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La simulación clínica en la enseñanza de la medicina 临床模拟在医学教学中的应用
Horizonte Médico (Lima) Pub Date : 2022-03-03 DOI: 10.24265/horizmed.2022.v22n1.00
Gloria Ubillús Arriola de Pimentel
{"title":"La simulación clínica en la enseñanza de la medicina","authors":"Gloria Ubillús Arriola de Pimentel","doi":"10.24265/horizmed.2022.v22n1.00","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n1.00","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128832748","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
Calidad de atención y satisfacción del paciente atendido en una cadena de clínicas odontológicas. Lima-Perú, 2019-2020 连锁牙科诊所的护理质量和病人满意度。Lima-Perú,2019-2020
Horizonte Médico (Lima) Pub Date : 2022-03-03 DOI: 10.24265/horizmed.2022.v22n1.02
Andrea Carolina Fabian-Sánchez, L. Podestá-Gavilano, R. A. Ruiz-Arias
{"title":"Calidad de atención y satisfacción del paciente atendido en una cadena de clínicas odontológicas. Lima-Perú, 2019-2020","authors":"Andrea Carolina Fabian-Sánchez, L. Podestá-Gavilano, R. A. Ruiz-Arias","doi":"10.24265/horizmed.2022.v22n1.02","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n1.02","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116790690","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
Hepatotoxicidad por antituberculosos en pacientes con tuberculosis multidrogorresistente 耐多药结核病患者抗结核药物的肝毒性
Horizonte Médico (Lima) Pub Date : 2022-03-03 DOI: 10.24265/horizmed.2022.v22n1.05
Teodoro Julio Oscanoa Espinoza, Saul Moscol, J. Luque, Silvia Leon-Curiñaupa, José Amado-Tineo
{"title":"Hepatotoxicidad por antituberculosos en pacientes con tuberculosis multidrogorresistente","authors":"Teodoro Julio Oscanoa Espinoza, Saul Moscol, J. Luque, Silvia Leon-Curiñaupa, José Amado-Tineo","doi":"10.24265/horizmed.2022.v22n1.05","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n1.05","url":null,"abstract":"Objective: To describe the clinical characteristics of drug-induced liver injury (DILI) in multidrug-resistant tuberculosis (MDR-TB) patients. Materials and methods: A retrospective study conducted in hospitalized patients with MDR-TB and DILI. The criteria of the DILI Expert Working Group were used for the diagnosis of DILI, and the RUCAM (Roussel Uclaf Causality Assessment Method) for the causality analysis. The specific association between DILI and antitubercular drugs was established by drug rechallenge or discontinuation and recovery. Results: Seven cases of MDR-TB and DILI are described in this research. The mean age (standard deviation) was 39.10 (3.30) years. Mean DILI occurred 30.40 (27.70) days after starting the treatment. Three (43.00 %) patients presented jaundice. Regarding the type of injury, four (57.00 %) had hepatocellular injury and three (43.00 %) cholestatic injury. Four patients showed mild DILI and three moderate DILI. All the patients had taken pyrazinamide (pyrazinamide alone: four patients; pyrazinamide and ethionamide: one patient; pyrazinamide, rifampin and isoniazid: one patient; pyrazinamide and rifampicin: one patient). The mean hospital stay was 48.10 (48.70) days. The mean serum alkaline phosphatase (AP), alanine aminotransferase (ALT) and gamma-glutamyl-transpeptidase (GGT) were 2.40 (1.10), 7.90 (7.10) and 5.60 (3.70) times the upper limit of normal (ULN), respectively. The mean total bilirubin was 2.30 (2.00), with a range of 0.50 to 6.40 mg/dl. As part of the discharge plan, quinolones were given to seven patients (levofloxacin: six patients; ofloxacin: one patient) and amoxicillin/clavulanic acid was added to one patient. Conclusions: MDR-TB patients may develop DILI after the first month of treatment. Hepatocellular injury was the most common type of liver injury, and pyrazinamide was the most frequently used antimycobacterial. MeSH NLM).","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130907408","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: 2
