Pub Date : 2024-04-04DOI: 10.25176/rfmh.v24i1.6080
Allyson D. Espinoza García
Due to community transmission and the increase in cases during the COVID-19 pandemic, preventive measures had to be adopted, including social isolation and quarantine, which have had effects on people's mental health. Thus, the restriction of free movement, the discontinuity of routines, the decrease in social interaction, the lack of traditional learning methods, as well as the new academic, technological and psychological demands have generated an increase in tension, stress and anxiety in young people.
{"title":"Early detection of mental health problems in university students","authors":"Allyson D. Espinoza García","doi":"10.25176/rfmh.v24i1.6080","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6080","url":null,"abstract":"Due to community transmission and the increase in cases during the COVID-19 pandemic, preventive measures had to be adopted, including social isolation and quarantine, which have had effects on people's mental health. Thus, the restriction of free movement, the discontinuity of routines, the decrease in social interaction, the lack of traditional learning methods, as well as the new academic, technological and psychological demands have generated an increase in tension, stress and anxiety in young people.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140741208","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6338
Imelda L. Oscanoa Huamán, L. E. Podestá Gavilano
Objective: To determine the factors associated with treatment adherence in children aged 1 to 3 years at the "Señor de los Milagros" Health Center in Huaycán – Ate. Methods: This observational, retrospective, cross-sectional study investigated adherence to anti-anemic treatment in 169 children aged 1 to 3 years diagnosed with anemia, selected from an initial group of 300. Using a data collection form, variables covering maternal, sociocultural, treatment, and health system aspects were evaluated through bivariate analysis and Pearson's Chi-square test. Results: The results highlighted low treatment adherence, with only 4.7% of children showing high adherence and 15.4% demonstrating non-adherence. Higher adherence was observed in mothers with secondary education, homemakers, and those living with their partners. Factors such as receiving understandable information, respectful treatment, and proximity to the health center positively influenced adherence. Conclusion: There is a significant association between adherence to anti-anemic treatment and maternal, sociocultural, and treatment-related factors (p<0.05), suggesting that improving communication, socioeconomic support, and accessibility could enhance therapeutic adherence.
{"title":"Associated factors with treatment adherence in children aged 1 to 3 years: a study at the “Señor de los Milagros” Health Center, Huaycan – Ate","authors":"Imelda L. Oscanoa Huamán, L. E. Podestá Gavilano","doi":"10.25176/rfmh.v24i1.6338","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6338","url":null,"abstract":"Objective: To determine the factors associated with treatment adherence in children aged 1 to 3 years at the \"Señor de los Milagros\" Health Center in Huaycán – Ate. Methods: This observational, retrospective, cross-sectional study investigated adherence to anti-anemic treatment in 169 children aged 1 to 3 years diagnosed with anemia, selected from an initial group of 300. Using a data collection form, variables covering maternal, sociocultural, treatment, and health system aspects were evaluated through bivariate analysis and Pearson's Chi-square test. Results: The results highlighted low treatment adherence, with only 4.7% of children showing high adherence and 15.4% demonstrating non-adherence. Higher adherence was observed in mothers with secondary education, homemakers, and those living with their partners. Factors such as receiving understandable information, respectful treatment, and proximity to the health center positively influenced adherence. Conclusion: There is a significant association between adherence to anti-anemic treatment and maternal, sociocultural, and treatment-related factors (p<0.05), suggesting that improving communication, socioeconomic support, and accessibility could enhance therapeutic adherence.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744753","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6086
Lucas G. Duran, María E. Beilman, Araceli N. Quiroga, Magdalena Cruz, Alejandra V. Millan, Micaela J. Ojeda, Fabiana Ciccioli, Micaela G. Montenegro Fernandez, Wendy E. Monrroy Miro, Valentina T. Malisia, Nicolas A. Grassi, Nazareno I. Zelaya de Leon, Franco E. Espinoza, Marina Otamendi, Paula Zorzano Osinalde, Marcos Petasny
