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1
artículo
Objective. To analyze the involvement of Local Community Health Administration Associations (ACLAS) of Regional Government of Huánuco. Methods. Descriptive study with the application of questionnaires(quantitative method). Research population comprised members involved in the co-administration (General Assembly, Board of Directors and Management) of the 60 ACLAS in force, jurisdictionally belonging to theHuánuco Executing Unit, 2017 and the sample comprised 132 members belonging to 22 current ACLAS. Results. A positive relationship was found between co-administration and management of health services, with human resources (0.53) and the exercise of administrative functions (0.43) having the greatest relationship with management. In the same way, the lack of commitment of the local authorities of the Board of Directors for planning of the work of the ACLAS or to facilitate the processes...
2
artículo
Objective. To analyze the involvement of Local Community Health Administration Associations (ACLAS) of Regional Government of Huánuco. Methods. Descriptive study with the application of questionnaires (quantitative method). Research population comprised members involved in the co-administration (General Assembly, Board of Directors and Management) of the 60 ACLAS in force, jurisdictionally belonging to the Huánuco Executing Unit, 2017 and the sample comprised 132 members belonging to 22 current ACLAS. Results. A positive relationship was found between co-administration and management of health services, with human resources (0.53) and the exercise of administrative functions (0.43) having the greatest relationship with management. In the same way, the lack of commitment of the local authorities of the Board of Directors for planning of the work of the ACLAS or to facilitate the process...
3
artículo
Publicado 2021
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Coronavirus disease 2019 (COVID-19), caused by the SARS-CoV-2 virus, shows mainly clinical manifestations at the respiratory level. It can affect, however, other organs and systems, including the central nervous system, generating neurological manifestations that include the Guillain Barré Syndrome (GBS). We present the cases of two male patients, aged 35 and 46, with GBS, one classified as AMAN and the other as AIDP. Both patients showed positive serology for SARS-CoV-2 and reported respiratory symptoms prior to the weakness condition. RT-PCR in pharyngeal secretion and CSF was negative in both cases. The infection by SARS-CoV-2 was confirmed by the total antibody test in serum through a positive CLIA immunoassay, positive for IgG in the two cases. The characteristics of the cases support a possible postinfectious relationship between SARS-CoV-2 and GBS, and open as well the possibilit...
4
artículo
Publicado 2022
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Objective. To identify and describe the oral lesions found in patients with SARS-CoV-2 infection. Methods. Series of cases with description of 11 patients with SARS-CoV-2 infection confirmed by nasopharyngeal swab or serological test to confirm the infection; with the presence of intraoral manifestations of different types. All patients underwent tele-consultation by a stomatologist and relevant data such as age, sex, history of pre-existing diseases, type of stomatological lesion present, site and symptomatology, among others, were collected. All patients signed an informed consent form. Results. Of the 11 positive cases for SARS-CoV-2, 63.63% (n=7) of the patients were female and 36.36% (n=4) were male. All patients (100%) were diagnosed by molecular and serological tests, 90.90% were diagnosed by viral PCR and 9.09% were diagnosed by antigen test. Ulcerative lesions predominated in 54...
5
artículo
Caso clínico sobre la aplicación del proceso enfermero en un paciente con comorbilidad (hipertensión arterial, obesidad y diabetes mellitus) y COVID-19, enfocado al modelo metodológico conceptual de Virginia Henderson vinculado al lenguaje estandarizado de la taxonomía NANDA, NOC y NIC. La fnalidad del caso clínico es visibilizar el cuidado de enfermería, enfatizando la importancia de desarrollar un plan de cuidado enfocado en las respuestas humanas y las necesidades individuales del paciente, utilizando la metodología científca, generando conocimiento y cuidado de calidad. Su evidencia en un escenario clínico real nos permite poner de manifesto la problemática que enfrenta el personal de enfermería en esta pandemia. Podemos concluir que el abordaje de los cuidados enfermeros en patologías complejas requiere de trabajo integrado y holístico, siendo necesario utilizar modelo...
6
artículo
Publicado 2020
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Se ha mostrado mucho entusiasmo entre la comunidad médica y las sociedades científicas con respecto al uso de la hidroxicloroquina para el manejo del COVID-19. De hecho, muchos hospitales ya están utilizando este tratamiento en pacientes hospitalizados e incluso ambulatorios sobre la base de algunos protocolos hospitalarios, guías preliminares que plantean considerar su posible uso [1] y, particularmente, un pequeño estudio no controlado [2] de calidad metodológica cuestionable. Al respecto, quisiera resaltar algunos puntos importantes:
7
artículo
Publicado 2021
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The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virus causing the ongoing pandemic. In general, patients infected with SARS-CoV-2 develop respiratory diseases. The first symptoms are fever, cough and dyspnea that rapidly progress to pneumonia. Additionally, extrapulmonary manifestations, such as those in the gastrointestinal system, have been reported. It has been described that the angiotensin-converting enzyme 2 (ACE2) receptor and the transmembrane serine protease 2(TMPRSS2) for S protein priming favor SARS-CoV-2 entry into the cells. These proteins are expressed in alveolar type II cells as well as in ileum and colon enterocytes, thus detecting the virus in the digestive tract. We present the case of a patient with COVID-19 pneumonia and gastrointestinal findings such as pneumatosis intestinalis and ischemic colitis.
