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Inteligencia artificial. ¡La palabra del año! 人工智能。年度最佳词汇!
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830103
Mireya González Blanco
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引用次数: 0
Lóbulo hepático derecho fetal: nomograma por percentiles 胎儿右肝叶:百分位列线图
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830108
Diana Cegarra Meza, Albani Aular Barrios, Alexandra Rivero Fraute
Objective: To design a nomogram by percentiles of the fetal right liver lobe measurement in pregnant between 16 and 40 weeks of gestation who attend the Maternidad Concepción Palacios in the period between March and August 2020. Methods: A prospective, descriptive and cross-sectional study was conducted that included 350 patients with informed consent, were measured fetal right liver lobe, related to gestational age, based on the date of the last menstruation or ultrasound of the first trimester, and associated with weight, size and maternal body mass index. Results: An average fetal right liver lobe measurement of 37.42 ± 12.03 mm (Min 13 and max 62 mm) was obtained. The regression analysis yielded a correlation coefficient between fetal right liver lobe size and gestational age of 0.950. The determination coefficient obtained was 0.903. Depending on the result of the variance analysis, there is an association between the two variables (p-0.000). A fetal right liver lobe increase measurement of + 1,585 per week (95% CI - 1,531 - 1,640) (p-0.000) was obtained. The percentile nomogram was constructed. There was no relationship between the measurement and maternal weight and height, but there was with the body mass index. Conclusion: The fetal right liver lobe, as an expression of the liver measure, grows relative to the increase in gestational age and this allowed to design a nomogram per percentiles.
目的:通过2020年3月至8月期间参加Concepción Palacios产妇的妊娠16至40周孕妇的胎儿右肝叶测量百分比设计列线图。方法:进行一项前瞻性、描述性和横断面研究,纳入350名知情同意的患者,测量胎儿右肝叶,根据孕早期最后一次月经或超声检查的日期,与胎龄相关,并与体重、大小和母体体重指数相关。结果:胎儿右肝叶平均测量值为37.42±12.03 mm(最小值13,最大值62 mm)。回归分析得出胎儿右肝叶大小与胎龄之间的相关系数为0.950。得到的测定系数为0.903。根据方差分析的结果,这两个变量之间存在关联(p-0.000)。获得了胎儿右肝叶每周增加+1585(95%CI-1531-1640)(p-0.000)的测量值。构建了百分位列线图。测量值与母亲的体重和身高没有关系,但与体重指数有关系。结论:胎儿右肝叶作为肝脏测量的一种表达,随着胎龄的增加而增长,这允许设计每百分位数的列线图。
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引用次数: 0
Prevalencia de anticoncepción en mujeres en edad fértil de Sabaneta, Antioquia 安蒂奥基亚萨巴内塔育龄妇女避孕的流行情况
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830110
J. E. Salazar Flórez, Á. P. Echeverri Rendón
Objective: To determine the prevalence of contraception among fertile women in the municipality of Sabaneta and its possible associated factors. Methods: we performed a cross-sectional study on women of the municipality of Sabaneta, a stratified sampling was carried out by zone and age group, then a systematic sampling; 354 women were included. Data were collected through a survey. OR with its CI (95%) and Chi-squared test (X2) were used for data analysis with a significant p value <0.05. Results: the prevalence of contraception was 62%. Female sterilization was the most frequently used method (35.6%). Conclusion: the use of contraceptive methods among women in Sabaneta is lower than the national average and may be affected by age, marital status, educational level.
