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Factores asociados al miedo a la COVID-19 previo al retorno a clases presenciales en una facultad de Medicina peruana 秘鲁医学院重返课堂前与COVID-19恐惧相关的因素
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.05
S. Dextre-Vilchez, Alexandra Fabiola Tapia-Mayta, R. Febres-Ramos, Rocío Paola Vásquez-Mercado, M. R. Mercado-Rey
Objective: To identify the factors associated with fear of COVID-19 prior to returning to in-person classes among medical students.
目的:确定医学生重返课堂前对COVID-19恐惧的相关因素。
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引用次数: 0
Nivel de conocimiento de hipertensión arterial en docentes de una institución educativa pública, Lima provincias, 2021 利马省某公立教育机构教师对高血压的知识水平,2021年
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.08
Diego Rolando Apaza Arzapalo, Milagros Roxana Salinas Quiñonez, L. R. Pantoja Sánchez
Objective: To determine the level of knowledge of hypertension (HTN) among teachers of IEP No. 20799 Daniel Alcides Carrión located in Chancayllo, Chancay-Huaral, Local Education Management Unit (UGEL) No. 10, 2021. Materials and methods: A descriptive and cross-sectional study which included the
目的:了解2021年chanjay - huaral市chanayllo市第10教育管理单位(UGEL)第20799 Daniel Alcides Carrión IEP教师对高血压(HTN)的知识水平。材料和方法:一项描述性和横断面研究,包括
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引用次数: 1
Hernia hiatal gigante: presentación de un caso clínico 巨大裂孔疝:临床病例介绍
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.09
Jimy Williams Cuevas Cisneros, Stefanny Rocío Huamán Sayago, Patricia Marisol Mendoza Ccorimanya, Estefany Mosqueira Oporto, Qori Urpi Incarroca Quispe, Dayant Hanna Andrea Jordán Saldaña, Fernando Laurel Montesinos, Chaska Lezama Quispe, Carlos Hesed Virto Farfan
Giant hiatal hernia is a condition in which more than 30 % of the stomach is displaced upward toward the thorax, thus producing an abnormal protrusion above the diaphragmatic clamp. This can occur by various mechanisms such as alterations at the gastroesophageal junction or diaphragmatic atrophy that can take place due to a number of reasons, including involutional changes, extensive trauma or damage to the phrenic nerve. Most cases are usually asymptomatic; however, when clinical manifestations occur, they vary depending on the size of the herniation and range from chest pain (also epigastric pain), nausea, vomiting to abdominal distension. In case of presenting complications such as gastric volvulus or Cameron lesions, the symptoms include Borchardt’s triad, which consists of abdominal pain and distension, violent vomiting and difficulty passing a nasogastric tube. We present the case of an 82-year-old male patient who was admitted to the emergency room for severe abdominal pain, severe hematemesis and sensory disorder. On physical examination, pale facies and diaphoresis were observed; on palpation, the main indication was abdominal pain in the epigastric area. Emergency endoscopy was requested, finding a deep ulcer with congestive edges and active bleeding in the lower portion of the esophagus, in addition to observing that part of the gastric fundus and the cardias were herniated toward the thorax. This confirmed the diagnosis of a giant hiatal hernia; however, the treatment was interrupted by the patient when he asked for voluntary discharge after refusing to undergo surgery.
