Pub Date : 2023-04-18DOI: 10.25176/rfmh.v23i2.5652
Abel Enrique Manjarres Guevara, Miguel Andres Montalvo Clavijo, Fares Juan José Martinez Sierra, Diego Armando Franco Arias, Nathalia Maria Esmeral Zuluaga, Astrid Juliana Velandia Suárez, Yarath Zeneth Rodríguez Cabarca, Michael Gregorio Ortega Sierra
Breast cancer continues to be one of the main priorities in global health and public health, and remains the most frequent and deadly malignant neoplasm in women worldwide. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare type of non-Hodgkin's lymphoma, whose pathogenesis and pathophysiology are not well known, but which is seen with increasing frequency due to the increase in cosmetic procedures. To date, there are limitations in terms of knowledge about the clinical behavior of the disease, which can manifest itself in many forms, with a variable evolution time and uncertain surgical outcomes in the medium- and long-term. Based on the above, the aim of this review is to summarize evidence on the clinical considerations and surgical outcomes of breast implant-associated cancer to facilitate the identification and management of this condition. A bibliographic search was performed in the search engines and databases PubMed, ScienceDirect, Embase, EBSCO and MEDLINE. Within the clinical and surgical considerations, the type of implant used (textured), the time of the implant history, the severity of the manifestations, and the staging, must be taken into account in order to determine the opportunity for surgical intervention and neoadjuvant therapy, and to try to guarantee survival and avoid recurrence. Patients who undergo complete capsulectomy with radiotherapy have better outcomes.
{"title":"Clinical considerations and surgical outcomes of breast implant-associated cancer: An emerging disease of interest","authors":"Abel Enrique Manjarres Guevara, Miguel Andres Montalvo Clavijo, Fares Juan José Martinez Sierra, Diego Armando Franco Arias, Nathalia Maria Esmeral Zuluaga, Astrid Juliana Velandia Suárez, Yarath Zeneth Rodríguez Cabarca, Michael Gregorio Ortega Sierra","doi":"10.25176/rfmh.v23i2.5652","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5652","url":null,"abstract":"Breast cancer continues to be one of the main priorities in global health and public health, and remains the most frequent and deadly malignant neoplasm in women worldwide. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare type of non-Hodgkin's lymphoma, whose pathogenesis and pathophysiology are not well known, but which is seen with increasing frequency due to the increase in cosmetic procedures. To date, there are limitations in terms of knowledge about the clinical behavior of the disease, which can manifest itself in many forms, with a variable evolution time and uncertain surgical outcomes in the medium- and long-term. Based on the above, the aim of this review is to summarize evidence on the clinical considerations and surgical outcomes of breast implant-associated cancer to facilitate the identification and management of this condition. A bibliographic search was performed in the search engines and databases PubMed, ScienceDirect, Embase, EBSCO and MEDLINE. Within the clinical and surgical considerations, the type of implant used (textured), the time of the implant history, the severity of the manifestations, and the staging, must be taken into account in order to determine the opportunity for surgical intervention and neoadjuvant therapy, and to try to guarantee survival and avoid recurrence. Patients who undergo complete capsulectomy with radiotherapy have better outcomes.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44807457","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 : 2023-04-18DOI: 10.25176/rfmh.v23i2.5646
Melina Liliana Chávez Patilongo, M. P. Placencia Medina, María Elena Muñoz Zambrano, Margot Quintana Salinas, Amelia Olortegui Moncada
Objective: To determine the relationship between work environment and job satisfaction of nursing staff in the emergency service of Hospital de Vitarte. Methods: Quantitative, correlational and cross-sectional research. The population and sample consisted of 70 members of the nursing staff of the emergency service. With the prior informed consent of each participant, two questionnaires validated in other studies were applied through a survey. Results: The participating nursing staff was mainly between 30 and 39 years old (50%), was female (62,9%), with the same number of professionals and technicians, with a slight predominance of contracted (51,4%) and had between 6 to 10 years of service. The dimensions of the work environment: self-realization (81,4%), work involvement (82,9%), supervision (82,9%) and communication (54,3%) were considered moderately favorable; working conditions were unfavorable (42,9%). The dimensions of satisfaction: physical conditions - materials (81,43%), administrative policies (72,86%) were unsatisfactory; while in social benefits – remuneration (87,14%), social relationships (47,14%), personal development (65,71%), task development (72,86%) and performance beyond the position (80%) were moderately satisfactory. The work environment was considered moderately favorable (48,57%) and job satisfaction was moderately satisfactory (42,86%). Conclusions: A statistically significant relationship was found between work environment and job satisfaction (p=0,023) in the nursing staff in the emergency service of the Hospital de Vitarte.
