Tópicos Sugeridos dentro de su búsqueda.
Tópicos Sugeridos dentro de su búsqueda.
1
artículo
Publicado 2016
Enlace
Enlace
Objetivo: El objetivo del estudio fue determinar la relación entre la autoestima y la capacidad de agencia deautocuidado del paciente con tuberculosos pulmonar del Hospital de Baja Complejidad “Huaycán. Material ymétodos: Investigación básica, de campo, descriptiva de diseño correlacional y transversal; la muestra estuvoconformada por 68 pacientes con tuberculosis pulmonar. Como instrumentos de recolección de datos se utilizaronla escala de autoestima de Rosemberg y la escala de apreciación de la agencia de autocuidado ASA (Appraisalof self-care Agency Scale) de Isenberg y Evers. Resultados: Los resultados muestran que existe relaciónsignificativa entre la variables autoestima y agencia de autocuidado (r=0.261, P=0.031), en cuanto a la relaciónentre la autoestima y las dimensiones de la agencia de autocuidado, se encontró relación directa y significativacon la dimensión in...
2
artículo
Publicado 2023
Enlace
Enlace
Objective: To determine if the use of inhaled corticosteroids is a risk factor for community-acquired pneumonia in patients with Chronic Obstructive Pulmonary Disease at the Víctor Lazarte Echegaray Hospital during the period 2017-2020. Methods: The study was analytical, observational, retrospective of cases and unmatched controls in a ratio of 4:1 with a population of 405 subjects from whom 81 cases and 324 controls were selected, who met the selection criteria. A non-probabilistic sampling was carried out. The variables, use of inhaled corticosteroids, patients with community-acquired pneumonia, age, sex, malnutrition and smoking were included. The association measure was made using Pearson's non-parametric Chi Square test. The bivariate and multivariate analysis was performed using multiple logistic regression with statistical significance (p value <0.05). The study statistician w...
3
artículo
Publicado 2023
Enlace
Enlace
Las entidades sinusoidales son raras en reumatología. En la esclerosis sistémica progresiva existe una variante de la forma cutánea limitada denominada esclerosis sistémica sine scleroderma, cuya característica central es la ausencia de afectación cutánea, pero sí afectación visceral. Los anticuerpos antitopoisomerasa o anticentrómero positivos confirman el diagnóstico. Presentamos el caso de una mujer de 63 años con enfermedad pulmonar intersticial, afectación del tránsito intestinal y fenómeno de Raynaud, con títulos elevados de ANA con patrón centromérico y positividad para anticuerpos anti-topoisomerasa. Ante un paciente con fenómeno de Raynaud, compromiso visceral y ANA elevado, se deben solicitar anticuerpos específicos para el diagnóstico de esclerosis sistémica en su variedad sinusal .
4
artículo
Publicado 2017
Enlace
Enlace
La tuberculosis es un gran problema de salud a nivel mundial. Causa problemas de salud entre millones de personas cada año y es la principal causa de morbilidad en muchas regiones, por ello comprender su efecto sobre la calidad de vida y estado de salud es importante para el cuidado del paciente. Objetivos: Identificar la asociación entre calidad de vida y afetación del parenquima pulmonar mediante grado de secuela radiológica de tuberculosis pulmonar en pacientes atendidos por el departamento de neumología del Hospital Nacional Hipólito Unánue en el 2016. Métodos: Estudio observacional, cuantitativo, analítico y transversal. Se encuestaron a 162 pacientes atendidos por el departamento de neumología con el antecedente de haber sido afectados por tuberculosis pulmonar en el Hospital Nacional Hipólito Unánue en el 2016. Se aplicó el test de calidad de vida SF-36 validado en el...
5
artículo
Publicado 2017
Enlace
Enlace
La Enfermedad Pulmonar Obstructiva Crónica (EPOC) se caracteriza por una limitación del flujo aéreo espiratorio, tiene un componente sistémico extrapulmonar que puede contribuir a la gravedad. La etiología más importante es el tabaquismo y en su descompensaci´´on intervienen las infecciones. Los broncodilatadores corticoides y antibióticos son los medicamentes mas frecuentes en el tratamiento de la exacerbación de EPOC, sin embargo la VMNI es una opción terapéutica con evidencia sólida en la exacerbación moderada a severa. Una mejoria clínica después de dos horas de prueba de VMNI es predictiva de éxito.
6
artículo
Publicado 2022
Enlace
Enlace
Objetivos: Determinar los factores socioeconómicos que influyen en el abandono del tratamiento de TBC sensible en pacientes el MICRO-RED de salud Ollantay del distrito de San Juan de Miraflores, 2012- 2015. Métodos: El presente estudio analítico transversal retrospectivo se desarrolló con una población de 64 pacientes con tuberculosis pulmonar sensible que recibieron de tratamiento el esquema I. La recolección de información se extrajo de las historias a partir del uso de una ficha de recolección de datos. Se realizó un muestreo probabilístico aleatorio, y se ejecutó un análisis bivariado mediante la medida de factor de riesgo Odds Ratio se consideró un intervalo de confianza de 95% (p<0.05). Resultados: De los 64 pacientes estudiados se determinó que el sexo masculino y el presentar alcoholismo, involucran un incremento de 7.0 y de 3.33 veces, respectivamente, de abando...