Introduction: International guidelines on aid prior to invasive procedures usually generate longer aid than in intensive care (IT) patients. This fact represents a high risk of malnutrition and, consequently, a worse prognosis. The objective of the present investigation was to analyze the degree of association between the fasting time prior to tracheostomy of patients under mechanical ventilatory assistance (MVA) and the appearance of pneumonia. Methods: Retrospective cohort study that included patients admitted to our IT from 10/01/2018 to 08/31/2022 and with a tracheostomy performed. Two cohorts were defined characterized by fasting ≤3 hours vs. >3 hours. Fisher's exact test and Mann-Whitney test were used for bivariate analysis. A p value <0.05 was shown to be significant. Results: 141 patients were hospitalized with a tracheostomy, 9 were excluded, leaving 132 patients. The cohort with fasting ≤3 hours was made up of 15 patients and the one with fasting >3 hours was made up of 117, the latter presented an average fast of 2.5 hours (IR 2-3), days of AVM prior to the procedure of 13 days (IR 12-18), while the other cohort presented an average fast of 6 hours (IR 5-8), days of AVM prior to the procedure of 12 days (IR 10-14.5). When analyzing the association between the type of fasting and the appearance of pneumonia, an OR of 0.958 (95% CI: 0.32-2.87) was obtained, p value of 0.743. Conclusions: No significant differences were found regarding fasting time and the appearance of pneumonia as referred to in the international literature.
{"title":"Short and prolonged fasting prior to the performance of tracheostomies in intensive therapy: a retrospective study","authors":"Lucas G. Duran, María E. Beilman, Araceli N. Quiroga, Magdalena Cruz, Alejandra V. Millan, Micaela J. Ojeda, Fabiana Ciccioli, Micaela G. Montenegro Fernandez, Wendy E. Monrroy Miro, Valentina T. Malisia, Nicolas A. Grassi, Nazareno I. Zelaya de Leon, Franco E. Espinoza, Marina Otamendi, Paula Zorzano Osinalde, Marcos Petasny","doi":"10.25176/rfmh.v24i1.6086","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6086","url":null,"abstract":"Introduction: International guidelines on aid prior to invasive procedures usually generate longer aid than in intensive care (IT) patients. This fact represents a high risk of malnutrition and, consequently, a worse prognosis. The objective of the present investigation was to analyze the degree of association between the fasting time prior to tracheostomy of patients under mechanical ventilatory assistance (MVA) and the appearance of pneumonia. Methods: Retrospective cohort study that included patients admitted to our IT from 10/01/2018 to 08/31/2022 and with a tracheostomy performed. Two cohorts were defined characterized by fasting ≤3 hours vs. >3 hours. Fisher's exact test and Mann-Whitney test were used for bivariate analysis. A p value <0.05 was shown to be significant. Results: 141 patients were hospitalized with a tracheostomy, 9 were excluded, leaving 132 patients. The cohort with fasting ≤3 hours was made up of 15 patients and the one with fasting >3 hours was made up of 117, the latter presented an average fast of 2.5 hours (IR 2-3), days of AVM prior to the procedure of 13 days (IR 12-18), while the other cohort presented an average fast of 6 hours (IR 5-8), days of AVM prior to the procedure of 12 days (IR 10-14.5). When analyzing the association between the type of fasting and the appearance of pneumonia, an OR of 0.958 (95% CI: 0.32-2.87) was obtained, p value of 0.743. Conclusions: No significant differences were found regarding fasting time and the appearance of pneumonia as referred to in the international literature.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140741016","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6013
Almir C. Sánchez-Neyra, Herry Lloclla-Gonzales, Heber Silva-Díaz
Objective: To determine the prevalence and factors associated with suicidal ideation in the adult population of the Lambayeque region, Peru, during the COVID-19 pandemic, 2021. Material and methods: Observational, prospective and cross-analytical study; carried out in a sample of 365 adults. Data were collected through Beck's Suicidal Ideation instrument. and a sociodemographic data collection sheet. Results: The sample was characterized by a median age of 26 years (IQR=23-32) and a slight predominance of the female sex (52.2%). The prevalence of suicidal ideation was 28.3%; and was associated with young age (p=0.047), female sex (p<0.001), widowed marital status (p=0.002) and excessive alcohol consumption (p<0.001), and no religion (p <0.001), to the low income (p=0.032) and to the illness (p<0.001) or presence of relatives who died from COVID-19 (p<0.001). Conclusions: There is a high prevalence of suicidal ideation related to the COVID-19 pandemic, so it is suggested to monitor the mental health of the study population.