{"title":"Pre-pandemic climate and job satisfaction of nursing staff in an emergency service","authors":"Melina Liliana Chávez Patilongo, M. P. Placencia Medina, María Elena Muñoz Zambrano, Margot Quintana Salinas, Amelia Olortegui Moncada","doi":"10.25176/rfmh.v23i2.5646","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5646","url":null,"abstract":"Objective: To determine the relationship between work environment and job satisfaction of nursing staff in the emergency service of Hospital de Vitarte. Methods: Quantitative, correlational and cross-sectional research. The population and sample consisted of 70 members of the nursing staff of the emergency service. With the prior informed consent of each participant, two questionnaires validated in other studies were applied through a survey. Results: The participating nursing staff was mainly between 30 and 39 years old (50%), was female (62,9%), with the same number of professionals and technicians, with a slight predominance of contracted (51,4%) and had between 6 to 10 years of service. The dimensions of the work environment: self-realization (81,4%), work involvement (82,9%), supervision (82,9%) and communication (54,3%) were considered moderately favorable; working conditions were unfavorable (42,9%). The dimensions of satisfaction: physical conditions - materials (81,43%), administrative policies (72,86%) were unsatisfactory; while in social benefits – remuneration (87,14%), social relationships (47,14%), personal development (65,71%), task development (72,86%) and performance beyond the position (80%) were moderately satisfactory. The work environment was considered moderately favorable (48,57%) and job satisfaction was moderately satisfactory (42,86%). Conclusions: A statistically significant relationship was found between work environment and job satisfaction (p=0,023) in the nursing staff in the emergency service of the Hospital de Vitarte.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44852131","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 : 2023-04-18DOI: 10.25176/rfmh.v23i2.5654
Rafael Pichardo Rodriguez, Marcos Saavedra Velazco, Juan Jesús Bracamonte Hernández, Willy Peña Oscuvilca, O. R. Ruiz Franco
Introduction: Case reports are a type of biomedical publication that allow us to share experiences regarding the etiology, diagnosis, therapeutics, and prognosis of anecdotal events that occur both in one and in several patients during clinical practice. Objective: to elaborate methodological recommendations for the elaboration of the discussion of a clinical case report. Methods: A narrative review of international guidelines and available evidence was carried out. Results: A total of 411,227 articles were located, finally selecting 10 narrative review articles. Discussion: The discussion is the most relevant section of the case report despite being considered by some journals as an optional contribution. We recommend for the elaboration of the discussion, to follow the following four steps: a) finding and comparison with the current evidence, b) justification of the causality of the findings, c) limitations and strengths in the management of the exposed case and d) clinical implications and prospects for the future. Conclusion: It is recommended to follow the four sequential steps for the elaboration of the discussion and to evaluate its impact on the scientific production in undergraduate and postgraduate students.
