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Indigenous Communities From Oaxaca, Mexico. Health Problems, Opportunities And Challenges In Public Health With Special Attention In Mental Health, Helda Pinzón-Pérez, Leoncio Vásquez Santos Oct 2021

Indigenous Communities From Oaxaca, Mexico. Health Problems, Opportunities And Challenges In Public Health With Special Attention In Mental Health, Helda Pinzón-Pérez, Leoncio Vásquez Santos

Revista de la Facultad de Medicina Humana

Oaxacans come from the Mexican state of Oaxaca and have relocated primarily in the Central Valley of California, Los Angeles, and San Diego. They are the fastest growing farm-worker population in California and are estimated to be between 100,000 and 150,0001. This community is affected by various health problems, which have been exacerbated by the COVID-19 pandemic. This article intends to familiarize the reader with the cultural characteristics of the Indigenous Mexican Oaxacan communities and their health care needs, especially in mental health, the main programs and services carried out, the challenges of nurses and public health workers in this …


Damage Control Approach And Reduced Resuscitation Of The Polytraumatized Pediatric Patient In The Emergency Room, Augusto Flavio Figueroa-Uribe, Julia Hernández-Ramírez, Gabriela Mendoza-Besares, Inti Ernesto Bocanegra-Cedillo, Michelle Fabienne Vela-Díaz Infante, Jorge Omar Flores-Del Razo Oct 2021

Damage Control Approach And Reduced Resuscitation Of The Polytraumatized Pediatric Patient In The Emergency Room, Augusto Flavio Figueroa-Uribe, Julia Hernández-Ramírez, Gabriela Mendoza-Besares, Inti Ernesto Bocanegra-Cedillo, Michelle Fabienne Vela-Díaz Infante, Jorge Omar Flores-Del Razo

Revista de la Facultad de Medicina Humana

Polytrauma in pediatric patients is a frequent event, so its timely approach and management define its prognosis. Polytrauma is defined as the presence of two or more traumatic injuries or a single one that endangers life or there is a risk of serious sequelae; resuscitation is understood as the restoration of vital functions of the patient in the pre-hospital area to the hospital area aimed at avoiding the damage caused by the fatal pentad of trauma (coagulopathy, acidosis, hypothermia, hyperglycemia and hypoxia) for which the Damage control protocol which is referred to all the maneuvers that have the purpose of …


Critical Reading Of Clinical Studies. Practical Bases For The Resident Physician In Medical Specialties, Rafael Pichardo-Rodriguez, Liz B. Cordova-Cueva, Marcos Saavedra-Velasco Oct 2021

Critical Reading Of Clinical Studies. Practical Bases For The Resident Physician In Medical Specialties, Rafael Pichardo-Rodriguez, Liz B. Cordova-Cueva, Marcos Saavedra-Velasco

Revista de la Facultad de Medicina Humana

Critical reading from the point of view of evidence-based medicine is a structured reading that allows us to evaluate the validity and relevance of the results and the applicability of a clinical study in our patient. However, the level of critical reading in resident physicians is low, as various studies have described. In a study of oncology resident physicians, a poor level of critical reading of clinical research articles was found. And in the same way, deficient levels were found in cardiology and family medicine residents. In our country, this situation is unknown and it is most likely deficient. Reason …


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 Oct 2021

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 …


Family Cohesion And Time Of Hospitalization In Patients With Mental Disorders In A Hospital In Lambayeque, Peru, Kimberly Requelme Portocarrero, Juliana Melissa Delgado Arriola, Alain Eduard Monsalve Mera, Víctor Hugo Díaz Silva, Ricardo Villarreal Trujillo Oct 2021

Family Cohesion And Time Of Hospitalization In Patients With Mental Disorders In A Hospital In Lambayeque, Peru, Kimberly Requelme Portocarrero, Juliana Melissa Delgado Arriola, Alain Eduard Monsalve Mera, Víctor Hugo Díaz Silva, Ricardo Villarreal Trujillo

