Pub Date : 2024-01-18DOI: 10.47307/gmc.2024.132.s1.12
J. Pérez
El control de la infección por COVID-19 dependió de medidas generales de higiene tales como practicar el lavado de las manos, usar consistente y correctamente una mascarilla de alta calidad, mejorar la ventilación y mantener la distancia, cuando sea posible, de la persona que está enferma o que dio positivo, y de la cobertura y efectividad de las vacunas específicas. La aceptación de estas últimas por la población fue clave para la prevención y control de la epidemia, y esta se vio influenciada por diferentes factores, que han sido englobados por la Organización Mundial de la Salud bajo el término de reticencia a la vacunación. Se realizó un estudio descriptivo, de corte transversal, no experimental, en el Ambulatorio “Dr. Gabriel Trompiz” de la población de Tucacas, en el período de marzo a mayo de 2023, con el objetivo de estimar la cobertura vacunal contra la COVID-19 y los factores asociados a la reticencia vacunal, aplicando una encuesta a través de la plataforma Google Forms.
{"title":"Cobertura vacunal contra infección por SARS-CoV-2 en Tucacas en 2023","authors":"J. Pérez","doi":"10.47307/gmc.2024.132.s1.12","DOIUrl":"https://doi.org/10.47307/gmc.2024.132.s1.12","url":null,"abstract":"El control de la infección por COVID-19 dependió de medidas generales de higiene tales como practicar el lavado de las manos, usar consistente y correctamente una mascarilla de alta calidad, mejorar la ventilación y mantener la distancia, cuando sea posible, de la persona que está enferma o que dio positivo, y de la cobertura y efectividad de las vacunas específicas. La aceptación de estas últimas por la población fue clave para la prevención y control de la epidemia, y esta se vio influenciada por diferentes factores, que han sido englobados por la Organización Mundial de la Salud bajo el término de reticencia a la vacunación. Se realizó un estudio descriptivo, de corte transversal, no experimental, en el Ambulatorio “Dr. Gabriel Trompiz” de la población de Tucacas, en el período de marzo a mayo de 2023, con el objetivo de estimar la cobertura vacunal contra la COVID-19 y los factores asociados a la reticencia vacunal, aplicando una encuesta a través de la plataforma Google Forms.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"77 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139526374","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}
Pub Date : 2024-01-18DOI: 10.47307/gmc.2024.132.s1.19
María Inés Nastasi Basile
Introducción: El cáncer de cuello uterino representa la primera causa de muerte por cáncer en mujeres venezolanas por causa ginecológica. La evolución natural de la neoplasia intraepitelial cervical (NIC) persistente o recurrente, es el cáncer de cuello uterino. Objetivos: Determinar persistencia y recurrencia de (NIC 3) post conización, para conocer nuestra experiencia en el tratamiento de estas lesiones. Métodos: Análisis retrospectivo, donde se analizaron la persistencia y recaídas de las NIC 3 posterior a la conización en 458 pacientes entre 2008 y 2018, empleando análisis y promedio simple.
{"title":"Manejo de las pacientes con persistencia o recaída posterior a conización por neoplasia intraepitelial cervical 3","authors":"María Inés Nastasi Basile","doi":"10.47307/gmc.2024.132.s1.19","DOIUrl":"https://doi.org/10.47307/gmc.2024.132.s1.19","url":null,"abstract":"Introducción: El cáncer de cuello uterino representa la primera causa de muerte por cáncer en mujeres venezolanas por causa ginecológica. La evolución natural de la neoplasia intraepitelial cervical (NIC) persistente o recurrente, es el cáncer de cuello uterino. Objetivos: Determinar persistencia y recurrencia de (NIC 3) post conización, para conocer nuestra experiencia en el tratamiento de estas lesiones. Métodos: Análisis retrospectivo, donde se analizaron la persistencia y recaídas de las NIC 3 posterior a la conización en 458 pacientes entre 2008 y 2018, empleando análisis y promedio simple.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"116 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139614959","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}
Pub Date : 2024-01-18DOI: 10.47307/gmc.2024.132.s1.8
J. Pérez
La Otitis es una enfermedad que se desarrolla en el oído, en cualquiera de sus porciones; se encuentra entre los primeros lugares de motivos de consulta de patologías infecciosas en Venezuela, siendo más frecuente la Otitis Media. Objetivo: Determinar la Prevalencia de Otitis Media, Aguda y Crónica, en pacientes que acuden alambulatorio “Pronto Socorro” de Higuerote, en el período Mayo-Julio de 2023.
