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Full-Text Articles in Medicine and Health Sciences
Epidemiological Statistics Of Adolescent Suicide During Confinement Due To The Covid-19 Pandemic In Ecuador, Andres J. Guarnizo Chávez, Nathaly A. Romero Heredia
Epidemiological Statistics Of Adolescent Suicide During Confinement Due To The Covid-19 Pandemic In Ecuador, Andres J. Guarnizo Chávez, Nathaly A. Romero Heredia
Revista de la Facultad de Medicina Humana
Objective: To present the characteristics of adolescent suicide, during the period of connement due to pandemic in 2020 in Ecuador, in order to satisfy the mental health needs of this age group with their knowledge. Method:Observational, descriptive, cut-off study It was carried out. Cross-sectional retrospective, with information from the database of violent deaths of the Ministry of Government, from March 17 to September 13, which lasted the state of emergency. The analysis was carried out by province, sex, age, suicide method and frequency in days after the occurrence of the event. The suicide mortality rate (per 100,000 inhabitants) was estimated …
Factors Associated With Depression Anxiety And Stress In The Context Of Covid-19 Pandemic In Police Officers Of Metropolitan Lima, Peru, Katherine D. Apaza-Llantoy, Lucy E. Correa-López
Factors Associated With Depression Anxiety And Stress In The Context Of Covid-19 Pandemic In Police Officers Of Metropolitan Lima, Peru, Katherine D. Apaza-Llantoy, Lucy E. Correa-López
Revista de la Facultad de Medicina Humana
Objectives: To determine the factors associated with the development of depression, anxiety and stress in the context of the COVID-19 pandemic in police officers in Lima, Peru. Methods: Analytical cross-sectional study conducted in 210 police officers who were administered the Depression Anxiety and Stress Scale-21 (DASS-21) in October 2020, as well as a form, via Google Forms, to obtain sociodemographic and clinical data. A bivariate and a multivariate analysis were performed using crude and adjusted prevalence ratios, with a confidence interval >95% and a significance level of p≤0.05. Results: Depression, anxiety and stress prevalence rates were 11.43%, 10% and 7.62%, …
Frequency Of Coinfection By Respiratory Pathogens And Its Impact On The Prognosis Of Patients With Covid-19, Dante M. Quiñones-Laveriano, Alonso Soto, Lucero Quilca-Barrera
Frequency Of Coinfection By Respiratory Pathogens And Its Impact On The Prognosis Of Patients With Covid-19, Dante M. Quiñones-Laveriano, Alonso Soto, Lucero Quilca-Barrera
Revista de la Facultad de Medicina Humana
Introduction: Co-infection between other microorganisms and SARS-CoV-2, such as viruses, bacteria and fungi, is an important factor in the management of COVID-19, which could increase the difficulties in diagnosis, management, prognosis, and even increase the mortality. Objectives: The objective of this review is to describe the published scientific evidence regarding coinfection in patients with COVID-19. Methods: A bibliographic search of studies published in Spanish or English was carried out using the PubMed, The Cochrane Library and Google Scholar search engines. Studies published between January 2020 and January 24, 2021 were assessed. Results: 25 articles from various continents (America, Asia and …
Rehabilitation Recommendations For Adult Patients With Covid-19, Roger De La Cerna Luna, Analía Vélez De Villa Velarde, Diana Luzquiños Castillo, Mariela Montesinos Daza, Luisa Valdivia Estrada, Romina Tang Candiotti
Rehabilitation Recommendations For Adult Patients With Covid-19, Roger De La Cerna Luna, Analía Vélez De Villa Velarde, Diana Luzquiños Castillo, Mariela Montesinos Daza, Luisa Valdivia Estrada, Romina Tang Candiotti
Revista de la Facultad de Medicina Humana
Introduction: The SARS-CoV-2 coronavirus is a new pathogen causing COVID-19 disease, ranging from an asymptomatic infection to a critical condition dependent on mechanical ventilation. Rehabilitation interventions contribute for the prevention and treatment of related complications and associated disability. Objective: Evaluate the rehabilitation interventions for the care of patients with COVID-19 according to the available evidence. Methods: A systematic review was conducted through electronic and library searches of national and foreign medical journals over a 10-year horizon in Spanish, English, Chinese and Italian, as well as in textbooks with information related to COVID-19 and Physical Medicine and Rehabilitation. Conclusions: Rehabilitation interventions …