Revista de la Facultad de Medicina Humana

Mental disorders represent about 22% of the total burden of disease, and family support plays an important role in the length of hospitalization time in these patients. We described the family cohesion and the time of hospitalization in patients of the psychiatric service of the Almanzor Aguinaga Asenjo National Hospital (H.N.A.A.A) during 2019. This is a cross-sectional descriptive census-type study, in which a questionnaire of 11 questions on family cohesion was applied. Sociodemographic and clinical data were collected through a data collection form. 60 patients were surveyed, the median age was 50 years, the most frequent diagnosis was schizophrenia; most …


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 Oct 2021

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 …


Cost Of Pulmonary Arterial Hypertension In Peru, Fabián Hernández, Julieta Larrosa, Jéssica Nacazume, Oscar Aguirre, Nelson Larrea, Sarah Franco-Watanabe, Jorge Álvarez, André Morais Oct 2021

Cost Of Pulmonary Arterial Hypertension In Peru, Fabián Hernández, Julieta Larrosa, Jéssica Nacazume, Oscar Aguirre, Nelson Larrea, Sarah Franco-Watanabe, Jorge Álvarez, André Morais

Revista de la Facultad de Medicina Humana

Introduction: Pulmonary arterial hypertension (PAH) is a low prevalence condition for which there is very little information in Peru. Several studies indicate that it is associated with elevated costs for health systems in the world. Objective: To establish the economic burden of PAH in the Peruvian context. Methods: Information on the use of health resources was collected through consultations with clinical experts and key opinion leaders. Cost data was obtained from two tariff manuals and from the Observatory of Pharmaceutical Products (DIGEMID). Results: Expert consultations indicated that about 68% of the patients were in an intermediate stage of the disease …


Factors Associated With The Level Of Knowledge About Palliative Care Among Medical Students At A University In Lima, Peru, Daniela Tarazona-Pedreros, Rubén Espinoza-Rojas Oct 2021

Factors Associated With The Level Of Knowledge About Palliative Care Among Medical Students At A University In Lima, Peru, Daniela Tarazona-Pedreros, Rubén Espinoza-Rojas

Revista de la Facultad de Medicina Humana

Introduction: In Peru, medical schools do not have any formal course on palliative care. Objective: To determine the factors associated with the level of knowledge about palliative care in medical students of the sixth and seventh year of Ricardo Palma University, during the second half of 2020. Methodology: Observational, cross-sectional and analytical study. The sample consisted of 139 sixth and seventh year students, who were surveyed with the Palliative Care Knowledge Test (PCKT) modified by Ordoñez et al1 for medical students in Peru. Sampling was probabilistic, stratified. Results: 48.9% were sixth year students and 51.1% were seventh year students. 87.8% …


Resilience, Anxiety And Eating Habits Of The South-East Amazon Population Before And During The Pandemic, Ana María Montero Doig, Guisela Yábar Torres, Lucy E. Correa-Lopez Oct 2021

Resilience, Anxiety And Eating Habits Of The South-East Amazon Population Before And During The Pandemic, Ana María Montero Doig, Guisela Yábar Torres, Lucy E. Correa-Lopez

Revista de la Facultad de Medicina Humana

Objective: To determine the relationship between resilience, anxiety and eating habits of the south-eastern Amazonian population before and during the pandemic in 2020. Methods: Relational, quantitative and qualitative descriptive, the sample consisted of 150 inhabitants aged 30 to 45 years. The instrument used was the STAI: state-trait anxiety inventory, the data were processed with SPSS-25, analysis of significance and difference of means was performed, non-parametric test and post-test significant differences (Wilcoxon test for related samples ). Results: In adults, State-Trait Anxiety was greater than 65%, a bilateral significance of p = 0.01 was obtained, indicating that anxiety was related to …


Validity Of The American Diabetes Association Diabetes Risk Test As Screening For Prediabetes In A Sample Of Peruvian Workers, Victor Juan Vera-Ponce, Jorge Enrique Osada Liy, Mario J. Valladares-Garrido Oct 2021

Validity Of The American Diabetes Association Diabetes Risk Test As Screening For Prediabetes In A Sample Of Peruvian Workers, Victor Juan Vera-Ponce, Jorge Enrique Osada Liy, Mario J. Valladares-Garrido

