South Health and Policy (Journal)
Not a member yet
234 research outputs found
Sort by
Prevalence of infertility associated with endometriosis in the infertility clinic at Santo Tomás Hospital in 2023
No full textThis research addresses a very important topic in the field of reproductive medicine: the relationship between endometriosis and infertility. In order to analyze the prevalence of infertility associated with endometriosis in the infertility clinic of the Santo Tomás Hospital during the year (2023), through the review of clinical records, extending a series of specific objectives that delve into Key aspects. We seek to estimate the most common age range among patients diagnosed with endometriosis, which not only gives us insight into the demographic distribution of this disease, but also suggests possible trends in its diagnosis. In addition, the aim is to determine the most frequent types of endometriosis in relation to age, which could reveal significant patterns in the reproductive history of women, potentially influencing their fertility prognoses. Finally, we will seek to understand the most commonly used treatments, which not only informs the population about the available therapeutic options, but also indicates where medical strategies and planning are headed in the fight against infertility associated with endometriosis.Thus, the importance of this research lies in its ability to offer a deep and up-to-date understanding of a complex medical problem that affects a significant number of women of reproductive age
Heyde’s Syndrome: A Case Report
No full textHeyde’s syndrome is the association between aortic valve stenosis and gastrointestinal bleeding due to intestinal angiodysplasia. The pathophysiological basis of this syndrome appears to be an acquired deficiency of von Willebrand factor, leading to bleeding from angiodysplastic arteriovenous malformations. Treatment options include localization and cauterization of the bleeding sites, although this therapeutic approach is associated with a high recurrence rate. Aortic valve replacement appears to offer the best long-term resolution of bleeding and should be considered in most cases
Brief review of human infections by free living amoebae in Argentina
No full textFree-living amoebae (FLA) are protozoa that are present in nature and fulfill their life cycle in the environment. Some genera of this group, such as Acanthamoeba spp., Naegleria sp., Balamuthia sp. and Sappinia sp. can occasionally cause serious diseases in humans. There are few documented reports on the pathologies caused by AVL in man and their epidemiology in Argentina. There are numerous cases of Acanthamoeba spp. keratitis, many of which were resolved with corneal transplantation; at least six cases of Granulomatous Amebic Encephalitis (GAE) produced by Balamuthia sp. and recently, in February 2017, a first report with fatal consequences of Primary Amebic Meningoencephalitis (PAME) caused by Naegleria fowleri in the province of Buenos Aires. As a consequence of this case, the protozoan was isolated from the pond where the deceased child had bathed the previous week. No cases caused by Sappinia fowleri were reported in the province of Buenos Aires
An unusual congenital heart disease, Pentalogy of Fallot
No full textIntroduction: Fallot\u27s pentalogy is a cyanotic congenital heart disease, with right-to-left shunt and decreased pulmonary flow, which appears when adding a fifth cardiac anomaly to Fallot\u27s tetralogy: atrial septal defect. Objectives: The objective was to expose as clearly as possible the order of the clinical method applied during medical practice, the symptoms and signs that allowed diagnosing this entity and redirecting behavior. Case presentation: We present the case of a 43-year-old patient, who from birth presented crises of respiratory distress, moderate mental retardation and musculoskeletal development; she was diagnosed with Tetralogy of Fallot and was considered by the surgical team as inoperable. She went to the clinic for a progressive worsening of her condition, physical examination detected acrocyanosis, Hippocratic fingers and holosystolic murmur of intensity IV-V/VI on the left sternal border. A series of imaging and electrocardiographic examinations were performed to establish the diagnosis, which included plain chest X-ray in posteroanterior projection and echocardiogram, the latter allowing the definitive diagnosis; Pentalogy of Fallot. The recommended treatment for this condition is heart surgery. Conclusions: Congenital heart disease has a diverse presentation around the world, as well as its severity. It was decided to present the case because it was uncommon in medical practice due to its low frequency. This made clear the relevance of an early diagnosis of these entities for the patient\u27s quality of life.
Characterization of nutritional status in critically ill patients using biochemical markers
No full textIntroduction: Malnutrition is a real problem in the care and evolution of critically ill patients. Objective: To characterize the nutritional status of critically ill patients using biochemical markers in an Intensive Care Unit of the León Cuervo Rubio Provincial Hospital in the Pinar del Río Province from August 2021 to August 2022. Method: An observational, analytical, cross-sectional study was carried out. The universe was made up of 40 patients who met the inclusion criteria. Ethical principles were followed. Results: The male sex and those over 55 years of age predominated. The predominant associated comorbidity was arterial hypertension followed by diabetes mellitus. The main outcome indicators of the affected complementary factors coincided with decompensated glycemia and low total proteins. Conclusions: In the management of nutritional status in critically ill patients, timely interventions aimed at improving work strategies are needed
Hematological Alterations in Patients with COVID-19
No full textCurrently, the global population is under siege from COVID-19, a disease caused by the SARS-CoV-2 coronavirus, which has been declared a pandemic by the World Health Organization. COVID-19 usually presents with mild respiratory symptoms but is also associated with less common and somewhat delayed clinical manifestations such as thrombotic events (arterial or venous), skin inflammation, vasculitis, and the development of pulmonary fibrosis.A literature review was conducted with the aim of characterizing hematological changes in patients during COVID-19. A total of 23 bibliographic references were reviewed, including books, journals, and websites from the Scielo and Infomed platforms.It was found that the main hematological alterations caused by COVID-19 include lymphocytopenia, increased D-dimer, thrombocytopenia, platelet deficiency, and thrombosis, all of which are favored by the cytokine storm
Symptoms of the COVID-19 in ENT
No full textIntroduction: We are currently facing a global pandemic of great impact due to the rapid spread of a novel coronavirus, SARS-CoV-2, the causative agent of COVID-19. It is important to highlight that some of the symptoms included in the clinical presentation of the disease involve the ear, nasal cavity and sinuses, and pharynx—areas within the scope of the otolaryngology (ENT) specialist.
