Medicine and Health Sciences Commons^™

When A Health Insurance Provider Says “No”: A Health Insurance Claim Navigation Tool, Dorothy Nuckols, Catherine Sorenson

The Journal of Extension

The purpose of health insurance is to pay for preventative and nonpreventative health care. Unfortunately, claim denials are frequent and most people do not contested these denials. Consumers lack both knowledge and self-efficacy to challenge their health insurance decision. Conflict is stressful can occur when a health insurance claim is denied unexpectedly. Faced with uncertainty of health care cost coverage, consumers are more likely to delay or forgo healthcare and jeopardize their health. To address this challenge, increase awareness of claim appeal processes and to provide consumer guidance, [STATE] Extension developed a Health Insurance Claim Navigation Tool.

An Observational, Retrospective, Study To Assess Sehetna Wellness Program Impact On Employees’ Well-Being And Health, Wafaa Saeed, Lina Shaker, Laila Ghanem, Mohamed El Aziz, Omer Mostafa, Rabab Youssef

BAU Journal - Health and Wellbeing

Wellness is an ongoing process that leads to realizing one's full potential, with studies showing reduced inpatient admissions, healthcare costs, and improved health-related quality of life through participation in large-scale wellness programs. SEHETNA program is a wellness initiative conducted with the Egyptian Group for Import and Export (EGMED) to enhance employees’ well-being. This study aimed to assess the SEHETNA wellness program impact on the general health of employees. This is a retrospective descriptive observational study including employees enrolled in wellness program for up to 12-months in 2021. Data were entered and analyzed using SPSS. Descriptive analysis was done, categorical variables …

Improving Healthcare Workers’ Biohazardous Spill Safe Handling Skills, Zeina Mhanna, Ahmad Tassi

BAU Journal - Health and Wellbeing

All healthcare workers (HCWs) are exposed to biohazardous material. Biohazardous material may come in the form of spills, posing a risk of infection to (HCWs) who are not trained on how to safely handle them. While international guidelines recommend training HCWs on how to safely handle biohazardous spills in order to improve their skills, there are no studies that tackled this recommendation. The aim of this study is to improve HCWs’ biohazardous spill safe handling skills through training, and to evaluate the association between the HCWs’ improvement level and demographical characteristics. The study was conducted in a Southern Lebanese hospital …

Knowledge And Attitude Of Lebanese Adults Towards Asthma In Beirut, Lebanon, Farah Hatem Haidar, Doaa Issa, Maha Aboul Ela, Karim Raafat

BAU Journal - Health and Wellbeing

Asthma, a serious global health problem, has been an area of interest due to its increasing prevalence, expanding treatment costs, and rising burden on patients and the community. Since asthma cannot be cured, clinical episodes can be prevented and controlled by adequate management and sufficient knowledge of the disease. Appropriate treatment may relieve asthma symptoms and improve quality of life. However, poor knowledge of asthma disease and medication use, misdiagnoses, misuse of inhalers and inadequate self-management of disease symptoms may have a greater impact on the disease process. Therefore, assessment of the population’s knowledge and attitude toward asthma is essential. …

Methods And Variability In Physician Associate Student Advocacy Education, Jason P. Prevelige, Lindsay Gietzen

Pacific Journal of Health

Objective: To assess the current practices of PA programs pertaining to how advocacy education is taught to their students and to determine differences among the programs.

Methods: PA program directors were interviewed about advocacy education including time allotted, when it is provided, learning objectives, source materials, teaching methods, determination of competency, and tracking of student advocacy participation after graduation.

