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https://purl.org/pe-repo/ocde/ford#3.03.03
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ODS 3: Salud y bienestar. Garantizar una vida sana y promover el bienestar de todos a todas las edades
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Conocimiento
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1
artículo
Publicado 1996
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From January 1995 to February 1996 in the Department of Surgery at Guillermo Almenara Irigoyen Hospital (General Surgery Service N° 5) we resolved to prepare a protocol of assessment and/or nutritional support in patients who are awaiting for surgery or who recently has undergone surgery. Our porponse is to decrease the morbimortality rate. After several work meetings, we resolved to offer this protocol for its aplication, as well as evaluation and follow up of the patients.
2
artículo
Vital signs like the fever usually are frustrating for the binomial doctor-patient; as such it is indispensable to have in mind a series of steps that direct us to the etiologic diagnosis of this pathological modality. We cannot face this disturbance by following protocols recommended by authors of the first world, as many times we remain halfway, constituting a loss of time and frustration. That is why we need to reorganize an established affluent protocol. In this paper, the English diagnosis protocol is reorganized in order to deduce the etiologic factor in Fever of unknown origin (FOD). Most of the authors expert on the subject recommend four divided diagnosis phases according to the tools (technological and scientific) of diagnosis. The intention of this paper is to regroup the diagnosis modality in benefit of hospital units of Latin America and other developing countries. We presen...
3
artículo
Publicado 2021
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Introduction: Making fair coverage decisions by allocating limited resources implies prioritization. Given the pandemic, this is even more difficult, given the economic recession and the need to cope with new demands for health technologies, in addition to the rest of the needs of the health system. Health Technology Assessment and the regulation of drug prices are two strategies recommended by WHO-PAHO to increase the efficiency and equity of health systems. We analize the budget impact and opportunity cost of spinraza, a high-cost drug that would be effective in increasing the survival of patients with a rare disease named Type I Spinal Muscular Atrophy. In Argentina, it is covered without price regulation, paying three times more expensive than in Brazil, although a National Health Technology Assessment did not recommend this. Methods: The opportunity cost of spinraza for Spinal Muscu...
4
artículo
Publicado 2021
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Objectives: to measure the prevalence and intensity of acute pain in hospitalized patients in the Neurosurgery Service of a Tertiary Hospital, using a numerical verbal scale, the Visual Analogue Scale (VAS) for its evaluation. Material and methods: observational, cross-sectional study to evaluate acute pain. All patients admitted to the ward during November 2019 are included and those with limitations to understand or evaluate pain according to VAS are excluded. Results: of the total of 120 patients admitted to the ward during the study period, 40 were excluded because they did not meet the inclusion criteria. Eighty patients with a high prevalence of pain (76.61%) were analyzed, with a mean score of 3.47 ± 0.78. Of those who report pain, 20% is mild, 40% moderate and 40% intense. For pathologies, the highest values correspond to post-intervention. Hospital analgesic protocols wer...
5
artículo
Publicado 2021
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El objetivo de este estudio fue caracterizar las principales situaciones de indicación, contraindicación y accionar profiláctico para la exodoncia de terceros molares, según la literatura. Se utilizaron las bases de datos PubMed, Scopus y Web of Science, con un total de 3 llaves de búsqueda, y se incluyeron publicaciones de máximo 5 años de antigüedad, en inglés o español, con disponibilidad de texto completo. Fueron seleccionados 18 artículos, en los que se determinó que la indicación más frecuente en la exodoncia de terceros molares fue el diagnóstico de pericoronaritis, seguido de caries cervical distal en segundo molar inferior, reabsorción radicular en dientes adyacentes y quistes. A su vez, puede estar indicada para facilitar otros tipos de tratamientos dentales, como ortodoncia, cirugía ortognática y rehabilitación. En cuanto a las contraindicaciones, predominó...
6
artículo
Publicado 2018
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<br class="Apple-interchange-newline"><div></div> 2797/5000 Mr. Editor Clinical trials are characterized by having one of the highest levels of scientific evidence1. A properly designed, executed and reported clinical trial constitutes the gold standard in the evaluation of medical interventions. Therefore, timely dissemination is essential to ensure that the clinical decisions made by physicians and patients reflect the best available evidence2. However, the literature reports that in the last decade only half of clinical trials carried out worldwide have been published3. A study conducted in the United States described that less than 30% of clinical trials were published within 2 years of completion in that country4. In the case of Latin America, only 15% of published clinical trials are reported5. In Peru, information regar...
7
artículo
Publicado 2023
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Congenital diaphragmatic hernia is a rare but potentially fatal condition in which abdominal organs herniate into the thoracic cavity, leading to pulmonary hypoplasia and respiratory distress. Interinstitutional variability exists for disease management, and in this study, we present evidence-based recommendations regarding delivery room management, respiratory, hemodynamic, and nutritional support, sedation, and vascular access. Adequate preoperative management is essential for stabilizing these neonates before surgical correction, aiming to improve pulmonary function and overall neonatal well-being. In the present manuscript, we detail the preoperative approach employed by Texas Children's Hospital to manage congenital diaphragmatic hernia.