{"title":"Prevalencia de Otitis Media en consulta ambulatoria rural costera, en el período mayo-julio de 2023","authors":"J. Pérez","doi":"10.47307/gmc.2024.132.s1.8","DOIUrl":"https://doi.org/10.47307/gmc.2024.132.s1.8","url":null,"abstract":"La Otitis es una enfermedad que se desarrolla en el oído, en cualquiera de sus porciones; se encuentra entre los primeros lugares de motivos de consulta de patologías infecciosas en Venezuela, siendo más frecuente la Otitis Media. Objetivo: Determinar la Prevalencia de Otitis Media, Aguda y Crónica, en pacientes que acuden alambulatorio “Pronto Socorro” de Higuerote, en el período Mayo-Julio de 2023.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"78 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139526232","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}
Pub Date : 2023-12-04DOI: 10.47307/gmc.2023.131.4.16
Musdaliva Tri Riskiani Almin
Background: COVID-19 is a respiratory disease that spread massively in 219 countries leading to a pandemic. Vaccination is a prevention strategy in the epidemiology approach by analyzing behavioral determinants related to vaccination acceptance of COVID-19. This study aims to analyze the association between behavioral determinants with the vaccination’s acceptance of COVID-19 in Citta District, Soppeng Regency. Method: A cross-sectional study design was carried out on 333 people. Cluster sampling was applied as the sampling technique. Data analysis used the Chi-Square test and logistic regression. Results: a significant relationship was found between behavioral determinants and acceptance of the COVID-19 vaccine,
{"title":"Behaviors Linked to the Acceptance of Vaccinations Aiming to Expedite COVID-19 Management Within the Citta Sub-District of Soppeng District, Indonesia","authors":"Musdaliva Tri Riskiani Almin","doi":"10.47307/gmc.2023.131.4.16","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.16","url":null,"abstract":"Background: COVID-19 is a respiratory disease that spread massively in 219 countries leading to a pandemic. Vaccination is a prevention strategy in the epidemiology approach by analyzing behavioral determinants related to vaccination acceptance of COVID-19. This study aims to analyze the association between behavioral determinants with the vaccination’s acceptance of COVID-19 in Citta District, Soppeng Regency. Method: A cross-sectional study design was carried out on 333 people. Cluster sampling was applied as the sampling technique. Data analysis used the Chi-Square test and logistic regression. Results: a significant relationship was found between behavioral determinants and acceptance of the COVID-19 vaccine,","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602102","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}
Pub Date : 2023-12-04DOI: 10.47307/gmc.2023.131.4.6
Buranbek Diusheev
Introduction: Arnold-Chiari malformation (ACM) type I is a craniovertebral junction pathology with ectopy of the cerebellar tonsils through the great occipital foramen with compression of the brain stem and upper cervical spinal cord. Until now, there have been more than 20 types of surgical interventions for the Arnold-Chiari malformation type. Objective: The main purpose of this research is the decompression of craniovertebral stem structures and occipital foramen, and the search for effective methods to repair cerebrospinal fluid (CSF) circulation. Methods: The complex examination and surgical treatment at the Neurosurgery Department No. 1 of the National Hospital of the Ministry of Health of the Kyrgyz Republic (Bishkek, Kyrgyzstan) passed 201 patients (aged 16-74) with symptomatic ACM I from 2008 to 2020.
{"title":"Differentiated diagnostic and surgical algorithm for isolated and combined Chiari malformation Type I","authors":"Buranbek Diusheev","doi":"10.47307/gmc.2023.131.4.6","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.6","url":null,"abstract":"Introduction: Arnold-Chiari malformation (ACM) type I is a craniovertebral junction pathology with ectopy of the cerebellar tonsils through the great occipital foramen with compression of the brain stem and upper cervical spinal cord. Until now, there have been more than 20 types of surgical interventions for the Arnold-Chiari malformation type. Objective: The main purpose of this research is the decompression of craniovertebral stem structures and occipital foramen, and the search for effective methods to repair cerebrospinal fluid (CSF) circulation. Methods: The complex examination and surgical treatment at the Neurosurgery Department No. 1 of the National Hospital of the Ministry of Health of the Kyrgyz Republic (Bishkek, Kyrgyzstan) passed 201 patients (aged 16-74) with symptomatic ACM I from 2008 to 2020.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"1 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604677","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}
Pub Date : 2023-12-04DOI: 10.47307/gmc.2023.131.4.10
I. Mamontov
Objective: This work aimed to establish histological changes in the structure and activity of the liver caused by experimental obstructive cholestasis. Method: Several methodological approaches were used such as experimental, biochemical, and comparison were applied.Results: It was possible to describe the essence of such a disease as cholestasis and its impact on the liver. At the same time, it was proved that recanalization with incomplete recovery of bile outflow was possible due to the normalization of the total bilirubin (TB) level. Morphological changes in the liver were most pronounced during acute cholangitis. The study examined what processes occur in the body during the recovery of bile flow, including after the complete blockage of such organs as the liver and bile ducts. Consequently, signs that expressed the abnormality of the liver structure of animals were revealed.
