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Trazando el Rumbo hacia la Inmunización: Explorando las Creencias, Actitudes, Desafíos y Estrategias de Vacunación en Estudiantes Universitarios ante la COVID-19 规划免疫接种路线:探索大学生面对 COVID-19 的信念、态度、挑战和疫苗接种策略。
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.18
Anderson Díaz Pérez
La pandemia de la COVID-19 ha tenido un profundo impacto en la sociedad y en los estudiantes universitarios con la vacunación emergiendo como una herramienta esencial para enfrentarla. No obstante, la aceptación y participación en los programas de vacunación entre estudiantes varía ampliamente debido a creencias, actitudes y obstáculos diversos. Las creencias y percepciones estudiantiles están influenciadas por la percepción del riesgo, la confianza en las autoridades de salud y la desinformación. Las actitudes positivas hacia la vacunación se basan en la confianza en la ciencia y la responsabilidad comunitaria, mientras que actitudes negativas reflejan temores a los efectos secundarios y, por ende, a la desconfianza.
COVID-19大流行对社会和大学生产生了深远影响,疫苗接种成为应对疫情的重要工具。然而,由于不同的信念、态度和障碍,学生对疫苗接种计划的接受和参与程度差别很大。学生的信念和看法受到风险感知、对卫生当局的信任和错误信息的影响。对疫苗接种的积极态度是基于对科学和社区责任的信任,而消极态度反映了对副作用的恐惧,因此是不信任。
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引用次数: 0
Managing Challenges in a Symptomatic Patient with Moderate Pulmonary Stenosis: A Case Report 中度肺动脉狭窄症状患者的管理难题:病例报告
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.22
Andi Alief Utama Armyn
Introduction: Pulmonary stenosis is a common form of obstruction in the right ventricular outflow tract, characterized by the narrowing of the pulmonary valve, which results in obstructed blood flow. Case Presentation: A 17-year-old female presented with recurring shortness of breath, chest pain, and palpitations, especially during physical activity. On examination, a grade III/VI continuous murmur was heard at the upper left sternal border. Echocardiography confirmed moderate pulmonary valve stenosis, a left-to-right patent ductus arteriosus (PDA), and mild to moderate pulmonary regurgitation.
肺动脉狭窄是右心室流出道梗阻的一种常见形式,其特征是肺动脉瓣变窄,导致血流受阻。病例介绍:一名17岁女性,以反复出现的呼吸短促、胸痛和心悸为主诉,尤其是在体力活动时。检查时,在左上胸骨边界处听到III/VI级连续杂音。超声心动图证实中度肺动脉瓣狭窄,左至右动脉导管未闭(PDA),轻至中度肺反流。
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引用次数: 0
Surgical Treatment of Abdominal Aortic Aneurysms 腹主动脉瘤的手术治疗
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.13
Edmond Nuellari
Introduction: Surgical treatment of abdominal aortic aneurysms poses a significant challenge in the field of vascular surgery, with numerous factors influencing operative technique and surgical outcome. Objective: This study aimed to assess the outcomes of open surgical treatment for patients with abdominal aortic aneurysms at the Vascular Surgery Service of Mother Teresa University Hospital Centre in Tirana, and provide recommendations for improving outcomes. Methods: A total of 206 patients who underwent transabdominal and retroperitoneal surgical access between January 2008 and December 2015 were included in the analysis.
腹主动脉瘤的手术治疗是血管外科领域的一个重大挑战,影响手术技术和手术效果的因素很多。目的:本研究旨在评估地拉那特蕾莎修女大学医院中心血管外科对腹主动脉瘤患者进行开放手术治疗的效果,并提出改善效果的建议。方法:分析2008年1月至2015年12月间206例经腹和腹膜后手术通路的患者。
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引用次数: 0
Outcomes of Lightweight Mesh Sacrocolpopexy for Pelvic Organ Prolapse Repair 骨盆器官脱垂修复术中轻质网布骶骨整形术的疗效
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.2
R. Banakhevych
Objective: The research objective is to present and evaluate 3 years of experience in sacrospinal fixation using polypropylene mesh in the surgical treatment of genital prolapse in women. Methods: This retrospective study evaluated perioperative and mid-term outcomes in 68 women who underwent transvaginal sacroscopic cervicocolpopexy with lightweight polypropylene mesh for stage II-IV prolapse with apical involvement. Anatomical outcomes, complications, and symptoms were assessed using POP-Q staging and validated questionnaires preoperatively and at 12 and 36 months postoperatively. Results: No intraoperative complications were observed. In the long-term postoperative period, the following were observed: vaginal wall erosion in transvaginal Mesh-systems placement along the postoperative suture line at 2.9 % (2/68), and chronic pelvic pain at 2.9 % (2/68). The percentage of anatomical success in restoring the position of the apical vaginal segment was 98.5 % (67/68) 12 months after surgery and remained unchanged after 36 months of follow-up.