Results: All noted that advocacy education is important, however meaningful, in-depth, instruction can be limited for a variety of reasons. Such reasons include limited educational time to ensure that a sizeable set of standards is met, limited access …

Extension-Clinical Approach To Covid-19 Testing And Vaccination, Camden Bryan, Rhonda Matthews, Kapri Kreps, David Thornal, Danielle Mcfall, David Sudduth, Michelle Parisi

The Journal of Extension

Vaccination rates against COVID-19 are lower in rural areas across the country, including SC. This paper highlights the work conducted by Clemson Cooperative Extension Service in SC to increase rural access to COVID-19 testing and vaccine services. Extension Agents engaged in clinical and community partnerships to coordinate COVID-19 vaccine and testing clinics in rural and underserved communities. Agents established 204 test clinics and 220 vaccination clinics. The total number of people tested and vaccinated was 9,331 and 2,037, respectively. The success of this project shows Extension agents can be instrumental in bridging the gap between clinical resources and rural communities.

Physical Activity In Underserved Preadolescents: Characterization Of Accumulation And Patterns, Alma I. Behar, Matthew T. Mahar, Gregory Norman, John P. Elder, Michael Pratt, Patricia Dionicio, Noe C. Crespo

International Journal of Physical Activity and Health

Objectives: The increasing rates of physical inactivity and sedentary behaviors among youth are a significant public health concern. The greatest disparities in physical activity (PA) are experienced by underserved (racial/ethnic minority, low-income) youth. This study aimed to characterize accelerometer-measured PA behaviors in a sample of low-income, predominantly Latino, preadolescents. Methods: Participants wore wrist worn GENEActiv accelerometers for 7 days. PA levels were classified as sedentary (< 50 mg), light (50-150 mg), moderate (> 150-500 mg), vigorous (> 500 mg), and MVPA (≥ 150 mg). Time spent in PA levels and sedentary time (ST), prevalence of meeting MVPA guidelines, and PA volume were estimated from accelerometer data. Three-way …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …

Successful Application Of Craniosacral Therapy In A Case Of Acute Ptosis Following A Covid-19 Infection., Efterpi Rompoti

Journal of Transformative Touch

This case study offers a unique insight on the effectiveness of CranioSacral therapy (CST) in a 49 year old woman experiencing an acute stage of a viral infection (Covid-19) causing a partial left Oculomotor nerve palsy. A CST glial/Cerebrospinal Fluid (CSF) specific protocol was utilised over 2 consecutive days. The patient recovered fully after 5 days. The results of this particular case can open up the possibility of utilising CST more widely in treating cranial nerve palsies following a viral infection to support the healing process and the functional restoration.

Early Detection Of Mental Health Problems In University Students, Allyson Dajana Espinoza García

Revista de la Facultad de Medicina Humana

Due to community transmission and the increase in cases during the COVID-19 pandemic, preventive measures had to be adopted, including social isolation and quarantine, which have had effects on people's mental health. Thus, the restriction of free movement, the discontinuity of routines, the decrease in social interaction, the lack of traditional learning methods, as well as the new academic, technological and psychological demands have generated an increase in tension, stress and anxiety in young people.

Toxic Megacolon. Case Report, Roger Sernaque Mechato, Stephanie Tahnne Castillo Arias, Silvana Ñaupari Jara, Flor Milagros Mendoza Barreto

Revista de la Facultad de Medicina Humana

Toxic megacolon is a fatal disease, most commonly occurring as a complication of inflammatory bowel disease, infections, and intestinal ischemia. It is characterized by the presence of bloody diarrhea, abdominal distension, signs of systemic toxicity, and segmental colonic dilation is observed in imaging studies. The diagnosis according to Jalan's criteria are: colonic dilation more than 6cm, three of the following: fever, tachycardia, leukocytosis or anemia, and any of the following criteria: hypotension, hypovolemia, electrolyte disorder and altered mental status. This article presents the case of a female patient who was admitted with abdominal pain and chronic diarrhea with an imaging …

Anaplastic Large Cell Lymphoma Associated To Breast Implants In Latin America, Gianella Fernanda Ugarte, Carlos Noriega-Baella

Revista de la Facultad de Medicina Humana

Dear Editor, After reading the 2023 publication by Manjarres A. et al. in your esteemed journal on cancer and breast implants, I would like to contribute additional data regarding breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) in Latin America. This work highlights the lack of knowledge and evidence in Latin American countries, a crucial aspect given the classification of BIA-ALCL as a new pathological entity by the World Health Organization in 2016.

