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Epidemiological-clinical characteristics and results of appendiceal plastron management in adult patients from a reference hospital in Peru 秘鲁某参考医院成年患者阑尾板处理的流行病学-临床特征和结果
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5538
Efraín A. Cehua Alvarez, Aaron Milton Delgado Garro, H. M. Virú Flores, Juan Carlos Ezequiel Roque Quezada, Diana Jennifer Valdiglesias Ochoa, Luis Enrique Nieves Cordova, Gabriela Quezada Gómez
Introduction: Appendicular plastron is considered a progressive form of acute appendicitis, with a national prevalence of 2-10%. Currently management is often controversial. It is that from this context, it seeks to promote studies that can elucidate the variables associated with the management of this condition. Objective: to determine the epidemiological-clinical characteristics associated with the results of the management of the appendiceal plastron in adult patients in a reference hospital in Peru. Methods: Non-experimental study, with a quantitative approach, observational, analytical and cross-sectional design, whose sample consisted of 100 patients with a diagnosis of appendicular plastron. The data collection sheet was applied as an instrument. Likewise, a Poisson regression model was used to respond to the objectives. Results: The multivariate analysis showed that alcohol consumption (p<0.05 RPa=1.12), nausea and vomiting (p<0.05, RPa=1.48), diarrhea (p<0.05; RPa=1.08), duration of symptoms before admission between 3 and 5 days (p<0.05; RPa=1.09), appendiceal mass (p<0.05, RPa=1.18) and bandemia (p<0.05, RPa=1.12) were significantly associated with unsuccessful management results of the appendiceal plastron. Conclusion: There are epidemiological and clinical characteristics associated with the results of the management of the appendicular plastron.
阑尾板炎被认为是急性阑尾炎的一种进行性形式,全国患病率为2-10%。目前的管理经常是有争议的。正是在这种背景下,它寻求促进能够阐明与这种情况的管理相关的变量的研究。目的:了解秘鲁某参考医院成年患者阑尾板处理结果的流行病学-临床特征。方法:采用定量、观察、分析和横断面设计的非实验研究方法,选取100例诊断为阑尾板的患者为研究对象。数据收集表作为一种工具。同样,使用泊松回归模型来响应目标。结果:多因素分析显示,饮酒(p<0.05 RPa=1.12)、恶心呕吐(p<0.05, RPa=1.48)、腹泻(p<0.05;RPa=1.08),入院前症状持续时间在3 ~ 5天之间(p<0.05;RPa=1.09)、阑尾肿块(p<0.05, RPa=1.18)和带状肿(p<0.05, RPa=1.12)与阑尾板处理不成功有显著相关性。结论:阑尾板的治疗结果与流行病学和临床特点有关。
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引用次数: 0
Efficacy of nutritional talks in the prevention of anemia in children (6 to 36 months of age) from a health center in Chiclayo, Peru 秘鲁Chiclayo一家保健中心的营养讲座在预防儿童(6至36个月)贫血方面的效果
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5302
Jorge Enrique Silva Fiestas, Víctor Hugo Díaz Silva, Jorge Enrique Osada Liy
Introduction: Prevention and control programs have been created due to the high prevalence of anemia in Peruvian children. Objective: To evaluate the effectiveness of nutritional talks in the reduction and prevention of anemia in boys and girls from 6 to 36 months of age. Methods: Longitudinal analytical study of retrospective cohorts. The sample included 78 children attended at a primary health care center. The information was extracted from a database generated by the center. The hemoglobin (Hb) level was recorded close to the date of the intervention and in subsequent controls ≥1 month. Results: 41 children (52.6%) participated in the nutritional talk, not observing significant differences with the group that did not participate. A higher frequency of anemia was observed in the group that did not participate in the nutritional talk (23%) compared to the group that did participate (0%), a significant difference was evidenced in the time between Hb evaluations (p<0.001). and the indication of micronutrients (p<0.001) for both groups. Despite this, there was no significant difference between the initial and final Hb values. Conclusion: Children whose parents participated in the nutrition talks had less anemia. This could suggest that nutritional talks are effective in preventing anemia.
