Revista de la Facultad de Medicina Humana <p> </p> en-US (Dr. Jhony A. De La Cruz Vargas PhD, MCR, MD) (Jairo Meléndez Alvarado) Mon, 04 Dec 2023 00:00:00 +0000 OJS 60 EFFECT OF BARIATRIC SURGERY ON QUALITY OF LIFE IN OBESE PATIENTS: A GLOBAL SYSTEMATIC REVIEW <p>In a situation of obesity and when treatment goals are not met, bariatric surgery can be a promising alternative; with effects at the physical level as well as at the psychological level of the quality of life. This study aims to determine the effect of bariatric surgery on the quality of life in obese men and women between 20 and 60 years of age. A Systematic Review (SR) was carried out with meta-analysis of randomized systematic reviews, which compare the quality of life in patients after bariatric surgery. Electronic databases were consulted: Ebsco, Scopus, Pubmed and Cochrane Library. The response variables were: physical, social, mental and emotional function. They were submitted to meta-analysis, with R 4.2.2. Three SRs were included, of which 25 clinical trials were combined with 3-6 and 12-month follow-up after bariatric surgery, finding statistically significant changes in physical function scores (1.20; 95% CI: 0.80-1 .61), social (0.95; 95% CI: 0.66-1.25), mental (0.35; 95% CI: -0.21- +0.90) and emotional (0.54; 95% CI: 0.03-1.06). The surroundings of the quality of life improve post bariatric surgery in obese patients.</p> Miguel Ángel López Espinoza, Nayaret Vega Albornoz , Ornela Navarro Mora Copyright (c) 2023 Revista de la Facultad de Medicina Humana Thu, 15 Feb 2024 00:00:00 +0000 A PANORAMIC VIEW OF ANXIETY AND LIFESTYLE IN MEDICAL STUDENTS: AN UPDATED REVIEW. <p><strong>Introduction:</strong> Lifestyles encompass the decisions a person makes, simultaneously impacting their quality of life. Especially for those pursuing health-related careers, it can be a particularly demanding and challenging period. They frequently encounter stressful situations that significantly affect their well-being and lifestyle choices. <strong>Objective:</strong> To determine if there is an association between lifestyle and academic performance in medical students. <strong>Methods:</strong> The review was conducted through evidence-based literature search for articles published from 2013 to 2023, using search platforms such as Scopus, PubMed, Scielo, BVS, ScienceDirect, and Google Scholar. <strong>Results: </strong>Out of the 42 articles reviewed, 10 were excluded for not being related to our research variables in the field of health sciences or for not involving a university population. Additionally, 2 articles were removed as they were published before 2013, leaving only 30 articles for this literature review. Among the 30 selected articles, 14 presented research results, while 16 were considered for theoretical and conceptual aspects related to the study's purpose. <strong>Conclusion:</strong> University students with healthy lifestyles tend to have better academic performance, and it has been observed that mental health plays a significant role. However, the lack of consensus in the findings suggests the need for further research to better understand this complex relationship.</p> <p>Keywords: Students; Life Style; Academic Performance (source: MeSH - NLM)</p> Anthony Diosdao Colque Durand Copyright (c) 2023 Revista de la Facultad de Medicina Humana Mon, 12 Feb 2024 00:00:00 +0000 EFFECT OF ORAL VITAMIN D SUPPLEMENTATION ON PSORIASIS SEVERITY: DOES IT GENERATE SIGNIFICANT BENEFITS? <p>Psoriasis is a chronic immune-mediated skin disease with a complex genetic and pathogenic basis, often leading to significant comorbidities and a reduced quality of life. Its prevalence varies globally and exhibits an increasing trend over time. Comorbidities such as psoriatic arthritis, cardiovascular diseases, and mental health issues further compound the burden of psoriasis. Treatment options range from topical therapies to systemic agents, with biologics playing a prominent role in recent years. However, the safety and efficacy of these treatments are continuously assessed through real-world data. Vitamin D has gained attention as a potential therapeutic target due to its role in immune regulation and skin barrier function. This review aims to evaluate the efficacy of oral vitamin D supplementation in ameliorating the severity of psoriasis. After bibliographic search, it was found that psoriasis is a multifaceted condition with significant global implications. Biologics have transformed its management, and oral vitamin D supplementation is a promising avenue for further exploration. A comprehensive, patient-centered approach that considers comorbidities and long-term outcomes is crucial for optimizing psoriasis care. Further research is needed to fully understand the role of vitamin D in psoriasis and its potential as a therapeutic intervention.