目的:研究目的是介绍和评价3年的经验,骶脊柱固定使用聚丙烯网在手术治疗女性生殖器脱垂。方法:本回顾性研究评估了68例经阴道骶内镜下轻量聚丙烯网颈枕固定术治疗II-IV期根尖累及脱垂的妇女的围手术期和中期结果。术前、术后12个月和36个月采用POP-Q分期和有效问卷对解剖结果、并发症和症状进行评估。结果:无术中并发症。术后长期观察:经阴道网状系统沿术后缝合线放置阴道壁糜烂2.9%(2/68),慢性盆腔疼痛2.9%(2/68)。术后12个月解剖成功率为98.5%(67/68),随访36个月后保持不变。
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引用次数: 0
Effect of Resilience, Well-Being, Happiness, and Social Support on the Levels of Perceived Negative Emotions of Colombian People During the COVID-19 Pandemic 在 COVID-19 大流行期间,复原力、幸福感、快乐和社会支持对哥伦比亚人感知到的负面情绪水平的影响
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.7
Ricardo Camilo Rueda Mora
The research established the relationships between resilient coping, subjective well-being, subjective happiness, and social support on anxiety levels, depression, and perceived stress among Colombians during the COVID-19 pandemic in the department of Córdoba, Colombia. Participants were 997 elderly people of both genders with literacy skills and without the presence of cognitive impairment. The Brief Resilient Coping Scale (BRCS), the Happiness Scale (SHS), the Subjective Wellness Scale (SWLS), the Duke-UNC 12 social support scale, the PHQ-4 scale (anxiety-depression), and the Perceived Stress Scale (PSS-14) were used as measuring instruments. We worked with a nonexperimental cross-sectional design and a correlative scope.
该研究在哥伦比亚Córdoba部门确定了2019冠状病毒病大流行期间哥伦比亚人的焦虑水平、抑郁和感知压力的弹性应对、主观幸福感、主观幸福感和社会支持之间的关系。参与者是997名有读写能力且没有认知障碍的男女老年人。采用简短弹性应对量表(BRCS)、幸福量表(SHS)、主观健康量表(SWLS)、duke - unc12社会支持量表、PHQ-4焦虑抑郁量表和感知压力量表(PSS-14)作为测量工具。我们采用了非实验性的横断面设计和相关范围。
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引用次数: 0
Sexual Disorders in Women: Causes and their Correction 女性性功能障碍:原因及其矫正
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.15
Liana Spytska
Introduction: Difficulties caused by sexual disorders can lead to psychological problems in women associated with feelings of loneliness, shame, alienation, conflicts, and physical and psychological violence, therefore this issue needs detailed consideration. This research was conducted since sexual health is an integral part of a woman’s life and inextricably affects psychological well-being, a sense of happiness, and quality of life. Objectives: The research aimed to identify the prerequisites for the occurrence of sexual disorders and to select methods for effective psychocorrection. Methods: Several research methods were used in the work, such as dialectical, interpretive, synthesis and analysis, and questionnaire. The causes of sexual dysfunctions in women were analyzed, the relationship with psychological, physiological, and interpersonal factors was described, and the diagnostic criteria of certain types of disorders and their prevalence were given. The consequences of sexual disorders on the general psychological state of women and their relationships with partners are emphasized.
导言:性功能障碍引起的困难会导致女性产生与孤独感、羞耻感、疏离感、冲突感以及身体和心理暴力相关的心理问题,因此这个问题需要详细考虑。之所以进行这项研究,是因为性健康是女性生活中不可分割的一部分,不可避免地影响到心理健康、幸福感和生活质量。目的:探讨性障碍发生的先决条件,选择有效的心理矫正方法。方法:采用辩证法、解释法、综合分析法、问卷调查法等多种研究方法。分析了女性性功能障碍的原因,阐述了其与心理、生理和人际关系等因素的关系,并给出了某些类型障碍的诊断标准和患病率。强调了性障碍对妇女一般心理状况及其与伴侣关系的影响。
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引用次数: 0
Importancia de la Nueva Clasificación OMS para la Caracterización Molecular de Oligodendrogliomas: A Propósito de un Caso Clínico 世界卫生组织新分类与少突胶质细胞瘤分子特征描述的相关性:一份病例报告
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.20
Sara Giraldo Acevedo
En 2021, la Organización Mundial de la Salud (OMS) emitió la nueva clasificación de tumores del sistema nervioso central destacando el diagnóstico molecular, histológico e inmunohistoquímico. Se presenta el caso clínico de una paciente femenina de 22 años quien durante 5 años tuvo movimientos anormales e involuntarios y un único episodio de alteración del estado de consciencia. Mediante estudios imagenológicos, histopatológicos e hibridación fluorescente in situ (FISH) se diagnostica oligodendroglioma con mutación de isocitrato deshidrogenasa (IDH) y co-deleción 1p19q. Se realizó craneotomía parcial y radioterapia adyuvante. La nueva clasificación de la OMS permite una terapia orientada y resultados clínicos favorables.
