South Health and Policy (Journal)
Not a member yet
234 research outputs found
Sort by
The importance of sleep hygiene in the treatment of fibromyalgia
No full textFibromyalgia is a complex medical condition characterised by chronic pain, fatigue and sleep disturbances. It was highlighted that non-restorative sleep aggravated pain perception, establishing a vicious cycle between the two. It was explained that this disease mainly affected adult women and that hypersensitivity to pain was influenced by neurochemical, psychological and emotional factors. The importance of non-pharmacological strategies, such as sleep hygiene, was emphasised, as these have been shown to improve sleep quality, reduce pain and promote emotional well-being. Finally, it was concluded that a biopsychosocial approach was essential for a comprehensive treatment of fibromyalgia, taking into account both the clinical aspects and the subjective experiences of the patient
Diagnosis and Prevention of Long QT Syndrome in Sports
No full textThe relationship between sports and cardiovascular health, highlighting that, although exercise offered significant benefits, it could also trigger serious events in individuals with hereditary heart conditions, such as Long QT Syndrome (LQTS). This genetic channelopathy affected ventricular repolarisation, increasing the risk of arrhythmias and sudden cardiac death, especially in athletes. LQTS was caused by mutations in specific genes and could manifest as syncope, palpitations or sudden death during physical exertion. Diagnosis required a detailed electrocardiographic evaluation, complicated by physiological changes induced by training. The use of genetic testing and the importance of family screening were also mentioned. Finally, it was highlighted that international guidelines allowed for individualised assessment to determine sports eligibility, promoting personalised medicine that protected the lives of athletes
SQTL and competitive sports: a challenge for medicine in Latin America
No full textThe QT interval, measured on the ECG, represented the time of ventricular depolarisation and repolarisation, and its prolongation indicated a risk of serious arrhythmias or sudden death. In athletes, this prolongation was sometimes observed as a physiological adaptation, although in certain cases it responded to pathologies such as Long QT Syndrome (LQTS). As competitive sport became more professional in Latin America, concerns grew about latent cardiac conditions, especially after sudden deaths in elite athletes. The diagnosis of prolonged QT required detailed evaluations, as intense training altered normal heart parameters. The lack of standardised protocols, systematic screening and access to advanced technology made it difficult to detect LQTS, increasing the risk in genetically susceptible populations. Despite some advances in education and partial reforms, inequalities in cardiac care persisted, making prolonged QT a medical and social challenge
Therapeutic use of stem cells obtained from the cord umbilical in patients with diabetes mellitus type I
No full textCurrent medicine with a boom in stem cell therapies has great enthusiasm and hope to advance in the cure of some diseases that for many years have affected a large part of the world\u27s population and that as the years go by, the incidence, relapses increase. of the disease, crisis, hospitalizations, comorbidities, complications that can not only affect the patient\u27s health more, but also increase costs for hospitals and the state, in the midst of saving the lives of these patients; For years, the pharmaceutical industry has also produced different medications in search of a less invasive and more specific treatment for each patient, also increasing the cost of maintaining this disease; said disease diabetes mellitus (DM). Diabetes mellitus is a metabolic disease characterized by hyperglycemia and β-cell dysfunction. In this research we have the objective of focusing the therapeutics and efficacy on stem cells derived from the umbilical cord. that specifically provide several advantages and unique characteristics for said disease
Faecal microbiota transplantation: an emerging solution for recurrent infections
No full textClostridioides difficile infection was one of the main causes of antibiotic-associated diarrhoea, especially in Latin America, where its incidence increased considerably. Traditionally, it was treated with antibiotics such as metronidazole and vancomycin, although fidaxomicin emerged as a more effective option. However, the high recurrence rates prompted exploration of faecal microbiota transplantation (FMT), which proved more effective in recurrent cases. Although FMT was recognised as a promising therapy, its implementation in Latin America faced barriers such as a lack of protocols, infrastructure, regulation and cultural acceptance. Despite these challenges, scientific evidence supported its progressive incorporation into health systems.