</p> Juan Esteban Ospina Gómez, Maria Camila Forero Buelvas, Manuel Enrique Duarte Arias Copyright (c) 2023 Revista de la Facultad de Medicina Humana Tue, 20 Feb 2024 00:00:00 +0000 MORTALITY OF PATIENTS HOSPITALIZED BY COVID-19 IN MEXICO, SYSTEMATIC REVIEW <p>Introduction</p> <p>Since the start of the pandemic, Mexico was one of the countries with the highest mortality rates from COVID 19.</p> <p>Objective</p> <p>To determine if type 2 diabetes mellitus, arterial hypertension, and obesity increase mortality in patients diagnosed with COVID-19 who required hospitalization in Mexico.</p> <p>Method</p> <p>Systematic review in Pubmed MeSH, Web of Science, Lilas, Scielo, and Google Schoolar with the terms MESH COVID-19, SARS-COV2, Coronavirus, and Mexico for the years 2020 and 2021, in English or Spanish. Two reviewers selected the studies, two additional reviewers participated in the analysis of the studies.</p> <p>Results</p> <p>Seventy three studies carried out in Mexico from 2020 to 2021 were included with information obtained from the databases of the National Epidemiological Surveillance System of Mexico. With an average age of 52.9 ± 13.27 years, 64% of the included patients were women, the most prevalent pathology was obesity with 24.23% (IQR 17.74-22.28 = 22%), followed by hypertension. arterial 22.23% (IQR 17.98-23.44 = 22%) and finally Diabetes mellitus with 18.10% (interquartile range 9.39 -14.61 = 22%). In general, a mortality rate of 16.76 (IQR 9-39-14.61) was reported. 71% of the studies (52) did not report specific mortality related to comorbidities.</p> <p>conclusions</p> <p>The most common comorbidity among patients hospitalized for COVID in Mexico was obesity, followed by type 2 diabetes mellitus and hypertension.</p> Ana Portocarrerero Granados, Lya A Castro Rodriguez, Antonio Sandoval-Cabrera, María del Socorro Romero Figueroa Copyright (c) 2023 Revista de la Facultad de Medicina Humana Tue, 20 Feb 2024 00:00:00 +0000 MURINE MODELS FOR THE STUDY OF TRIPLE NEGATIVE BREAST CANCER <p><strong><em>ABSTRACT</em></strong></p> <p>The study of different variables, such as pathogenesis, inflammatory profile, identification of therapeutic targets, efficacy of treatments in murine models has proven to be one of the most practical for the preclinical study of triple negative breast cancer (TNBC), the most aggressive subtype of cancer, with limited application of treatments and low survival rate. However, it must be recognized that there are other minors in which the induction of TNBC is being standardized. This review encompasses the different induction methods that have allowed the development of TNBC and the most relevant therapeutic applications by which murine models with TNBC were developed.</p> Yudith Cauna Orocollo, Ariana Alessandra Córdova Salazar, Jhanina Campos Tineo Copyright (c) 2024 Revista de la Facultad de Medicina Humana Sun, 18 Feb 2024 00:00:00 +0000 SACROILIAC ARTHROMYELITIS: CASE REPORT <p>Infectious sacroiliitis is a rare condition that is sometimes diagnosed late due to the poor specificity of the symptoms. In addition, imaging techniques such as scintigraphy, tomography, and nuclear magnetic resonance are required to assess the extent and severity of the lesions. If early diagnosis and treatment are made, the clinical evolution is satisfactory and leaves no sequelae. Clinical case: the case of an 83-year-old female patient is presented, with a history of ischemic cerebrovascular disease, high blood pressure, type 2 diabetes mellitus and urinary tract infection, who presented with moderately intense colic-like abdominal pain, afebrile, and reported that at the time After getting up from his chair he felt weakness in his left side. On admission, hypertensive, febrile with T°: 38°C SatO2: 98% with FiO2: 0.4. On physical examination, there was edema in MMII with pitting (+), distended abdomen, pain in the right flank and left hemiparesis. To the laboratory: hemoglobin 14.8 g/dl, platelets 38,000 μl, leukocytes 18,000 μl.</p> <p>Keywords: septic arthritis, septic sacrolileitis (source: MeSH – NLM)</p> <p><strong> </strong></p> <p><strong> </strong></p> Roger Antonio Sernaque Mechato, Pablo Alberto Romero Sánchez, Julio Andrés Mamani Murillo, Yelenit Emily Quiñones Rodríguez, Marco André Moncada Solano, Jesús Darío Toledo De la Torre Copyright (c) 2023 Revista de la Facultad de Medicina Humana Thu, 15 Feb 2024 00:00:00 +0000 SARCINA VENTRICULI IN THE STOMACH: AN UNEXPECTED AND POTENTIALLY DANGEROUS VISITOR <p><strong>ABSTRACT</strong></p> <p><strong>Introduction</strong><span style="font-weight: 400;">: </span><em><span style="font-weight: 400;">Sarcina ventriculi</span></em><span style="font-weight: 400;"> is a Gram (+), anaerobic, non-motile cocci, with a fermentative carbohydrate metabolism, that survives and grows without problems in environments with acidic pH. It is a known etiological agent in veterinary pathology, however its pathogenic role in humans