目的:确定萨巴内塔市育龄妇女避孕的流行率及其可能的相关因素。方法:我们对萨巴内塔市的妇女进行了横断面研究,按地区和年龄组进行分层抽样,然后进行系统抽样;包括354名妇女。数据是通过调查收集的。OR及其CI(95%)和卡方检验(X2)用于数据分析,具有显著的p值<0.05。结果:避孕普及率为62%。女性绝育是最常用的避孕方法(35.6%)。结论:萨巴内塔妇女避孕方法的使用率低于全国平均水平,可能受到年龄、婚姻状况、教育水平的影响。
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引用次数: 0
Cambios menstruales y dismenorrea posterior a las vacunas COVID-19. Estudio CAMVA-COVID-19 新冠疫苗接种后的月经变化和痛经。Camva-Covid-19研究
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830104
Katiuska Ríos Calderón, Yeiry González,, Mónica Elizabeth Cabrera-Sosa,, Linder Mariano Díaz Colmenarez, Yohaina Haddad, Rómely del Valle Blanco Salazar, Paula Cortiñas, Indira Centeno
Objective: To evaluate if the COVID-19 vaccine produces changes in the menstrual pattern, type of change and dysmenorrhea. Methods: Observational and cross-sectional study. 6616 digital surveys were carried out on women who received a vaccine against COVID-19. A survey was applied via networks and in gynecological consultations. Percentages and 95 % confidence intervals were calculated from 2x2 tables, menstrual changes were analyzed in the sample and in subgroups according to type of vaccine, number of doses, age, and residence. Results: 86.5 % (3535/4087) reported menstrual changes, the most frequent being: menstrual delay (40.4 %) and heavier menstrual bleeding (37.7 %). Dysmenorrhea presented in 39 % accompanying menstrual changes, but 2.1 % as the only symptom. A statistically significant difference was observed: 1) more menstrual changes with mechanism of action chimpanzee viral vector when compared to inactivated virus, 2) human viral vector and inactivated virus more menstrual changes 18-34 years compared to 35-50 years and less changes when compared to chimpanzee viral vector in 35-50 years 3) mRNA was the least associated with menstrual absence when compared to human viral vector 53 % and chimpanzee 50 % more frequent. Conclusion: Menstrual changes are very common after vaccination against COVID-19, this being related to the type of vaccine administered. Some mechanisms of action seem to be related to a greater or lesser risk of specific menstrual changes.
目的:评估新冠肺炎疫苗是否会对月经方式、变化类型和痛经产生变化。方法:观察和横断面研究。对接种新冠肺炎疫苗的妇女进行了6616次数字调查。一项调查通过网络和妇科咨询应用。百分比和95%置信区间由2x2表计算,根据疫苗类型、剂量、年龄和居住地分析样本和亚组中的月经变化。结果:86.5%(3535/4087)报告月经变化,最常见的是月经延迟(40.4%)和月经出血量较大(37.7%)。39%的患者伴有月经变化,但2.1%的患者是唯一症状。观察到统计学上的显著差异:1)与灭活病毒相比,黑猩猩病毒载体的作用机制引起的月经变化更多,2)人类病毒载体和灭活病毒在18-34年与35-50年相比月经变化更多,在35-50年与黑猩猩病毒载体相比变化更少3)与人类病毒载体相比信使核糖核酸与月经缺失的关联最小53%,黑猩猩更频繁50%。结论:接种新冠肺炎疫苗后月经变化非常常见,这与接种疫苗的类型有关。一些作用机制似乎与特定月经变化的风险较大或较小有关。
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引用次数: 0
Genotipos de papiloma virus en mujeres de la selva peruana con inspección visual con ácido acético positivo
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830106
Anita Florian-Cáceres, S. Iglesias-Osores, Leila Marino-Panduro, Giancarlo Becerra- Atoche, Arturo Rafael-Heredia
Objective: The objective of this study was to determine the distribution of papillomavirus types in women with a confirmatory diagnosis with visual inspection with acetic acid (VIA). Methods: Women with positive cytology for intraepithelial lesion were included. Papillomavirus genotypes were analyzed using the Xpert® HPV system (GXHPV-CE-10) in conjunction with pathological cytology analysis of cervical tissue samples. Results: A prevalence of human papillomavirus infection of 61% was found, there was a correlation in age and the viral types detected with the P5 color channel (human papillomavirus 39, 56, 66, 68), age of the first sexual intercourse and human papillomavirus 18, number of pregnancies with P3 (human papillomavirus 31, 33, 35, 52, 58) and P5. The history of having a sexually transmitted infection was correlated with papillomavirus 18, P3, and P4 papillomavirus 51 and 59). In coinfection, a correlation was found between papillomavirus 16 genotypes with P3 (R: - 0.11), P4 (R: 0.22), and P5 (R: -0.14), with having had previous treatment (R: - 0.14). Papillomavirus 18 correlated with: P3 (R: 0.28). Conclusions: High-risk human papillomavirus typess 16, 18, and P3 were the most predominant in established cytological grades and among coinfected women.
