Pub Date : 2023-09-30DOI: 10.25176/rfmh.v23i3.5805
Mylene Rodríguez Leyton, Alexander Parody Muñoz, Carolina Henríquez Coronado, Karla A. Rodríguez Pérez, Lucia Sánchez Majana
Objective: To analyze the lifestyles and diet related to nutritional status and the risk of DM2 and in female students of two Colombian universities. Methods: a descriptive, cross-sectional, multidimensional and exploratory study, carried out in a sample of 220 women, nutrition and dietetic (NaD) students selected by random medsampling of proportions.[1]. A questionnaire was applied to identify sociodemographic variables, lifestyles related to food and DM2 risk according to the FINDRISC test; BMI, waist circumference (WC), fat percentage, and active body substance index (IAKS) were determined. Bivariate analysis was performed using Statgraphics v.16, the chi2 test was applied with 95% confidence and statistical significance (p <0.05). Results: Overweight and obesity according to BMI (21.4%) showed statistical significance with the frequency of consumption of sugary drinks, packaged products, sugars and sweets, fast foods and alcoholic beverages; These two eating practices were related to very high cardiovascular risk by waist circumference and excessive fat percentage, which also presented significance with excessive screen time; the IAKS was related to the classification of physical activity. According to the FINDRISC test, 91% had DM2 risk factors; 20.5% presented medium risk and 2.3% high. Conclusions: Lifestyle and diet were related to anthropometric indicators: body weight, fat distribution, and body composition; are risk factors for the development of DM2 in young women. It is necessary to promote protective factors to maintain a healthy weight.
{"title":"Lifestyles and diet related to nutritional status and DM2 risk in young women from two Colombian universities","authors":"Mylene Rodríguez Leyton, Alexander Parody Muñoz, Carolina Henríquez Coronado, Karla A. Rodríguez Pérez, Lucia Sánchez Majana","doi":"10.25176/rfmh.v23i3.5805","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5805","url":null,"abstract":"Objective: To analyze the lifestyles and diet related to nutritional status and the risk of DM2 and in female students of two Colombian universities. Methods: a descriptive, cross-sectional, multidimensional and exploratory study, carried out in a sample of 220 women, nutrition and dietetic (NaD) students selected by random medsampling of proportions.[1]. A questionnaire was applied to identify sociodemographic variables, lifestyles related to food and DM2 risk according to the FINDRISC test; BMI, waist circumference (WC), fat percentage, and active body substance index (IAKS) were determined. Bivariate analysis was performed using Statgraphics v.16, the chi2 test was applied with 95% confidence and statistical significance (p <0.05). Results: Overweight and obesity according to BMI (21.4%) showed statistical significance with the frequency of consumption of sugary drinks, packaged products, sugars and sweets, fast foods and alcoholic beverages; These two eating practices were related to very high cardiovascular risk by waist circumference and excessive fat percentage, which also presented significance with excessive screen time; the IAKS was related to the classification of physical activity. According to the FINDRISC test, 91% had DM2 risk factors; 20.5% presented medium risk and 2.3% high. Conclusions: Lifestyle and diet were related to anthropometric indicators: body weight, fat distribution, and body composition; are risk factors for the development of DM2 in young women. It is necessary to promote protective factors to maintain a healthy weight.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277184","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5908
Gladys E. Victorio Arribasplata, Hillary M. Romaní Victorio, Sergio A. Romaní Larrea
Objective: To identify neonatal pathologies or conditions that influence the prolongation of hospital stay in a Neonatal Intensive Care Unit (NICU). Materials and methods: An observational, retrospective, case-control study was carried out; in neonates hospitalized in the NICU, during the period 2015-2019, considering their perinatal and postnatal diagnoses as factors to be evaluated, as well as hospital stay. Two groups were divided: cases (prolonged stay) and controls (non-prolonged stay). The collected data were processed in the SPSS v.23 program, obtaining the OR and the Binary Logistic Regression. Results: 361 neonates (91 cases and 270 controls) were included, finding significance in perinatal factors (p<0.05): Birth weight (1000g to <1500g, aOR 8.2: CI3.1 - 21.2) and gestational age (28 to 31 weeks , aOR 18.6: CI4.8-71.4; 32-33 weeks, aOR 8.1: CI3.5 – 18.4); and postnatal factors (p<0.05): RDS (aOR 10.3: CI 4.8-22.2), PHT (OR 32.2: CI 1.8-559.0), sepsis (aOR 7.1: CI 3.1-16.0), Neonatal malnutrition (aOR 10.2: CI 4.7 -22.1) and anemia of prematurity (aOR 8.3: CI 2.4-28.1). The following did not reach significance: asphyxia, transient tachypnea of the newborn, pneumonia, pneumothorax, bronchopulmonary dysplasia, meconium aspiration syndrome, patent ductus arteriosus, congenital heart disease, hyperbilirubinemia, hypoglycemia, necrotizing enterocolitis, and apnea of prematurity. Conclusions: Birth weight, gestational age, RDS, PHPT, sepsis, neonatal malnutrition and premature anemia are risk factors for prolonged hospital stay.
