Pub Date : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.03
Susel Espinoza Pérez, Nora Espíritu Salazar
{"title":"Características clínico-sociodemográficas de pacientes con VIH/sida con complicaciones neurológicas por infecciones oportunistas en el Hospital Nacional Hipólito Unanue, 2017-2019","authors":"Susel Espinoza Pérez, Nora Espíritu Salazar","doi":"10.24265/horizmed.2022.v22n2.03","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.03","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117068567","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.01
Ian Christian Falvy Bockos, Eliana Peralta, Claudia Valdivia-Alcalde, Diego Chambergo-Michilot
Objective: To learn about the disagreements among geriatricians from a Latin American country (Peru) as to the palliative therapy for dementia. Materials and methods: A descriptive and cross-sectional study. The population consisted of Peruvian geriatricians and geriatrics residents surveyed during August 2019. A non-probability convenience sampling was used. Considering a total population of 277 geriatricians in Peru and a design effect of 1.0, the minimum sample size was 162 geriatricians. The survey included different questions focused on geriatricians’ decisions on the daily clinical practice of terminal care in dementia. To ensure a better understanding of the answers, a typical case of the disease was presented. Results: One hundred sixty-two (162) doctors were surveyed, most of whom were geriatricians (81.48 %). Regarding the global level of attitudes and knowledge of palliative care, 89.61 % considered dementia as a non-oncological terminal illness, and 69.18 % considered laboratory sample collection, peripheral intravenous line insertion, urinary catheterization and nasogastric tube insertion as invasive measures. Conclusions: The survey showed a moderate level in attitudes and knowledge of palliative care. The weakest points were the practical perspective and suitability in decision-making. Therefore, training programs aimed at making adequate prognoses and improving decision-making of physicians involved in the care and support of older adults with late-stage dementia should be conducted to avoid implementing measures that will not generate a positive impact to and will harm the patient's quality of life.
{"title":"Conocimientos de médicos geriatras respecto a la terminalidad de pacientes con demencia avanzada","authors":"Ian Christian Falvy Bockos, Eliana Peralta, Claudia Valdivia-Alcalde, Diego Chambergo-Michilot","doi":"10.24265/horizmed.2022.v22n2.01","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.01","url":null,"abstract":"Objective: To learn about the disagreements among geriatricians from a Latin American country (Peru) as to the palliative therapy for dementia. Materials and methods: A descriptive and cross-sectional study. The population consisted of Peruvian geriatricians and geriatrics residents surveyed during August 2019. A non-probability convenience sampling was used. Considering a total population of 277 geriatricians in Peru and a design effect of 1.0, the minimum sample size was 162 geriatricians. The survey included different questions focused on geriatricians’ decisions on the daily clinical practice of terminal care in dementia. To ensure a better understanding of the answers, a typical case of the disease was presented. Results: One hundred sixty-two (162) doctors were surveyed, most of whom were geriatricians (81.48 %). Regarding the global level of attitudes and knowledge of palliative care, 89.61 % considered dementia as a non-oncological terminal illness, and 69.18 % considered laboratory sample collection, peripheral intravenous line insertion, urinary catheterization and nasogastric tube insertion as invasive measures. Conclusions: The survey showed a moderate level in attitudes and knowledge of palliative care. The weakest points were the practical perspective and suitability in decision-making. Therefore, training programs aimed at making adequate prognoses and improving decision-making of physicians involved in the care and support of older adults with late-stage dementia should be conducted to avoid implementing measures that will not generate a positive impact to and will harm the patient's quality of life.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130037691","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.14
Iván David Lozada Martínez, Oscar Orlando Osma Ardila, Eliana Paola Puerta Cervantes, Andrea Jiménez Orduz, Ana Carolina Ramirez Echavarria, Anderson Leal Buitrago, Julio César Iglesias Monsalve, Daniela Margoth Caycedo Montiel
{"title":"Utilidad de la ecografía a pie de cama en la punción lumbar: un análisis del rendimiento diagnóstico basado en la evidencia disponible","authors":"Iván David Lozada Martínez, Oscar Orlando Osma Ardila, Eliana Paola Puerta Cervantes, Andrea Jiménez Orduz, Ana Carolina Ramirez Echavarria, Anderson Leal Buitrago, Julio César Iglesias Monsalve, Daniela Margoth Caycedo Montiel","doi":"10.24265/horizmed.2022.v22n2.14","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.14","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130152382","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.12
