS-CoV-2 RNA real-time RT-PCR test performed on a respiratory specimen, COVID pneumonia, immunodeficiency disorders and pulmonary embolism were ruled out. Since there is no standard treatment, the patient was given relevant support measures such as the administration of supplemental oxygen at a low flow rate by binasal cannula, intravenous systemic corticosteroids and antibiotic therapy, thus achieving good progress with resolution of the initial clinical presentation. Then, after 10 days of intrahospital treatment, the patient was discharged.Copyright © La revista. Publicado por la Universidad de San Martin de Porres, Peru.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"644 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121984582","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

Cáncer de mama y mutación del gen ataxia telangiectasia: reporte de caso 乳腺癌和共济失调基因突变毛细血管扩张:病例报告

Horizonte Médico (Lima) Pub Date : 2023-01-31 DOI: 10.24265/horizmed.2023.v23n1.11

Óscar Alejandro Bonilla Sepúlveda

{"title":"Cáncer de mama y mutación del gen ataxia telangiectasia: reporte de caso","authors":"Óscar Alejandro Bonilla Sepúlveda","doi":"10.24265/horizmed.2023.v23n1.11","DOIUrl":"https://doi.org/10.24265/horizmed.2023.v23n1.11","url":null,"abstract":"Among women, breast cancer is the most common cancer in the world, accounting for 25.7 % of all cancers and thus making it a topic of interest in public health. Breast cancer is a complex, heterogeneous genetic disease and, in the vast majority of cases, of unknown etiology. Around 7 % of breast cancer cases in the general population present a susceptibility gene mutation of Mendelian inheritance. The ataxia telangiectasia mutated (ATM) gene mutation is found in less than 1 % of the general population, and association studies conducted with controls have shown that these alleles are characterized by a moderate risk (RR: 2 ‐ 4) for hereditary cancer. Mutations in ATM incompletely cosegregate the disease, with an estimated 15 % of mutation carriers in this gene developing cancer. The incomplete penetrance of ATM, as well as other moderate‐risk genes, supports that they follow a polygenic model of cancer susceptibility. We report the case of a 35‐year‐old woman diagnosed with metachronous bilateral breast carcinoma—T4b N1 M0 stage IIIB left breast and T1c N0 stage I right breast, intrinsic luminal B subtype, HER2 overexpression and pathogenic variant of ATM gene c.7913 G>A, p. Trp2638*—who was treated with neoadjuvant chemotherapy, followed by mastectomy, sentinel node biopsy and radiotherapy. The objective of this case report is to describe the clinicopathological characteristics of breast cancer and its association with moderate‐risk gene mutations","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126260076","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

Factor de crecimiento nervioso en neuropatía óptica traumática 创伤性视神经病变中的神经生长因子

Horizonte Médico (Lima) Pub Date : 2023-01-31 DOI: 10.24265/horizmed.2023.v23n1.09

Justiniano Oseas Zea Quispe, Roberto Michael Orihuela Echavigurin, Freddy Cristóbal López Gonzales

引用次数: 0

Evaluación de la efectividad de la vitamina E en la esteatosis hepática no alcohólica en pacientes diabéticos tipo 2 sin fibrosis avanzada 维生素E治疗非晚期纤维化2型糖尿病患者非酒精性肝脂肪变性的有效性评价

Horizonte Médico (Lima) Pub Date : 2023-01-31 DOI: 10.24265/horizmed.2023.v23n1.02

Gonzalo Miranda Manrique

引用次数: 0