Revista de la Facultad de Medicina Humana

Objective: To evaluate the validity of the risk test of the American Diabetes Association (ADA Test) as a screening for hyperglycemia in a sample of workers in Lima, Peru. Methods: Cross-sectional study of diagnostic tests. Secondary analysis of the data generated by the electronic health record of an occupational polyclinic, carried out in January and February 2020. The sample was made up of workers from different areas who attended for their occupational medical evaluation. Prediabetes was considered with a fasting glucose ≥ 100 mg / dl but less than 126 mg / dl. Results: 397 subjects were evaluated. The prevalence …


Risk Of Infections, Chronic Diseases And Mental Health Disorders After Floods By The Coastal Child Phenomenon In Displaced Populations, Piura, 2017, Manuel J. Loayza-Alarico, Jhony A. De La Cruz -Vargas Oct 2021

Risk Of Infections, Chronic Diseases And Mental Health Disorders After Floods By The Coastal Child Phenomenon In Displaced Populations, Piura, 2017, Manuel J. Loayza-Alarico, Jhony A. De La Cruz -Vargas

Revista de la Facultad de Medicina Humana

Introduction: In Peru, the presence of the Coastal Child Phenomenon produces floods and the appearance of diseases cyclically. Objective: To determine the risk factors for the presence of diseases in displaced populations in Piura due to the Nino Costero. Methods: Quantitative, longitudinal, analytical investigation of cases and controls with 544 families that were selected through a two-stage random sampling considering the proportion of families per block, area and cluster. For data collection, various diagnostic and monitoring instruments were used, such as that of the International Organization for Migration (IOM), the health care base and the application of an instrument for …


Prior Use Of Antibiotics And Clinical Characteristics Of Women Who Developed Urinary Tract Infection Due To Beta-Lactamase Bacteria In A Peruvian Hospital, Ítalo Valero Román, Félix Llanos-Tejada Oct 2021

Prior Use Of Antibiotics And Clinical Characteristics Of Women Who Developed Urinary Tract Infection Due To Beta-Lactamase Bacteria In A Peruvian Hospital, Ítalo Valero Román, Félix Llanos-Tejada

Revista de la Facultad de Medicina Humana

Introduction: The overused of antibiotics has existed as a threat to public health for several years. The World Health Organization (WHO) warns that in the year 2050 the "post-antibiotic era" will begin, where approximately 10 million deaths per year will be attributed to resistant infections. The infection where this type of bacteria is most relevant is in urinary tract pathology. Objective: Determine the factors associated with the development of urinary tract infections by beta-lactamase-producing bacteria in older adults in the internal medicine service of the Dos de Mayo National Hospital. Methods: An analytical, cross-sectional, retrospective, case-control type study was carried …


Factors Associated With Pregnancy-Induced Hypertension In Women Living At High Altitudes, Jenny Mendoza-Vilcahuaman, Rossibel Juana Muñoz- De La Torre, Anibal Valentin Diaz-Lazo Oct 2021

Factors Associated With Pregnancy-Induced Hypertension In Women Living At High Altitudes, Jenny Mendoza-Vilcahuaman, Rossibel Juana Muñoz- De La Torre, Anibal Valentin Diaz-Lazo

Revista de la Facultad de Medicina Humana

Objective: To determine the factors associated with pregnancy-induced arterial hypertension (HIE) in people living at high altitude. Methods: The research was observational, cross-sectional, analytical study of cases and controls. It was held at the El Carmen de Huancayo Regional Teaching Maternal and Child Hospital, Peru located at 3,259 m.a.s.l. The calculation of the sample was Epidat 3.0. 80% power level, with frequency of 27% for cases, 17% for controls, precision of 5% and odds ratio (OR) = 2. X2 squared, binomial and multivariate logistic regression were used for statistical analysis. Results: 960 (100%) pregnant women were included, with a mean …