8
artículo
Publicado 2025
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Traumatic fibroma is a benign neoplasm that is triggered by the activation of platelet-derived growth factors (PDGF). These factors bind to specific receptors on the surface of fibroblasts, triggering the autophosphorylation of tyrosine residues and thus promoting the migration and proliferation of cells responsible for repair, such as fibroblasts. This injury arises mainly due to local, chronic or repetitive low-intensity traumatic factors, which can cause histological changes, such as pseudoepitheliomatous hyperplasia. The purpose of this work is to present a case of a traumatic fibroma derived from pausing and partially suspending dental consultations when wearing orthodontic appliances that are in contact with soft tissues. Demonstrating that in health emergency situations that lead to the closure of academic institutions where patients are treated, monitoring protocols must be imple...
9
artículo
In the implant rehabilitations supported in the previous sector, a surgical and prosthetic protocol should be carried out as a mechanism to ensure the aesthetics and function of the procedure to be performed. The objective of this clinical case is to present a rehabilitation protocol in a soft tissue test and management document to preserve aesthetics through provisional prosthetic structures, ending with rehabilitation with the zirconium oxide abutment with titanium base and a crown of lithium disilicate as means to achieve high aesthetics. The prediction of a unitary implant in the anterior sector requires the clinician to know three-dimensional structures conjugated with a soft tissue and material handling in an appropriate way, to predict the medium- or long-term behavior in the protection and prevention of aesthetics.
10
artículo
Objective: To identify, in the scientific literature on nursing education, the predominant curricular elements in the processes of incorporating the clinical competence-based approach. Competency-based education in the health field faces tensions derived from the transition from a traditional educational model to a competency-based one. Method: An umbrella review of scientific literature was conducted through a search in ten sources, including databases and scientific publishers: Science Direct, Web of Science, PubMed, EBSCO, Scopus, Embase, Dialnet, SciELO, Redalyc, and Springer. The Joanna Briggs Institute review protocol was adopted, which includes selection criteria, search strategy, study selection, methodological quality assessment, data collection, and synthesis. Inclusion criteria were: nursing students, clinical competencies, and literature reviews; exclusion criteria: reviews f...
11
artículo
Publicado 2000
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OBJECTIVE: To determine if the epidemiological, clinical and laboratorial features observed among hyperthyroid patients with Graves disease, influence the appearence of Graves Ophtalmopathy (GO). MATHERIAL AND METHODS: Analitical, observational and cross-sectional trial of 97 hyperthyroid patients. 69 patients completed the inclusion criteria. RESULTS: GO is more frequent among women (1, 1: 1) and in the fifth decade, although none of them were significant. Simultaneous onset between systemic complaints and GO, in the first six months, had statistical significance. Tobacco did correlate significantly with development of GO. Severe involvement of GO are more frequent in males. Exophtalmos was present in 27% of patients. CONCLUSIONS: The first six months of onset of clinical manifestations of Graves disease and smoking habit should alert us about the risk of GO development. Exophtalmos is ...
12
artículo
Publicado 2015
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OBJETIVE: To evaluate the performance of ultrasound clinical trial proposed by the CLAP. MATERIALS AND METHODS: A descriptive study that evaluates the likelihood of association of small for gestational age (SGA) with factore risk and ultrasound findings. RESULTS: Correlation between risk factors and the cranial circumference (CC) and abdominal (CA) lower 5th percentile dle with PEG was found. CONCLUSIONS: A significant association between risk factors and the presence of small for gestational age fetus. The high specificity and negative predictive value DC and AC make this biometrics useful for the assessment of fetal growth.
13
artículo
Publicado 2021
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Sr. Editor.Debido a la pandemia por COVID-19, las universidades dejaron de tener clases presenciales para pasar a la virtualidad. Sin embargo, carreras profesionales como Odontología se han visto afectadas, ya que la educación presencial y clínica es fundamental para su adecuado aprendizaje. Se sabe que los odontólogos son los profesionales de salud más expuestos a este nuevo virus debido al contacto directo con la saliva 1. Por este motivo, es muy importante tener en cuenta algunas consideraciones y recomendaciones para los nuevos protocolos e infraestructura que debe tener una clínica odontológica universitaria.
14
artículo
Publicado 2021
Enlace
Enlace
Sr. Editor.Debido a la pandemia por COVID-19, las universidades dejaron de tener clases presenciales para pasar a la virtualidad. Sin embargo, carreras profesionales como Odontología se han visto afectadas, ya que la educación presencial y clínica es fundamental para su adecuado aprendizaje. Se sabe que los odontólogos son los profesionales de salud más expuestos a este nuevo virus debido al contacto directo con la saliva 1. Por este motivo, es muy importante tener en cuenta algunas consideraciones y recomendaciones para los nuevos protocolos e infraestructura que debe tener una clínica odontológica universitaria.