Objective: To characterize the main otolaryngological symptoms of COVID-19.
Method: A literature review was conducted, consulting original articles, case reports, and systematic reviews available in open-access, peer-reviewed academic publications from the last five years. Databases reviewed included ScieELO, Regmed, Dialnet, Mayoclinic, among others. Search terms included COVID-19 symptoms in ENT as well as their English translations.
Results: The clinical presentation of COVID-19 is very broad and includes a wide variety of symptoms that overlap with other diseases. Among these, symptoms affecting the ears, nasal cavity and sinuses, and pharynx stand out, which fall within the field of the ENT specialist. Examples include loss of taste, loss of smell, and sore throat.
Conclusions: In the context of the COVID-19 pandemic, consultations related to alterations in smell and taste have increased significantly, often appearing without other accompanying symptoms, thus becoming a form of presentation of the disease. Additionally, we find catarrhal symptoms such as rhinorrhea and sore throat, which—with distinguishable and specific characteristics—could serve as warning signs of the presence of SARS-CoV-2 in the body
Technological Tools for Elementary School Children with Intellectual Disabilities That Cause Learning Difficulties. Los Olivos, 2025
No full textThis research addresses the issue of accessibility and adaptation of technological tools and their impact on learning difficulties among primary school children with intellectual disabilities, aligning with SDG 4 “Ensure inclusive, equitable and quality education.” The aim was to explain the relationship between these tools and cognitive barriers in students from Los Olivos, 2025. Universal Design for Learning and Socio‑Constructivist theories were reviewed. The study was applied, non‑experimental, correlational, cross‑sectional, and descriptive; the sample comprised 52 subjects and a validated questionnaire was used (α = 0.944). Descriptive results showed that 1.9 % of respondents disagreed, 13.5 % neither agree nor disagree, 17.3 % agreed, and 15.4 % strongly agreed with the use of adapted technologies. Inferentially, Spearman’s rho was ρ = 0.652 (p = 0.000 < 0.05), demonstrating a moderate positive correlation. It is concluded that greater accessibility and pedagogical adaptation reduce cognitive barriers and enhance educational impact, guiding teacher training, inclusive interface design, and the development of inclusive school‑equipment policies
Burnout syndrome and socioeconomic level of resident doctors in public hospitals in Maracay, Venezuela
No full textIntroduction: Burnout syndrome is an adaptive psychological disorder, a consequence of chronic work stress. It commonly affects health professionals since, from the beginning of their careers, they face a series of stressors specific to their practice, which could be intensified due to the socioeconomic situation that Venezuela is going through. Consequently, the objective of the present research was to determine the prevalence of Burnout syndrome and the relationship with the socioeconomic level of general surgery residents from two public hospitals in Maracay, Venezuela, during the year 2023. Materials and Methods: An observational, descriptive, cross-sectional and correlational design was carried out. The sample consisted of general surgery residents from two public hospitals. For data collection, the standardized Maslach Burnout Inventory and Graffar-Méndez Castellano questionnaires were used. Results: 43 surgery residents participated, mostly female (51.16%), aged between 25 and 30 years (81.4%). The prevalence of the syndrome was 20.93%, with emotional exhaustion and depersonalization being the most frequent scales (79% and 70%, respectively). Regarding the socioeconomic stratum, the majority were upper middle class (64.47%). No association was found between the Burnout syndrome and the socioeconomic level. Conclusions: The majority of the surgical residents exhibited emotional exhaustion and depersonalization, were located in the upper and upper middle-class strata, and no association was found between these variables.
Clinical simulation as an experiential learning strategy in the graduate training of music therapists: systematization of a teaching experience
No full textIntroducción: La simulación clínica ha demostrado ser una herramienta pedagógica eficaz en la formación de profesionales de la salud. Su incorporación en la carrera de Musicoterapia representa una innovación metodológica que permite recrear escenarios clínicos realistas, donde los estudiantes ejercitan habilidades prácticas y desarrollan competencias terapéuticas en un entorno seguro.Métodos: Se sistematizó una experiencia educativa desarrollada en la Facultad de Ciencias de la Salud de la Universidad de Ciencias Empresariales y Sociales (UCES) en la que se diseñaron escenarios clínicos simulados con la participación de estudiantes de tercer año de la carrera de Musicoterapia. Las simulaciones abordaron contextos como salud mental, neurología, cuidados intensivos y pediatría empleando actores entrenados y recursos tecnológicos. Al finalizar, se aplicó un cuestionario con escala Likert para explorar la percepción de los estudiantes respecto a su aprendizaje y desempeño clínico.Resultados: El 63% de los estudiantes consideró que la experiencia fortaleció “mucho” su pensamiento crítico; el 62% percibió un aumento significativo en la confianza profesional; el 87% valoró altamente la instancia de debriefing como espacio de integración teoría-práctica; el 88% reportó mayor motivación para aprender; el 63 % señaló mejoras sustanciales en sus competencias clínicas y el 50% manifestó una reducción significativa del temor al contacto con pacientes reales. Los comentarios cualitativos reforzaron estos hallazgos, destacando la utilidad del entorno protegido, la posibilidad de aplicar saberes previos y la oportunidad de recibir retroalimentación inmediata.Conclusiones: La simulación clínica se consolida como una estrategia efectiva para la enseñanza de competencias en musicoterapia, promoviendo un aprendizaje experiencial, reflexivo y personalizado. Su implementación contribuye al desarrollo integral del estudiante y representa un avance significativo en la formación académica dentro de las terapias basadas en las artes