Lymph Node Tuberculosis With Genital Involvement: Case Report, Joel Isaac Atencio Paulino, Waldir Paucar Huaman, Deivi Nick Galarza Caceres, Jeampier Bendezu Meza, Jhonatan Mauricio Crispin Ayala

Revista de la Facultad de Medicina Humana

We present the case of a 44-year-old male patient with a family history of lymphoma and hyperthyroidism. He started the disease three months before admission to hospital with pain in the right leg, abdominal pain, weight loss and night sweats. He was diagnosed in his hospitalization with ascites in a cavity of undetermined etiology, and multiple polygastric and fossa lymph nodes right iliac. At 6 months, the symptoms persist and a nodule is added on the penis, left testicular edema and purulent discharge from the right inguinal node, being diagnosed orchiepididymitis. Initially he had negative markers for tuberculosis (TB), however, …

Successful Intrabdominal Preterm Pregnancy: A Case Report, Saida Anyul Abud-Flores, Marco Andrés González Martínez, Arturo García-Galicia, Carlos Alberto López-Bernal, Álvaro José Montiel-Jarquín, Gisela Alonso Torres, Nancy Rosalía Bertado Ramírez, Laura Andrea Reyes-Luna

Revista de la Facultad de Medicina Humana

Introduction: Ectopic pregnancy is any gestation in which the implantation site of the fertilized egg is located outside the endometrial cavity. Abdominal ectopic pregnancy represents 1.4% of these. Case report: 28-year-old patient with two previous cesarean sections; bilateral tubal obstruction during the last operation. The patient was admitted to the hospital with blood pressure of 180/130 mm Hg that did not respond to medical treatment and not progression to labor so it was decided to interrupt the pregnancy by cesarean section. During surgery, a small uterus with extrauterine pregnancy was observed adhered to the serosa of the cecum, ascending colon, …

Miliary Tuberculosis In An Immunocompetent Patient: Case Report, Renzo Steffano Valle Farfan, Alejandro Manuel Peña Villalobos, Walter Jesus Espinoza Hernandez, Steffano Alessandro Valle Farfan

Revista de la Facultad de Medicina Humana

Milar Tuberculosis (TB) is a presentation with a fatal outcome if it is not diagnosed or treated on time; although certain conditions are required to develop this presentation. In this In this article, the case of a 48-year-old man with no pathological history is studied, who started the disease with a time of six months with an initial diffuse gastrointestinal pain and later one month before admission presented progressive respiratory symptoms; he was admitted for emergencies where bilateral diffuse miliary compromise was evident in the chest computed tomography; upon admission, he was administered oxygen and support measures, an HIV test …

Transforming Medical Education In The 21st Century: The Role Of Competency-Based Medical Education, Fernando Ramos Zaga

Revista de la Facultad de Medicina Humana

Introduction: With the changing landscape of medical education, it is crucial to critically examine existing approaches and frameworks. competency-based medical education (CBME) emerges as a promising paradigm shift, which prioritizes learner-centered, outcome-oriented development of skills, knowledge, and attitudes. Objective: To identify the essential structural and procedural adjustments needed for effective implementation of CBME. It underscores the importance of reorganizing educational institutions, adapting instructional and assessment techniques, and fostering acceptance of CBME in the classroom. Results: To effectively deliver CBME, it is imperative to restructure educational institutions to focus on competency-based curricula and personalized instruction. Also, there is a need to …

Heart Failure Secondary To A Snake Bite. The Intensivist's Vision: Case Report, Andrés Alirio Restrepo Bastidas, Mateo Aguirre Flórez, Jaime Andrés Hoyos Muñoz, Melissa Gonzales Ramírez, David Ricardo Echeverry Piedrahita