Douglas Lopez de Guimaraes, Alfredo Merino-Luna, Amílcar Tinoco-Solórzano
{"title":"Neumomediastino espontáneo de reentrada en la altitud: reporte de dos casos","authors":"Douglas Lopez de Guimaraes, Alfredo Merino-Luna, Amílcar Tinoco-Solórzano","doi":"10.24265/horizmed.2022.v22n2.12","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.12","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125491791","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.11
Giamfranco Aguilar-Villanueva, Christian Alfonso Alva-Alayo, Cristhian Rosas-Ventura, Cristhian Alexander Alverca-Meza, Carlos Cabrera-Cruzado, Italo Alfaro-Flores, Milagros Trujillo-Neciosup, Edi William Aguilar-Urbina
Tuberculosis is an infectious disease widely spread around the world and is the leading cause of death among people living with human immunodeficiency virus (HIV). Multisystem tuberculosis occurs more frequently in patients with HIV coinfection, and its clinical presentation may be related to the patient’s immunosuppression level. We report the case of a 19-year-old male patient with immunosuppression due to HIV with unusual multisystem tuberculosis affecting the respiratory, digestive and urinary systems. Treatment and etiological factors are described and discussed, and the importance of a prompt multidisciplinary diagnosis and management is highlighted.
{"title":"Tuberculosis multisistémica inusual en paciente inmunodeprimido por VIH: reporte de caso","authors":"Giamfranco Aguilar-Villanueva, Christian Alfonso Alva-Alayo, Cristhian Rosas-Ventura, Cristhian Alexander Alverca-Meza, Carlos Cabrera-Cruzado, Italo Alfaro-Flores, Milagros Trujillo-Neciosup, Edi William Aguilar-Urbina","doi":"10.24265/horizmed.2022.v22n2.11","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.11","url":null,"abstract":"Tuberculosis is an infectious disease widely spread around the world and is the leading cause of death among people living with human immunodeficiency virus (HIV). Multisystem tuberculosis occurs more frequently in patients with HIV coinfection, and its clinical presentation may be related to the patient’s immunosuppression level. We report the case of a 19-year-old male patient with immunosuppression due to HIV with unusual multisystem tuberculosis affecting the respiratory, digestive and urinary systems. Treatment and etiological factors are described and discussed, and the importance of a prompt multidisciplinary diagnosis and management is highlighted.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114223337","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.10
T. Oscanoa, José Amado-Tineo, Ricardo Ayala-García, Roxana Mamani-Quiroz, Javier Matta-Pérez, Angel Ardiles-Melgarejo, Carlos Marcos-Hernández, Waldo Taype-Huamaní, Jefferson Rojas-Guimaray, Sthephany Matos-Santiváñez, Loyda Miranda-Chávez|, Ana Deza-Sime, Moisés Apolaya-Segura|
{"title":"Relación entre los grupos sanguíneos A, B y O y mortalidad por infección con SARS-CoV-2 en pacientes hospitalizados","authors":"T. Oscanoa, José Amado-Tineo, Ricardo Ayala-García, Roxana Mamani-Quiroz, Javier Matta-Pérez, Angel Ardiles-Melgarejo, Carlos Marcos-Hernández, Waldo Taype-Huamaní, Jefferson Rojas-Guimaray, Sthephany Matos-Santiváñez, Loyda Miranda-Chávez|, Ana Deza-Sime, Moisés Apolaya-Segura|","doi":"10.24265/horizmed.2022.v22n2.10","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.10","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"226 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114466322","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.07
Carmen Eliana Peralta Vargas, Ian Christian Falvy Bockos, Claudia Valdivia Alcalde
Objective: To find out if decreased grip strength is associated with frailty and adverse outcomes at three-month follow-up. Materials and methods: A descriptive, observational and prospective study. Patients older than 59 years of age attending a day hospital were included in the research. The dominant hand grip strength was measured during an outpatient visit. Frailty was assessed using the Edmonton Frail Scale. The association between decreased grip strength, frailty and adverse outcomes at three-month follow-up was evaluated using the chi-square test and Student’s t-test. Results: Grip strength was measured in 82 older adults (out of whom 46 were females) whose mean age was 83.68 years. Based on the Edmonton Frail Scale, 83.33 % of the study subjects were severely frail, 87.87 % were moderately frail, 86.66 % were mildly frail and 46.66 % were vulnerable to frailty. According to this scale, “not frail” older adults were those who did not show decreased grip strength. Decreased grip strength was associated with frailty (p = 0.002). Adverse outcomes at three-month follow-up were frequent in older adults with decreased grip strength (p = 0.49) and those with frailty (p = 0.48), although such outcomes were not statistically significant. Conclusions: Decreased grip strength is associated with frailty. At three-month follow-up, all the study participants who died had decreased grip strength.