引言:由于秘鲁儿童贫血的发病率很高,因此制定了预防和控制计划。目的:评价营养谈话在6~36个月大男孩和女孩贫血的减少和预防中的有效性。方法:对回顾性队列进行纵向分析研究。样本包括78名在初级保健中心接受治疗的儿童。这些信息是从该中心生成的数据库中提取的。血红蛋白(Hb)水平在接近干预日期时记录,随后的对照组≥1个月。结果:41名儿童(52.6%)参加了营养讲座,与未参加的组相比无显著差异。与参加营养讲座的组(0%)相比,未参加营养讲座组(23%)的贫血频率更高,两组的Hb评估时间(p<0.001)和微量营养素指标(p<001)之间存在显著差异。尽管如此,初始和最终Hb值之间没有显著差异。结论:父母参加营养讲座的儿童贫血较少。这可能表明营养谈话在预防贫血方面是有效的。
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引用次数: 0
Consumption of foods rich in antioxidants in outpatients with diabetic retinopathy at Hospital La Carlota during 2021 2021年La Carlota医院糖尿病视网膜病变门诊患者食用富含抗氧化剂的食物
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v22i1.4121
Raquel Karen García Lecca, Raquel Martínez de Kurata, Edward Samudio Márquez, Javier Castillo Velázquez
The objective of the study was to assess the quality of consumption of foods rich in antioxidants such as vitamin C, E and selenium in patients with diabetic retinopathy (DR). An observational, descriptive, cross-sectional study was carried out in 28 patients with DR from the Vision Institute, Hospital La Carlota, during February 2021. Volunteer patients over 20 years of age with DR were included. 60% were men, the mean age was 56 ± 13 years and proliferative diabetic retinopathy (PDR) was the most frequent. The most consumed foods were egg, onion and garlic. A deficient consumption of micronutrients was found in 63% of the cases, where the median consumption of vitamin C was 87.5 mg, vitamin E 13.9 mg, and selenium 36.7 mcg. In conclusion, there is a marked deficit in the consumption of foods with a high contribution of antioxidants in patients with DR.
该研究的目的是评估糖尿病视网膜病变(DR)患者食用富含抗氧化剂(如维生素C、E和硒)的食物的质量。2021年2月,对拉卡洛塔医院视觉研究所的28名DR患者进行了一项观察性、描述性、横断面研究。纳入20岁以上DR志愿者患者。60%为男性,平均年龄56±13岁,增殖性糖尿病视网膜病变(PDR)最为常见。消费最多的食物是鸡蛋、洋葱和大蒜。63%的病例发现微量营养素摄入不足,维生素C、维生素E和硒的中位摄入量分别为87.5 mg、13.9 mg和36.7 mcg。总之,DR患者摄入抗氧化剂含量高的食物明显不足。
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引用次数: 0
Case report: Gastrointestinal stromaal tumor (GIST) in the jejunum 病例报告:空肠胃肠道间质瘤(GIST)
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5309
Alessandra Canelo, Alejandro Llanos-Salirrosas, E. López, J. Mantilla, L. Mejía, Sharon Polo
Gastrointestinalstromaltumors(GIST)aremesenchymalneoplasmsthatrepresentlessthan3%of gastrointestinal neoplasms, with an incidence of 1 to 2 cases per hundred thousand inhabitants. It originates more frequently in the stomach and small intestine and is characterized by the expression of the tyrosine kinase growth factor receptor, CD117. Therefore, its diagnosis requires an immunohischemical study to rule it out from other mesenchymal tumors. However, enteroscopic imaging and analysis of the biopsy may suggest a preoperative diagnosis of probable GIST. The case of a 62-year-old woman with rectorrhagia and recurrent anemia caused by mid-intestinal bleeding observed by capsule endoscopy is reported. Enteroscopy revealed a subepithelial ulcerated lesion in the proximal jejunum, and a biopsy was taken, the anatomopathological study of which suggested a gastrointestinal stromal tumor. The biopsy sample subjected to immunohistochemical studies conrms the suspicion of a cKit/CD117-positive GIST tumor. Surgical resection of the tumor with dimensions 4.2x3 cm is performed. After surgery, the patient was stable and under clinical follow-up until she was discharged. Clinical ndings, diagnosis and timely treatment contribute to increasing survival from complications.