Revista de la Facultad de Medicina Humana

Background: Ophidic accident is a neglected disease that affects tropical countries. Latin America is the second region after Africa, with the most cases worldwide. Local lesions accompany its clinical course up to systemic affectations such as renal, hematological, and neurological lesions. Cardiac complications are rare, especially in patients who do not have cardiovascular risk factors. There are reports of acute myocardial infarction, but there is little information about heart failure due to Bothrops spp. Case report: We present the case of a 25-year-old man without cardiovascular risk factors who was admitted to the intensive care unit and developed heart failure …

Blockchain Technology Applied In Medicine: A Systematic Review, Christian Jairo Tinoco Plasencia

Revista de la Facultad de Medicina Humana

Objective: Develop an articles review to evaluate the existing evidence on blockchain technology applied in medicine. Methods: The study was of a documentary type, bibliographic design, framed in a systematic review. The harvest of articles was carried out in the Scopus, Web of Sciences, Pro Quest and ScienceDirect databases from January 1, 2018 to July 31, 2023. The descriptors were blockchain, technology and medicine. The PRISMA diagram was prepared considering the inclusion criteria: original articles, with open access; that address the subject and in any language. The search yielded 70 articles, of which 11 formed the sample. Results: The various …

Non-Fatal Strangulation/Suffocation In Context Of Gender Violence: Medicolegal Aspects And Implications In Clinical Practice, Mónica Andrea Núñez Garrido, Sergio Herrera Umanzor

Revista de la Facultad de Medicina Humana

Despite the numerous efforts of the international community to eradicate all forms of violence against women, this problem is far from being resolved. According to the UN, one in three women has suffered physical or sexual violence from an intimate partner, sexual violence outside the couple, or both at least once in their life. Addressing this problem as a social health need of population groups allows an approach to gender violence as a collective health problem. At the level of physical violence, strangulation/suffocation has been identified as one of the most lethal forms of domestic violence and sexual assault. Victims …

Hyperglycemia As A Risk Factor For In-Hospital Mortality In Myocardial Infarction, Ciro Barrantes-Alarcon, Rosalia Fernández-Coronado, Adriel Olortegui-Yzu

Revista de la Facultad de Medicina Humana

Introduction: Myocardial infarction continues with high mortality rates, from 4.6% to 13.1%. There are predictive risk stratification models, such as the Grace Score, which does not include glycemia as a variable. Patients hospitalized for myocardial infarction with hyperglycemia on admission may have higher mortality, in ST elevated and non-elevated infarcts. Objectives: The objective of this review is to identify and systematize the evidence on hyperglycemia on admission as a biomarker of mortality and heart failure in acute myocardial infarction. Materials and Methods: The search was carried out in the MEDLINE database including the MeSH terms hyperglycemia and hospital mortality or …

Laura E. Rodríguez Dulanto: The First Clinical Trial Performed By A Female Physician In Peru., Oswaldo Salaverry García

Revista de la Facultad de Medicina Humana

Laura Gutiérrez Dulanto has been highlighted for her status as the first woman to graduate in Medicine in Peru. Her high intellectual qualities have been noted from various perspectives, as well as her effort and tenacity to overcome the difficulties of pursuing university studies, particularly in scientific disciplines, then reserved exclusively for men. It has been pointed out, however, that due to the limitations imposed on women at the time, she had a diminished professional activity and little scientific production, which has not been reviewed by existing historiography. This article analyzes his scientific production, especially a clinical study developed in …

Anatomical Preparation Of The Visceral Aspect Of The Human Liver To Demonstrate The Branches Of The Hepatic Portal Vein Applying The Laskowski Filling, Dissection And Conservation Techniques, Emanuel Sebastian Balarezo Rebaza, Cesar Brandom Pretell León, Pamela Nicole Torres Blas, Athenas Belissa Alvaro Montes, Ana Lucero Canales Guevara

Revista de la Facultad de Medicina Humana

The Human Anatomy course is crucial in the education of medical students, and therefore, the shortage of anatomical specimens poses a challenge in teaching. This study aims to create an anatomical preparation of the visceral surface of the liver, allowing visualization of the branches of the hepatic portal vein using the repletion, dissection, and Laskowski preservation techniques. The preparation successfully revealed the distribution of suprahepatic veins and branches of the portal vein irrigating their respective segments, without encountering anatomical variations. The study successfully produced an anatomical specimen primarily showcasing the branches of the hepatic portal vein. We recommend inspecting