is controversial. In recent years, the finding of this microorganism in different anatomical places has been reported in humans with increasing frequency, predominantly in the upper digestive tract, mainly in the stomach, in patients with dyspepsia and/or delayed gastric emptying, some of these cases with serious evolution, even fatal. </span><strong>Clinical case</strong><span style="font-weight: 400;">: we report the case of a patient with dyspeptic symptoms, whose gastric biopsy identified </span><em><span style="font-weight: 400;">Sarcina ventriculi</span></em><span style="font-weight: 400;"> and whose targeted pharmacological treatment ended the discomfort described. To the best of our knowledge, this is the first case reported in Peru.</span></p> <p><span style="font-weight: 400;">Keywords: Sarcina ventriculi, dyspepsia, gastritis (Source: MeSH – NLM)</span></p> Hellen Johanna Gordillo de la Fuente, Eugenio Américo Palomino Portilla, Gabriela Jazmín Palomino Quiñones, María del Pilar Quiñones Ávila Copyright (c) 2023 Revista de la Facultad de Medicina Humana Fri, 01 Mar 2024 00:00:00 +0000 FIRST CASE OF THANATOPHORIC DYSPLASIA TYPE 1 IN THE PERUVIAN ANDES WITH A PATHOGENIC VARIANT IN THE FGFR3 GENE <p>Thanatophoric dysplasia type 1 is a form of lethal skeletal dysplasia, characterized by axial-appendicular skeletal disproportions as well as short stature, frontal bossing, cloverleaf skull, narrow chest, femoral bowing, and micromelia. These phenotypic characteristics are the result of pathogenic variants in the fibroblast growth factor receptor 3 (<em>FGFR-3</em>) gene, located on chromosome 4p16.3</p> <p>For its study, obstetric ultrasound, physical examination and radiographic findings are important. However, the diagnosis must be confirmed by genetic study in order to discover new variants or associations, as well as to reveal its actual casuistry in a certain region.</p> Carlos Hugo Torres Salinas, Yesenia Ledesma Porras Copyright (c) 2023 Revista de la Facultad de Medicina Humana Tue, 20 Feb 2024 00:00:00 +0000 SOLITARY FIBROUS TUMOR OF THE BRAIN: A CASE REPORT <p><strong>Introduction:</strong> Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms that, although typically develop in the visceral pleura, occasionally occur in the intracranial cavity. Furthermore, they are characterized by high rates of metastasis and recurrence.<br /><strong>Case Report:</strong> We present the case of a 59-year-old male patient with a 3-month history of headache and bradyphrenia. Computed tomography revealed a neoformative tumor infiltrating the nasal cavity, ethmoid sinuses, and anterior cranial fossa, involving the left frontal lobe. The patient underwent two exploratory craniectomies, during which diagnoses suggestive of high-grade glial neoplasia and SFT were made. For precise diagnosis, immunohistochemistry was performed, which was consistent with solitary fibrous tumor. The case is analyzed, focusing particularly on histopathological aspects, the unusual location of this tumor, and its variable clinical manifestations.</p> Valeria Antuanne Ortiz Ramos, Nora Nicole Itusaca Dueñas, Lucia Victoria Ulloa Ordoñez, Ricardo Romulo Paredes Pacual, José Manuel Vela Ruiz , Leslie Estefany Yovera Orellana, Jonathan Joel Torres Canqui Copyright (c) 2023 Revista de la Facultad de Medicina Humana Mon, 12 Feb 2024 00:00:00 +0000 CASE REPORT ABOUT IMMUNOTHERAPY IN MANAGEMENT OF METASTATIC RENAL CANCER: TREATMENT WITH CHECKPOINT PD-L1 AND/OR ANTI-CTLA-4 INHIBITORS <p><strong>ABSTRACT</strong></p> <p>Approximately 15 percent of renal cell carcinoma (RCC) present as locally advanced or metastatic, where surgery is not curative. The prognosis of patients with advanced or metastatic CRC can vary from a few months to a few years, depending on the clinical, pathological, and radiological characteristics of the disease. The advent of the use of anti-monoclonal-based immunotherapy as checkpoint inhibitors in initial systemic therapy for advanced clear cell RCC. We will present a clinical case where immunotherapy plays a role through the use of anti-monoclonal drugs to treat a male patient with metastatic kidney disease who presents a clinical response after surgical treatment and immunotherapy for 2 years without evidence of oncological disease to date.