15
artículo
Publicado 2022
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Objective: To evaluate the frequency and distribution of adverse events that occur in the development of dental treatments performed by clinical operators of a Teaching Dental Clinic during 2015. Material and Methods: An observational and descriptive longitudinal and prospective study was carried out to evaluate the frequency of adverse events in the dental practice of Dentistry students, for which a System for the Registration and Notification of Adverse Events in Dentistry was implemented aimed at 110 clinical operators in the areas of Restorative Dentistry, Oral Surgery, Endodontics and Oral Rehabilitation during 2015. Results: 167 adverse events were reported, representing 10.18% of the total treatments performed during the monitoring and evaluation period. Common, depending on the clinical field, were “Post-restorative treatment hypersensitivity” (restorative dentistry), “Over...
16
Publicado 2024
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Antecedentes: La diversa composición química de las cerámicas híbridas (HC) CAD/CAM introducidas recientemente ha dado lugar a hallazgos contradictorios sobre el impacto de los tratamientos superficiales antes de la cementación, lo que complica el establecimiento de un protocolo clínico universalmente aceptado. Objetivo: Evaluar la influencia de diferentes tratamientos superficiales de cerámicas híbridas, sobre la fuerza de adhesión de un cemento resinoso. Material y métodos. Se utilizaron seis tipos de cerámicas modificadas, que fueron sometidas a cuatro tratamientos de superficie diferentes: sin tratamiento (control), abrasión con partículas de Al2O3, acondicionamiento con HF al 9%, y una combinación de Al2O3 y HF. Tras los tratamientos, se aplicó un agente de acoplamiento de silano y se colocaron cilindros de cemento de resina en las muestras, los cuales se polimerizaro...
17
tesis de grado
Publicado 2024
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Introducción: La parálisis de cuerda vocal genera disfonía, dificultades respiratorias y deglutorias. De esta manera, se ha implementado la terapia vocal para la mejoría del paciente con parálisis de cuerda vocal. Sin embargo, a pesar de la efectividad de la terapia vocal todavía no se han integrado las consideraciones del protocolo en esta terapia. Objetivo: Describir las consideraciones del protocolo implementado para el manejo terapéutico en un paciente con parálisis de cuerda vocal en una clínica privada durante el 2024. Descripción del trabajo: Se establecen cuatro fases para el protocolo de terapia vocal; se evaluó y estableció pautas de higiene vocal, estiramientos de cabeza y cuello, ejercicios de tracto vocal semiocluido y resonancia. Hallazgos principales: La paciente con las cuatro fases logró modular su voz, presenta menor contracción a nivel de cintura escapula...
18
artículo
Publicado 2025
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Objectives: To evaluate the clinical effects and radiographically analyze the effectiveness of fibrin-rich plasma (FRP) in post-extraction bone preservation in a resource-limited community, considering its potential to mitigate complications and facilitate future rehabilitation. Materials and Methods: A case series was conducted in San Vicente Chicoloapan, State of Mexico, analyzing four patients treated with FRP after dental extractions. The protocol included centrifugation of blood at 1300 rpm for 8 minutes to obtain FRP, which was placed in the alveolus after extraction. Clinical and radiographic follow-up was performed using Handy Dentist software to assess healing, changes in bone height, and density. Results: In all four cases, complete gingival healing was achieved without complications. The case with the longest follow-up showed 97.8% bone preservation at seven months. Radiograph...
19
artículo
Publication of clinical trials performed in Peru: Publicación de ensayos clínicos realizados en Perú
Publicado 2018
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<br class="Apple-interchange-newline"><div></div> 2797/5000 Mr. Editor Clinical trials are characterized by having one of the highest levels of scientific evidence1. A properly designed, executed and reported clinical trial constitutes the gold standard in the evaluation of medical interventions. Therefore, timely dissemination is essential to ensure that the clinical decisions made by physicians and patients reflect the best available evidence2. However, the literature reports that in the last decade only half of clinical trials carried out worldwide have been published3. A study conducted in the United States described that less than 30% of clinical trials were published within 2 years of completion in that country4. In the case of Latin America, only 15% of published clinical trials are reported5. In Peru, information regar...
20
tesis de grado
Publicado 2024
Enlace
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La parvovirosis canina es una enfermedad viral compleja, pudiendo ser mortal. El manejo correcto repercute en la prognosis del paciente. En nuestro medio existe una deficiencia en el diagnóstico y manejo del SIRS y la Sepsis. Los objetivos se centraron en el diagnóstico temprano del SIRS, describir el uso del ecógrafo como ayuda en el monitorio clínico y describir los protocolos terapéuticos integrales en cuatro pacientes caninos con parvovirosis. Se obtuvo la información de las historias clínicas de los pacientes, siendo cachorros de menos de cinco meses, tres machos y una hembra, positivos a la prueba detección de parvovirosis canina, con cuadros gastroentéricos severos. Durante la hospitalización se realizaron evaluaciones ecográficas continuas, vaciamiento gástrico y colónico por sondas, recibieron alimentación microenteral temprana. Este trabajo tuvo como fin orientar ...