8
informe técnico
Publicado 2018
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Los pequeños agricultores peruanos de la región montañosa de los Andes han enfrentado históricamente una amplia variabilidad climática (de año a año y en la temporada de cultivo). Los conocimientos y prácticas tradicionales, incluida la diversificación de la cartera de cultivos y la selección de cultivos tolerantes, apuntan a salvaguardar la seguridad alimentaria incluso en los años “malos” cuando se materializan los riesgos relacionados con el clima o el mercado. A pesar de este conocimiento y experiencia históricos, los cambios climáticos acelerados plantean nuevos desafíos, frente a los que los agricultores luchan por adaptarse, especialmente debido a la falta de información oportuna y de recursos financieros y físicos. Comprender cómo los agricultores se están adaptando de forma autónoma es una necesidad pendiente, para poder informar a los responsables de las ...
9
artículo
Publicado 2020
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Introduction: Fewer COVID-19 cases and less lethality have been observed at high altitude compared to cases reported at sea level. There are currently no publications reporting clinical behavior of pregnant women with COVID-19 at high altitude. Methods: This is a retrospective study with review of medical records between March 6, 2020 and June 15, 2020. The first thirteen cases of pregnant women with COVID-19 who were attended at Simón Bolívar COVID-19 Hospital, located at 2750 meters above sea level, are described. The cases came from altitudes between 2 035 and 3 502 meters above sea level (masl). Statistical analysis used SPSS, version 19.0. Results: Thirteen cases of pregnant women with COVID-19 confirmed by IgM for SARS-CoV-2 were attended at 2 750 masl (9 022.31 feet) in the Peruvian Andes. Delivery by cesarean section occurred in eight cases (61.5%) and five (38.5%) delivered va...
10
artículo
Publicado 2022
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It is relevant to elucidate a regrettable phenomenon within the armed conflict in Colombia: the illicit recruitment of children and adolescents, a situation that has plagued the Colombian territory for more than 60 years. This event occurs due to the non-compliance with the duty to protect the rights of children and adolescents by the State and the family, in accordance with the co-responsibility that exists between both institutions, which failed to watch over the rights of this specific population. In that regard, the main objective of this research is to determine the impact derived from the failure of the Colombian State and the family to protect the rights of children and adolescents, as a decisive factor in the forced recruitment by armed groups outside the law. Thus, the type of research is legal-dogmatic, the approach is qualitative, the techniques for data collection were the re...
11
artículo
Publicado 2020
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Se ha mostrado mucho entusiasmo entre la comunidad médica y las sociedades científicas con respecto al uso de la hidroxicloroquina para el manejo del COVID-19. De hecho, muchos hospitales ya están utilizando este tratamiento en pacientes hospitalizados e incluso ambulatorios sobre la base de algunos protocolos hospitalarios, guías preliminares que plantean considerar su posible uso [1] y, particularmente, un pequeño estudio no controlado [2] de calidad metodológica cuestionable. Al respecto, quisiera resaltar algunos puntos importantes:
12
artículo
Publicado 2020
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Covid-19 disease shows many different manifestations, from common symptoms affecting both the upper and lower respiratory tract, and also sensorial alterations such as anosmia or taste perversion. Heart valve thrombosis and subsequent endocarditis are extremely rare manifestations and they have been scarcely described within the context of Covid-19. We present a case of a patient that was positive for SARS-Cov-2, who developed Staphylococcus hominis bacteremia. Afterwards, he developed persistent fever, and after ruling out some differential diagnoses, a diagnosis of infective endocarditis affecting a native healthy aortic valve was made, using cardiac ultrasonography. This occurrence was considered to be hospital-acquired.
13
artículo
Reports describing neurological manifestations in patients with COVID-19 have substantially increased in the past months. Nevertheless, findings from neuroimaging studies have been poorly documented because of restrictions due to the need for isolating such patients. Two cases of patients with COVID-19 and clinical neurological manifestations are reported. They underwent brain imaging studies and atypical findings were made in cerebral magnetic resonance imaging. It is necessary to have more detailed and better documented descriptions of neurological manifestations in patients hospitalized with COVID-19 and their respective neuroimaging correlates in order to obtain better knowledge of this condition.
14
artículo
Publicado 2021
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Background: We describe an 8-month-old boy with leukemia and SARS-CoV-2 infection who developed Kasabach-Merritt phenomenon. He had a positive SARS-COV-2 RT-PCR sample. Hematologic tests showed coagulopathy and intestinal involvement. She was managed in emergency receiving transfusion support and in hospitalization with social isolation measures, she started propanolol and corticotherapy as initial treatment of infantile angiomas. She presented with symptoms of intestinal obstruction and underwent surgery and evidence of hemorrhagic infarction with foci of intestinal ischemic necrosis, ending in ileostomy. We tried to understand a pathophysiological explanation of the dermatologic and gastrointestinal tract involvement by the virus and the atypical form of COVID-19. Given the emerging evidence of endothelial and vascular involvement in COVID-19, the development of tests to detect vascula...