Tuberculosis espinal: diagnóstico y manejo 脊髓结核:诊断与管理
Horizonte Médico (Lima) Pub Date : 2022-03-03 DOI: 10.24265/horizmed.2022.v22n1.10
Eduardo Jonathan Laos Plasier, Alfonso Basurco Carpio, José Luis Urquizo Rodríguez
{"title":"Tuberculosis espinal: diagnóstico y manejo","authors":"Eduardo Jonathan Laos Plasier, Alfonso Basurco Carpio, José Luis Urquizo Rodríguez","doi":"10.24265/horizmed.2022.v22n1.10","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n1.10","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114834606","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
Teleorientación y teleseguimiento en la ingesta alimentaria de pacientes con hipertensión arterial y diabetes mellitus 高血压和糖尿病患者食物摄入的远程定位和远程监测
Horizonte Médico (Lima) Pub Date : 2022-03-03 DOI: 10.24265/horizmed.2022.v22n1.06
Alessandra M. Villar Jiménez, J. Matzumura-Kasano, H. Gutiérrez-Crespo
{"title":"Teleorientación y teleseguimiento en la ingesta alimentaria de pacientes con hipertensión arterial y diabetes mellitus","authors":"Alessandra M. Villar Jiménez, J. Matzumura-Kasano, H. Gutiérrez-Crespo","doi":"10.24265/horizmed.2022.v22n1.06","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n1.06","url":null,"abstract":"Objective: To describe the food intake of patients with hypertension and diabetes mellitus before and after teleorientation and telemonitoring sessions. Materials and methods: A quasi-experimental study conducted with 80 participants with a diagnosis of hypertension and diabetes mellitus, whose food intake was evaluated at the beginning of the intervention and at the end of the scheduled teleorientation and telemonitoring sessions. Results: At the beginning of the intervention, only 6.25 % of the participants showed an adequate food intake, which increased to 71.25 % at the end of the scheduled teleorientation and telemonitoring sessions. Conclusions: The implementation of a nutrition teleorientation and telemonitoring system in patients with hypertension and diabetes mellitus improves their food intake, thus confirming the efficacy of using ICTs in health interventions for the benefit of the population.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124157069","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
Infección del tracto urinario en el servicio de Pediatría del Hospital Regional de Moquegua 莫奎瓜地区医院儿科病房的尿路感染
Horizonte Médico (Lima) Pub Date : 2022-03-03 DOI: 10.24265/horizmed.2022.v22n1.03
José Luis Medina Valdivia
{"title":"Infección del tracto urinario en el servicio de Pediatría del Hospital Regional de Moquegua","authors":"José Luis Medina Valdivia","doi":"10.24265/horizmed.2022.v22n1.03","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n1.03","url":null,"abstract":"Objective: To determine the clinical and epidemiological characteristics of urinary tract infections (UTIs) supported by the diagnosis, therapy and antimicrobial susceptibility of inpatients of the Pediatric Unit of the Hospital Regional de Moquegua from 2014 to 2020. Materials and methods: An observational, descriptive and retrospective study. The research included a population of 248 patients aged between 1 month and 14 years 11 months 30 days with a diagnosis of UTI who underwent a urine culture. A data collection sheet was used and the results were processed using the IBM SPSS Statistics statistical software 23.0. Results: The infection occurred more often in female patients (82.26 %), with fever being the most prevalent clinical manifestation (83.87 %). The most widely used medical treatment was amikacin (49.19 %). E. coli was the most frequently isolated germ (70.57 %). The isolated germs showed sensitivity to antibiotics such as nitrofurantoin (70.16 %), ceftazidime (51.20 %), gentamicin (43.14 %) and amikacin (28.62 %). In contrast, they