Access Routes For Infiltration Of Viscosuplementation In The Knees Of Patients With Grade Ii-Iii Gonartrosis, Oswaldo Fernández-Miranda, Miguel Ángel Sánchez-Durán, Blanca Paola Rivera-Zúñiga, Rodolfo Barragán-Hervella, Jorge Quiroz-Williams Oct 2021

Access Routes For Infiltration Of Viscosuplementation In The Knees Of Patients With Grade Ii-Iii Gonartrosis, Oswaldo Fernández-Miranda, Miguel Ángel Sánchez-Durán, Blanca Paola Rivera-Zúñiga, Rodolfo Barragán-Hervella, Jorge Quiroz-Williams

Revista de la Facultad de Medicina Humana

Introduction: Knee joint injection is a daily procedure in orthopedic outpatient visit. In order to obtain the maximum therapeutic benefit, it is necessary to perform the injection directly into the articular space and not into the adjacent structures. Objective: To establish the accuracy of the injection site into the knee joint in patients with grade II-III gonarthrosis. The portal approaches taken into consideration in this study were: Anterolateral (AL), Anteromedial (AM), Lateral Suprapatellar (LSP), Lateral mid-patellar (LMP), Medial mid-patellar (MMP) and Transtendinous (TT). Methods: A cross-sectional and descriptive study was conducted. A total of 123 knee joints were injected under …


Teacher-Student Perspective On Teaching Strategies And Constructivist Pedagogical Skills In Master's Programs Of A Peruvian Public University, Janet Campos-Gutierrez, Maritza Placencia-Medina, Javier Silva-Valencia, María Elena Muñoz- Zambrano Oct 2021

Teacher-Student Perspective On Teaching Strategies And Constructivist Pedagogical Skills In Master's Programs Of A Peruvian Public University, Janet Campos-Gutierrez, Maritza Placencia-Medina, Javier Silva-Valencia, María Elena Muñoz- Zambrano

Revista de la Facultad de Medicina Humana

This research addresses the evaluation of teacher performance through the student-centered paradigm. Objective: To determine the teaching strategies and pedagogical skills with a constructivist approach used, from the teacher and student perspective, in the health master's programs of a Peruvian public university. Methodology: Quantitative, descriptive and cross-cutting study. Based on the Evaluation Questionnaire of the Teaching and Evaluative Methodology of University Professors (CEMEDEPU), an instrument was developed, which was validated by expert judgment with an Alpha cronbach reliability of 0.961, which was applied to teachers and students. The sample obtained was from 42 teachers and 130 students from eight master's …


Toxoplasma Gondii Infection And Associated Factors In Blood Donors From Hospital Ii-2 Tarapoto, Peru, July To December 2019, Adolfo Díaz-Ginéz, Heber Silva-Díaz Oct 2021

Toxoplasma Gondii Infection And Associated Factors In Blood Donors From Hospital Ii-2 Tarapoto, Peru, July To December 2019, Adolfo Díaz-Ginéz, Heber Silva-Díaz

Revista de la Facultad de Medicina Humana

Introduction: Toxoplasmosis is a worldwide parasitic infection caused by Toxoplasma gondii that can be transmitted through blood transfusions. Objectives: To determine the frequency and associated factors of T. gondii infection in blood donors from Hospital II-2 Tarapoto, Peru, July to December 2019. Methods: Analytical cross-sectional study carried out in a sample of 92 donors. Infection was determined by detecting serum IgM and IgG anti T. gondii antibodies by the Elisa technique. Sociodemographic, environmental and habit factors were collected by applying an interview to each volunteer participant. Results: The donor sample was characterized by a median age of 30 years, male …


Classical Hodgkin Lymphoma In Pathological Anatomy Department At Edgardo Rebagliati Martins National Hospital During 2015 To 2019, María Del Pilar Quiñones Ávila, Eugenio Américo Palomino Portilla, Herbert Alejandro Yábar Berrocal Oct 2021

Classical Hodgkin Lymphoma In Pathological Anatomy Department At Edgardo Rebagliati Martins National Hospital During 2015 To 2019, María Del Pilar Quiñones Ávila, Eugenio Américo Palomino Portilla, Herbert Alejandro Yábar Berrocal