巨大裂孔疝是一种超过30%的胃向胸腔向上移位,从而在膈钳上方产生异常突起的情况。这可以通过多种机制发生,如胃食管交界处的改变或膈肌萎缩,这可能是由于许多原因造成的,包括神经变化、广泛的创伤或膈神经损伤。大多数病例通常无症状;然而,当出现临床表现时,根据疝的大小而变化,范围从胸痛(也包括胃脘痛)、恶心、呕吐到腹胀。如果出现胃扭转或卡梅伦病变等并发症,症状包括Borchardt三联征,包括腹痛和腹胀、剧烈呕吐和鼻胃管难以通过。我们提出的情况下,一个82岁的男性患者谁是入院急诊室严重腹痛,严重呕血和感觉障碍。体格检查见面色苍白、出汗;触诊时,主要指征为上腹部疼痛。要求急诊内窥镜检查,发现食管下部有深部溃疡,边缘充血并出血,此外还观察到部分胃底和心脏向胸部疝出。这证实了巨大裂孔疝的诊断;然而,患者拒绝接受手术,要求自愿出院,中断了治疗。
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引用次数: 0
Hemoglobina como predictor del recuento de hematocrito y hematíes según edad y sexo en una población de Villa El Salvador en Lima-Perú 血红蛋白作为利马-秘鲁维拉萨尔瓦多人口按年龄和性别划分的红细胞压积和红细胞计数的预测因子
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.07
Alberto Guevara Tirado
Objective: To assess the degree of hemoglobin correlation as a possible predictor of hematocrit and red blood cell count according to age and sex in a population of the district of Villa El Salvador, Lima, Peru. Materials and methods: An observational, analytical, correlational and prospective study carried out with 550 men and 700 women of all ages who attended monthly preventive-promotional health campaigns, as well as routine medical consultations, from January 2021 to June 2022. Collected data consisted of hematocrit, red blood cells and hemoglobin counts. The Spearman’s correlation coefficient was used. Results: There was a higher prevalence of anemia in the group of women older than 11 years (35.10 %), while hemoglobin levels in most children younger than 11 years were mainly normal. High and positive correlations between hemoglobin and hematocrit close to one were found in all age groups and both sexes. In addition, moderate and positive correlations were found in female infants and girls (Rho = 0.525), female adolescents (Rho = 624), as well as male infants and boys (Rho = 0.597). Conclusions: Hemoglobin levels are highly and positively correlated with hematocrit. Simultaneous hemoglobin and hematocrit testing may be clinically and economically unnecessary in screening and preventive-promotional campaigns on anemia conducted in large population groups. Likewise, hemoglobin correlates moderately and positively with red blood cell in children of both sexes and female adolescents. Further research is needed to deepen the reasons why correlation varies in these groups.
目的:评估血红蛋白相关性的程度,作为一个可能的预测红细胞压积和红细胞计数根据年龄和性别的人口在Villa El Salvador,利马,秘鲁。材料和方法:在2021年1月至2022年6月期间,对每月参加预防促进健康运动和常规医疗咨询的550名男性和700名所有年龄段的女性进行了一项观察性、分析性、相关性和前瞻性研究。收集的数据包括血细胞比容、红细胞和血红蛋白计数。采用Spearman相关系数。结果:11岁以上妇女贫血发生率较高(35.10%),11岁以下儿童血红蛋白水平以正常为主。血红蛋白和红细胞压积之间的高度正相关关系在所有年龄组和两性中都接近1。此外,在女婴和女孩(Rho = 0.525)、女性青少年(Rho = 624)以及男婴和男孩(Rho = 0.597)中存在中度正相关。结论:血红蛋白水平与红细胞压积高度正相关。同时进行血红蛋白和红细胞压积检测在临床和经济上可能是不必要的,在大量人群中进行贫血筛查和预防宣传活动。同样,在男女儿童和女性青少年中,血红蛋白与红细胞呈正相关。需要进一步的研究来加深这些群体之间相关性变化的原因。
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引用次数: 0
Radicales libres y sistema antioxidante 自由基和抗氧化系统
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.12
Henry Guija-Guerra, Emilio Guija-Poma
Free radicals are compounds characterized by having an unpaired electron in their outer orbit, a condition that makes them highly reactive, i.e., they interact through diffusion-controlled reactions with proteins, lipids and nucleic acids. They have also been referred to as reactive oxygen species (ROS), reactive nitrogen species (RNS) or reactive sulfur species (RSS). In the human organism, they are mainly produced in the mitochondrial electron transport chain, where respiratory complexes I and III specifically participate and reduce oxygen by converting it into superoxide anion. Likewise, they can be formed through a wide variety of enzymatic and non-enzymatic reactions involving substances that are synthesized by cells or are ingested with food and some medicines. Human beings have an antioxidant system which is both enzymatic and non-enzymatic in nature and whose function is to protect the organism from the harmful action of free radicals. This system includes enzymes—such as catalase, superoxide dismutase, thioredoxin, etc.—and non-enzymatic compounds— such as glutathione, ferritin, myoglobin, etc. However, they are not efficient enough to protect it, so it is necessary to eat foods that contain substances with antioxidant properties whose protective action will depend on their chemical reactivity and their concentration. These antioxidant compounds are mainly found in fruits and vegetables, where polyphenols, flavonoids, carotenoids, vitamin C, vitamin E, etc. have been identified. A significant amount of evidence suggests that