{"title":"Methodological recommendations for the elaboration of the discussion of the clinical case report","authors":"Rafael Pichardo Rodriguez, Marcos Saavedra Velazco, Juan Jesús Bracamonte Hernández, Willy Peña Oscuvilca, O. R. Ruiz Franco","doi":"10.25176/rfmh.v23i2.5654","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5654","url":null,"abstract":"Introduction: Case reports are a type of biomedical publication that allow us to share experiences regarding the etiology, diagnosis, therapeutics, and prognosis of anecdotal events that occur both in one and in several patients during clinical practice. Objective: to elaborate methodological recommendations for the elaboration of the discussion of a clinical case report. Methods: A narrative review of international guidelines and available evidence was carried out. Results: A total of 411,227 articles were located, finally selecting 10 narrative review articles. Discussion: The discussion is the most relevant section of the case report despite being considered by some journals as an optional contribution. We recommend for the elaboration of the discussion, to follow the following four steps: a) finding and comparison with the current evidence, b) justification of the causality of the findings, c) limitations and strengths in the management of the exposed case and d) clinical implications and prospects for the future. Conclusion: It is recommended to follow the four sequential steps for the elaboration of the discussion and to evaluate its impact on the scientific production in undergraduate and postgraduate students.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45775914","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 : 2023-04-18DOI: 10.25176/rfmh.v23i2.5655
Abel Lugo Peláez, Viridiana Robles Sánchez, Rodrigo Esteban Sóstenes, Á. M. Montiel Jarquín, Nancy Rosalía Bertado Ramírez, Arturo García Galicia
Inflammatory transverse myelitis is a rare condition that affects one or more levels of the spinal cord. Its etiology includes multiple sclerosis, infectious causes, or disorders within the spectrum of neuromyelitis optica. It presents acutely with motor, sensory, and/or dysautonomic symptoms, such as those related to the gastrointestinal and urinary systems. Diagnosis is based on symptomatology, evolution, and is confirmed by lumbar puncture, magnetic resonance imaging, and complete blood analysis. We present a clinical case of a patient with transverse myelitis who presented with gastrointestinal symptoms, motor symptoms, and was diagnosed with magnetic resonance imaging.
{"title":"Gastrointestinal dysautonomia as a manifestation of transverse myelitis: Case report","authors":"Abel Lugo Peláez, Viridiana Robles Sánchez, Rodrigo Esteban Sóstenes, Á. M. Montiel Jarquín, Nancy Rosalía Bertado Ramírez, Arturo García Galicia","doi":"10.25176/rfmh.v23i2.5655","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5655","url":null,"abstract":"Inflammatory transverse myelitis is a rare condition that affects one or more levels of the spinal cord. Its etiology includes multiple sclerosis, infectious causes, or disorders within the spectrum of neuromyelitis optica. It presents acutely with motor, sensory, and/or dysautonomic symptoms, such as those related to the gastrointestinal and urinary systems. Diagnosis is based on symptomatology, evolution, and is confirmed by lumbar puncture, magnetic resonance imaging, and complete blood analysis. We present a clinical case of a patient with transverse myelitis who presented with gastrointestinal symptoms, motor symptoms, and was diagnosed with magnetic resonance imaging.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42864451","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 : 2023-04-18DOI: 10.25176/rfmh.v23i2.5638
B. Başpinar, Nazlı Nur Aslan-Çin, Ayşe Özfer Özçelik
Background: This study aimed to determine the relationship between diet quality and nutrition knowledge (CN) and nutrition practices (NP) of people who perform physical activity (PA) regularly. Methods: Two hundred healthy individuals who attended the gym at least three times a week were studied. The quality of the diet is calculated using the Healthy Eating Index-2015 (HEI-2015). Linear regression models were used multiplex to assess associations between NC and PN scores and dietary variables. Results: Of the participants, 47.0% had poor NC and 48.0% had poor NP. It was determined that the PN scores were significantly associated with whole grain, seafood, and herbal protein and quality total diet (p < 0.05), while CN scores were not associated with the quality of the diet or its components (p > 0.05). A one-unit increase in CN score resulted in a 26.7% increase in snack consumption adjusted for age, sex, educational level, body mass index (BMI), smoking, alcohol consumption, and activity physical (PA)( p < 0.001). The evaluation of the PN score was related to the main meals (β = 0.065±0.013; 95% CI 0.04–0.09; p < 0.001), snack consumption (β = 0.029±0.014, 95% CI 0.01–0.06; p < 0.05), and total quality of diet (β = 0.894±0.329; 95% CI 0.24–1.54; p < 0.05). Additionally, about 17% of the variability in the PN score could be explained by CN scores. Conclusions: Elevated NC was associated with an increase in BW scores and indirectly with an increase in diet quality. In order to see the beneficial effects of PA on health, people must rely on a healthy diet, increasing your CN.