Vitamins B1, B6, And B12 And Peripheral Neuropathies: International Expert Consensus, John Longa López, José Luis Dinamarca-Montecinos, Koni Mejía-Rojas, Astrid Cecilia Bernaola Cuadros, Jessica Beatriz Ampuero Bárcena, Leonardo Palacios-Sánchez, Mariano Fernandez-Fairen

Revista de la Facultad de Medicina Humana

Based on a bibliographic review of the literature, a consensus of international experts has been carried out on the use of vitamins B1, B6, B12, in their deficiencies, and in the peripheral neuropathy that may be associated with them, to optimize the management of these conditions. Several questions considered important and worthy of being addressed and clarified were raised, retaining nine of them for further discussion to achieve consensus. Forty one recommendations on the management of these conditions have been proposed, with unanimity of the participants in the consensus. This has been an attempt to clarify controversial points, assisting the …

Associated Factors With Jaundice Requiring Phototherapy: A Case-Control Study In A Hospital In Peru, Mary Claudia Huambo Panduro, Andrea P. Ramirez-Ortega, Luis Roldan-Arbieto, José M. Vela-Ruiz

Revista de la Facultad de Medicina Humana

Objective: To determine the factors associated with jaundice requiring phototherapy. Material and Methods: An observational, analytical, and retrospective case-control study was conducted. Medical records of 212 patients aged 0 to 7 days from the neonatology service at Hospital Carlos Lanfranco La Hoz were reviewed, divided into 106 cases (with phototherapy) and 106 controls (without phototherapy). Results: Preterm neonates showed a significant association with an OR: 5.526; 95% CI (2.038-14.981), P= 0.001; and ABO incompatibility had an OR: 4.373, 95% CI (1.934-9.889), P= 0.001. However, birth weight, Rh incompatibility, neonatal sepsis, maternal urinary tract infection, and maternal anemia were not associated …

Cold Chain Of The Peruvian National Immunization Program In The Context Of The Covid-19 Pandemic, Alfonso Gutierrez-Aguado, Mariana Mendoza, Tatiana Sarazú, Paula Rodriguez-Ordoñez

Revista de la Facultad de Medicina Humana

Objective: The aim of this study was to identify critical aspects of the Cold Chain in the immunization process in Peru. Methodology: A descriptive study was conducted, analyzing data from the Ministry of Economy and Finance (MEF) and the Ministry of Health (MINSA) for the years 2020-2021, as well as administrative records from the MINSA's Regional Health Strategies for immunizations in 2020. Technical aspects established in the Health Technical Standard for Cold Chain Management, such as obsolescence, allocation, functionality, and storage capacity were taken into account. Results: In the year 2020, at the national level, 61.8% of the cold chain …

Short And Prolonged Fasting Prior To The Performance Of Tracheostomies In Intensive Therapy: A Retrospective Study, Lucas Gonzalo Duran, María Emilia Beilman, Araceli Natali Quiroga, Magdalena Cruz, Alejandra Vanesa Millan, Micaela Johanna Ojeda, Fabiana Ciccioli, Micaela Giselle Montenegro Fernandez, Wendy Estefany Monrroy Miro, Valentina Trinidad Malisia, Nicolas Antonio Grassi, Nazareno Iñaki Zelaya De Leon, Franco Ezequiel Espinoza, Marina Otamendi, Paula Zorzano Osinalde, Marcos Petasny

Revista de la Facultad de Medicina Humana

Introduction: International guidelines on aid prior to invasive procedures usually generate longer aid than in intensive care (IT) patients. This fact represents a high risk of malnutrition and, consequently, a worse prognosis. The objective of the present investigation was to analyze the degree of association between the fasting time prior to tracheostomy of patients under mechanical ventilatory assistance (MVA) and the appearance of pneumonia. Methods: Retrospective cohort study that included patients admitted to our IT from 10/01/2018 to 08/31/2022 and with a tracheostomy performed. Two cohorts were defined characterized by fasting ≤3 hours vs. >3 hours. Fisher's exact test and …

