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Duelo anticipado en familiares de pacientes en Cuidados Paliativos 姑息治疗患者亲属的预期悲伤
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.3
Goldy Bambague
Introducción: El duelo anticipado es una reacción psicológica, se experimenta ante la pérdida de un ser querido, los cuidadores de personas en estado terminal lo viven y afrontan en cinco etapas: negación, ira o enfado, negociación, depresión, aceptación. Objetivo: Identificar el proceso del duelo anticipado en familiares de pacientes oncológicos incluidos en el programa de cuidados paliativos de una clínica de la ciudad Santiago de Cali. Métodos: Estudio descriptivo tipo serie de casos, la población estuvo constituida por familiares de pacientes incluidos en el “Programa de Cuidados Paliativos”. Criterio de inclusión: cuidador mayor de 18 años, Criterio de exclusión: fallecimiento del paciente antes del inicio de recolección de información. Las variables fueron: sexo, edad, nivel educativo, estado civil y tiempo de diagnóstico de la enfermedad.
简介:预期悲伤是一种心理反应,它是对失去所爱之人的经历,临终者的照顾者经历并面对五个阶段:否认、愤怒或愤怒、谈判、抑郁、接受。摘要目的:探讨圣地亚哥-德- Cali某诊所姑息治疗计划中癌症患者家属预期丧亲的过程。本研究的目的是评估姑息治疗计划中患者的家庭成员。纳入标准:18岁以上护理人员;排除标准:患者在开始收集信息前死亡。本研究的目的是评估一项研究的结果,该研究的目的是确定一种疾病的诊断时间。
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引用次数: 0
Factors Contributing to the Incidence of Hypertension in the Work Area of the Bara Baraya Public Health Center Makassar City 影响望加锡市巴拉巴拉亚公共卫生中心工作区域高血压发病率的因素
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.5
Hartina S
Background: Hypertension is a non-communicable disease leading to major public health problems worldwide and continuing to increase every year. Hypertension is often known as “the silent killer” because it does not usually cause symptoms on its own, yet it slowly damages the blood vessels and in the long term, becomes a risk factor for cardiovascular disease. This study aims to determine the associated risk factors of hypertension among people of productive age in the working area of the Bara Baraya Public Health Center, Makassar City, Indonesia.
背景:高血压是一种非传染性疾病,在世界范围内导致重大公共卫生问题,并且每年都在继续增加。高血压通常被称为“沉默的杀手”,因为它本身通常不会引起症状,但它会慢慢损害血管,长期来看,会成为心血管疾病的危险因素。本研究旨在确定印尼望加锡市Bara Baraya公共卫生中心工作区域生产年龄人群中高血压的相关危险因素。
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引用次数: 0
Utilización de un disolvente biocompatible del polidimetilsiloxano (silicón) en un modelo experimental 在实验模型中使用生物相容性聚二甲基硅氧烷(硅酮)溶剂
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.2
Linda Rincón-Rubio
La ruptura o filtración de los implantes de la glándula mamaria hacen necesario retirar el silicón del bolsillo periprotésico, por lo que se plantea el uso de una sustancia inocua que permita eliminar la mayor cantidad del mismo. El objetivo del presente estudio fue evaluar la posibilidad de la existencia de un disolvente del polimetilsiloxano, biocompatible y eficiente, para ser utilizado en el bolsillo periprotésico que contenga silicón libre. Se realizó un estudio experimental, comparativo, transversal, de casos y controles. La muestra estuvo compuesta por 7 ratas de la cepa Sprague-Dawley, con peso comprendido entre 150 y 200 g. En la primera fase se elaboraron disolventes de silicón biocompatibles, se probaron macroscópicamente en 2 colgajos resecados de abdominoplastias de 2 pacientes femeninas que se impregnaron con gel de silicón cohesivo de implantes mamarios lisos.