15
artículo
Publicado 2021
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Introducción: Describimos a un niño de 8 meses con leucemia e infección por SARS-CoV-2 que desarrolló el fenómeno de Kasabach-Merritt. Tenía una muestra de RT-PCR de SARS-COV-2 positiva. Las pruebas hematológicas mostraron coagulopatía y afectación intestinal. Fue manejada en emergencia recibiendo apoyo transfusional y en hospitalización con medidas de aislamiento social, inició propanolol y corticoterapia como tratamiento inicial de los angiomas infantiles. Presentó síntomas de obstrucción intestinal y fue intervenida quirúrgicamente y se evidenció infarto hemorrágico con focos de necrosis isquémica intestinal, terminando en ileostomía. Intentamos comprender una explicación fisiopatológica de la afectación dermatológica y del tracto gastrointestinal por el virus y la forma atípica de COVID-19. Dada la evidencia emergente de la afectación endotelial y vascular en...
16
tesis de grado
Publicado 2025
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Antecedentes: La Covid-19, causada por el SARS-CoV-2, es altamente contagiosa y, aunque compromete sobre todo al pulmón, cada vez se reconoce más su impacto cardiaco, en particular la miocarditis. Objetivo: Sintetizar las características clínicas, los hallazgos diagnósticos, el manejo y los desenlaces de la miocarditis asociada a Covid-19 mediante una revisión sistemática. Métodos y materiales: Se buscaron en MEDLINE/PubMed y Embase todos los informes y series de casos, sin restricción de idioma, que describieran miocarditis aguda confirmada en pacientes con infección por SARS-CoV-2 verificada por laboratorio. Resultados: Se analizaron 41 estudios con 42 pacientes. La mediana de edad fue 43,4 años; el 71,4 % eran varones. El síntoma inicial más frecuente fue fiebre (57 %). La comorbilidad predominante fue hipertensión. Troponina y péptido natriurético cerebral estuvieron ...
17
artículo
Reports describing neurological manifestations in patients with COVID-19 have substantially increased in the past months. Nevertheless, findings from neuroimaging studies have been poorly documented because of restrictions due to the need for isolating such patients. Two cases of patients with COVID-19 and clinical neurological manifestations are reported. They underwent brain imaging studies and atypical findings were made in cerebral magnetic resonance imaging. It is necessary to have more detailed and better documented descriptions of neurological manifestations in patients hospitalized with COVID-19 and their respective neuroimaging correlates in order to obtain better knowledge of this condition.
18
artículo
Publicado 2020
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Covid-19 disease shows many different manifestations, from common symptoms affecting both the upper and lower respiratory tract, and also sensorial alterations such as anosmia or taste perversion. Heart valve thrombosis and subsequent endocarditis are extremely rare manifestations and they have been scarcely described within the context of Covid-19. We present a case of a patient that was positive for SARS-Cov-2, who developed Staphylococcus hominis bacteremia. Afterwards, he developed persistent fever, and after ruling out some differential diagnoses, a diagnosis of infective endocarditis affecting a native healthy aortic valve was made, using cardiac ultrasonography. This occurrence was considered to be hospital-acquired.
19
artículo
Publicado 2014
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In this work we study theoretically the ferromagnetic resonance in a spin-valve. For this purpose, we propose a phenomenological model for the density of Helmholtz free energy taking into account the magnetocrystalline anisotropy, shape anisotropy, interlayer exchange coupling and exchange bias. Considering this energy density we solve the Landau-Lifshitz equation in spherical coordinates and in the resonance condition. In this way, we obtain the dispersion relation and, as a consequence, the frequency versus the resonance field. These results are in good agreement with the literature. Additionally, we apply the model to the IrMn/Co/Ru/NiFe system and study the magnetic coupling interlayers, where the non-magnetic layer (Ru) has a thickness of 3.2 nm. The results indicate the existence of an antiferromagnetic coupling with a strength of couping of Jbl + 2Jbc = −4.3 erg/cm2.
20
artículo
Publicado 2022
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This article addresses the case model for the Live art exhibition project Venice International Performance Art Week, founded and curated by artist duo VestAndPage (Verena Stenke and Andrea Pagnes) in 2012. Since its inception, it has promoted performance art and Live art practices on a local, national, and international scale through live performance events, exhibitions, formative learning programs, and co-creation experiences. Founded on the principles of sustainability, hospitality, and care, it has become a recognized international platform where dialogue and exchange, artistic expressions and cultures can flourish proactively among performers. The project formats have evolved over the time, progressively focusing on forming temporary performance artist communities in terms of a social sculpture. Its core mission is to foster exchange among performers, Live artists, and peop...