目的:确定影响新生儿重症监护病房(NICU)住院时间延长的新生儿病理或条件。材料与方法:采用观察性、回顾性、病例对照研究;2015-2019年期间在新生儿重症监护病房住院的新生儿，将其围产期和产后诊断作为评估因素，以及住院时间。两组被分为:病例组(长期住院)和对照组(非长期住院)。收集到的数据在SPSS v.23程序中进行处理，得到OR和Binary Logistic Regression。结果:本组新生儿361例(91例，对照组270例)，围产儿因素(p<0.05):出生体重(1000 ~ 1500g, aOR 8.2: CI3.1 ~ 21.2)、胎龄(28 ~ 31周，aOR 18.6: ci4.8 ~ 71.4;32-33周，aOR 8.1; CI3.5 - 18.4);和产后因素(p<0.05): RDS (aOR 10.3: CI 4.8-22.2)、PHT (aOR 32.2: CI 1.8-559.0)、败血症(aOR 7.1: CI 3.1-16.0)、新生儿营养不良(aOR 10.2: CI 4.7 -22.1)和早产儿贫血(aOR 8.3: CI 2.4-28.1)。以下未达到显著意义:窒息、新生儿短暂性呼吸急促、肺炎、气胸、支气管肺发育不良、胎粪吸入综合征、动脉导管未闭、先天性心脏病、高胆红素血症、低血糖、坏死性小肠结肠炎、早产儿呼吸暂停。结论:出生体重、胎龄、RDS、PHPT、败血症、新生儿营养不良和早产儿贫血是延长住院时间的危险因素。
{"title":"Risk factors associated with prolonged hospital stay in Neonatal Intensive Care: a case-control study.","authors":"Gladys E. Victorio Arribasplata, Hillary M. Romaní Victorio, Sergio A. Romaní Larrea","doi":"10.25176/rfmh.v23i3.5908","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5908","url":null,"abstract":"Objective: To identify neonatal pathologies or conditions that influence the prolongation of hospital stay in a Neonatal Intensive Care Unit (NICU). Materials and methods: An observational, retrospective, case-control study was carried out; in neonates hospitalized in the NICU, during the period 2015-2019, considering their perinatal and postnatal diagnoses as factors to be evaluated, as well as hospital stay. Two groups were divided: cases (prolonged stay) and controls (non-prolonged stay). The collected data were processed in the SPSS v.23 program, obtaining the OR and the Binary Logistic Regression. Results: 361 neonates (91 cases and 270 controls) were included, finding significance in perinatal factors (p<0.05): Birth weight (1000g to <1500g, aOR 8.2: CI3.1 - 21.2) and gestational age (28 to 31 weeks , aOR 18.6: CI4.8-71.4; 32-33 weeks, aOR 8.1: CI3.5 – 18.4); and postnatal factors (p<0.05): RDS (aOR 10.3: CI 4.8-22.2), PHT (OR 32.2: CI 1.8-559.0), sepsis (aOR 7.1: CI 3.1-16.0), Neonatal malnutrition (aOR 10.2: CI 4.7 -22.1) and anemia of prematurity (aOR 8.3: CI 2.4-28.1). The following did not reach significance: asphyxia, transient tachypnea of the newborn, pneumonia, pneumothorax, bronchopulmonary dysplasia, meconium aspiration syndrome, patent ductus arteriosus, congenital heart disease, hyperbilirubinemia, hypoglycemia, necrotizing enterocolitis, and apnea of prematurity. Conclusions: Birth weight, gestational age, RDS, PHPT, sepsis, neonatal malnutrition and premature anemia are risk factors for prolonged hospital stay.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277543","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5548
José Portugal Sánchez, Rolando Vásquez Alva, Carolina Pérez Agüero, Rita Abarca Del Carpio, Katia Echegaray Castro, Virginia Garaycochea Cannon, José Amado Tineo
The epidemiological transition that the world is experiencing requires health personnel prepared to respond to the needs and demands of the population; This also applies to low-income and medium-income countries, where oncological and non-oncological diseases are diagnosed in advanced stages and represent a high burden for the patient and family, often associated with pain and suffering.