由于乳腺植入物的破裂或过滤,有必要从假体周围的口袋中取出硅胶,因此需要使用一种无害的物质来去除最大数量的硅胶。本研究的目的是评估存在一种生物相容性和高效的聚甲基硅氧烷溶剂的可能性,用于含有游离硅的假体周围袋。我们进行了一项实验研究,比较了病例和对照的横断面研究。研究对象为7只Sprague-Dawley大鼠,体重150 ~ 200 g。在第一阶段,制备了生物相容的硅胶溶剂,并对2名女性患者的2个腹部成形术切除的皮瓣进行了宏观测试,这些患者浸渍了光滑乳房植入物的内聚硅胶凝胶。
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引用次数: 0
Systematic review on the efficacy of behavioral activation therapy in the management of adult patients with depression 行为激活疗法治疗成人抑郁症疗效的系统综述
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.21
Mariajose Riaño-Camperos
Introduction: This work aimed to assess the approach of behavioral activation for the treatment of adult patients diagnosed with depressive disorder; the importance of this study in the clinical setting is significant since it allowed us to know the viability and acceptability of the treatment. Behavioral activation is the basis of this study. Materials and method: Systematic review, under the PRISMA methodology, the PICO tool was implemented to formulate the research question. Results: 42 articles were located, of which, upon complete reading, 23 met the inclusion criteria established for the review.
前言:本研究旨在评估行为激活治疗成年抑郁症患者的方法;这项研究在临床环境中的重要性是显著的,因为它使我们知道治疗的可行性和可接受性。行为激活是这项研究的基础。材料和方法:系统回顾,在PRISMA方法学下,采用PICO工具制定研究问题。结果:共检索到42篇文献,其中23篇符合本综述的纳入标准。
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引用次数: 0
A case report on attempted suicide by self-slitting resulting in laryngeal fracture 企图割喉自杀致喉部骨折一例报告
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.22
Muhammad Fadjar Perkasa
Introduction: Laryngeal fractures cause significant problems with airway patency, vocal production, and swallowing function. The mechanism of injury can be sharp or blunt and can occur in the supraglottic, glottic, or infraglottic regions. Blunt external trauma to the neck caused by motor vehicle accidents, sports-related trauma, assault, and strangulation are the most frequent causes of laryngeal ruptures and fractures. Penetrating trauma is the second leading cause, often due to gunshot or stab wounds to the neck. The immediate goal in patients presenting to the emergency department with laryngeal rupture is to secure the airway. One of the indications for tracheostomy placement includes acute respiratory failure with the need for prolonged mechanical ventilation.
简介:喉骨折会对气道通畅、发声和吞咽功能造成严重影响。损伤机制可为尖锐或钝性,可发生在声门上、声门或声门下区域。机动车事故造成的颈部钝性外伤、运动相关外伤、攻击和勒颈是喉部破裂和骨折最常见的原因。穿透性创伤是第二大原因,通常是由于枪击或颈部刺伤。急诊科喉破裂患者的直接目标是保护气道。气管造口术的适应症之一包括急性呼吸衰竭,需要长时间的机械通气。
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引用次数: 0
Vacunas y embarazo. Perspectiva actual 疫苗接种和怀孕。目前的观点
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.25
Carlos Cabrera-Lozada
Introducción: El uso de las vacunas es una de las estrategias más relevantes de salud pública en el mejoramiento de los indicadores de salud perinatal. Objetivo: Analizar la perspectiva actual con respecto a la vacunación durante el embarazo. Métodos: Se realizó revisión narrativa de la evidencia nacional e internacional con respecto a la perspectiva actual de la vacunación durante el embarazo. Resultados: El conocimiento obtenido a partir de la investigación de la interacción inmunitaria entre la madre y el feto-lactante-neonato, así como de la respuesta inmunitaria generada por las inmunizaciones maternas, permite desarrollar una toma de decisiones basados en la evidencia con el mayor beneficio esperado y el menor riesgo posible que permita prevenir la infección y establecer la vacuna a utilizar.
本文的目的是评估围产期健康指标的有效性,并评估围产期健康指标的有效性。摘要目的:探讨妊娠期疫苗接种的现状。方法:对目前怀孕期间接种疫苗的前景进行国家和国际证据的叙述综述。结果:从研究互动知识获得免疫feto-lactante-neonato和母亲之间,以及在疫苗接种免疫应答的产妇,可以开发一种基于证据的决策尽可能低预期收益和风险,以预防感染和建立疫苗使用。
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引用次数: 0
Validation study of the Gratitude Questionnaire–Six Item Form in a Venezuelan general population sample of young adults 感恩问卷六项表在委内瑞拉普通青年人群样本中的验证研究
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.14
Diego García-Álvarez
Introduction: Gratitude is widely contemplated in philosophy and theology, although its dissemination in psychology and health sciences is scarce. It is defined as the cognitive and affective state of appreciation in a person favored by a benefactor’s contributions. The Gratitude Questionnaire–Six Item Form is one of the most used scales for measuring this construct in several sociocultural contexts. Objectives: The aims were to determine the factorial, convergent, and discriminant validity and to identify its reliability and invariance according to gender, age, and residence.