Revista de la Facultad de Medicina Humana

Introduction: Hodgkin lymphomas are B-cell lymphoid neoplasms histologically characterized by a mixed inflammatory cellular component and few Hodgkin/Reed-Sternberg neoplastic cells. Classical Hodgkin Lymphoma (CHL) represents 10% of all lymphoma cases and 85% of all Hodgkin Lymphomas. According to the current World Health Organization classification, CHL is divided into 4 types: Nodular Sclerosing (NS), Mixed Cellularity (MC), Lymphocyte-Rich (LR), and Lymphocyte-Depleted (LD). Objetive: We reviewed all cases of Classical Hodgkin Lymphoma in the Pathological Anatomy Department at Edgardo Rebagliati Martins National Hospital during 2015 to 2019, in order to determine the most frequent type, the incidence according to age and gender, …


Eating Disorders In Under 5 Years Old And Their Relationship With Family Functionality, Arturo García-Galicia, Álvaro José Montiel-Jarquín, Blanca Paola Rivera-Zúñiga, Diego Torres-Santiago, Alejandra Aréchiga-Santamaría, Akihiki Mizuki González- López, Carlos Alberto López-Bernal Oct 2021

Eating Disorders In Under 5 Years Old And Their Relationship With Family Functionality, Arturo García-Galicia, Álvaro José Montiel-Jarquín, Blanca Paola Rivera-Zúñiga, Diego Torres-Santiago, Alejandra Aréchiga-Santamaría, Akihiki Mizuki González- López, Carlos Alberto López-Bernal

Revista de la Facultad de Medicina Humana

Introduction: Eating disorders under 5 years old may cause development and grow problems. Disorders in family functionality can be associated. Objective: To describe non-organic eating disorders in children under 5 years of age and their association with family functionality in a second-level hospital in Puebla. Methods: It was a descriptive, cross-sectional study. Children under 5 years old with non-organic eating disorders were included. A questionnaire to study eating disorders (IMFED) and other one to describe family functionality (FACES III) were applied to their parents who previously signed informed consent. Descriptive statistics and Spearman test were used. Results: 105 patients were …


Evaluation Of The Discriminative Capacity Of Anthropometric Indicators And Their Predictive Relationship Of Diabetes In Health Workers Of The University Hospital Of Guayaquil - Ecuador, Janet Dr Gordillo-Cortaza, Franklin Encalada-Calero, Fatima V. Feraud-Ibarra, Juan C. Roque-Quezada, Rosa L. Quintana-Columbus, Jennifer A. Plaza-Plaza, Miguel A. Castro-Mattos, Cinthya I. Falquez-García, Dagmar Y. Meza-Solorzano Oct 2021

Evaluation Of The Discriminative Capacity Of Anthropometric Indicators And Their Predictive Relationship Of Diabetes In Health Workers Of The University Hospital Of Guayaquil - Ecuador, Janet Dr Gordillo-Cortaza, Franklin Encalada-Calero, Fatima V. Feraud-Ibarra, Juan C. Roque-Quezada, Rosa L. Quintana-Columbus, Jennifer A. Plaza-Plaza, Miguel A. Castro-Mattos, Cinthya I. Falquez-García, Dagmar Y. Meza-Solorzano

Revista de la Facultad de Medicina Humana

Objective: To evaluate the discriminative ability to predict diabetes with anthropometric and biochemical indicators and medical history. Methods: The sampling carried out was census and the sample consisted of 104 workers. A longitudinal study was carried out to evaluate the discriminative ability to predict diabetes with the anthropometric, biochemical, and antecedent indicators, using two models, the analysis of the ROC curves and binary logistic regression. Results: By analyzing the ROC curves, the abdominal circumference obtained greater predictive discriminative power (AUC = 0.747; p <0.001; CI: 0.624-0.870), compared to glycemia (AUC=0.749; p <0.001; CI: 0.645-0.852) and the waist-height index (AUC=0.737; p=0.001; CI: 0.638-0.836). Personal medical history is included in the logistic regression equation P(Y=1)=(1+e0,693+1,897APP)-1 to predict the risk of developing diabetes in the future. Conclusions: The abdominal circumference obtained the highest discriminative power, followed by the pathological history.