Correlation Of Histopathological Results And Tomographic Findings In Patients With Liver Lesions Suspicious For Malignancy., Luis Pablo Valencia Montiel, Jorge Roberto Hernández Santos, Arturo García-Galicia, Álvaro José Montiel-Jarquín, Diana López García, Maricarmen Tapia Venancio, Nancy Rosalía Bertado-Ramírez

Revista de la Facultad de Medicina Humana

Introduction. Liver cancer is the seventh most common neoplasm worldwide and the second cause of mortality directly associated with cancer. In Mexico it has an incidence of 3.9% in the entire population. Although computed tomography (CT) is the imaging study of choice, the final diagnosis is established with the anatomopathological study of the lesion. Objective. Correlate the tomographic findings with the histopathological result in patients with liver lesions with suspicion of malignancy, who underwent USG-guided biopsy. Methods. Descriptive, correlation, retrolective, homodemographic and single-center study. The study period was from September 2021 to February 2022. Patients older than 18 years with …

Analysis Of Adverse Drug Reactions Caused By Antipsychotic Drugs In A Mexican Health Institute, Erick Rojas-Valladares, Ismael Aguilar-Salas, Karina Sánchez-Herrera, Ivo Heyerdahl-Viau, Jonatan Benitez-Morales, Juan Manuel Martínez-Núñez

Revista de la Facultad de Medicina Humana

Introduction: Adverse Drug Reactions (ADRs) are unwanted clinical or laboratory manifestations that are related to drug use. ADRs are common and are associated with significant risk of morbidity, mortality and hospital admissions. Antipsychotics have a reduced therapeutic window, and have been related to the manifestation of a variety of ADRs. Objective: To evaluate the pattern of ADRs due to antipsychotic drugs detected in patients treated at the Ramón de la Fuente Muñiz National Institute of Psychiatry between December 2021 and May 2022. Methods: Observational, descriptive, prospective and cross-sectional study of a series of cases. The seriousness, severity, and quality of …

Sociodemographic Factors Associated With Domestic Violence In Women In Peru, 2021, Luis Fernando Perez Yari, Maria Loo-Valverde, Willer David Chanduvi Puicon

Revista de la Facultad de Medicina Humana

Introducción: La violencia intrafamiliar se basa en fenómenos con una relación de subordinación, cuyos comportamientos se relacionan con el daño físico, psicológico y sexual, mediante el uso real o simbólico de la fuerza, con el objetivo de dominar la voluntad, mente y cuerpo de la víctima. Objetivo: Determinar los factores sociodemográficos asociados a las mujeres víctimas de violencia intrafamiliar en el Perú durante el año 2021. Material y Métodos: Es estudio observacional, retrospectivo, analítico y transversal, desarrollado mediante las bases secundarias ENDES 2021; se utilizó la información de 21 557 mujeres, la cual fue analizada mediante el software estadístico SPSS …

Sociodemographic Characteristics And Bone Health In Argentine Adults With A Plant-Based Diet, Paula Taboada, Marcela Manuzza, Silvina Mastaglia

Revista de la Facultad de Medicina Humana

Objective: To analyze the sociodemographic characteristics and bone health among adult consumers of plant-based diets (PBD). Methods: Individuals aged 18 to 75 were invited to complete a self-administered survey via a digital platform. Results: A total of 1151 participants completed the survey; the majority were women [n=958 (83.2%)], young [age (years): 18-25: 35.8%; 26-35: 39.8%, and 36-45: 17.4%] and single (67.1%). The pattern of PBD consumption was mainly represented by veganism (54.0%), followed by lacto-ovo-vegetarianism (27.7%). The primary reason for their dietary choice was animal welfare (83.5%). Adherence to PBD, based on duration (years), was <1: >12.3%; 1-5: 67.4%; 10-15: 14.8%, …