{"title":"First course of palliative care in undergraduate at a Peruvian university","authors":"José Portugal Sánchez, Rolando Vásquez Alva, Carolina Pérez Agüero, Rita Abarca Del Carpio, Katia Echegaray Castro, Virginia Garaycochea Cannon, José Amado Tineo","doi":"10.25176/rfmh.v23i3.5548","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5548","url":null,"abstract":"The epidemiological transition that the world is experiencing requires health personnel prepared to respond to the needs and demands of the population; This also applies to low-income and medium-income countries, where oncological and non-oncological diseases are diagnosed in advanced stages and represent a high burden for the patient and family, often associated with pain and suffering.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136271805","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5846
Lourdes Ramírez-Orrego, Luis M. Rojas, Christian J. Campos, Carmen Gutierrez, Stella M. Chenet, Lizandro Gonzales
Introduction: The increase in dengue cases in Amazonas is a risk to public health. In 2021, Balsas reported a dengue outbreak for the first time. Methodology: The population included patients who met the case definition between December 2021 and February 2022. Identification of serotypes will be reduced by multiplex qRT-PCR. Results: 72 patients were identified, of which 53 (74%) were confirmed by serology (Ag NS1). The predominant serotype was DENV-2 (94%), and 6% was DENV-1. Patients between 19 and 45 years old presented the highest percentage of cases (59%). The most frequent symptoms were fever, headache, myalgia and arthralgia; 23% presented severe abdominal pain. Conclusion: This was the first confirmed dengue outbreak in the Balsas district, with DENV-2 being the main cause of the outbreak, highlighting the need to improve surveillance in areas without autochthonous transmission of the disease.
{"title":"First report of a Dengue outbreak in Balsas, Amazonas, Peru, during 2021 and 2022.","authors":"Lourdes Ramírez-Orrego, Luis M. Rojas, Christian J. Campos, Carmen Gutierrez, Stella M. Chenet, Lizandro Gonzales","doi":"10.25176/rfmh.v23i3.5846","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5846","url":null,"abstract":"Introduction: The increase in dengue cases in Amazonas is a risk to public health. In 2021, Balsas reported a dengue outbreak for the first time. Methodology: The population included patients who met the case definition between December 2021 and February 2022. Identification of serotypes will be reduced by multiplex qRT-PCR. Results: 72 patients were identified, of which 53 (74%) were confirmed by serology (Ag NS1). The predominant serotype was DENV-2 (94%), and 6% was DENV-1. Patients between 19 and 45 years old presented the highest percentage of cases (59%). The most frequent symptoms were fever, headache, myalgia and arthralgia; 23% presented severe abdominal pain. Conclusion: This was the first confirmed dengue outbreak in the Balsas district, with DENV-2 being the main cause of the outbreak, highlighting the need to improve surveillance in areas without autochthonous transmission of the disease.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136272085","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5593
Sara Muñoz Ordóñez, Jessika A. Layos, María P. García Lozano, Yelson A. Picón Jaimes
Atopic dermatitis is a chronic inflammatory skin disease that substantially impacts the quality of life and functional capacity of those who suffer from it. In the midst of describing the pathogenesis and pathophysiology of this condition, the aberrant activity of interleukins (ILs) stands out, mainly IL-13 type 2. Currently, there is no definitive and safe treatment to address this disease. Traditionally, antibiotic therapy and corticosteroids have been indicated, but given the adverse effects commonly reported with these drugs, it is not reproducible or safe to continue with these regimens. Over the last few years, some agents with immunomodulatory potential have been proposed, which could change the course of atopic dermatitis. Within the global health objectives stipulated for the year 2030, there is the need to develop drugs that allow control of the burden of diseases that generate pathological entities that considerably affect both the quality of life and the catastrophic expense of the global population. with main emphasis on low- and middle-income countries, where difficulties prevail for timely and effective access to health services and targeted treatments. Therefore, the effort to find an agent that regulates chronicity or solves this disease is a priority both for dermatology and for global health.