自由基是一种化合物,其特征是在其外轨道上有一个不成对的电子,这种情况使它们具有高度的反应性,即它们通过扩散控制的反应与蛋白质、脂质和核酸相互作用。它们也被称为活性氧(ROS)、活性氮(RNS)或活性硫(RSS)。在人体机体中,它们主要产生于线粒体电子传递链中,呼吸复合体I和III特异性参与并通过将氧转化为超氧阴离子来还原氧。同样,它们可以通过各种各样的酶和非酶反应形成,这些反应涉及细胞合成的物质或与食物和某些药物一起摄入的物质。人体有一个天然的酶促和非酶促抗氧化系统,其功能是保护机体免受自由基的有害作用。这个系统包括酶——如过氧化氢酶、超氧化物歧化酶、硫氧还蛋白等——和非酶化合物——如谷胱甘肽、铁蛋白、肌红蛋白等。然而,它们不足以有效地保护它,因此有必要食用含有具有抗氧化特性的物质的食物,这些物质的保护作用取决于它们的化学反应性和浓度。这些抗氧化化合物主要存在于水果和蔬菜中,其中多酚、类黄酮、类胡萝卜素、维生素C、维生素E等已被确定。大量的证据表明
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引用次数: 0
Síndrome orbitofrontal en un interno con infracciones por secuestro agravado, violación sexual y muerte de una menor de edad 一名因严重绑架、性侵犯和未成年人死亡而被拘留者的眶额综合征
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.10
Andreé Salvatierra, J. Del-Carmen-Sara
Orbitofrontal syndrome is characterized by disinhibition, impulsiveness, transgression of social norms and sometimes the development of criminal behavior. This is the case of an 18-year-old male offender incarcerated for kidnapping, rape and homicide of a minor. He was evaluated through interviews and the use of the Eysenck personality questionnaire (Form B), Raven’s progressive matrices (RPM), Rey–Osterrieth complex figure (Form A), Differences perception test (FACES-R), Stroop color and word test (SCWT), Mini-Mental state examination (MMSE) and Aggression questionnaire (AGQ). The research subject showed age-appropriate speech, language and vocabulary, and had neither physical problems nor attention, language, writing, reading, praxis, calculation, perception and memory disorders. The results highlight a higher-than-average intelligence quotient, optimal cognitive skills
眼窝额叶综合征的特征是抑制解除、冲动、违反社会规范,有时还会发展为犯罪行为。这是一个18岁的男性罪犯因绑架、强奸和杀害未成年人而被监禁的案件。通过访谈和使用艾森克人格问卷(表格B)、雷文渐进矩阵(RPM)、雷-奥斯特里思复杂图形(表格A)、差异知觉测验(FACES-R)、斯托普颜色和文字测验(SCWT)、简易精神状态测验(MMSE)和攻击问卷(AGQ)对他进行评估。研究对象表现出与年龄相符的言语、语言和词汇,没有身体问题,也没有注意力、语言、写作、阅读、实践、计算、感知和记忆障碍。结果显示,他们的智商高于平均水平,拥有最佳的认知能力
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引用次数: 0
Cuando la razón se nutre de los afectos: reflexiones de jóvenes científicos en los desafíos de la ciencia en Latinoamérica 当理性被情感滋养时:年轻科学家对拉丁美洲科学挑战的反思
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.14
L. Freire, Maria Antonieta Daza-Millone, Lina Vanessa Becerra-Hernández, Solange Rosa Paredes-Moscosso
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引用次数: 0
Programa de intervención farmacéutica periférica para la prevención de anemia ferropénica en niños 预防儿童缺铁性贫血的外周药物干预方案
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.06
María Antonieta Alcalá Pimentel, Kattya Liliana García Ramírez, John Eloy Ponce Pardo
Objective: To identify how the implementation of a peripheral pharmaceutical intervention program influences the prevention of anemia in children from 0 to 5 years of age. Materials and methods: A quantitative, descriptive and comparative study was conducted with a purposive non-probability sampling. The study population consisted of 40 children and the sample included 28 children from 0 to 5 years of age, of both sexes, living in the Carlos Manuel Cox shanty town, located in the district
目的:了解周边药物干预方案的实施对0 - 5岁儿童贫血预防的影响。材料与方法:采用有目的的非概率抽样进行定量、描述性和比较性研究。研究人口由40名儿童组成,样本包括28名0至5岁的儿童,男女均有,生活在该地区的卡洛斯·曼努埃尔·考克斯棚户区
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引用次数: 0
Enfermedad por esteatohepatitis no alcohólica en pacientes diabéticos tipo 2: artículo de revisión 2型糖尿病患者的非酒精性脂肪性肝炎:综述文章
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.13
Gonzalo Miranda Manrique
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引用次数: 0
El profesionalismo y la educación médica 专业精神和医学教育
Pub Date : 2023-03-31 DOI: 10.24265/horizmed.2023.v23n2.00
Iván Vojvodic-Hernández
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引用次数: 0
期刊
Horizonte Médico (Lima)
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