{"title":"Factors associated with suicidal ideation in adults from the Lambayeque Region, Peru, during the COVID-19 pandemic","authors":"Almir C. Sánchez-Neyra, Herry Lloclla-Gonzales, Heber Silva-Díaz","doi":"10.25176/rfmh.v24i1.6013","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6013","url":null,"abstract":"Objective: To determine the prevalence and factors associated with suicidal ideation in the adult population of the Lambayeque region, Peru, during the COVID-19 pandemic, 2021. Material and methods: Observational, prospective and cross-analytical study; carried out in a sample of 365 adults. Data were collected through Beck's Suicidal Ideation instrument. and a sociodemographic data collection sheet. Results: The sample was characterized by a median age of 26 years (IQR=23-32) and a slight predominance of the female sex (52.2%). The prevalence of suicidal ideation was 28.3%; and was associated with young age (p=0.047), female sex (p<0.001), widowed marital status (p=0.002) and excessive alcohol consumption (p<0.001), and no religion (p <0.001), to the low income (p=0.032) and to the illness (p<0.001) or presence of relatives who died from COVID-19 (p<0.001). Conclusions: There is a high prevalence of suicidal ideation related to the COVID-19 pandemic, so it is suggested to monitor the mental health of the study population.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743456","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6011
Hubert J. Mendoza Rojas
Introduction: The clinical, etiological, anatomical, and pathophysiological classification (CEAP) standardizes the manifestations of lower limb venous disease. Objective: To investigate the association between insufficient venous systems and the clinical classification of CEAP. Methods: A quantitative, cross-sectional, analytical, correlational study was conducted. Sampling was non-probabilistic and convenience-based. The sample size was 136 lower limbs from 71 patients. Chi-square, Monte Carlo and Odd ratio (OR) statistical tests were used with 95% confidence intervals through bivariate logistic regression (p<0.05). Results: 71.8% of the subjects were female, with an average age of 66.1 years. The most frequent insufficient venous system was the superficial system, present in 61.7% of cases. 100% of the dilated great saphenous veins (GSV) had insufficiency. The most common CEAP clinical class was C2 (44.9%); 35.1% of C1 (telangiectasia) cases had an insufficient venous system; 50% of C2 cases had GSV insufficiency (p=0.227). There was an association between the insufficiency of both superficial and deep venous systems and the CEAP clinical classification (p=<0.001). The deep venous system was associated with severe chronic venous disease of the lower limbs, OR (6.04) with a 95% CI (1.02-35.73) and p=0.047. Conclusions: The study demonstrated an association between the insufficiency of both superficial and deep venous systems and the CEAP clinical classification. One third of the lower limbs with C1 (telangiectasias) had an insufficient venous system.