Spontaneous Pneumomediastinum In Patients With Covid-19. Case Report., Pedro Sotelo-Jiménez, Enrique Moyano Navarro, Félix Tipacti Rodríguez, Carlos Milla Bravo
Spontaneous Pneumomediastinum In Patients With Covid-19. Case Report., Pedro Sotelo-Jiménez, Enrique Moyano Navarro, Félix Tipacti Rodríguez, Carlos Milla Bravo
Revista de la Facultad de Medicina Humana
Introduction: Pneumomediastinum is an infrequent and rare pathology. The typical radiological manifestations in patients with SARS-CoV-2 pneumonia consist of the presence of bilateral pulmonary opacities, of peripheral distribution. In a recent series of patients with COVID-19, it indicates that 1% of patients can develop spontaneous pneumomediastinum as a complication, it is generally benign and it is not yet clear that this may be an indicator of worsening. Clinical Case: This is a 43-year-old male patient who presented a 15-day illness characterized by pharyngeal pain, fever, chest pain and respiratory distress, receiving multiple antiviral and antibiotic treatment schemes without response, for …
Molecular Basis Of Covid-19 Pathogenesis And In Silico Studies Of Potential Pharmacological Treatment, Eduardo Lam Cabanillas, Anthony León Risco, Kevyn León Risco, Gaby Llamo Hoyos, Rosa López Zavaleta, Estefanía Luzuriaga Tirado, Alex Mendoza Blas, Juan Huamán Saavedra
Molecular Basis Of Covid-19 Pathogenesis And In Silico Studies Of Potential Pharmacological Treatment, Eduardo Lam Cabanillas, Anthony León Risco, Kevyn León Risco, Gaby Llamo Hoyos, Rosa López Zavaleta, Estefanía Luzuriaga Tirado, Alex Mendoza Blas, Juan Huamán Saavedra
Revista de la Facultad de Medicina Humana
COVID-19 is a disease caused by SARS-CoV-2, a virus that represents a serious threat to global health. The objective of the article is to deepen into the structure of the structural and non-structural proteins of SARS-CoV-2 and their role during the infection of its target cells; also to propose molecules from in silico studies that inhibit proteins of the viral cycle for potential pharmacological treatments. The SARS-CoV-2 genome has ORFs that encode sixteen non-structural proteins (Nsp1-16), four structural proteins (Spike, Envelope, Membrane, and Nucleocapsid), and nine accessory proteins; that fulfill various functions in the entry of the virus and its …
Neurological Damage In Sars-Cov-2 Infections, Jorge Vega-Fernández, Danny Suclupe-Campos, Franklin Aguilar-Gamboa
Neurological Damage In Sars-Cov-2 Infections, Jorge Vega-Fernández, Danny Suclupe-Campos, Franklin Aguilar-Gamboa
Revista de la Facultad de Medicina Humana
The current Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic has severely impacted the economy and health care system in more than 180 countries around the world in an unprecedented event, which since its inception has resulted in countless case reports focusing on the potentially fatal systemic and respiratory manifestations of the disease. However, the full extent of possible neurological manifestations caused by this new virus is not yet known. Understanding the interaction of SARS-CoV-2 with the nervous system is essential to assessing likely short- and long-term pathologic consequences. This review seeks to gather and discuss evidence on the occurrence …
Anxiety, Depression, Somatization And Experiential Avoidance Indicators In Peruvian University Students In Quarantine By Covid-19, Héctor Sánchez Carlessi, Luis Yarlequé Chocas, Leda Javier Alva, Edith Nuñez Llacuachaqui, Carlos Arenas Iparraguirre, Maria Matalinares Calvet, Eduardo Gutiérrez Santayana, Irma Egoavil Medina, Jorge Solis Quispe, Ceyda Fernandez Figueroa
Anxiety, Depression, Somatization And Experiential Avoidance Indicators In Peruvian University Students In Quarantine By Covid-19, Héctor Sánchez Carlessi, Luis Yarlequé Chocas, Leda Javier Alva, Edith Nuñez Llacuachaqui, Carlos Arenas Iparraguirre, Maria Matalinares Calvet, Eduardo Gutiérrez Santayana, Irma Egoavil Medina, Jorge Solis Quispe, Ceyda Fernandez Figueroa
Revista de la Facultad de Medicina Humana