</p> Robert Malpartida-Palomino, Jesús Miguel Malpartida - Palomino, Joseph Matos - Malpartida Copyright (c) 2023 Revista de la Facultad de Medicina Humana Mon, 12 Feb 2024 00:00:00 +0000 INTESTINAL OBSTRUCTION DUE TO STRONGYLOIDES STERCOLARIS: ABOUT A CASE. <p><strong>ABSTRACT</strong></p> <p>Strongyloidiasis commonly causes gastrointestinal problems. We present the case of a male, a 30-year-old cadet in the Peruvian Navy from Lima, who developed a hyperinfection syndrome due to Strongyloides stercoralis, having a presumptive diagnosis of polymyositis for which he received a short cycle of corticosteroids. He was not a carrier of the HTLV 1/2 virus. Upon admission, he presented with hyporexia, generalized weakness, cachexia, intermittent self-limited diarrhea, oral intolerance, and mild abdominal distension. The patient reached the dissemination stage, resulting in severe intestinal damage. The low excretion of larvae in the feces made the diagnosis difficult. Treatment was provided with parenteral ivermectin at a dose of 1.2ml subcutaneously every 48 hours for three doses, with a good clinical response and subsequently good oral tolerance. The importance of presenting the case is to comment on the diagnostic and therapeutic approach to this endemic geohelminthiasis of Peru.</p> Rolando Tapia Barcellandi, Jesús De La Jara, Enrique Vilchez Polo, Orlando Aliaga Aliaga, Pedro Sotelo Jiménez, Karina Patricia Tarazona Ramirez Copyright (c) 2024 Revista de la Facultad de Medicina Humana Fri, 01 Mar 2024 00:00:00 +0000 JOB SATISFACTION IN CRISIS: THE IMPACT OF COVID-19 ON HEALTH PERSONNEL <p>Dear Editor of the <span style="font-weight: 400;">Revista de la Facultad de Medicina Humana, Lima, Perú:&nbsp;</span></p> <p>I am writing to you regarding the original article titled "Pre-pandemic climate and job satisfaction of nursing staff in an emergency&nbsp;service," published in Volume 23, Issue 02, of the year 2023. In the aforementioned study by Chávez M et al., the significant correlation between the work environment and job satisfaction within the nursing team at Vitarte Hospital is highlighted. However, considering the health emergency situation caused by the COVID-19 virus starting in the year 2020, we believe it is necessary to provide a global perspective on the variation of job satisfaction during this pandemic.</p> Nora Nicole Itusaca Dueñas, Valeria Antuanne Ortiz Ramos Copyright (c) 2023 Revista de la Facultad de Medicina Humana Mon, 12 Feb 2024 00:00:00 +0000 RESPONSE FROM THE AUTHORS TO THE EDITOR'S LETTER “JOB SATISFACTION IN CRISIS: THE IMPACT OF COVID-19 ON HEALTH PERSONNEL” <div id="divCeleste" align="justify"> <p><strong>Dear Editor and authors of the letter:</strong></p> <p>We have reviewed with great interest the comments in the letter to the editor that accompanies the original article entitled "Climate and Pre-Pandemic Job Satisfaction of Nursing Personnel in an Emergency Service," published in Volume 23, number 02 of 2023 by Chávez M et al., where a significant correlation is highlighted between the work environment and the job satisfaction of the nursing team at the Vitarte Hospital <sup>(<a href="">1</a>)</sup>.</p> </div> Melina Liliana Chavez Patilongo, Maritza Dorila Placencia Medina, María Elena Muñoz Zambrano, Margot Quintana Salinas , Amelia Olortegui Moncada Copyright (c) 2023 Revista de la Facultad de Medicina Humana Tue, 20 Feb 2024 00:00:00 +0000 LIPOPROTEINS AND TOTAL CHOLESTEROL IN ADULTS WITH NORMAL AND ELEVATED CHOLESTEROLEMIA IN A POLYCLINIC IN LIMA-PERU 2022: A CORRELATIONAL STUDY <p><strong>Objective:</strong> To evaluate the degree of correlation between high-density, low-density, and very low-density lipoproteins and total cholesterol in patients with normal and high cholesterolemia.<br /><strong>Methodology:</strong> Observational, analytical and cross-sectional study carried out from January to September 2022 with 207 patients over 18 years of age divided into a group with normal cholesterol and another with hypercholesterolemia. The Spearman correlation test was performed.<br /><strong>Results:</strong> In normocholesterolemic subjects there was a low and negative correlation between high-density lipoproteins and low-density lipoproteins (-0.263) as well as between high-density lipoproteins and very low-density lipoproteins (-0.220). In hypercholesterolemic patients there was a low and positive correlation between high-density lipoproteins and total cholesterol (0.344). In both groups there was a high correlation between cholesterol and low-density lipoproteins and a low and positive correlation between cholesterol and very low-density lipoproteins.<br /><strong>Conclusions:</strong> Lipoproteins are correlated in normocholesterolemics and high-density lipoproteins are correlated in hypercholesterolemics.