Analysis Of Sars-Cov-2 Genomes Of Samples From Peru, Johnny Leandro Saavedra-Camacho, Sebastian Iglesias-Osores, Miguel Alcántara-Mimbela, Lizbeth M. Córdova-Rojas Oct 2021

Analysis Of Sars-Cov-2 Genomes Of Samples From Peru, Johnny Leandro Saavedra-Camacho, Sebastian Iglesias-Osores, Miguel Alcántara-Mimbela, Lizbeth M. Córdova-Rojas

Revista de la Facultad de Medicina Humana

Introduction: Genomic analysis of samples from documented COVID-19 cases can be used successfully to help track sources of Sars-Cov-2 infection, which can be quarantined to prevent the recurrent spread of the disease around the world. Objective: To describe the SARS-CoV-2 sequences isolated from Peruvian patients. Methods: All genomes published up to March 2021, uploaded in the GISAID and Nextstrain repository, were selected. All data is on the web in a public way; In addition, the information was filtered by continent, country, region, clade, lineage, and sex from March 2020 to February 2021. Results: It was evidenced that the region with …


Lifestyle Medicine And Sleep Quality In Medical Students, Fiorella Allende-Rayme, Jeremi Acuña-Vila, Juan Ezequiel Roque, Lucy E. Correa-López Mar 2021

Lifestyle Medicine And Sleep Quality In Medical Students, Fiorella Allende-Rayme, Jeremi Acuña-Vila, Juan Ezequiel Roque, Lucy E. Correa-López

Revista de la Facultad de Medicina Humana

Maintaining a good sleep quality is a basic human need, because the poor sleep is associated with negative effects such as exhaustion, uncontrolled emotions, the inability to concentrate, the inability to remember or think clearly, poor university and work performance, psychological and academic stress, anxiety, depression and difficulty in resolving problems; also long-term effects such as cardiovascular diseases, diabetes mellitus type II, obesity, cancer, among others.


Covid-19 An Oportunnity Or A Disaster For Undergraduate Medical Education?, Rodrigo Flores Quiroga Mar 2021

Covid-19 An Oportunnity Or A Disaster For Undergraduate Medical Education?, Rodrigo Flores Quiroga

Revista de la Facultad de Medicina Humana

This letter expresses a novel opinion on the prospects for undergraduate medical education during the COVID-19 pandemic. It reviews traditional medical education and the benefits and harms of new educational models, such as telemedicine.


Transcendence Of Computer Vision Syndrome Due To Prolonged Exposure To Electronic Devices, Klisman Custodio Sanchez Mar 2021

Transcendence Of Computer Vision Syndrome Due To Prolonged Exposure To Electronic Devices, Klisman Custodio Sanchez

Revista de la Facultad de Medicina Humana

Eye health, without a doubt, has been gaining more relevance in recent years due to the promotion of healthy habits in search of caring for our eyes, but the question also arises as to whether we are increasingly exposed to electronic devices with screens, these, can be detrimental to our visual well-being since, due to confinement, the use of these as a work and study tool has increased exponentially.


Impact Of Covid-19 On Sexual And Reproductive Health, Lalescka Soria Gonzales Mar 2021

Impact Of Covid-19 On Sexual And Reproductive Health, Lalescka Soria Gonzales

Revista de la Facultad de Medicina Humana

Peru is going through a pandemic originated by coronavirus disease (COVID-19) and we continue to maintain mandatory social isolation as a preventive measure to reduce infections.Due to this event, many health establishments had to suspend care, also affecting Sexual and Reproductive Health (SRH) services, especially external consultation services. Due to this event, many health establishments had to suspend their attention , also affecting Sexual and Reproductive Health (SRH) services, especially external consultation services. Limited access to those services would increase the rate of unwanted pregnancies, abortions, sexually transmitted infections (STIs), complications during pregnancy, intimate partner violence, and maternal and infant …


Telemedicine: A Viable Option In Times Of Covid-19?, Dayana Ticona Tiña Mar 2021

Telemedicine: A Viable Option In Times Of Covid-19?, Dayana Ticona Tiña

Revista de la Facultad de Medicina Humana

We have read with great interest the article “A new coronavirus, a new disease: COVID-19” by Pareja, et. al. where we observe that the repercussions bringing with pandemic, evidence the limited experience we have. Telemedicine (TM) has become a technological tool to provide medical care and a tool with great potential in settings where the infrastructure is intact and doctors are available for care. In this way, exposure is minimized, taking into account that number of infections occurred in hospitals was gargantuan.