胃肠道间质瘤(GIST)是一种间质肿瘤,占胃肠道肿瘤的不到3%,发病率为每十万居民1至2例。它更常起源于胃和小肠,以酪氨酸激酶生长因子受体CD117的表达为特征。因此,它的诊断需要免疫组织化学研究来排除其他间质肿瘤。然而,肠镜成像和活检分析可能提示术前诊断可能为GIST。本文报告一62岁妇女,经胶囊内窥镜观察,因肠中出血引起直肠出血及复发性贫血。肠镜检查显示空肠近端上皮下溃疡病变,活检显示解剖病理提示为胃肠道间质瘤。经免疫组化研究的活检样本证实了cKit/ cd117阳性GIST肿瘤的怀疑。手术切除尺寸为4.2x3 cm的肿瘤。术后患者病情稳定,临床随访至出院。临床发现、诊断和及时治疗有助于提高并发症的生存率。
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引用次数: 0
Computer visual syndrome in medical students in virtual education of a Peruvian university during 2021 2021年秘鲁一所大学虚拟教育中医学生的计算机视觉综合征
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5525
Rosario Mercedes Meneses Castañeda, S. R. Ramos Rodriguez, Chiara del Carmen Molfino Jaramillo, Ely Luisa Sánchez Miraval, David Francisco Stein Montoro, Lourdes Guissel Chávez Rodríguez
Introduction: During virtual classes in the context of COVID-19, students were exposed to digital screens for many hours, so they could present computer vision syndrome. Objective: To determine the frecuency of computer vision syndrome in sixth-year students of the Faculty of Human Medicine of the Ricardo Palma University in the context of virtual education due to COVID-19 during the period October - November 2021. Results: Most of the students were young adults (54%) and female (60%). The frequency of computer visual syndrome was 93%, it occurred in 94% of women and 90% of men. Most of the students reported having myopia (44%) and astigmatism (22%). Regarding visual symptoms, the students mainly presented tearing (7.9%), itching (7.6%), and headache (7.6%). Conclusions: In the present study, a high frequency of computer visual syndrome was found in medical students who took virtual classes.
简介:在新冠肺炎背景下的虚拟课堂上,学生们暴露在数字屏幕下长达数小时,因此他们可能会出现计算机视觉综合症。目的:确定2021年10月至11月期间,在新冠肺炎导致的虚拟教育背景下,里卡多帕尔马大学人类医学院六年级学生计算机视觉综合征的发病率。结果:大多数学生是年轻人(54%)和女性(60%)。计算机视觉综合征的发生率为93%,发生在94%的女性和90%的男性中。大多数学生报告有近视(44%)和散光(22%)。在视觉症状方面,学生主要表现为流泪(7.9%)、瘙痒(7.6%)和头痛(7.6%。
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引用次数: 0
Identification of Human Papillomavirus genotypes in juvenile laryngeal papillomatosis. Three-year experience in a concentration hospital in Puebla, Mexico 人乳头瘤病毒基因型在幼年喉部乳头状瘤病中的鉴定。在墨西哥普埃布拉的一家集中医院工作了三年
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5088
Arturo García-Galicia, Clotilde Margarita Andrade-Bonilla, V. Vallejo-Ruiz, Blanca Elena Vallejo-Domínguez, Janeth Ramírez-Mendoza, Á. Montiel-Jarquín, N. R. Bertado-Ramírez, J. Loría-Castellanos
Juvenile laryngeal papillomatosis (JLP) is a chronic benign disease of viral etiology, with an aggressive clinical course. In Mexico, the genotypes of the Human Papilloma Virus (HPV) that cause the disease have been poorly studied. The aim of this study was to identify HPV genotypes in PLJ patients. A descriptive and retrospective study was carried out, the records of patients with PLJ treated in a hospital in Mexico were reviewed, in the period 2018-2021. HPV was identied in all patients for genomes 6, 11, 16, and 18. 9 patients were included, 56% women, mean age 9.5 ± 5.7 years; 7 patients registered positivity for HPV-11 and 2 for HPV-6. The average age at diagnosis was 2.35 ± 1.77 years, with an average of 12 ± 11.56 surgical procedures. In conclusion, the most frequent genotypes in patients with PLJ were HPV-6 and HPV-11, with the latter predominating.ORIGINAL BREVES