{"title":"Systemic immunomodulatory therapy in the management of atopic dermatitis: the value of Tralokinumab","authors":"Sara Muñoz Ordóñez, Jessika A. Layos, María P. García Lozano, Yelson A. Picón Jaimes","doi":"10.25176/rfmh.v23i3.5593","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5593","url":null,"abstract":"Atopic dermatitis is a chronic inflammatory skin disease that substantially impacts the quality of life and functional capacity of those who suffer from it. In the midst of describing the pathogenesis and pathophysiology of this condition, the aberrant activity of interleukins (ILs) stands out, mainly IL-13 type 2. Currently, there is no definitive and safe treatment to address this disease. Traditionally, antibiotic therapy and corticosteroids have been indicated, but given the adverse effects commonly reported with these drugs, it is not reproducible or safe to continue with these regimens. Over the last few years, some agents with immunomodulatory potential have been proposed, which could change the course of atopic dermatitis. Within the global health objectives stipulated for the year 2030, there is the need to develop drugs that allow control of the burden of diseases that generate pathological entities that considerably affect both the quality of life and the catastrophic expense of the global population. with main emphasis on low- and middle-income countries, where difficulties prevail for timely and effective access to health services and targeted treatments. Therefore, the effort to find an agent that regulates chronicity or solves this disease is a priority both for dermatology and for global health.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136271808","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5699
Diego José Mamani Maquera, Nahuel Pantoja Dávalos, Milthon Catacora Contreras
Introduction: Uveitis-glaucoma-hyphema syndrome (UGH) is a rare complication of cataract surgery, due to mechanical chafing exerted by an intraocular lens (IOL) on the iris. Clinical case: A 64-year-old man with a history of cataract surgery, who presented decreased visual acuity and pain in the right eye. The ophthalmological examination revealed signs of anterior uveitis, elevated intraocular pressure (IOP), microhyphema, and a single-piece foldable IOL in the sulcus that caused a mechanical chafing with the posterior face of the iris. The medical treatment was insufficient; for this reason, a folding simple-piece IOL explant surgery was performed and replaced by a three-piece IOL. Postoperative evolution was favorable. Conclusion: Should be suspected this complication in patients with a history of cataract surgery, especially in cases in which the IOL is in single-piece and has been implanted outside the capsular bag.