Bacterial threat in the ICU: clinical impact and strategies against multi-resistance
No full textAntimicrobial resistance became established as one of the main challenges in hospital medicine, especially in the Intensive Care Units of the General Hospital for Acute Patients ‘Manuel Belgrano’. In this environment, there was an increase in infections caused by multi-resistant bacteria such as Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa, making clinical treatment difficult. Factors such as prolonged mechanical ventilation, comorbidities and the intensive use of antibiotics favoured the spread of these pathogens. The study recognised the need to implement comprehensive strategies, focused on surveillance, the rational use of antimicrobials and the training of healthcare personnel. The situation at the Manuel Belgrano Hospital reflected a broader problem that required a multidisciplinary healthcare response
Dignified death and euthanasia in Argentina: regulatory evolution and approach in university medical training
No full textIn Argentina, the debate on dignified death and euthanasia developed significantly at the legal and academic level. The passing of Law 26.742 in 2012 represented a key advance, allowing patients to refuse medical treatments that would artificially prolong life, without authorising active euthanasia, which remained criminalised. Although legislative projects were presented to regulate it, active euthanasia has still not obtained a legal framework. In universities, especially in medical degrees, these subjects were integrated into courses such as Bioethics, Legal Medicine and Deontology, promoting ethical, critical and humanistic training in the face of end-of-life challenges.
The importance of sleep hygiene in the treatment of fibromyalgia
No full textFibromyalgia is a complex medical condition characterised by chronic pain, fatigue and sleep disturbances. It was highlighted that non-restorative sleep aggravated pain perception, establishing a vicious cycle between the two. It was explained that this disease mainly affected adult women and that hypersensitivity to pain was influenced by neurochemical, psychological and emotional factors. The importance of non-pharmacological strategies, such as sleep hygiene, was emphasised, as these have been shown to improve sleep quality, reduce pain and promote emotional well-being. Finally, it was concluded that a biopsychosocial approach was essential for a comprehensive treatment of fibromyalgia, taking into account both the clinical aspects and the subjective experiences of the patient.
Effectiveness of the use of rosemary in otomycosis. Abel Santamaría Cuadrado Hospital
No full textPlants have played a fundamental role in the development of man. Currently, according to the WHO, it is estimated that 80% of the world\u27s population depends on traditional medicine for their primary health care needs. Bidens pilosa Linné, popularly known as rosemary, has recognized medicinal properties in its digestive, cholera, antiulcer, antifungal and antibacterial action. It is used in the form of herbal medicine, syrup, tincture and fluid extract. Among the diseases diagnosed in the Otorhinolaryngology service of the Abel Santamaría Hospital, natural medications are only prescribed for a small number, given the limited knowledge about scientific evidence that supports their use, so we proposed to evaluate the effectiveness of the use of rosemary in patients with otomycosis at the "Abel Santamaría Cuadrado" General Teaching Hospital during the period from January 2021 to January 2024, for which a non-experimental, descriptive, longitudinal, prospective research was carried out, with data from a database created for the follow-up of patients with otomycosis treated in the emergency room of the "Abel Santamaría Cuadrado General Teaching Hospital". The sample consisted of 900 patients diagnosed with otomycosis. Patients between 48 and 57 years old predominated (26.4%), male (61.2%) and humidity was presented as the main predisposing factor (80.1%). There was a predominance of good clinical evolution (57.8%)
Quality of life in hypertensive patients attending a facility during the COVID-19 health emergency in North Lima
No full textQuality of life in hypertensive patients is one of the priorities committed to health and well-being, given that it depends on how well the person can minimize the risks caused by this disease. Therefore, the objective of this study is to determine the quality of life in hypertensive patients who visit a healthcare facility during the COVID-19 health emergency in northern Lima. This is a quantitative, descriptive, cross-sectional study of a population of 131 hypertensive patients who responded to a questionnaire on sociodemographic aspects and a questionnaire on quality of life in hypertension. The results show that 64.1% (n=84) of hypertensive patients have a good quality of life, 9.2% (n=12) have a fair quality of life, and 26.7% (n=35) have a poor quality of life. In conclusion, strategies for the promotion and prevention of hypertension should be implemented to provide the population with the necessary information about the disease and how to counteract it