</p> Alberto Guevara Tirado Copyright (c) 2023 Revista de la Facultad de Medicina Humana Sun, 18 Feb 2024 00:00:00 +0000 FACTORS ASSOCIATED WITH EMERGENCE DELIRIUM IN PEDIATRIC PATIENTS IN PERU: RESULTS OF A CROSS-SECTIONAL STUDY <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Objetivos:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Identificar factores asociados al delirio de emergencia en niños de la Unidad de Recuperación Postanestésica de un Instituto Especializado en Salud Pediátrica del Perú. </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Métodos:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Se realizó un estudio transversal en niños de 2 a 6 años, estado físico clasificación I y II, en procedimientos electivos bajo anestesia. </span><span style="vertical-align: inherit;">La variable principal fue la presencia de delirio de emergencia evaluado con la escala Pediatric Anesthesia Emergence Delirium mayor o igual a 10 puntos. </span><span style="vertical-align: inherit;">Para identificar los factores asociados al delirio se aplicó el modelo de regresión de Poisson y se consideró significativo un valor de p &lt; 0,05. </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Resultados:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">De los 150 niños, se encontró que la incidencia de delirio de emergencia ocurrió en el 10,6%. </span><span style="vertical-align: inherit;">De estos, el 81,4% eran menores de 5 años, el dolor se asoció significativamente en el 37,5% con RP = 3,63, IC95% [1,20, 10,1] y se observó que el 68,8% requirió cuidados paliativos. </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Conclusiones:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> El dolor se asoció con el delirio de emergencia postanestésico en niños. </span><span style="vertical-align: inherit;">La prevención y el tratamiento del delirio de emergencia deben centrarse en el control del dolor posoperatorio y la monitorización cuidadosa de los pacientes después de la cirugía.</span></span></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Palabras clave:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Delirio de emergencia, anestesia, niños, cuidados paliativos (Fuente: DeSH).</span></span></p> Liz Marilyn Ugaz Cachay, Juan Pedro Matzumura Kasano, Cender U. Quispe Juli, Augusto Racchumí Vela Copyright (c) 2023 Revista de la Facultad de Medicina Humana Tue, 20 Feb 2024 00:00:00 +0000 CORRELATION BETWEEN HEARING LOSS AND COGNITIVE IMPAIRMENT IN THE ELDERLY <p><strong>ABSTRACT</strong></p> <p><strong>Introduction:</strong> Hearing loss or hearing loss in the elderly is generally caused by degenerative changes typical of aging and can influence the cognitive deterioration of the person, which is manifested by different changes in memory as age increases. <strong>Objective:</strong> To determine the relationship between hearing loss and cognitive impairment in the elderly. <strong>Method:</strong> Descriptive, correlational and cross-sectional study. Otoscopy, audiometry and the Pfeiffer questionnaire were performed in 104 adults over 65 years of age, who attended the Otorhinolaryngology service of the Arzobispo Loayza National Hospital. The otoscope, the audiometer and the Pfeiffer questionnaire were used as instruments. Analyzing the relationship using Spearman's Rho correlation coefficient. <strong>Results:</strong> Hearing loss was found in 58 cases (55.8%) and normal hearing in 46 cases (44.2%). When applying the Pfeiffer questionnaire to determine cognitive status, an average global score of 8.5 was obtained, determining that values ​​less than 8 are considered mild cognitive impairment. Evidencing mild cognitive impairment in 7% of normoacusics and in 26% of hypoacusics. When performing Spearman's Rho correlation, a high positive correlation was found between hearing loss and cognitive impairment (0.864), significant (0.000&lt;0.05). <strong>Conclusions:</strong> There is a high positive relationship between hearing loss and cognitive impairment in the elderly.</p> <p><strong>Keywords:</strong> Hearing loss, hearing loss, presbycusis, cognitive impairment.</p> <p>&nbsp;</p> Félix Cordero Pinedo, Leydy Cordero, Filomeno Teodoro Jauregui Francia Copyright (c) 2023 Revista de la Facultad de Medicina Humana Tue, 20 Feb 2024 00:00:00 +0000 EVALUATION OF CLINICAL ASPECTS RELATED TO LOWER LIMB AMPUTATION AMONG INDIVIDUALS LIVING WITH TYPE 2 DIABETES MELLITUS IN MEXICO <p><strong>Introduction:</strong> Diabetes continues to be one of the leading causes of disability and death in the global population. It is estimated that approximately 25% of people living with diabetes will develop an ulcer on one of their lower pelvic limbs.</p> <p><strong>Objective:</strong> The present study evaluates the clinical aspects related to lower pelvic limb amputation in a cohort of patients with diabetes mellitus.</p> <p><strong>Materials and Methods:</strong> A retrospective cross-sectional study was conducted consisting in a review of the total census of patients with type 2 diabetes. They received medical attention in the setting of the study in the period January-May 2022. According to the ICD-10 a total of 2021 patients with multiple complications of diabetes were identified through their clinical records. One hundred patients were diagnosed with diabetic foot.</p> <p><strong>Results:</strong> Degree of average glycemic control in the 6 months following diagnosis of diabetic foot was a relevant variable. Since patients with optimal glycemic control by quantifying their fasting glucose levels (&lt;130 mg/dl) as well as their glycated hemoglobin values (&lt; 7%), had a less frequency of amputations (p˂0.001; Chi<sup>2</sup>) compared to those patients without an adequate glycemic control.