Introduction: The COVID-19 quarantine has greatly affected university students in Peru, generating a series of physical, psychological and behavioral effects. Objective: To determine the factors associated with anxiety, depression, somatization and experiential avoidance in peruvian university students quarantined by COVID-19. Methods: A cross-sectional observational study was carried out. The sample was made up of 1264 university students from various departments of Peru, anxiety, depression, somatization and experiential avoidance were taken as dependent variables, which were evaluated with the questionnaire "The Inventory of unadjusted psychosocial behavior, in the presence of COVID-19 in the Peruvian population” and the AAQ II, for the …
Work Conditions And Personal Protective Equipment Against Covid-19 In Health Personnel, Lima-Peru, Jarvis Raraz Vidal, Henry Allpas Gomez, Flor Torres Salome, Wenner Cabrera Patiño, Rafael Ramos Gómez, Lilian Alcántara Leyva, Flor Aldea Chihuantito, Viviana Colona Risco, Omar Raraz Vidal
Work Conditions And Personal Protective Equipment Against Covid-19 In Health Personnel, Lima-Peru, Jarvis Raraz Vidal, Henry Allpas Gomez, Flor Torres Salome, Wenner Cabrera Patiño, Rafael Ramos Gómez, Lilian Alcántara Leyva, Flor Aldea Chihuantito, Viviana Colona Risco, Omar Raraz Vidal
Revista de la Facultad de Medicina Humana
Objective: To determine the association between working conditions and access to personal protective equipment (PPE) in health personnel in the city of Lima-Perú. Methods: Descriptive, cross-sectional and analytical study. The sample was of 323 respondents virtually in the city of Lima, who met the selection criteria, captured between 07/09/2020 to 08/09/2020. The data collection instrument was validated by expert judgment with a score> 80% (content validity). An analysis was carried out with the generalized linear model of the poisson family, log link function, robust models with fit. A statistically significant value of p <0.05 was considered. Results: 52% of health personnels (HP) worked more than 12 hours and only 55% received one PPE per work day. 50.9% of the HCP almost never received a mask. In the multivariate analysis, the SP with ages <26 years (p=0.00) and from 26 to 55 years (p=0.00) received an incomplete PPE. HP who did not have an employment relationship with the institution (p=0.006) and those who worked in areas with little contact with COVID-19 patients (p=0.022) received a mask on few occasions. Conclusion: Health personnels under 56 years of age rarely received PPE. When they work without an employment relationship and belonged to areas with little contact with COVID-19 patients, they sometimes received a mask.
Regional Distribution Of Covid-19 Mortality In Peru, Maria Flores López, Alonso Soto Tarazona, Jhony A. De La Cruz-Vargas
Regional Distribution Of Covid-19 Mortality In Peru, Maria Flores López, Alonso Soto Tarazona, Jhony A. De La Cruz-Vargas
Revista de la Facultad de Medicina Humana
Objectives: Compare the death rate from COVID-19 at the national level by regions and departments from March to September 2020. Methods: Quantitative, observational, cross-sectional, ecological and retrospective study. The data was extracted from the National Death System (SINADEF) in Microsoft Excel 2016 and imported into Stata. The variables were described as frequencies and percentages. Mortality was obtained by dividing the total deaths over the total population according to the last census. An adjusted exploratory analysis was performed using robust regression methods to evaluate the association between mortality by department and regions adjusted for age and sex of the deceased. P <0.05 was considered significant. Results: 32535 deaths were reported, 69.84% were male and the median was 67. The mortality rate in the Costa region 145 deaths were calculated (n = 24,276), followed by Sierra with 51 (n = 4434) and Selva with 63 (n = 2545). There were significant differences in mortality according to the region, in the comparison of the coast with the Sierra region a beta coefficient of -96.28 was found (p <0.001 IC -123.76 -68.77), while in the comparison with the Selva it was determined a coefficient of -50.38 (p 0.01 95% CI -91.47 -9.29). No significant association was found between the mortality rate and the average age or sex of the deceased by department. Conclusion: The death rate from COVID-19 at the national level was 101 per 100 000 inhabitants. The mortality rate found was higher on the Costa region than in the Sierra and Selva, regardless of the proportion of men, women or age.