目的:本研究的目的是确定经醋酸目视检查(VIA)确诊的女性中乳头瘤病毒类型的分布。方法:纳入上皮内病变细胞学检查呈阳性的女性。使用Xpert®HPV系统(GXHPV-CE-10)结合宫颈组织样本的病理细胞学分析来分析乳头瘤病毒基因型。结果:发现人乳头瘤病毒感染率为61%,年龄和P5颜色通道检测到的病毒类型(人乳头状瘤病毒39、56、66、68)、初次性交年龄和人乳头状病毒18、P3妊娠次数(人乳头瘤瘤病毒31、33、35、52、58)和P5之间存在相关性。性传播感染史与乳头瘤病毒18、P3和P4乳头瘤病毒51和59相关)。在共感染中,发现乳头瘤病毒16型与P3(R:-0.11)、P4(R:0.22)和P5(R:0.14。
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引用次数: 0
Malaria asociada al embarazo: revisión narrativa 与怀孕相关的疟疾:叙事回顾
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830112
J. Núñez-Troconis, D. E. Carvallo Ruiz, E. M. Martínez Núñez
Malaria infections increase the risk of complications in the mother-fetus binomial. In Venezuela, the casuistry of this vulnerable group has not been updated in recent years. The objective of this narrative review was to comprehensively describe what pregnancy-associated malaria is and its maternal, fetal and neonatal effects; trying to answer the following research question. All forms of pregnancy-associated malaria, including gestational, placental and congenital malaria, cause maternal-fetal and neonatal alterations that, if they progress, could lead to the death of this binomial. Physiopathology and immunopathology can explain the symptoms of pregnant women and the fetus, as well as their complications; depending on the parasitic form affecting. There are new updates in the diagnosis, prevention and treatment of this entity.
疟疾感染增加了母婴并发症的风险。在委内瑞拉,这一弱势群体的狡辩近年来没有得到更新。这篇叙述性综述的目的是全面描述什么是妊娠相关疟疾及其对母体、胎儿和新生儿的影响;试图回答以下研究问题。所有形式的妊娠相关疟疾,包括妊娠期、胎盘期和先天性疟疾,都会导致母婴和新生儿的改变,如果进展顺利,可能导致这种二项式的死亡。生理病理学和免疫病理学可以解释孕妇和胎儿的症状及其并发症;取决于寄生形式的影响。在这个实体的诊断、预防和治疗方面有了新的进展。
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引用次数: 0
Mortalidad en gestantes con COVID - 19 durante el periodo 2020-2021 en Latinoamérica 2020-2021年拉丁美洲新型冠状病毒孕妇死亡率
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830111
Kaelyn Rosa Sotomayor Valdiviezo Kaelyn Rosa Sotomayor Valdiviezo, Eliana Lizbet Valera Vásquez, Daniel Ángel Zavala Guillén, J. M. Vela-Ruiz, Joyce Desposorio-Robles,, María Del Socorro Alatrista Gutierrez De Bambarén
Objective: To conduct a review on mortality in pregnant women with COVID-19 during the 2020-2021 period in Latin America. Methods: A systematic review of scientific articles published from January 1, 2020 to December 31, 2021, was carried out in the Medline databases via PubMed, SciELO, Google Scholar. The question was: What is the mortality in pregnant women with COVID-19 during the 2020-2021 period in Latin America? through the controlled descriptors: “Pregnant women”, “COVID-19”, “Mortality”. Population: Pregnant women, Exposure: COVID-19, Outcome: Mortality. Results: One of the most vulnerable populations were pregnant women, as they are more susceptible to developing serious viral infections due to the physiological adaptations that occur during pregnancy. After the selection process, we included 10 studies that showed results. They were developed in pregnant women with a positive COVID-19 test and had a study population varying between 40 and 29,416 participants. Mortality in intensive care units was found to be 49% in Mexico City. A study in 8 Latin American countries reported that 86.4% of women were infected before delivery and 60.3% in the third trimester. Studies coincide in describing comorbidities in pregnant women with COVID-19, among which hypertensive disorders stand out. Conclusion: This study provides information about maternal mortality associated with COVID-19 among women in Latin America. In addition, pregnant women were found to present health barriers to accessing intensive care unit services.