青少年喉部乳头状瘤病(JLP)是一种慢性良性疾病的病毒性病因,具有侵略性的临床过程。在墨西哥,引起该疾病的人乳头瘤病毒(HPV)的基因型研究很少。本研究的目的是确定PLJ患者的HPV基因型。我们进行了一项描述性和回顾性研究,回顾了2018-2021年期间在墨西哥一家医院治疗的PLJ患者的记录。在所有患者的基因组6、11、16和18中都发现了HPV。纳入9例患者,女性56%,平均年龄9.5±5.7岁;7例HPV-11阳性,2例HPV-6阳性。平均诊断年龄2.35±1.77岁,平均手术次数12±11.56次。总之,在PLJ患者中最常见的基因型是HPV-6和HPV-11,以后者为主。原始BREVES
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引用次数: 0
Nongenetic causes of hypertyrosinemia that must be considered when interpreting a finding of elevated urinary tyrosine 解释尿酪氨酸升高的发现时必须考虑的高酪氨酸血症的非遗传原因
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.3620
M. Virú-Loza
In several countries newborns are screened for tyrosinemia type 1 using tyrosine as a primary marker . In some situations elevated tyrosine levels in blood are discovered due to elevated tyrosine in a metabolic urine screening. In Peru, some pediatric patients suspected of having a genetic condition (inborn error of metabolism) undergo a metabolic urine screening that includes - among other things - qualitative detection of tyrosine. However, when there are elevated levels of tyrosine in urine this does not always mean that the patient has a genetic condition. Most often hypertyrosinemia has a non-genetic origin. Therefore, it is important to review the non-genetic causes of hypertyrosinemia and thus avoid potential misinterpretations of this finding. The genetic entities associated with increased levels of tyrosine are those that generate an enzymatic deficiency in the degradation of tyrosine, within which tyrosinemias type I, II or III are included (2,3). However, elevated tyrosine levels in the blood usually have a nongenetic cause. The most common non-genetic cause of increased tyrosine levels in the blood is transient tyrosinemia of the newborn. This is due to immaturity of enzymes involved in tyrosine degradation– such as 4-hydroxyphenylpyruvate dioxygenase– such as 4-hydroxyphenylpyruvate dioxygenase.
在一些国家,新生儿使用酪氨酸作为主要标志物进行1型酪氨酸血症筛查。在某些情况下,血液中的酪氨酸水平升高是由于代谢性尿液筛查中的酪氨酸升高。在秘鲁,一些被怀疑患有遗传疾病(先天性代谢错误)的儿科患者接受了代谢尿液筛查,其中包括酪氨酸的定性检测。然而,当尿液中酪氨酸水平升高时,这并不总是意味着患者有遗传疾病。甲状腺机能亢进症通常是非遗传性的。因此,重要的是要回顾甲状腺机能亢进的非遗传原因,从而避免对这一发现的潜在误解。与酪氨酸水平增加相关的遗传实体是那些在酪氨酸降解中产生酶促缺陷的遗传实体,其中包括I型、II型或III型酪氨酸(2,3)。然而,血液中酪氨酸水平升高通常有非遗传原因。血液中酪氨酸水平升高的最常见的非遗传原因是新生儿的短暂性酪氨酸血症。这是由于参与酪氨酸降解的酶不成熟,如4-羟基苯基丙酮酸双加氧酶,如4-羟苯基丙酮酸双加氧酶。
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引用次数: 0
Management indicators in research 2022 2022年研究中的管理指标
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5536
Jhony A. De La Cruz Vargas, Elio Iván Rodríguez Chávez
Given the importance of the research component to respond to phenomena and problems demanded by society, At Universidad Ricardo Palma, research has been fostered and promoted as an institutional policy. The Instituto de Investigación en Ciencias Biomédicas, which reports to the Rectorate and is integrated into the Facultad de Medicina Humana, has been working to contribute substantially to this growth in research. The research is directly related to the quality processes of higher education, innovation, extension, linking, licensing, accreditation, and finally, the ranking of universities. As is evident, the research is linked to the present and the future of universities. Therefore, measuring the impact of research is essential because educational institutions are and must be permanent generators of intellectual property, knowledge and human resources, which impact the educational, scientific, economic and social sectors.