背景:本研究旨在了解经常进行体育锻炼(PA)者的饮食质量与营养知识(CN)和营养实践(NP)之间的关系。方法:研究了200名每周至少参加三次健身房的健康人。饮食质量采用健康饮食指数-2015 (HEI-2015)计算。多元线性回归模型用于评估NC和PN评分与饮食变量之间的关系。结果:47.0%的参与者NC较差，48.0%的参与者NP较差。结果表明，PN评分与全谷物、海产品和草本植物蛋白及饲粮质量显著相关(p < 0.05)，而CN评分与饲粮及其组分的质量无关(p < 0.05)。CN评分每增加一个单位，经年龄、性别、教育水平、体重指数(BMI)、吸烟、饮酒和体力活动(PA)调整后的零食消费增加26.7% (p < 0.001)。PN评分的评价与正餐有关(β = 0.065±0.013;95% ci 0.04-0.09;p < 0.001)，零食消费(β = 0.029±0.014,95% CI 0.01-0.06;P < 0.05)，日粮总质量(β = 0.894±0.329;95% ci 0.24-1.54;P < 0.05)。此外，大约17%的PN评分变异性可以用CN评分来解释。结论:NC升高与体重评分的增加有关，并间接与饮食质量的提高有关。为了看到PA对健康的有益作用，人们必须依靠健康的饮食，增加你的CN。
{"title":"Is diet quality affected by nutritional knowledge and practices in individuals doing regular physical activity?: A cross-sectional study","authors":"B. Başpinar, Nazlı Nur Aslan-Çin, Ayşe Özfer Özçelik","doi":"10.25176/rfmh.v23i2.5638","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5638","url":null,"abstract":"Background: This study aimed to determine the relationship between diet quality and nutrition knowledge (CN) and nutrition practices (NP) of people who perform physical activity (PA) regularly. Methods: Two hundred healthy individuals who attended the gym at least three times a week were studied. The quality of the diet is calculated using the Healthy Eating Index-2015 (HEI-2015). Linear regression models were used multiplex to assess associations between NC and PN scores and dietary variables. Results: Of the participants, 47.0% had poor NC and 48.0% had poor NP. It was determined that the PN scores were significantly associated with whole grain, seafood, and herbal protein and quality total diet (p < 0.05), while CN scores were not associated with the quality of the diet or its components (p > 0.05). A one-unit increase in CN score resulted in a 26.7% increase in snack consumption adjusted for age, sex, educational level, body mass index (BMI), smoking, alcohol consumption, and activity physical (PA)( p < 0.001). The evaluation of the PN score was related to the main meals (β = 0.065±0.013; 95% CI 0.04–0.09; p < 0.001), snack consumption (β = 0.029±0.014, 95% CI 0.01–0.06; p < 0.05), and total quality of diet (β = 0.894±0.329; 95% CI 0.24–1.54; p < 0.05). Additionally, about 17% of the variability in the PN score could be explained by CN scores. Conclusions: Elevated NC was associated with an increase in BW scores and indirectly with an increase in diet quality. In order to see the beneficial effects of PA on health, people must rely on a healthy diet, increasing your CN.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48600822","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 : 2023-04-18DOI: 10.25176/rfmh.v23i2.5694
Percy Edilberto Velarde-Paredes, Genoveva Inés Chumbe-Mendoza, José Manuel Vilchez-Aponte
Neonatal gastric perforation is a rare but potentially fatal pathology; its recurrence is even more infrequent, and there are few reports in the international literature. We present the case of a premature newborn (32 weeks) and low birth weight (1725g) who, on the first day of life, presented a surgically corrected gastric perforation and on the fourth postoperative day was re-operated with a presumed diagnosis of gastric raffia dehiscence, finding a new gastric perforation, which was surgically repaired. On both occasions, the surgical intervention was early. The subsequent evolution and outcome were favorable.