{"title":"Association between insufficient venous systems and clinical manifestations in chronic venous disease of the lower limbs","authors":"Hubert J. Mendoza Rojas","doi":"10.25176/rfmh.v24i1.6011","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6011","url":null,"abstract":"Introduction: The clinical, etiological, anatomical, and pathophysiological classification (CEAP) standardizes the manifestations of lower limb venous disease. Objective: To investigate the association between insufficient venous systems and the clinical classification of CEAP. Methods: A quantitative, cross-sectional, analytical, correlational study was conducted. Sampling was non-probabilistic and convenience-based. The sample size was 136 lower limbs from 71 patients. Chi-square, Monte Carlo and Odd ratio (OR) statistical tests were used with 95% confidence intervals through bivariate logistic regression (p<0.05). Results: 71.8% of the subjects were female, with an average age of 66.1 years. The most frequent insufficient venous system was the superficial system, present in 61.7% of cases. 100% of the dilated great saphenous veins (GSV) had insufficiency. The most common CEAP clinical class was C2 (44.9%); 35.1% of C1 (telangiectasia) cases had an insufficient venous system; 50% of C2 cases had GSV insufficiency (p=0.227). There was an association between the insufficiency of both superficial and deep venous systems and the CEAP clinical classification (p=<0.001). The deep venous system was associated with severe chronic venous disease of the lower limbs, OR (6.04) with a 95% CI (1.02-35.73) and p=0.047. Conclusions: The study demonstrated an association between the insufficiency of both superficial and deep venous systems and the CEAP clinical classification. One third of the lower limbs with C1 (telangiectasias) had an insufficient venous system.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140742086","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6333
Mónica A. Núñez Garrido, Sergio Herrera Umanzor
Despite the numerous efforts of the international community to eradicate all forms of violence against women, this problem is far from being resolved. According to the UN, one in three women has suffered physical or sexual violence from an intimate partner, sexual violence outside the couple, or both at least once in their life. Addressing this problem as a social health need of population groups allows an approach to gender violence as a collective health problem. At the level of physical violence, strangulation/suffocation has been identified as one of the most lethal forms of domestic violence and sexual assault. Victims of domestic violence who have been choked or strangled are 7.5 times more likely to be killed by their partner. A victim of strangulation/suffocation can lose consciousness in seconds or die within minutes, days or weeks after the attack, as well as suffer permanent brain damage or disability or emotional trauma. Recently, legal changes have been generated in the configuration of this crime, the penalties have increased in United Kingdom, the United States, Australia and New Zealand. The current non-systematic narrative review of literature sought to explore updated medico-legal aspects of non-fatal strangulation/suffocation in the context of gender violence, and are highlightedrelevant implications for clinical practice.
{"title":"Non-Fatal strangulation/suffocation in context of gender violence: Medicolegal aspects and implications in clinical practice","authors":"Mónica A. Núñez Garrido, Sergio Herrera Umanzor","doi":"10.25176/rfmh.v24i1.6333","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6333","url":null,"abstract":"Despite the numerous efforts of the international community to eradicate all forms of violence against women, this problem is far from being resolved. According to the UN, one in three women has suffered physical or sexual violence from an intimate partner, sexual violence outside the couple, or both at least once in their life. Addressing this problem as a social health need of population groups allows an approach to gender violence as a collective health problem. At the level of physical violence, strangulation/suffocation has been identified as one of the most lethal forms of domestic violence and sexual assault. Victims of domestic violence who have been choked or strangled are 7.5 times more likely to be killed by their partner. A victim of strangulation/suffocation can lose consciousness in seconds or die within minutes, days or weeks after the attack, as well as suffer permanent brain damage or disability or emotional trauma. Recently, legal changes have been generated in the configuration of this crime, the penalties have increased in United Kingdom, the United States, Australia and New Zealand. The current non-systematic narrative review of literature sought to explore updated medico-legal aspects of non-fatal strangulation/suffocation in the context of gender violence, and are highlightedrelevant implications for clinical practice.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744343","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6012
Luis P. Valencia Montiel, Jorge R. Hernández Santos, Arturo García-Galicia, Álvaro J. Montiel-Jarquín, Diana López García, Maricarmen Tapia Venancio, Nancy R. Bertado-Ramírez
Introduction. Liver cancer is the seventh most common neoplasm worldwide and the second cause of mortality directly associated with cancer. In Mexico it has an incidence of 3.9% in the entire population. Although computed tomography (CT) is the imaging study of choice, the final diagnosis is established with the anatomopathological study of the lesion. Objective. Correlate the tomographic findings with the histopathological result in patients with liver lesions with suspicion of malignancy, who underwent USG-guided biopsy. Methods. Descriptive, correlation, retrolective, homodemographic and single-center study. The study period was from September 2021 to February 2022. Patients older than 18 years with liver lesions suspicious of malignancy were selected and underwent Computed Axial Tomography and ultrasound-guided biopsy. Shapiro Wilk tests (for normality) were used and chi-square was used for an analysis of association of categorical variables. Results. Twenty-four patients were included, who underwent Tomography and lesion biopsy, finding an average size of lesions of 2.39cm. The results of the correlation between the tomographic diagnosis and the definitive histopathological diagnosis did not have statistical significance p=0.069. Conclusion. No significant correlation was found between the histopathological study and tomographic findings in liver lesions suggestive of malignancy.