{"title":"Relación entre Fragilidad en adultos mayores y Fuerza de prensión disminuida","authors":"Carmen Eliana Peralta Vargas, Ian Christian Falvy Bockos, Claudia Valdivia Alcalde","doi":"10.24265/horizmed.2022.v22n2.07","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.07","url":null,"abstract":"Objective: To find out if decreased grip strength is associated with frailty and adverse outcomes at three-month follow-up. Materials and methods: A descriptive, observational and prospective study. Patients older than 59 years of age attending a day hospital were included in the research. The dominant hand grip strength was measured during an outpatient visit. Frailty was assessed using the Edmonton Frail Scale. The association between decreased grip strength, frailty and adverse outcomes at three-month follow-up was evaluated using the chi-square test and Student’s t-test. Results: Grip strength was measured in 82 older adults (out of whom 46 were females) whose mean age was 83.68 years. Based on the Edmonton Frail Scale, 83.33 % of the study subjects were severely frail, 87.87 % were moderately frail, 86.66 % were mildly frail and 46.66 % were vulnerable to frailty. According to this scale, “not frail” older adults were those who did not show decreased grip strength. Decreased grip strength was associated with frailty (p = 0.002). Adverse outcomes at three-month follow-up were frequent in older adults with decreased grip strength (p = 0.49) and those with frailty (p = 0.48), although such outcomes were not statistically significant. Conclusions: Decreased grip strength is associated with frailty. At three-month follow-up, all the study participants who died had decreased grip strength.","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125107273","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.05
Carlos Hugo Palafox, Abraham Wall-Medrano, G. R. Velderrain-Rodríguez
{"title":"¿Quién está consumiendo productos dietéticos en Perú?: Reporte de consumo de una encuesta transversal no probabilística","authors":"Carlos Hugo Palafox, Abraham Wall-Medrano, G. R. Velderrain-Rodríguez","doi":"10.24265/horizmed.2022.v22n2.05","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.05","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132525511","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}
{"title":"Factores asociados a la violencia psicológica y física familiar en adolescentes peruanos desde un enfoque ecológico","authors":"Claudia Rebeca Cahui Ramirez, Yordanis Enríquez Canto, Giovani Martín Díaz Gervasi","doi":"10.24265/horizmed.2022.v22n2.02","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.02","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125435490","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 : 2022-07-07DOI: 10.24265/horizmed.2022.v22n2.08
Sussan Roxana Meneses Quispe
{"title":"Programa sobre conocimiento de autoexamen de mama en madres de estudiantes educadores de una institución educativa pública, 2018","authors":"Sussan Roxana Meneses Quispe","doi":"10.24265/horizmed.2022.v22n2.08","DOIUrl":"https://doi.org/10.24265/horizmed.2022.v22n2.08","url":null,"abstract":"","PeriodicalId":396953,"journal":{"name":"Horizonte Médico (Lima)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116003495","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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