2021年,世界卫生组织(who)发布了中枢神经系统肿瘤的新分类,强调分子、组织学和免疫组化诊断。本研究的目的是评估一名22岁的女性患者,她在5年的时间里出现了异常和不自主的运动,并出现了一次意识状态改变的发作。通过影像学、组织病理学和荧光原位杂交(FISH)诊断少突胶质瘤,并伴有异柠檬酸脱氢酶(IDH)突变和1p19q共缺失。患者接受了部分开颅和辅助放疗。世卫组织的新分类允许有针对性的治疗和良好的临床结果。
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引用次数: 0
Infective Endocarditis in the Colombian Caribbean Region: Clinical Profile, Microbiological Insights, and Risk Factors for Mortality 哥伦比亚加勒比地区的感染性心内膜炎:临床概况、微生物学见解和死亡风险因素
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.17
Gabriela Solarte Bastidas
Background: Infective endocarditis (IE) is defined as the infectious and inflammatory process of the heart’s internal structures. It can be caused by a broad group of bacteria and, rarely, fungi, with potentially life-threatening consequences. Objective: To profile bacterial resistance and identify mortality risk factors in IE patients. Methods: This cross-sectional study included clinically diagnosed IE patients. Sociodemographic, comorbidity, clinical, and microbiological data were recorded. Descriptive analyses, Chi-Square/Fisher’s exact tests, and Student’s t-tests examined variables in relation to IE outcomes (survival vs. mortality). Multivariate logistic regression calculated odds ratios and confidence intervals.
背景:感染性心内膜炎(IE)被定义为心脏内部结构的感染和炎症过程。它可以由广泛的细菌引起,很少由真菌引起,具有潜在的危及生命的后果。目的:了解IE患者的细菌耐药性并确定其死亡危险因素。方法:本横断面研究纳入临床诊断的IE患者。记录社会人口学、合并症、临床和微生物学数据。描述性分析、卡方/费雪精确检验和学生t检验检验了与IE结果(生存率与死亡率)相关的变量。多元逻辑回归计算优势比和置信区间。
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引用次数: 0
Effect of Silicone Rubber/Polyvinyl Alcohol /Zirconium Oxide Compound on Mesenchymal Stromal Cells 硅橡胶/聚乙烯醇/氧化锆化合物对间质基质细胞的影响
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.8
Muhammad Reza Arifianto
Objective: This study aimed to conduct a cytotoxicity test in determining the viability and proliferation profile for novel material of silicone rubber/polyvinyl alcohol (PVA) with or without Zirconium oxide on mesenchymal stromal cell culture. Methods: An in vitro study was carried out on adipose-derived mesenchymal stromal cell culture. Samples were divided into five groups: control, silicone rubber/polyvinyl alcohol (PVA) without Zirconium oxide, silicone rubber/polyvinyl alcohol (PVA) with Zirconium oxide 1 %, 3 %, and 5 %. Each group contained 2×105 seeded MSCs/well stained with MTT for its viability. For proliferation, MTT staining was performed on days 1, 3, and 5 to assess the trend of the percentage of the living cell. Statistical analysis was conducted using ANOVA, or the Kruskal-Walli’s test with a CI of 95%.
目的:研究新型硅橡胶/聚乙烯醇(PVA)材料加氧化锆或不加氧化锆对间充质间质细胞的细胞毒性和增殖能力。方法:体外培养脂肪源性间充质间质细胞。将样品分为五组:对照组、不含氧化锆的硅橡胶/聚乙烯醇(PVA)组、含氧化锆1%、3%和5%的硅橡胶/聚乙烯醇(PVA)组。每个组含有2×105种子MSCs/用MTT染色以确保其活力。对于增殖,在第1,3,5天进行MTT染色,以评估活细胞百分比的变化趋势。统计分析采用方差分析或Kruskal-Walli检验,CI为95%。
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引用次数: 0
Factors that Influence Malnutrition Among Toddlers in Padang, Indonesia after COVID-19 COVID-19 后影响印度尼西亚巴东幼儿营养不良的因素
Pub Date : 2023-12-04 DOI: 10.47307/gmc.2023.131.4.9
Deswita
Objective: This study aims to determine the factors influencing malnutrition among toddlers in Padang, Indonesia, post-COVID-19. Method: This study uses explanatory quantitative methods through a cross-sectional approach. Respondents were all mothers with malnourished children in Padang, totaling 256 people. Variables consist of early breastfeeding; exclusive breastfeeding; complementary feeding; infectious disease; socio-economic; parenting style; and environmental sanitation. All variables were measured through a survey using a questionnaire. Result: The bivariate statistical test using the Chi-Square test proved that all factors had a statistically significant p-value <0.05, meaning all variables significantly affected the incidence of partial malnutrition.
目的:本研究旨在确定新冠肺炎疫情后印尼巴东地区幼儿营养不良的影响因素。方法:本研究采用横断面研究法,采用解释性定量方法。受访者均为巴东地区营养不良儿童的母亲,共256人。变量包括早期母乳喂养;纯母乳喂养;补充喂养;传染病;社会经济;教育方式;环境卫生。所有变量都是通过问卷调查来测量的。结果:采用卡方检验进行双变量统计检验,各因素p值<0.05均有统计学意义,说明各因素均对部分营养不良发生率有显著影响。
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引用次数: 0
期刊
Gaceta Médica de Caracas
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