</p> <p><strong>Conclusions:</strong> After the analysis conducted in the population, it was found that being male, having glycated hemoglobin values higher than 7%, and having average fasting glucose values higher than 130 mg/L increase the probability of presenting a lower extremity amputation.</p> <p>&nbsp;</p> Julio Cesar Parra Acosta, Laura Ávila Jiménez, Antonio Monroy Noyola, Diana Lizbeth Gómez Galicia, Daniel Álvarez Escobedo, Cairo Toledano Jaimes Copyright (c) 2023 Revista de la Facultad de Medicina Humana Sun, 18 Feb 2024 00:00:00 +0000 THE CONTROL OF GROWTH AND DEVELOPMENT IN THE REDUCTION OF ANEMIA IN PERU <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Introducción:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> La anemia es un problema de salud pública que afecta principalmente a los niños menores de cinco años en el Perú, debido a la deficiencia de hierro.</span></span></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Objetivo:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Determinar el impacto del control del crecimiento y desarrollo (CGD) en la reducción de la anemia en niños menores de cinco años en el Perú, considerando el análisis de la ENDES 2021.</span></span></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Método:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Estudio analítico. </span><span style="vertical-align: inherit;">Se realizó un análisis secundario de datos de la encuesta ENDES del año 2021.</span></span></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Resultados:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> El 31,4 % de los niños menores de cinco años presenta anemia, donde el 38,3 % corresponde a la zona rural, el 34,0 % a niños, el 56,9 % son niños menores de un año, el 38,5 % de madres con educación primaria y el 40,8 % de los más pobres, que muestran diferencias significativas. </span><span style="vertical-align: inherit;">Con relación a la EGC, se demostró que el 32,4% de los niños que sí tuvieron alguna EGC y el 30,2% de los niños que no la tuvieron, presentan anemia. </span><span style="vertical-align: inherit;">En cuanto al lugar donde se realizó el CGD se observa que el 32,4% de los niños que son atendidos en un establecimiento de salud presentan anemia, donde el 35,6% corresponde al Hospital del MINSA, el 33,3% a un Centro de Salud del MINSA y el 31,7% a un MINSA puesto de salud. </span><span style="vertical-align: inherit;">Y el personal que realizó la mayoría de CGD fue la enfermera donde el 32,9% presenta anemia.</span></span></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Conclusión:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> La anemia es un problema de salud pública presente y condicionado por diversos factores y determinantes. </span><span style="vertical-align: inherit;">Durante la pandemia provocada por el covid-19, la prevalencia de anemia no aumentó, por lo que existen suposiciones sobre si las intervenciones están teniendo el impacto deseado y esperado. </span><span style="vertical-align: inherit;">Ya que durante la pandemia no se evidenció.</span></span></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Palabras llave:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Prevalencia; </span><span style="vertical-align: inherit;">anemia; </span><span style="vertical-align: inherit;">control del crecimiento y desarrollo; </span><span style="vertical-align: inherit;">niños. </span><span style="vertical-align: inherit;">(Fuente: DeCS-BIREME)</span></span></p> Evelyn Gabriela Castro Mayta Copyright (c) 2023 Revista de la Facultad de Medicina Humana Thu, 15 Feb 2024 00:00:00 +0000 PHYSICIANS' ATTITUDES TOWARDS THE APPROACH TO DIABETIC NEUROPATHY IN PUBLIC AND PRIVATE HEALTH FACILITIES, 2023 <p><strong><em>ABSTRACT</em></strong></p> <p><strong>Objective:</strong> To describe the attitudes of doctors towards the approach to diabetic neuropathy.<br /><strong>Methods:</strong> Descriptive, observational, cross-sectional and prospective study, sample of 143 doctors, non-probabilistic convenience sampling. The variables: years of professional practice, specialty, proportion of patients in the medical consultation with a diagnosis of diabetes mellitus (type 1 or 2), proportion of patients with diabetes mellitus with a diagnosis of diabetic neuropathy, attitudes towards the approach to diabetic neuropathy. A 5-category Likert scale was used to evaluate attitudes in 3 dimensions: prioritization, diagnosis and treatment. Descriptive statistics were used.