{"title":"UVEITIS - GLAUCOMA - HYPHEMA SYNDROME: CLINICAL CASE","authors":"Diego José Mamani Maquera, Nahuel Pantoja Dávalos, Milthon Catacora Contreras","doi":"10.25176/rfmh.v23i3.5699","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5699","url":null,"abstract":"Introduction: Uveitis-glaucoma-hyphema syndrome (UGH) is a rare complication of cataract surgery, due to mechanical chafing exerted by an intraocular lens (IOL) on the iris. Clinical case: A 64-year-old man with a history of cataract surgery, who presented decreased visual acuity and pain in the right eye. The ophthalmological examination revealed signs of anterior uveitis, elevated intraocular pressure (IOP), microhyphema, and a single-piece foldable IOL in the sulcus that caused a mechanical chafing with the posterior face of the iris. The medical treatment was insufficient; for this reason, a folding simple-piece IOL explant surgery was performed and replaced by a three-piece IOL. Postoperative evolution was favorable. Conclusion: Should be suspected this complication in patients with a history of cataract surgery, especially in cases in which the IOL is in single-piece and has been implanted outside the capsular bag.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136271810","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5659
Roxana Traverso Zumaeta, July P. Aguirre Mollehuanca, Jesús E. Talavera, Juan C. Palomino Baldeon
Objective: To determine the relationship between emotional intelligence and stress coping strategies in health care workers of a Third Level of Care Hospital during 2021. Methods: An analytical cross-sectional study was carried out. Two surveys were used: the COPE test which measures how to cope with stress and the Bar-On Emotional Coefficient Inventory which measures the level of emotional intelligence. The main variable was coping with stress. The independent variable was emotional intelligence. Results: A total of 290 health care workers were worked. Emotional intelligence was significantly positively correlated (Pearson = 0.6003) with stress coping. The stress coping strategies with the highest mean were planning, positive reinterpretation and growth, and religious coping. These strategies had a positive correlation with emotional intelligence, these correlations were 0.5271, 0.5200 and 0.2051 respectively. For the multiple regression analysis, it was observed that the average BARON test score increased by 0.261 points for each point increase in the COPE TEST (coefficient = 0.261; 95%CI: 0.215 - 0.307); adjusted for all covariates of interest. Conclusion: There is a relationship between emotional intelligence and stress coping. A relationship was also found with stress coping strategies.
{"title":"Emotional intelligence and stress coping strategies in health care workers","authors":"Roxana Traverso Zumaeta, July P. Aguirre Mollehuanca, Jesús E. Talavera, Juan C. Palomino Baldeon","doi":"10.25176/rfmh.v23i3.5659","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5659","url":null,"abstract":"Objective: To determine the relationship between emotional intelligence and stress coping strategies in health care workers of a Third Level of Care Hospital during 2021. Methods: An analytical cross-sectional study was carried out. Two surveys were used: the COPE test which measures how to cope with stress and the Bar-On Emotional Coefficient Inventory which measures the level of emotional intelligence. The main variable was coping with stress. The independent variable was emotional intelligence. Results: A total of 290 health care workers were worked. Emotional intelligence was significantly positively correlated (Pearson = 0.6003) with stress coping. The stress coping strategies with the highest mean were planning, positive reinterpretation and growth, and religious coping. These strategies had a positive correlation with emotional intelligence, these correlations were 0.5271, 0.5200 and 0.2051 respectively. For the multiple regression analysis, it was observed that the average BARON test score increased by 0.261 points for each point increase in the COPE TEST (coefficient = 0.261; 95%CI: 0.215 - 0.307); adjusted for all covariates of interest. Conclusion: There is a relationship between emotional intelligence and stress coping. A relationship was also found with stress coping strategies.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136272081","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5604
María A. Castillo Vega, Gilmar R. Mejía Sánchez
Objective: To determine if the use of inhaled corticosteroids is a risk factor for community-acquired pneumonia in patients with Chronic Obstructive Pulmonary Disease at the Víctor Lazarte Echegaray Hospital during the period 2017-2020. Methods: The study was analytical, observational, retrospective of cases and unmatched controls in a ratio of 4:, with a population of 405 subjects from whom 81 cases and 324 controls were selected, who met the selection criteria. A non-probabilistic sampling was carried out. The variables, use of inhaled corticosteroids, patients with community-acquired pneumonia, age, sex, malnutrition and smoking were included. The association was measured using Pearson's non-parametric Chi-square test and Fisher's exact test at lower frequencies less than 5. The bivariate and multivariate analysis was performed using multiple logistic regression with statistical significance (p value <0.05). The study statistician was the odds ratio (OR). Results: Through the multivariate analysis of the variables under study, no relationship was found between the use of inhaled corticosteroids and patients with community-acquired pneumonia (OR= 1.17; 95%CI: 0.48-2.99 and p value=0.737). It was observed that only age can be considered as a risk factor in view of its significance (OR=1.09; 95%CI: 1.06-1.12 and p value<0.001), while the variables sex, malnutrition, and smoking proved not to be significant ( p> 0.05). Conclusions: The use of inhaled corticosteroids is not a risk factor for community-acquired pneumonia in patients with chronic obstructive pulmonary disease.