were resistant to sulfamethoxazole–trimethoprim (74.59 %). One of the most common findings in the imaging tests was unilateral pyelectasis (43.14 %). Conclusions: UTIs occur more frequently in women. The anamnesis and clinical examination, together with a complete urinalysis and imaging tests, are essential for the diagnosis and treatment of these patients. The definitive diagnosis must be established by a urine culture. The choice of an empirical therapy will depend on the patient’s history of sensitivity and resistance to antibiotics based on the urine cultures performed.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"36 8 Pt 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125730826","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
La vía canónica PI3K/AKT/mTOR y sus alteraciones en cáncer 典型的PI3K/AKT/mTOR通路及其在癌症中的改变
Horizonte Médico (Lima) Pub Date : 2021-12-30 DOI: 10.24265/horizmed.2021.v21n4.15
Franklin Aldecoa, J. Ávila
{"title":"La vía canónica PI3K/AKT/mTOR y sus alteraciones en cáncer","authors":"Franklin Aldecoa, J. Ávila","doi":"10.24265/horizmed.2021.v21n4.15","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n4.15","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133111200","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
Factores asociados a la no adherencia al tratamiento antirretroviral en personas con VIH/SIDA 与艾滋病毒/艾滋病患者不坚持抗逆转录病毒治疗相关的因素
Horizonte Médico (Lima) Pub Date : 2021-12-30 DOI: 10.24265/horizmed.2021.v21n4.09
Richar William Barrera-Espinoza, W. Gómez-Gonzales, Ana Girón-Vargas, Magaly Arana-Escobar, Lilia María Nieva-Villegas, Carlos Gamarra-Bustillos, María Auqui-Canchari, M. Zapana-Tito
{"title":"Factores asociados a la no adherencia al tratamiento antirretroviral en personas con VIH/SIDA","authors":"Richar William Barrera-Espinoza, W. Gómez-Gonzales, Ana Girón-Vargas, Magaly Arana-Escobar, Lilia María Nieva-Villegas, Carlos Gamarra-Bustillos, María Auqui-Canchari, M. Zapana-Tito","doi":"10.24265/horizmed.2021.v21n4.09","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n4.09","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126462712","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
Características de pacientes hospitalizados con COVID-19 en la red asistencial La Libertad-EsSalud, 2020 la liberta - essalud护理网络中COVID-19住院患者的特征，2020年
Horizonte Médico (Lima) Pub Date : 2021-12-30 DOI: 10.24265/horizmed.2021.v21n4.04
Marco Antonio Alfaro Angulo, Mónica Rosaura Rivero Villegas, Víctor Andrés Sánchez Reyna
{"title":"Características de pacientes hospitalizados con COVID-19 en la red asistencial La Libertad-EsSalud, 2020","authors":"Marco Antonio Alfaro Angulo, Mónica Rosaura Rivero Villegas, Víctor Andrés Sánchez Reyna","doi":"10.24265/horizmed.2021.v21n4.04","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n4.04","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128056220","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
Colitis isquémica y neumatosis intestinal en paciente con COVID-19: reporte de caso COVID-19患者缺血性结肠炎和肠道肺炎:病例报告
Horizonte Médico (Lima) Pub Date : 2021-12-30 DOI: 10.24265/horizmed.2021.v21n4.11
J. L. Vélez Páez, Christian Leonardo Mora Coello, Wilson Daniel Álava Muñoz, María José Proaño Constante, Milagros Esthela Heredia Toledo, Santiago Xavier Aguayo Moscoso
{"title":"Colitis isquémica y neumatosis intestinal en paciente con COVID-19: reporte de caso","authors":"J. L. Vélez Páez, Christian Leonardo Mora Coello, Wilson Daniel Álava Muñoz, María José Proaño Constante, Milagros Esthela Heredia Toledo, Santiago Xavier Aguayo Moscoso","doi":"10.24265/horizmed.2021.v21n4.11","DOIUrl":"https://doi.org/10.24265/horizmed.2021.v21n4.11","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124818293","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: 2
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