{"title":"Histological Liver Changes in Experimental Obstructive Cholestasis with Partial Outflow Restoration","authors":"I. Mamontov","doi":"10.47307/gmc.2023.131.4.10","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.10","url":null,"abstract":"Objective: This work aimed to establish histological changes in the structure and activity of the liver caused by experimental obstructive cholestasis. Method: Several methodological approaches were used such as experimental, biochemical, and comparison were applied.Results: It was possible to describe the essence of such a disease as cholestasis and its impact on the liver. At the same time, it was proved that recanalization with incomplete recovery of bile outflow was possible due to the normalization of the total bilirubin (TB) level. Morphological changes in the liver were most pronounced during acute cholangitis. The study examined what processes occur in the body during the recovery of bile flow, including after the complete blockage of such organs as the liver and bile ducts. Consequently, signs that expressed the abnormality of the liver structure of animals were revealed.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"7 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602269","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}
Pub Date : 2023-12-04DOI: 10.47307/gmc.2023.131.4.3
Tuty Erawaty
Background: Pregnant women are very vulnerable to diseases, one of which is worm infection. Worm infections in pregnant women affect the fetus’s condition, such as the risk of prematurity, low birth weight, and perinatal mortality. The STH target set by the World Health Organization (WHO) to be achieved by 2030 is to establish an efficient STH control program in adolescents, pregnant, and lactating women in the context of elimination, so a sensitive diagnostic is needed to detect worm infections. This study aims to determine the comparison of examination using the Kato Kats (KK) and Quantitative Real-Time Polymerase Chain Reaction (qPCR) methods in pregnant women in Enrekang Regency.
{"title":"Comparison of Kato Katz and Quantitative Polymerase Chain Reaction Methods in Diagnosing Helminth Infection in Pregnant Women in Enrekang District, Indonesia","authors":"Tuty Erawaty","doi":"10.47307/gmc.2023.131.4.3","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.3","url":null,"abstract":"Background: Pregnant women are very vulnerable to diseases, one of which is worm infection. Worm infections in pregnant women affect the fetus’s condition, such as the risk of prematurity, low birth weight, and perinatal mortality. The STH target set by the World Health Organization (WHO) to be achieved by 2030 is to establish an efficient STH control program in adolescents, pregnant, and lactating women in the context of elimination, so a sensitive diagnostic is needed to detect worm infections. This study aims to determine the comparison of examination using the Kato Kats (KK) and Quantitative Real-Time Polymerase Chain Reaction (qPCR) methods in pregnant women in Enrekang Regency.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602970","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}
Pub Date : 2023-12-04DOI: 10.47307/gmc.2023.131.4.4
Anderson Díaz Pérez
Se investigaron las creencias y actitudes de estudiantes universitarios sobre la vacunación contra la COVID-19 y su influencia en la decisión de vacunarse. Se identificaron múltiples factores que afectan estas creencias, como la información recibida, experiencias personales, confianza en autoridades de salud y comunicación pública. Las actitudes también se ven influenciadas por la percepción del riesgo y la importancia de la vacuna. Objetivo: Analizar las creencias y actitudes en torno a la inmunización de la COVID-19 en los estudiantes universitarios. Metodología: Estudio descriptivo de corte transversal con componente correlacional. La población fue de 15000 estudiantes universitarios y se utilizó un muestreo aleatorio para encuestar a 115 participantes. Se empleó un cuestionario autoadministrado en formato de escala de Likert.