<br /><strong>Results:</strong> In the prioritization dimension, 57.4% prioritize metabolic control over the evaluation of complications. Diagnostic dimension: 80.5% of doctors surveyed rely on symptoms and signs reported by the patient to make the diagnosis of said complication, 66.5% recognize that they do not use an instrument for the evaluation of neuropathy and 39.9% would not use it either. had it. In the treatment dimension, 73.5% recognize that analgesic treatment for diabetic neuropathy is frustrating and 50.4% feel “afraid” to titrate the dose of anti-neuropathic analgesic medication due to adverse effects.<br /><strong>Conclusions:</strong> The attitudes of doctors compromise different areas of the approach to diabetic neuropathy such as prioritization, diagnosis and treatment with a tendency to prioritize metabolic control and other microvascular complications, to under-diagnosis, to “under-treatment”. ” and the need to refer patients for specialized management.</p> John Carlos Marcelino Longa López Copyright (c) 2023 Revista de la Facultad de Medicina Humana Sun, 18 Feb 2024 00:00:00 +0000 IMPACT OF ADDICTION TO SOCIAL NETWORKS ON THE MENTAL HEALTH OF HUMAN MEDICINE STUDENTS, IN TIMES OF COVID-19 <p><strong>Objective</strong>. To determine the association of addiction to social networks and the consequences in mental health in human medicine students of the Ricardo Palma University, year 2021. <strong>Materials and methods.</strong> Cross-sectional observational study, with the participation of 454 human medicine students from first to fifth year, chosen by stratified random sampling proportional to size. The instrument was validated, obtaining a Cronbach's Alpha (α=0.90), the questionnaires used were: Addiction to Social Networks (ARS), Depression, Anxiety, Stress Scale (DASS-21) and Pittsburgh Sleep Quality Index (PSQI). In order to evaluate the association between variables, we used crude and adjusted prevalence ratio (PR), using the Poisson regression model with the logarithmic link and with the 95% confidence interval. <strong>Results.</strong> 65.4% were women, with an average age of 21.2 years. A significant association was found between high social network addiction and mental health (PRc: 2.59; 95% CI: 1.92-3.50; p&lt; 0.01) and, likewise, between high and medium levels of social network addiction. social and with depression, anxiety, stress (p&lt; 0.01) and sleep quality (p&lt;0.010), respectively. 41%, 49.1% and 9.9% of the students presented low, medium and high addiction to social networks, respectively. 57.5% had depression, 56.4% anxiety, 70.5% stress and 77.3% poor sleep quality. <strong>Conclusions.</strong> There was a strong association between ARS and mental health. Therefore, it is recommended that university students visit mental health specialists quarterly for proper identification, evaluation, and management of the problems generated by ARS.</p> <p>&nbsp;</p> <p><strong>Keywords: </strong>Behavior, addictive; social networking; mental health; students, medical (Source: MeSH NLM)</p> Fiorella Allison Otero Carrillo, Pamela Rocio Picoy Romero, Rubén Espinoza Rojas Copyright (c) 2023 Revista de la Facultad de Medicina Humana Thu, 15 Feb 2024 00:00:00 +0000 CREATION AND VALIDATION OF A FAMILY RESILIENCE SCALE IN RELATIVES OF PEOPLE WITH DISABILITIES IN THE CITY OF ICA <p><strong>Objective: </strong>To create and validate a family resilience in caregivers relatives of people with disabilities (ERF-PD). <strong>Method</strong>: The research design is instrumental. The sampling was non probabilistic with a sample of 301 relatives of people with disabilities. Initially, 40 items were created but this number was reduced after the statistics analysis. <strong>Results</strong>: Aiken’s V values of 1.00 were obtained in all items. After the item analysis, nine items were removed. From the exploratory factor analysis, 17 items remained that explain 56.0% of the overall variance; whereas the confirmatory factor analysis obtained good fit indexes for this structure (Chi2/gl=1.876; CFI=0.982; TLI=0.979; RMSEA =0.037; SRMR=0.064). Internal consistency showed coefficients above 0.70 in the general scale and its three factors. <strong>Conclusion</strong>: The scale shows evidences of validity and reliability for the evaluated sample, justifying its use in research and professional activity.</p> <p><strong>&nbsp;</strong></p> <p><strong>Keywords</strong>: psychometry; resilience; disabled person (source: MeSH NLM)</p> Adin Mezollam Checcllo Tenorio, Juan Carlos Escudero Nolasco Copyright (c) 2023 Revista de la Facultad de Medicina Humana Tue, 20 Feb 2024 00:00:00 +0000 FACTORS ASSOCIATED WITH POSTOPERATIVE COMPLICATIONS AFTER PANCREATODUODENECTOMY (WHIPPLE PROCEDURE) IN A SPECIALIZED CENTER <p><strong><em>ABSTRACT</em></strong></p> <p><strong>Introduction:</strong> Whipple procedure, also known as pancreatoduodenectomy (PD), is a widely used procedure for several types of peri-ampullary cancer. Objectives: To establish the factors associated with postoperative complications after PD in the Pancreas Surgery Service of the Edgardo Rebagliati Martins National Hospital in Lima, Peru.