导言:感恩在哲学和神学中被广泛思考,尽管它在心理学和健康科学中的传播很少。它被定义为一个人受到捐助者的捐助所青睐的认知和情感赞赏状态。感恩问卷-六项表是在几种社会文化背景下测量感恩结构最常用的量表之一。目的:目的是确定因子效度、收敛效度和判别效度,并根据性别、年龄和居住地确定其信度和不变性。
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引用次数: 0
Serrapeptasa como coadyuvante anti-inflamatorio posterior a trauma quirúrgico. Estudio experimental Serrapeptase 作为手术创伤后的抗炎辅助药物。实验研究
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.10
Linda Rincón-Rubio
Los antiinflamatorios no esteroideos (AINES) son muy efectivos para controlar la inflamación y el dolor, pero son lesivos en la mucosa gástrica y en promover el sangrado. En la búsqueda de una alternativa terapéutica mediante el uso de enzimas proteolíticas y antiedematosas, en este estudio se evaluó el efecto antiinflamatorio de la serrapeptasa (serratia peptidasa) versus AINES. Se presenta un estudio experimental, comparativo, transversal, de casos y controles.
非甾体抗炎药(nsaids)在控制炎症和疼痛方面非常有效,但对胃粘膜有害并促进出血。在本研究中,我们评估了沙雷肽酶(沙雷肽酶)与非甾体抗炎药(nsaids)的抗炎作用。本文提出了一项实验性的、比较的、横断面的病例和对照研究。
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引用次数: 0
Significance of corticosteroids binding to blood plasma proteins in the mechanism of the RS-10 radioprotector affecting the function of the adrenal cortex 皮质类固醇与血浆蛋白结合在RS-10放射保护器影响肾上腺皮质功能的机制中的意义
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.12
Nadezhda Omelchuk
The relevance of research on the preventive properties of chemical radioprotectors is currently due to the need to implement a system of radiation safety measures for the population. The study aimed to investigate the significance of corticosteroid binding to plasma proteins in the mechanism of influence of the radioprotector RS-10 on adrenal cortical function in healthy and irradiated animals. Experiments were carried out on 60 male rabbits of the chinchilla breed. In the first series of experiments, the reaction of the adrenal cortex and the processes of binding them to proteins after administration of RS-10 intact animals were studied; in the second series – the same indicators in animals exposed to RS-10 prophylactic administration.
化学辐射防护剂的预防性能研究的相关性目前是由于需要对人口实施一套辐射安全措施系统。本研究旨在探讨皮质类固醇与血浆蛋白结合在辐射保护剂RS-10对健康和受辐射动物肾上腺皮质功能影响的机制中的意义。本实验以60只栗鼠品种雄性家兔为实验对象。第一个系列实验研究了RS-10给药后肾上腺皮质的反应及其与蛋白质的结合过程;在第二个系列中,暴露于RS-10预防性管理的动物的相同指标。
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引用次数: 0
El ejercicio profesional de la medicina y las redes sociales: consideraciones bioéticas 医学专业实践与社交网络:生物伦理考虑
Pub Date : 2023-09-16 DOI: 10.47307/gmc.2023.131.3.20
José Ramón Urdaneta
El desarrollo de las redes sociales ha impactado en diferentes aspectos de la vida de las personas incluyendo la salud. Día tras día surgen nuevas redes sociales con las cuales interactúan millones de personas alrededor del mundo, incluyendo los médicos y otros profesionales sanitarios. Sin embargo, poco se sabe de las dificultades y retos que implican su utilización en el campo de la salud y las implicancias bioéticas que conllevan su uso en el ejercicio profesional de la medicina. Por ello, se presenta una revisión narrativa de este tema, a fin de aquilatar sobre las consideraciones bioéticas inherentes a la interacción de los médicos en las distintas redes sociales disponibles en la actualidad.
社交网络的发展影响了人们生活的不同方面,包括健康。每天都有新的社交网络出现,世界各地有数百万人与之互动,包括医生和其他医疗保健专业人员。然而,人们对其在卫生领域的使用所涉及的困难和挑战以及在医学专业实践中使用其所涉及的生物伦理意义知之甚少。因此,本文提出了一种叙事综述,以评估临床医生在当今各种可用的社交网络中互动所固有的生物伦理考虑。
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引用次数: 0
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Gaceta Médica de Caracas
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