目的:对拉丁美洲2020-2021年期间新冠肺炎孕妇死亡率进行回顾。方法:通过PubMed、SciELO、Google Scholar在Medline数据库中对2020年1月1日至2021年12月31日发表的科学文章进行系统综述。问题是:2020-2021年期间,拉丁美洲新冠肺炎孕妇的死亡率是多少?通过控制描述符:“孕妇”、“新冠肺炎”、“死亡率”。人口:孕妇,接触:新冠肺炎,结果:死亡率。结果:孕妇是最脆弱的人群之一,因为她们在怀孕期间发生的生理适应更容易发生严重的病毒感染。在筛选过程之后,我们纳入了10项显示结果的研究。它们是在新冠肺炎检测呈阳性的孕妇中开发的,研究人群在40至29416人之间。墨西哥城重症监护室的死亡率为49%。一项针对8个拉丁美洲国家的研究报告称,86.4%的女性在分娩前感染,60.3%在妊娠晚期感染。研究一致描述了新冠肺炎孕妇的合并症,其中高血压疾病尤为突出。结论:本研究提供了拉丁美洲妇女中与新冠肺炎相关的孕产妇死亡率信息。此外,发现孕妇在获得重症监护室服务方面存在健康障碍。
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引用次数: 0
Efecto de la terapia combinada en la vaginosis bacteriana recurrente en mujeres del Eje Cafetero, Colombia 联合治疗对哥伦比亚咖啡区妇女复发性细菌性阴道病的影响
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830105
Franklin José Espitia de la Hoz
Objective: To evaluate the effect of combined therapy in recurrent bacterial vaginosis in women from the Coffee Region (Colombia). Methods: Observational study, in 189 women over 18 years, diagnosed with recurrent bacterial vaginosis following the Nugent score. They were given combination therapy (oral induction with 500 mg metronidazole for seven days plus 600 mg vaginal boric acid once daily for twenty-one days, followed by 500 mg nifuratel and 200,000 IU vaginal nystatin for six days, every month, for six months); who attended consultation between 2017 and 2020. Clinical and laboratory follow-up was performed using Nugent’s score, one week after the end of oral treatment, at one month, three, six, nine and twelve months. Descriptive statistics were used. Results: The mean age of participants was 34.17 ± 5.31 years. The cure rate after initial therapy was 80.42% (at week), at month: 82.01 %, three months: 91.53 %, six: 90.47 %, nine: 90.47 % and at twelve months: 86.24 %. At the end of the study, the failure rate was 9.52%. There were no serious adverse events; the satisfaction rate was high (90.47 %). Conclusions: Combination therapy in recurrent bacterial vaginosis improved clinical and microbiological cure and decreased the risk of recurrence at twelve months follow-up. Validation of the present results is required in a randomized controlled clinical trial.