{"title":"Use of inhaled corticoids as a risk factor for community-aquired pneumonia in patients with chronic obstructive pulmonary disease","authors":"María A. Castillo Vega, Gilmar R. Mejía Sánchez","doi":"10.25176/rfmh.v23i3.5604","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5604","url":null,"abstract":"Objective: To determine if the use of inhaled corticosteroids is a risk factor for community-acquired pneumonia in patients with Chronic Obstructive Pulmonary Disease at the Víctor Lazarte Echegaray Hospital during the period 2017-2020. Methods: The study was analytical, observational, retrospective of cases and unmatched controls in a ratio of 4:, with a population of 405 subjects from whom 81 cases and 324 controls were selected, who met the selection criteria. A non-probabilistic sampling was carried out. The variables, use of inhaled corticosteroids, patients with community-acquired pneumonia, age, sex, malnutrition and smoking were included. The association was measured using Pearson's non-parametric Chi-square test and Fisher's exact test at lower frequencies less than 5. The bivariate and multivariate analysis was performed using multiple logistic regression with statistical significance (p value <0.05). The study statistician was the odds ratio (OR). Results: Through the multivariate analysis of the variables under study, no relationship was found between the use of inhaled corticosteroids and patients with community-acquired pneumonia (OR= 1.17; 95%CI: 0.48-2.99 and p value=0.737). It was observed that only age can be considered as a risk factor in view of its significance (OR=1.09; 95%CI: 1.06-1.12 and p value<0.001), while the variables sex, malnutrition, and smoking proved not to be significant ( p> 0.05). Conclusions: The use of inhaled corticosteroids is not a risk factor for community-acquired pneumonia in patients with chronic obstructive pulmonary disease.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136272238","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5572
Yuliana Y. Gomez Rutti, Janet Del R. Gordillo Cortaza, Juan J. Soria Quijaite
Objectives: To determine the characterization of the diet in biochemical and anthropometric profiles with principal component analysis in obese Ecuadorian patients. Methods: Descriptive, comparative, longitudinal studies; we had access to the institutional health clinical history database and a study group was formed, they were offered a low-carbohydrate diet. The sample consisted of 110 obese patients from the Hospital of Guayaquil-Ecuador. Results: The patients were between the ages of 25 to 65 years. The results showed a significant loss of BMI (kg/m2) (Δ-2.6±1.9) (p<0.001), waist circumference (cm) (Δ-5.1±4.7) (p<0.001), body fat (%) (Δ-3.6±3.6) (p<0.001), triglycerides (mg/dL) (Δ-25.4±72.9) (p<0.001) and glucose (mg/dL) (Δ-6.8±9.6) (p<0.001). Conclusion: The low carbohydrate diet reduces BMI, waist circumference, body fat, triglycerides and glucose in obese patients.