7
artículo
Publicado 2018
Enlace
Enlace
ABSTRACT Objective: To determine the percentage of lung volumes and capacities of the inhabitants of Huancayo that live at sea level and to verify if the normality curves of NAHNES III MEXICANO-AMERICANO conform to our population group. Methods: A calibrated MIR SPIROBANK digital spirometer was used, a non-probabilistic sampling was carried out, for convenience, with a population sample of 400 inhabitants comparable by size, age and sex, divided into 2 groups. Results: Men and women living at 3,000 meters above sea level have 13.5% and 14% respectively more FORCED LIFE CAPACITY (CVF), than those living at sea level. Men and women living at more than 3,000 meters above sea level have 12.6% and 14% respectively more FORCED SPIRITUAL VOLUME IN THE FIRST SECOND (VEF 1) than those living at sea level. Men and women living at 3000 meters above sea level have 88.32% and 88.74% of FEV1 / CFV, wh...
8
artículo
Publicado 2018
Enlace
Enlace
ABSTRACT:Epitheloid Hemangioendothelioma is a rare tumor, of low prevalence, with a higher incidence in the female sex in a 3: 1 ratio. The clinical behavior is unpredictable, being the lungs and the liver the most affected organs. The clinical manifestations are diverse and present with weight loss, cough, hemoptysis, chest pain, pleural effusion and dyspnea. Typically it manifests in both lungs with the presence of multiple nodules and infiltration of the pleura that are discovered incidentally by images. Biopsy, histology and immunohistochemistry are essential for diagnosis. Different non-standardized treatments have been described in the world literature from surgical resection, systemic chemotherapy, radiotherapy and recently the use of vascular endothelial growth factors, a promising treatment option in unresectable advanced disease. We describe the case of a 46-year-old male patie...
9
artículo
Publicado 2019
Enlace
Enlace
Introduction: In chronic obstructive pulmonary disease (COPD), the diaphragm and sternocleidomastoid respiratory muscles (ECOM) work against increased mechanical loads due to limited air flow and changes in chest conformation due to the condition of pulmonary hyperinflation. Objective: To evaluate the histopathological changes present in the lungs and respiratory muscles (diaphragm and ECOM) of the corpses affected by COPD. Materials and methods: This is a blind and descriptive study with analysis of histological images of biopsy. The history of smoking associated with the presence of pulmonary anthracosis, septal thickening and emphysematous bullae included the inclusion criteria of the study. The study was conducted by optical microscopic analysis of histological sheets obtained from 36 corpses with COPD. The histopathological diagnosis was made by a pathologist who did not know the ob...
10
artículo
Publicado 2020
Enlace
Enlace
Introduction: In the city of Huánuco and around the world, there is a progressive increase in cases of Tuberculosis and multidrug-resistant Tuberculosis, for this reason it was necessary to identify predictors to develop multidrug-resistant Tuberculosis. Objective: To determine if persistent fever, cavitary radiographic pattern and positive smear microscopy at the first month of treatment, are predictors of multidrug-resistant Tuberculosis in patients with Pulmonary Tuberculosis, in four health facilities in the city of Huánuco, between January 2010 and December 2015. Methods: case and control study. We considered 37 cases and 111 controls. Data were collected from medical records. Results: The predictive factors found in the bivariate analysis were persistence of fever at 2 weeks (p = 0.001, OR 0.05, CI 0.01-0.5), cavitary radiographic pattern (p = 0.000, OR 11.6, 95%IC 4.6-26.5), and...
11
artículo
Publicado 2020
Enlace
Enlace
Introduction: Functional changes resulting from the evolution of chronic obstructive pulmonary disease (COPD) are progressive and irreversible, causing increased diaphragm work due to pulmonary hyperinflation and airway obstruction. Phrenic nerves have promoted innervation of the diaphragm and may have been compromised in COPD condition. Objective: To compare the morphology of the phrenic nerves of the cadavers with COPD and without COPD by optical microscopy. Materials and methods: An exploratory descriptive studio conducted on the Death Verification Service in Alagoas. Pulmonary and phrenic nerve biopsies will be bilaterally taken from the cadavers after a necropsy with the diagnosis of COPD. Tissue samples were fixed and processed by conventional histology for hematoxylin-eosin (HE) histological slides. Biopsies are divided into experimental groups, one composed by patients with COPD ...
12
artículo
Publicado 2020
Enlace
Enlace
Pulmonary arterial hypertension (PAH) is a heterogeneous disease where genes play an important role. Hereditary PAH (PAH) is defined as a genetic condition of autosomal dominant manner, incomplete penetrance, variable expressivity, and which cases of familial PAH are defined by the presence of two or more family members with PAH with or without an identified germline variant and cases of idiopathic PAH corresponding to isolated cases in the family with an identified germline variant. To establish the diagnosis of hAPH, it is necessary to confirm the diagnosis in at least two relatives (HAPf) or identify the germline variant in an isolated case in the family (HAPi).