{"title":"Correlation of histopathological results and tomographic findings in patients with liver lesions suspicious for malignancy","authors":"Luis P. Valencia Montiel, Jorge R. Hernández Santos, Arturo García-Galicia, Álvaro J. Montiel-Jarquín, Diana López García, Maricarmen Tapia Venancio, Nancy R. Bertado-Ramírez","doi":"10.25176/rfmh.v24i1.6012","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6012","url":null,"abstract":"Introduction. Liver cancer is the seventh most common neoplasm worldwide and the second cause of mortality directly associated with cancer. In Mexico it has an incidence of 3.9% in the entire population. Although computed tomography (CT) is the imaging study of choice, the final diagnosis is established with the anatomopathological study of the lesion. Objective. Correlate the tomographic findings with the histopathological result in patients with liver lesions with suspicion of malignancy, who underwent USG-guided biopsy. Methods. Descriptive, correlation, retrolective, homodemographic and single-center study. The study period was from September 2021 to February 2022. Patients older than 18 years with liver lesions suspicious of malignancy were selected and underwent Computed Axial Tomography and ultrasound-guided biopsy. Shapiro Wilk tests (for normality) were used and chi-square was used for an analysis of association of categorical variables. Results. Twenty-four patients were included, who underwent Tomography and lesion biopsy, finding an average size of lesions of 2.39cm. The results of the correlation between the tomographic diagnosis and the definitive histopathological diagnosis did not have statistical significance p=0.069. Conclusion. No significant correlation was found between the histopathological study and tomographic findings in liver lesions suggestive of malignancy.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745859","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6099
Andrés A. Restrepo Bastidas, Mateo Aguirre Flórez, J. A. Hoyos Muñoz, Melissa Gonzales Ramírez, D. R. Echeverry Piedrahita
Background: Ophidic accident is a neglected disease that affects tropical countries. Latin America is the second region after Africa, with the most cases worldwide. Local lesions accompany its clinical course up to systemic affectations such as renal, hematological, and neurological lesions. Cardiac complications are rare, especially in patients who do not have cardiovascular risk factors. There are reports of acute myocardial infarction, but there is little information about heart failure due to Bothrops spp. Case report: We present the case of a 25-year-old man without cardiovascular risk factors who was admitted to the intensive care unit and developed heart failure with cardiogenic shock and multi-organ failure secondary to a snake bite. Conclusions: Although the characteristic clinical course of a bothropic ophidian accident and its systemic manifestations are mainly related to coagulation abnormalities, there are cardiovascular complications within its clinical presentation that, although rare, if not detected promptly and not adequately managed, are associated with high morbidity and mortality.