目的:评价综合治疗对哥伦比亚咖啡地区妇女复发性细菌性阴道病的疗效。方法:观察性研究,189名18岁以上的女性,根据Nugent评分诊断为复发性细菌性阴道病。给予联合治疗(口服诱导500 mg甲硝唑7天加600 mg阴道硼酸,每天1次,连用21天,随后服用500 mg硝呋泰和200,000 IU阴道制霉菌素,连用6天,每月一次,连用6个月);参加了2017年至2020年的磋商。在口服治疗结束后1周、1个月、3个月、6个月、9个月和12个月,采用Nugent评分进行临床和实验室随访。采用描述性统计。结果:患者平均年龄34.17±5.31岁。首次治疗后治愈率为80.42%(周)、82.01%、3个月、6个月、9个月、90.47%、12个月86.24%。研究结束时,不合格率为9.52%。无严重不良事件发生;满意度高(90.47%)。结论:在12个月的随访中,联合治疗可改善复发性细菌性阴道病的临床和微生物治愈率,降低复发风险。目前的结果需要在随机对照临床试验中验证。
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引用次数: 0
Hidatidosis pélvica primaria 原发性盆腔包虫
Q4 Medicine Pub Date : 2023-02-23 DOI: 10.51288/00830115
Eduardo Reyna-Villasmil, Duly Torres-Cepeda, Martha Rondon-Tapia
Hydatidosis is an anthropozoonosis caused by the larva of Echinococcus granulosus. The most affected organ is liver, followed by lungs, kidneys and osteo-muscular system. Generally, it has low progression and tend to be asymptomatic. The non-specific symptomatology makes diagnosis difficult and leads to unnecessary diagnostic procedures. Hydatid cysts of the female pelvic organs may initially be mistaken for ovarian cystic tumors or pelvic infections. This entity should be considered as a differential diagnosis of any pelvic cystic lesion in patients in endemic areas. Surgery is the standard of treatment and exploration of the abdominal cavity is essential in the search for cysts in other locations. Anthelmintic drugs may help decrease recurrence. A case of primary pelvic hydatidosis is presented.
棘球蚴病是一种由细粒棘球蚴幼虫引起的人畜共患病。受影响最大的器官是肝脏,其次是肺、肾脏和骨骼肌系统。一般来说,它进展缓慢,而且往往没有症状。非特异性症状使诊断变得困难,并导致不必要的诊断程序。女性盆腔器官的棘球蚴囊肿最初可能被误认为是卵巢囊性肿瘤或盆腔感染。该实体应被视为地方病患者盆腔囊性病变的鉴别诊断。手术是治疗的标准,探查腹腔对于寻找其他位置的囊肿至关重要。驱虫药可能有助于减少复发。本文报告一例原发性盆腔棘球蚴病。
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引用次数: 0
Microbiota en la embarazada 孕妇体内的微生物群
Q4 Medicine Pub Date : 2022-10-15 DOI: 10.51288/00820403
Mireya González Blanco
El estudio del microbioma humano ha crecido de manera exponencial en la última década, y su importancia en el proceso de salud enfermedad del ser humano se hace cada vez más evidente. Se le ha implicado en múltiples enfermedades autoinmunes, inflamatorias, en cáncer, obesidad, síndrome metabólico y riesgo cardiovascular (1). La interacción que existe entre el ser humano y las comunidades de microorganismos que habitan en el cuerpo, es realmente compleja. Más de 1000 especies viven en este ecosistema. Los genomas de la microbiota, definidos como el microbioma, son más de 100 veces más grandes que el genoma humano (2). Únicamente en el intestino, se han caracterizado cientos de cepas bacterianas y más de 9 millones de genes que comprenden más de 3000 millones de células. Esto representa aproximadamente 0,5-2 kg del peso corporal total de cualquier individuo y es su misma diversidad, a la que se le ha implicado en muchas enfermedades que incluyen las esferas gastrointestinal, neurológica, autoinmunes e inflamatoria (1).
在过去十年中,对人类微生物组的研究呈指数级增长,其在人类疾病健康过程中的重要性日益明显。它与多种自身免疫性疾病、炎症性疾病、癌症、肥胖、代谢综合征和心血管风险有关(1)。人类与体内微生物群落之间存在的相互作用是非常复杂的。超过1000个物种生活在这个生态系统中。微生物群的基因组,定义为微生物组,比人类基因组大100倍以上(2)。仅在肠道中,已经鉴定了数百种细菌菌株和超过900万个基因,组成了超过30亿个细胞。这相当于任何个体总体重的0.5 -2公斤,也是相同的多样性,与许多疾病有关,包括胃肠道、神经系统、自身免疫和炎症领域(1)。
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引用次数: 0
期刊
Revista de Obstetricia y Ginecologia de Venezuela
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