13
artículo
Publicado 2020
Enlace
Enlace
Pulmonary malformations include different abnormalities of the respiratory system, including congenital pulmonary airway malformation (MCVAP), formerly known as cystic adenomatous malformation, which is a rare disease with an incidence of 1 in 8,300 to 35,000 live births. Five classification patterns have been described according to the number and size of the cyst, in addition to their histological characteristics, with type 1 MCVAP being the most frequent, showing displacement of adjacent structures according to size, associated with brochioalveolar carcinoma, and good prognosis after resection surgical. We present the case of a four-year-old female patient with recurrent hospitalizations for pneumonia and bronchial obstructive syndrome. The thorough anamnesis and physical examination supplemented with the chest x-ray and tomography allowed the diagnosis to be suspected. Later, the pati...
14
artículo
Publicado 2021
Enlace
Enlace
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 and that the use of sequential combination therapy is predominant in FC III and FC IV stages, compared to earlier stages. The annual cost of PAH treatment in Peru was $ 14,842 USD, where the mai...
15
artículo
Publicado 2021
Enlace
Enlace
Introduction: The use of dasatinib in patients with CML has improved life expectancy and follow-up with transthoracic echocardiography (ECOTT) for early detection of PAH allows modifications to the treatment. Objective: To determine the echocardiographic parameters and echocardiographic probability for PAH in patients with CML treated with dasatinib. Methods: Correlation, cross-sectional, retrospective, single-center study; patients with CML treated with dasatinib were included. Spearman and Pearson correlation was used. Results: 16 patients were analyzed, mean age 53.5 years; 62.5% men, 37.5% women. The dasatinib dose was 50 mg / day in 18.7%, and 100 mg / day in 81.2%, mean pulmonary arterial pressure (mPAP) 26.3 mmHg, mean maximum tricuspid regurgitation velocity (VmxRT) 2.9 m / s, mean pulmonary artery systolic pressure (PSAP) 41 mmHg. 56.2% had rig...
16
artículo
Reportamos el caso de una paciente mujer de 20 años con disnea y dolor torácico asociado a esfuerzo moderado, sin enfermedad cardiaca conocida, previamente. Las evaluaciones demostraron dilatación de tronco principal y ramas de arteria pulmonar con regurgitación pulmonar severa, hipertensión pulmonar leve, dilatación leve e hipertrofia moderada de ventrículo derecho; sometida a cirugía por insuficiencia pulmonar severa y cura quirúrgica de aneurisma pulmonar. El hallazgo intraoperatorio fue agenesia del velo septal de la válvula pulmonar y aneurisma de arteria pulmonar y sus ramas. Se realizó un cambio de válvula y plastía del aneurisma.
17
tesis de grado
Publicado 2023
Enlace
Enlace
La presente investigación tuvo como objetivo (1) estimar la prevalencia de lesiones pulmonares en mataderos de Lima Metropolitana; (2) determinar la asociación de lesiones pulmonares con el tipo de sistema de producción: granjas tecnificadas y granjas no tecnificadas; y (3) describir los tipos de lesiones pulmonares encontrados. El estudio se realizó durante los meses de enero y febrero del 2021. Se evaluaron 500 pulmones de gorrinos provenientes de cinco mataderos de Lima Metropolitana, por camal se evaluaron 100 pulmones, de los cuales 50 provenían de un sistema tecnificado y 50 de un sistema no tecnificado. Se describió el tipo de lesión pulmonar y se evaluó la asociación de la prevalencia de lesiones pulmonares según el tipo de sistema de producción (Tecnificado y no tecnificado) con la prueba de chi cuadrado, usando el programa estadístico IBM SPSS Statistics 26. Se dete...
18
artículo
Publicado 2021
Enlace
Enlace
Clinical monitoring of pulmonary arterial hypertension in our country, in which patients come from different altitudes above sea level, forces us to rule out pulmonary hypertension in relation to chronic exposure to high heights, described in third group of international classification. When reviewing the hemodynamic variations in pulmonary pressure with exercise at altitude with respect to sea level in healthy patients, this is greater in height, this would explain that the patient with pulmonary arterial hypertension is more symptomatic while living at a higher altitude above sea level.
19
artículo
No description
20
artículo
Publicado 2021
Enlace
Enlace
Objective. Evaluate the change of lactate levels and its prognostic role in the postoperative period of patients undergoing pulmonary thromboendarterectomy. Methods. Retrospective study between 2001 and 2019. Patients older than 18 years and who underwent pulmonary thromboendarterectomy were included. The U Mann Whitney test was performed to evaluate the change between lactate levels, and Cox regression analysis to evaluate the relationship with mortality. Areas under the curve were constructed for lactate levels. Results. Seventy-three patients were operated on during the study period. Median age was 51 years, 55% female. The median lactate on days 1 was 4.65 mml/L and on day 2 it was 1.62 mml/L with a change of 2.87 mml/L. No differences were found between the levels measured on day 1 and 2 between the people who died and those who did not on day 30. In the multivariate regressio...