{"title":"CHARACTERIZATION OF DIET IN BIOCHEMICAL AND ANTHROPOMETRIC PROFILES WITH PRINCIPAL COMPONENT ANALYSIS IN OBESE PATIENTS, GUAYAQUIL - ECUADOR","authors":"Yuliana Y. Gomez Rutti, Janet Del R. Gordillo Cortaza, Juan J. Soria Quijaite","doi":"10.25176/rfmh.v23i3.5572","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5572","url":null,"abstract":"Objectives: To determine the characterization of the diet in biochemical and anthropometric profiles with principal component analysis in obese Ecuadorian patients. Methods: Descriptive, comparative, longitudinal studies; we had access to the institutional health clinical history database and a study group was formed, they were offered a low-carbohydrate diet. The sample consisted of 110 obese patients from the Hospital of Guayaquil-Ecuador. Results: The patients were between the ages of 25 to 65 years. The results showed a significant loss of BMI (kg/m2) (Δ-2.6±1.9) (p<0.001), waist circumference (cm) (Δ-5.1±4.7) (p<0.001), body fat (%) (Δ-3.6±3.6) (p<0.001), triglycerides (mg/dL) (Δ-25.4±72.9) (p<0.001) and glucose (mg/dL) (Δ-6.8±9.6) (p<0.001). Conclusion: The low carbohydrate diet reduces BMI, waist circumference, body fat, triglycerides and glucose in obese patients.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136276828","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 : 2023-09-30DOI: 10.25176/rfmh.v23i3.5586
Diana C. Pantigoso Suárez, Luis E. Castañeda Cuba, Sheyla B. Méndez Guerrero, Luz E. Mercado Centurión, Grecia A. Montoya Gamarra, Fátima A. Olivos Cuba, Débora S. Paredes Carrión, Juan J. Huamán Saavedra, Selene C. Yengle Del Castillo
Frequency of the symptoms of Polycystic Ovary Syndrome and Premenstrual Syndrome, related to academic stress in medical students of a private university in Peru Introduction: Polycystic ovarian syndrome and premenstrual syndrome are prevalent. Objective: to determine the frequency of the symptoms of polycystic ovarian syndrome and premenstrual syndrome and its relationship with stress in medical students. Material and methods: Cross-sectional analytical study. The study population was 322 medical students from the first to the sixth year, chosen for convenience from a private university in Trujillo. Using a google form, the "SPM" questionnaire, "the SISCO inventory of academic stress", and "the polycystic ovary questionnaire" were applied; prior informed knowledge, it had the approval of the Bioethics Committee of the university. Results: The SOP presented a high probability of 5.28%, a medium of 46.58% and a low of 48.13%.The frequency of PMS at the levels, mild, moderate and high were 47.52%, 25.47% and 4 04% respectively.The levels of stress were: mild, moderate and deep of 4.35%, 65.22% and 30.43%, respectively.A highly significant association was found between stress and SPM, stress and PCOS, p = 0.000915106 and p= 1.8589E-25 respectively.Conclusions: The frequency of PMS, the high probability of SOP and the stress levels were high and there is a significant association between stress, SPM and SOP.
{"title":"Frequency of the symptoms of Polycystic Ovary Syndrome and Premenstrual Syndrome, related to academic stress in medical students of a private university in Peru","authors":"Diana C. Pantigoso Suárez, Luis E. Castañeda Cuba, Sheyla B. Méndez Guerrero, Luz E. Mercado Centurión, Grecia A. Montoya Gamarra, Fátima A. Olivos Cuba, Débora S. Paredes Carrión, Juan J. Huamán Saavedra, Selene C. Yengle Del Castillo","doi":"10.25176/rfmh.v23i3.5586","DOIUrl":"https://doi.org/10.25176/rfmh.v23i3.5586","url":null,"abstract":"Frequency of the symptoms of Polycystic Ovary Syndrome and Premenstrual Syndrome, related to academic stress in medical students of a private university in Peru Introduction: Polycystic ovarian syndrome and premenstrual syndrome are prevalent. Objective: to determine the frequency of the symptoms of polycystic ovarian syndrome and premenstrual syndrome and its relationship with stress in medical students. Material and methods: Cross-sectional analytical study. The study population was 322 medical students from the first to the sixth year, chosen for convenience from a private university in Trujillo. Using a google form, the \"SPM\" questionnaire, \"the SISCO inventory of academic stress\", and \"the polycystic ovary questionnaire\" were applied; prior informed knowledge, it had the approval of the Bioethics Committee of the university. Results: The SOP presented a high probability of 5.28%, a medium of 46.58% and a low of 48.13%.The frequency of PMS at the levels, mild, moderate and high were 47.52%, 25.47% and 4 04% respectively.The levels of stress were: mild, moderate and deep of 4.35%, 65.22% and 30.43%, respectively.A highly significant association was found between stress and SPM, stress and PCOS, p = 0.000915106 and p= 1.8589E-25 respectively.Conclusions: The frequency of PMS, the high probability of SOP and the stress levels were high and there is a significant association between stress, SPM and SOP.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277030","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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