{"title":"Heart failure secondary to a snake bite. The intensivist's vision: case report","authors":"Andrés A. Restrepo Bastidas, Mateo Aguirre Flórez, J. A. Hoyos Muñoz, Melissa Gonzales Ramírez, D. R. Echeverry Piedrahita","doi":"10.25176/rfmh.v24i1.6099","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6099","url":null,"abstract":"Background: Ophidic accident is a neglected disease that affects tropical countries. Latin America is the second region after Africa, with the most cases worldwide. Local lesions accompany its clinical course up to systemic affectations such as renal, hematological, and neurological lesions. Cardiac complications are rare, especially in patients who do not have cardiovascular risk factors. There are reports of acute myocardial infarction, but there is little information about heart failure due to Bothrops spp. Case report: We present the case of a 25-year-old man without cardiovascular risk factors who was admitted to the intensive care unit and developed heart failure with cardiogenic shock and multi-organ failure secondary to a snake bite. Conclusions: Although the characteristic clinical course of a bothropic ophidian accident and its systemic manifestations are mainly related to coagulation abnormalities, there are cardiovascular complications within its clinical presentation that, although rare, if not detected promptly and not adequately managed, are associated with high morbidity and mortality.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743462","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.6456
C. Neyra-Rivera
Forensic Genetics is defined as a field of knowledge that uses both genetic concepts and molecular tools. This is used to resolve cases in which it is desired to identify the identity of people allegedly involved in a criminal act, kinship ties, identification of missing persons, etc. Currently, Forensic Genetics mainly uses molecular markers of the type STRs (short tandem repeats), SNPs (single nucleotide polymorphisms) and insertion/deletion INDELs)(1). In order to use these markers, it generally begins with DNA extraction, a multiplex polymerase chain reaction, capillary electrophoresis and analysis with specialized software to obtain a genetic profile that is unique for each individual.
{"title":"Forensic Genetics and Genomics in Peru: Current situation and future challenges","authors":"C. Neyra-Rivera","doi":"10.25176/rfmh.v24i1.6456","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.6456","url":null,"abstract":"Forensic Genetics is defined as a field of knowledge that uses both genetic concepts and molecular tools. This is used to resolve cases in which it is desired to identify the identity of people allegedly involved in a criminal act, kinship ties, identification of missing persons, etc. Currently, Forensic Genetics mainly uses molecular markers of the type STRs (short tandem repeats), SNPs (single nucleotide polymorphisms) and insertion/deletion INDELs)(1). In order to use these markers, it generally begins with DNA extraction, a multiplex polymerase chain reaction, capillary electrophoresis and analysis with specialized software to obtain a genetic profile that is unique for each individual.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140745131","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 : 2024-04-04DOI: 10.25176/rfmh.v24i1.5905
Joel I. Atencio Paulino, Waldir Paucar Huaman, Deivi N. Galarza Caceres, Jeampier Bendezu Meza, Jhonatan M. Crispin Ayala
We present the case of a 44-year-old male patient with a family history of lymphoma and hyperthyroidism. He started the disease three months before admission to hospital with pain in the right leg, abdominal pain, weight loss and night sweats. He was diagnosed in his hospitalization with ascites in a cavity of undetermined etiology, and multiple polygastric and fossa lymph nodes right iliac. At 6 months, the symptoms persist and a nodule is added on the penis, left testicular edema and purulent discharge from the right inguinal node, being diagnosed orchiepididymitis. Initially he had negative markers for tuberculosis (TB), however, a lymph node biopsy was performed and the analysis with Xpert MTB/RIF where it resulted positive. The patient improved considerably with anti-TB treatment and antibiotics for purulent discharge.
{"title":"Lymph node tuberculosis with genital involvement: Case report","authors":"Joel I. Atencio Paulino, Waldir Paucar Huaman, Deivi N. Galarza Caceres, Jeampier Bendezu Meza, Jhonatan M. Crispin Ayala","doi":"10.25176/rfmh.v24i1.5905","DOIUrl":"https://doi.org/10.25176/rfmh.v24i1.5905","url":null,"abstract":"We present the case of a 44-year-old male patient with a family history of lymphoma and hyperthyroidism. He started the disease three months before admission to hospital with pain in the right leg, abdominal pain, weight loss and night sweats. He was diagnosed in his hospitalization with ascites in a cavity of undetermined etiology, and multiple polygastric and fossa lymph nodes right iliac. At 6 months, the symptoms persist and a nodule is added on the penis, left testicular edema and purulent discharge from the right inguinal node, being diagnosed orchiepididymitis. Initially he had negative markers for tuberculosis (TB), however, a lymph node biopsy was performed and the analysis with Xpert MTB/RIF where it resulted positive. The patient improved considerably with anti-TB treatment and antibiotics for purulent discharge.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743693","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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