{"title":"COVID-19 y la Mentalidad Universitaria: Un Viaje Prospectivo a través de las Creencias y Actitudes en relación con la Vacunación","authors":"Anderson Díaz Pérez","doi":"10.47307/gmc.2023.131.4.4","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.4","url":null,"abstract":"Se investigaron las creencias y actitudes de estudiantes universitarios sobre la vacunación contra la COVID-19 y su influencia en la decisión de vacunarse. Se identificaron múltiples factores que afectan estas creencias, como la información recibida, experiencias personales, confianza en autoridades de salud y comunicación pública. Las actitudes también se ven influenciadas por la percepción del riesgo y la importancia de la vacuna. Objetivo: Analizar las creencias y actitudes en torno a la inmunización de la COVID-19 en los estudiantes universitarios. Metodología: Estudio descriptivo de corte transversal con componente correlacional. La población fue de 15000 estudiantes universitarios y se utilizó un muestreo aleatorio para encuestar a 115 participantes. Se empleó un cuestionario autoadministrado en formato de escala de Likert.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"22 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601750","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}
Pub Date : 2023-12-04DOI: 10.47307/gmc.2023.131.4.14
Daria Shamraieva
Relevance: Bladder cancer remains an urgent problem in the field of oncological urology, which requires great attention and additional clinical trials. Based on information from the World Health Organization, bladder cancer ranks 10th in the overall prevalence of all cancer pathologies worldwide in 2022 with an upward trend. Objective: This study aimed to evaluate the improved reconstructive stage of radical cystectomy for neocyst formation in patients with muscle-invasive bladder cancer. Results: A study involving 9 patients undergoing orthotopic ileoneocystoplasty revealed that all maintained normal urinary function. The procedure showed promise in mitigating its radical nature through positive changes, aided by advanced suture techniques that reduced surgical duration and minimized tissue traumatism and scarring. Additionally, its adaptability to various Radical Cystectomy approaches suggests its potential as a versatile option in urological surgery.
{"title":"Immediate Results of Orthotopic Intracorporeal Ileoneocystoplasty in the Modification of the Clinic","authors":"Daria Shamraieva","doi":"10.47307/gmc.2023.131.4.14","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.14","url":null,"abstract":"Relevance: Bladder cancer remains an urgent problem in the field of oncological urology, which requires great attention and additional clinical trials. Based on information from the World Health Organization, bladder cancer ranks 10th in the overall prevalence of all cancer pathologies worldwide in 2022 with an upward trend. Objective: This study aimed to evaluate the improved reconstructive stage of radical cystectomy for neocyst formation in patients with muscle-invasive bladder cancer. Results: A study involving 9 patients undergoing orthotopic ileoneocystoplasty revealed that all maintained normal urinary function. The procedure showed promise in mitigating its radical nature through positive changes, aided by advanced suture techniques that reduced surgical duration and minimized tissue traumatism and scarring. Additionally, its adaptability to various Radical Cystectomy approaches suggests its potential as a versatile option in urological surgery.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"15 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601818","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}
Pub Date : 2023-12-04DOI: 10.47307/gmc.2023.131.4.11
Jiang Long
Objective: This study aims to establish preoperative imaging features, establish how they are correlating with post-operative pathological features, and discover the causes of recurrence. Results: Data on imaging procedures in the preoperative period, records of surgical operations, and reports from pathology conclusions were collected. Among 623 patients who were undergoing neurosurgery resection of intracranial meningioma, 24 cases of cystic meningioma were identified, corresponding to a world incidence of 3.8 %. The hemispheric convexity was the most frequent place of localization. The apparent diffusional coefficient was significantly lower in grade 2 and grade 3 tumors if compared to grade 1. Full resection of the cystic component was possible in 18/24 cases. Partial resection in 3/24 cases. In 2/24 cases, it was not possible to make total or partial resection, but multiple biopsies were performed from the cystic walls.
{"title":"Imaging and Pathological Features and Recurrence Causes of Cystic Meningioma","authors":"Jiang Long","doi":"10.47307/gmc.2023.131.4.11","DOIUrl":"https://doi.org/10.47307/gmc.2023.131.4.11","url":null,"abstract":"Objective: This study aims to establish preoperative imaging features, establish how they are correlating with post-operative pathological features, and discover the causes of recurrence. Results: Data on imaging procedures in the preoperative period, records of surgical operations, and reports from pathology conclusions were collected. Among 623 patients who were undergoing neurosurgery resection of intracranial meningioma, 24 cases of cystic meningioma were identified, corresponding to a world incidence of 3.8 %. The hemispheric convexity was the most frequent place of localization. The apparent diffusional coefficient was significantly lower in grade 2 and grade 3 tumors if compared to grade 1. Full resection of the cystic component was possible in 18/24 cases. Partial resection in 3/24 cases. In 2/24 cases, it was not possible to make total or partial resection, but multiple biopsies were performed from the cystic walls.","PeriodicalId":12577,"journal":{"name":"Gaceta Médica de Caracas","volume":"46 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602142","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}
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