Perception Of Knowledge And Attitudes Towards Covid-19 In A Group Of Citizens In The Urban Area Of Huánuco, Mely Ruiz Aquino, Anibal Diaz Lazo, Milward Ubillús, Alejandrina Aguí Ortiz
Perception Of Knowledge And Attitudes Towards Covid-19 In A Group Of Citizens In The Urban Area Of Huánuco, Mely Ruiz Aquino, Anibal Diaz Lazo, Milward Ubillús, Alejandrina Aguí Ortiz
Revista de la Facultad de Medicina Humana
Objective. To identify relationship between knowledge and type of attitudes towards COVID-19 in the citizens of the urban area of Huánuco. Methods. Observational, descriptive and cross-sectional study, with a quantitative approach. It was carried out in the city of Huánuco, 2020. Sample comprised 168 citizens. A previously validated knowledge questionnaire and an attitudes scale towards COVID-19 were applied. Pearson's χ² test and Spearman's correlation coefficient (rho) were applied. Results. When analyzing the type of knowledge regarding COVID-19, 62.5% (105) of the sample was located in the category “unknown”. Analyzing the type of attitudes perceived by citizens towards COVID-19, 36.9% (62) …
Skin Manifestations In Young Military Personnel Diagnosed With Covid 19 - Peru, Richard Febres Ramos, Stephany Vilchez Bravo
Skin Manifestations In Young Military Personnel Diagnosed With Covid 19 - Peru, Richard Febres Ramos, Stephany Vilchez Bravo
Revista de la Facultad de Medicina Humana
COVID-19 is a highly contagious respiratory tract infection caused by severe acute respiratory syndrome coronavirus 2. The infection has been reported to demonstrate different types of skin manifestations including urticarial, maculopapular, papulovesicular, purpuric, livedoid, and thrombotic-ischemic lesions. Given the high mortality rate of the infection, timely and accurate identification of relevant skin manifestations can play a key role in early diagnosis and management.Skin manifestations, a well-known effect of viral infections, are beginning to be reported in patients with COVID-19 disease. These manifestations most often are morbilliform rash, hives, vesicular rashes, acral lesions, and livedoid rashes. Some of these skin manifestations …
The Covid-19 Pandemic: The Importance Of Being Alert To Zoonoses., Manuel E. Cortés
The Covid-19 Pandemic: The Importance Of Being Alert To Zoonoses., Manuel E. Cortés
Revista de la Facultad de Medicina Humana
The pandemic of Coronavirus Disease - 2019 (COVID) has produced hundreds of thousands of deaths and millions of infected people worldwide, with the consequent collapse of health systems. SARS-CoV-2, the coronavirus causing COVID-19, is a pathogen with a zoonotic origin. The objective of this article is to highlight the importance of being alert to zoonoses, with special reference to COVID-19. First, the general chronology of the COVID-19 pandemic is described, then the characteristics of the coronaviruses are described in detail, especially regarding those of SARS-CoV-2. Subsequently, the One Health concept is highlighted as an appropriate approach to face this zoonosis …
Risk Factors For Mortality From Covid-19 In Hospitalized Patients: A Logistic Regression Model, Irma Luz Yupari, Lucia Bardales Aguirre, Julio Rodriguez Azabache, Jaylin Barros Sevillano, Angela Rodríguez Díaz
Risk Factors For Mortality From Covid-19 In Hospitalized Patients: A Logistic Regression Model, Irma Luz Yupari, Lucia Bardales Aguirre, Julio Rodriguez Azabache, Jaylin Barros Sevillano, Angela Rodríguez Díaz
Revista de la Facultad de Medicina Humana
Introduction: The population is susceptible to COVID-19 and knowing the most predominant characteristics and comorbidities of those affected is essential to diminish its effects. Objective: This study analyzed the biological, social and clinical risk factors for mortality in hospitalized patients with COVID-19 in the district of Trujillo, Peru. Methods: A descriptive type of study was made, with a quantitative approach and a correlational, retrospective, cross-sectional design. Data was obtained from the Ministry of Health’s database, with a sample of 64 patients from March to May 2020. Results: 85,71% of the total deceased are male, the most predominant occupation is Retired …