Patellar Tendon Rupture After Radial Pressure Wave Therapy – Also Known As Radial Shock Wave Therapy – For Patellar Tendinopathy: Report Of Two Cases, Walter Insuasti Abarca, Sussan Llocclla Delgado, Paul Terán Vela, Tania Platero Portillo, Diana Martínez Asnalema, Lilian Abarca García Mar 2021

Patellar Tendon Rupture After Radial Pressure Wave Therapy – Also Known As Radial Shock Wave Therapy – For Patellar Tendinopathy: Report Of Two Cases, Walter Insuasti Abarca, Sussan Llocclla Delgado, Paul Terán Vela, Tania Platero Portillo, Diana Martínez Asnalema, Lilian Abarca García

Revista de la Facultad de Medicina Humana

Patellar tendinopathy is characterized by anterior knee pain located at the lower pole of the patella at the junction of the patellar tendon. This is often a disabling condition that limits patients' quality of life, affects their ability to participate in sports, and even hinders their normal daily activities. Extracorporeal shock wave therapy (ESWT) has been recognized as a promising and safe alternative for the treatment of various musculoskeletal disorders – including chronic patellar tendinopathy. However, there is limited evidence regarding its side effects, in particular ESWT-associated tendon injuries. To the authors' knowledge, this is the first report demonstrating clinical …


Spontaneous Pneumomediastinum In Patients With Covid-19. Case Report., Pedro Sotelo-Jiménez, Enrique Moyano Navarro, Félix Tipacti Rodríguez, Carlos Milla Bravo Mar 2021

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 …


Dengue With Signs Of Alarm And Leptospirosis In A Pediatric Patient With Covid-19, Mayron Nakandakari Gomez, Hamilton Marín-Macedo, Raúl Seminario-Vilca Mar 2021

Dengue With Signs Of Alarm And Leptospirosis In A Pediatric Patient With Covid-19, Mayron Nakandakari Gomez, Hamilton Marín-Macedo, Raúl Seminario-Vilca

Revista de la Facultad de Medicina Humana

Dengue and Leptospirosis are endemic metaxenic diseases that affect tropical and subtropical areas, mostly in underdeveloped countries. In addition to this, the COVID-19 pandemic is causing a great deal of damage to both the population and the health level. This is the case of a 13-year-old patient who had fever, gingival and intermenstrual bleeding, abdominal pain and shortness of breath. She had SARS-CoV-2 IgM and IgG positive rapid test, and positive serology NS1 for Dengue and IgM for Leptospira. In addition, non-contrast pulmonary tomography showed areas of consolidated and frosted glass at the base level, as well as cysturitis. Diagnoses …


Characteristics Of The Mentor In Surgery And Its Contribution In The Education Of The Future, Alberto Córdova-Aguilar, Lucy Cedillo Ramírez Mar 2021

Characteristics Of The Mentor In Surgery And Its Contribution In The Education Of The Future, Alberto Córdova-Aguilar, Lucy Cedillo Ramírez

Revista de la Facultad de Medicina Humana

Mentoring in surgery is the art of guiding a future surgeon toward specific academic and professional goals that are likely to determine career success. This mentoring requires a solid mentor-resident relationship and a mentor with certain characteristics such as: research productivity, understanding of pedagogy and the application of educational technology. The mentor in surgery is in charge of properly channeling the resident's various clinical-surgical experiences to achieve meaningful learning; likewise, experience and motivation are the main characteristics of a good mentor. The availability of the mentor is essential to foster a solid mentor-resident relationship, in order to achieve the academic …


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 Mar 2021

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 …