<br /><strong>Methods:</strong> An observational, quantitative, analytical, cross-sectional, and retrospective study was carried out on 81 patients during the period from January 2017 to December 2019, who underwent PD. The dependent variable was postoperative complications and the independent variables were preoperative, perioperative, and postoperative variables. The medical records were reviewed. Logistic regression was performed to find the crude and adjusted ORs.<br /><strong>Results:</strong> The mean age was 65.97±10.14 and the majority of patients were male. The most common postoperative complication was pancreatic fistula (34.6%). Factors associated with postoperative complications after PD were male sex (aOR: 4.46, 95% CI: 1.35-14.77), ampullary cancer (aOR: 6.92, 95% CI: 1.75-27.48), and soft consistency of the pancreas (aOR: 4.52, 95% CI: 0.07-0.58).<br /><strong>Conclusions:</strong> The factors associated with postoperative complications after PD were male sex, ampulloma, and soft consistency of the pancreas.</p> Jorge Cornejo, Lucy E. Correa López, Jose Cornejo, Mariela Vargas, Belkys Figueroa Depablos, Cesar Rodríguez Copyright (c) 2024 Revista de la Facultad de Medicina Humana Sun, 18 Feb 2024 00:00:00 +0000 CONCORDANCE BETWEEN TWO QUESTIONARIES FOR THE DIAGNOSIS OF DIGITAL EYE STRAIN IN STUDENTS OF A UNIVERSITY IN PERU <p><strong>Objective:</strong> Obtain the frequency of digital eye strain (DES) between two questionnaires among students of a private university in Lima, Peru; in order to estimate the degree of concordance between both methods. <strong><sub>Methods:</sub></strong> A cross-sectional study was carried out in a sample of 345 participants over 18 years of age, students at a university in Lima, Peru, and who completed the data collection instrument. The two methods used to measure DES were the Hayes questionnaire, which defines a positive case for DES with a score equal to or greater than 20; and the CVS-Q questionnaire of Seguí, which defines a score greater than 6 as positive for DES. Cohen's kappa coefficient was estimated with its 95% confidence interval to measure global concordance degree and by groups. <strong>Results:</strong> The Hayes questionnaire identified 167 (48.4%) participants with a presumptive diagnosis of DES, the Seguí questionnaire identified 247 (71.6%) students. In the concordance analysis, Cohen's Kappa coefficient was 0.45 (95% CI; 0.37 – 0.53) (p &lt; 0.01) in the global analysis, considered as moderate. <strong>Conclusion:</strong> The degree of concordance between both methods was moderate, the Seguí instrument identified a higher proportion of university students with FVD.</p> Guillermo Landa Guerra Copyright (c) 2023 Revista de la Facultad de Medicina Humana Sun, 18 Feb 2024 00:00:00 +0000 COMPARATIVE STUDY OF INDICATORS OF MALADJUSTED PSYCHOSOCIAL BEHAVIOR AMONG HIGH SCHOOL STUDENTS WITH HIGHER AND LOWER PROPENSITY TO BULLYING BEHAVIOR <p><strong>Introduction:</strong> Bullying is harmful behavior in school contexts, affecting students' lives. <strong>Objective:</strong> To identify and compare indicators of maladjusted behavior in students with different propensities to bullying. <strong>Methodology:</strong> This descriptive and quantitative study used surveys and a comparative followed by correlational design to assess maladjusted behaviors (stress, low self-esteem, incivility, family maladjustment, propensity to violence) in secondary students from Lima and Callao. The non-probabilistic sample included 1345 first and second-year students, divided into two groups based on their bullying propensity (high -Group E- and low -Group C-). Scales from the INDACPS inventories and the Bullying Propensity Scale (BPS) were applied, analyzing data with SPSS v.25 and Jamovi. Differences between groups were assessed using the Mann-Whitney U test, and variable correlation was determined using Spearman's correlation. <strong>Results: </strong>Group E had higher levels of stress, low self-esteem, incivility, family maladjustment, and propensity to violence, with statistical significance (p&lt;0.001) compared to Group C. Statistically significant correlations were found between the propensity to bullying and these indicators, being stronger in the total sample (p&lt;0.001). Additionally, significant gender differences were observed in stress, low self-esteem, family maladjustment, and propensity to violence, but not in incivility and bullying propensity. <strong>Conclusion:</strong> Students with a higher propensity to bullying exhibit higher levels of stress, low self-esteem, incivility, family maladjustment, and propensity to violence, underscoring the importance of comprehensive interventions.</p> Hugo Sánchez-Carlessi, Renzo Palacios-Gil Copyright (c) 2024 Revista de la Facultad de Medicina Humana Thu, 15 Feb 2024 00:00:00 +0000