{"title":"Recurrent neonatal gastric perforation: An unusual case report","authors":"Percy Edilberto Velarde-Paredes, Genoveva Inés Chumbe-Mendoza, José Manuel Vilchez-Aponte","doi":"10.25176/rfmh.v23i2.5694","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5694","url":null,"abstract":"Neonatal gastric perforation is a rare but potentially fatal pathology; its recurrence is even more infrequent, and there are few reports in the international literature. We present the case of a premature newborn (32 weeks) and low birth weight (1725g) who, on the first day of life, presented a surgically corrected gastric perforation and on the fourth postoperative day was re-operated with a presumed diagnosis of gastric raffia dehiscence, finding a new gastric perforation, which was surgically repaired. On both occasions, the surgical intervention was early. The subsequent evolution and outcome were favorable.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41963708","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 : 2023-04-01DOI: 10.25176/rfmh.v23i2.5658
Cinthya Santa Cruz López, Sheyla Tenorio Villanueva, Dámaris Pérez Ramírez, José Elías Cabrejo Paredes
Introduction: Excess body weight affects the quality of life of millions of young people around the world. Objective: To determine the factors associated with the prevalence of overweight and obesity in university students during COVID-19, from October to December 2020. Methods: Analytical, cross-sectional research with non-experimental design. There was a population of 325 students of the professional career of medical technology and a sample of 169 students of both sexes. Body mass index and waist circumference diameter were used to calculate overweight and obesity. The associated factors were determined by means of a survey validated by expert judgment. Results: 49.1% of the students were overweight or obese, with females being the most affected. Of overweight or obese students, 59.0% were at high risk of abdominal obesity. According to eating habits, 97.6% of young people ate three or more meals per day, 81.9% consumed foods rich in carbohydrates and 54.2% consumed junk food 1 -2 times per week. In relation to sedentary lifestyle, 71.0% of students remained seated between 5 and 8 hours a day, 67.4% slept less than 7 hours a day and 57.8% did not perform any physical activity. Conclusions: The intake of food with high carbohydrate content, junk food, hours spent sleeping and sitting daily are the factors associated with the high prevalence of overweight and obesity among students during the COVID-19 period.
{"title":"Factors associated with excess body weight in university students in times of COVID-19","authors":"Cinthya Santa Cruz López, Sheyla Tenorio Villanueva, Dámaris Pérez Ramírez, José Elías Cabrejo Paredes","doi":"10.25176/rfmh.v23i2.5658","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5658","url":null,"abstract":"Introduction: Excess body weight affects the quality of life of millions of young people around the world. Objective: To determine the factors associated with the prevalence of overweight and obesity in university students during COVID-19, from October to December 2020. Methods: Analytical, cross-sectional research with non-experimental design. There was a population of 325 students of the professional career of medical technology and a sample of 169 students of both sexes. Body mass index and waist circumference diameter were used to calculate overweight and obesity. The associated factors were determined by means of a survey validated by expert judgment. Results: 49.1% of the students were overweight or obese, with females being the most affected. Of overweight or obese students, 59.0% were at high risk of abdominal obesity. According to eating habits, 97.6% of young people ate three or more meals per day, 81.9% consumed foods rich in carbohydrates and 54.2% consumed junk food 1 -2 times per week. In relation to sedentary lifestyle, 71.0% of students remained seated between 5 and 8 hours a day, 67.4% slept less than 7 hours a day and 57.8% did not perform any physical activity. Conclusions: The intake of food with high carbohydrate content, junk food, hours spent sleeping and sitting daily are the factors associated with the high prevalence of overweight and obesity among students during the COVID-19 period.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44942866","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 : 2023-04-01DOI: 10.25176/rfmh.v23i2.5642
José Manuel Carlos Segura González, Samantha Isabel Hernández Muñoz, Arturo García Galicia, Esmeralda Gracián Castro, Iris Isamar Tiscareño Lozano, María Guadalupe Vera Sánchez, Á. M. Montiel Jarquín, Nancy Rosalía Bertado Ramírez
Background: Colorectal cancer (CRC) is the third most common cancer and the second leading cause of death worldwide with an incidence of 10.2%. The treatment of CRC has changed over the past 25 years. Two surgical procedures are used: abdominoperineal resection (AR) and low anterior resection (LAR) and ultra-low (ULAR). The recurrence rate and quality of life are similar. Objective: To compare quality of life for rectal cancer (CRC) patients treated with abdominoperineal resection vs conservative resections: low anterior (LAR) and ultra-low (ULAR) in UMAE Puebla. Methods: A comparative, observational, cross-sectional study was conducted in CRC patients treated during 2015-2019 in a 3rd level hospital in Puebla. Two groups were formed: those managed with RA, and those managed with LAR/ULAR. The EORT QLQ CR-29 and EuroQol scale was applied. Descriptive statistics and Man-Whitney U were applied for comparisons. Results: A total of 26 patients were recruited: 18with AR and 18 with LAR/ULAR. A mean QoL was recorded in the RAP group of 73.72 (SD 16.92, minimum 31.46, maximum 95.09) and in the RAB/RAUB group of 56.22 (SD 6.29, minimum 47.51, maximum 68.96), with a value of p=0.005. Conclusion: There is no significant difference in the quality of life of patients of CRC patients operated by AR, LAR and ULAR (non-conservative and conservative approach).