鉴于研究部分对应对社会所要求的现象和问题的重要性,里卡多·帕尔马大学将研究作为一项制度政策加以促进。向校长报告并并入人类医学院的生物医学研究所一直在努力为这一研究增长做出重大贡献。这项研究直接关系到高等教育的质量过程、创新、推广、链接、许可、认证,最后是大学的排名。显而易见,这项研究与大学的现在和未来息息相关。因此,衡量研究的影响至关重要,因为教育机构是而且必须是知识产权、知识和人力资源的永久创造者,这些知识、知识和资源影响着教育、科学、经济和社会部门。
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引用次数: 0
Factors associated with hemoglobin levels in children under 6 months of age hospitalized in a pediatric center in Peru 秘鲁儿科中心住院的6个月以下儿童血红蛋白水平相关因素
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5059
Víctor A. Mamani-Urrutia, Rafael Durán-Galdo, Carlos Gonzales-Saravia, Alicia Bustamante-López, R. Espinoza-Rojas, Raffo Escalante-Kanashiro
Introduction: Anemia is a condition in which there is a low concentration of hemoglobin (Hb) levels. Although many causes of anemia have been identified, there are few studies in which they are related to epidemiological factors in the first months of life. Objective of the study: To determine the factors associated with hemoglobin levels in children under 6 months of age hospitalized in a specialized pediatric center in Peru. Material and methods: Cross-sectional study in children under 6 months of age hospitalized in the medical services of a pediatric center during the year 2017, 267 medical records were reviewed, emphasizing clinical and epidemiological characteristics. Results: 61.4% of the infants were female, and only 6.7% of the proportion of the population studied were less than 1 month old. 6.7% had low birth weight, and 53.2% had a normal delivery. The level of anemia in hospitalized children under 6 months of age is 66.7%. Conclusions: According to the bivariate analysis, a significant association was found between hemoglobin levels with the variables age, nutritional status of weight for length and hospital causes. Regarding the multivariate analysis, only an association was found between age and the median Hb present in boys and girls aged 0 to 5 months hospitalized in a pediatric center in Peru.
简介:贫血是一种血红蛋白(Hb)浓度低的情况。虽然已经确定了许多贫血的原因,但很少有研究表明它们与生命最初几个月的流行病学因素有关。研究目的:确定秘鲁一家儿科专科中心住院的6个月以下儿童血红蛋白水平的相关因素。材料与方法:对2017年某儿科中心住院的6个月以下儿童进行横断面研究,回顾267份病历,强调临床和流行病学特征。结果:61.4%的婴儿为女婴,1月龄以下的婴儿仅占研究人群的6.7%。出生体重低的占6.7%,正常分娩的占53.2%。6月龄以下住院儿童贫血率为66.7%。结论:根据双变量分析,血红蛋白水平与年龄、体重长度的营养状况和医院原因之间存在显著相关性。关于多变量分析,在秘鲁儿科中心住院的0 - 5个月的男孩和女孩中,仅发现年龄与中位Hb存在关联。
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引用次数: 0
Ghost cell glaucoma: Clinic case 鬼细胞型青光眼临床一例
Pub Date : 2023-01-15 DOI: 10.25176/rfmh.v23i1.5061
D. J. Mamani Maquera, Nahuel Pantoja Dávalos
Introduction: Ghost cell glaucoma (GCG) is a very rare secondary open angle glaucoma, in which there is a sustained increase in intraocular pressure (IOP) due to obstruction of the trabecular meshwork (TM) due to the passage of ghost cells (GC) from the vitreous into the anterior chamber, after a vitreous hemorrhage (VH). Clinical Case: We present the case of a male patient with a history of vitreous hemorrhage and sustained IOP elevation in the right eye (RE). Medical treatment was insufficient, for this reason surgical treatment was required. Postoperative evolution was favorable. Conclusion: This pathology should prefer the differential diagnosis of traumatic glaucomas, correlating high clinical suspicion and histological confirmation.
鬼细胞青光眼(GCG)是一种非常罕见的继发性开角型青光眼,在玻璃体出血(VH)后,由于鬼细胞(GC)从玻璃体进入前房而阻塞小梁网(TM),导致眼内压(IOP)持续升高。临床病例:我们提出的情况下,男性患者玻璃体出血史和持续IOP升高在右眼(RE)。医疗不够,因此需要手术治疗。术后进展良好。结论:外伤性青光眼的鉴别诊断应与临床高度怀疑和组织学证实相结合。
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引用次数: 0
期刊
Revista de la Facultad de Medicina Humana
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