{"title":"Comparison of quality of life in sphincter-conserving vs non-conservative surgery for rectal cancer","authors":"José Manuel Carlos Segura González, Samantha Isabel Hernández Muñoz, Arturo García Galicia, Esmeralda Gracián Castro, Iris Isamar Tiscareño Lozano, María Guadalupe Vera Sánchez, Á. M. Montiel Jarquín, Nancy Rosalía Bertado Ramírez","doi":"10.25176/rfmh.v23i2.5642","DOIUrl":"https://doi.org/10.25176/rfmh.v23i2.5642","url":null,"abstract":"Background: Colorectal cancer (CRC) is the third most common cancer and the second leading cause of death worldwide with an incidence of 10.2%. The treatment of CRC has changed over the past 25 years. Two surgical procedures are used: abdominoperineal resection (AR) and low anterior resection (LAR) and ultra-low (ULAR). The recurrence rate and quality of life are similar. Objective: To compare quality of life for rectal cancer (CRC) patients treated with abdominoperineal resection vs conservative resections: low anterior (LAR) and ultra-low (ULAR) in UMAE Puebla. Methods: A comparative, observational, cross-sectional study was conducted in CRC patients treated during 2015-2019 in a 3rd level hospital in Puebla. Two groups were formed: those managed with RA, and those managed with LAR/ULAR. The EORT QLQ CR-29 and EuroQol scale was applied. Descriptive statistics and Man-Whitney U were applied for comparisons. Results: A total of 26 patients were recruited: 18with AR and 18 with LAR/ULAR. A mean QoL was recorded in the RAP group of 73.72 (SD 16.92, minimum 31.46, maximum 95.09) and in the RAB/RAUB group of 56.22 (SD 6.29, minimum 47.51, maximum 68.96), with a value of p=0.005. Conclusion: There is no significant difference in the quality of life of patients of CRC patients operated by AR, LAR and ULAR (non-conservative and conservative approach).","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42953374","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 : 2023-01-15DOI: 10.25176/rfmh.v23i1.5534
Rafael Iván Hernández, Eduardo Alan Borobio Guede, Catherine Suárez Egóavil, Jhony A. De La Cruz Vargas
The treatment of corneal lesions continues to be a topic of great interest. However, despite the development of new technologies and due to the slow evolution and uncertain healing of corneal lesions, they still represent a public health problem since patients can be affected for life, affecting the family and the health system due to the costly and uncertain response to treatment. For this reason, the need arises to seek therapeutic alternatives to treat these patients.
{"title":"Important advances in regenerative medicine. A vision to the future of ophthalmology","authors":"Rafael Iván Hernández, Eduardo Alan Borobio Guede, Catherine Suárez Egóavil, Jhony A. De La Cruz Vargas","doi":"10.25176/rfmh.v23i1.5534","DOIUrl":"https://doi.org/10.25176/rfmh.v23i1.5534","url":null,"abstract":"The treatment of corneal lesions continues to be a topic of great interest. However, despite the development of new technologies and due to the slow evolution and uncertain healing of corneal lesions, they still represent a public health problem since patients can be affected for life, affecting the family and the health system due to the costly and uncertain response to treatment. For this reason, the need arises to seek therapeutic alternatives to treat these patients.","PeriodicalId":33139,"journal":{"name":"Revista de la Facultad de Medicina Humana","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45492560","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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