Adherence to treatment in hypertansive patients from a local primary care office linked to the Policlínico Universitario “Joaquín de Agüero y Agüero” | Author : Mayelin Formentin-Zayas, Emma Bárbara Carbajales-León, Guillermo Medina-Fuentes, Dalgis Mercedes Formentin-Zayas, Mailene Formentin-Zayas | Abstract | Full Text | Abstract :Introduction: the antihypertensive treatment in patients with 20 or more years old requires strict controls in order to maintain their healthy life span. Objective: to assess the therapeutic adherence in patients with hypertension from the Family doctor’s office No. 4, linked to the Policlínico Universitario “Joaquín de Agüero y Agüero”, in Camagüey. Method: an observational, descriptive, cross-sectional study during the period from October 2020 to February 2021 was conducted. In the research 98 patients with 20 or more years old were recruited to work with. Patients with difficulties in their blood pressure control due to the noncompliance with the treatment. Variables assesed were as follow: age, sex, stage of hypertension, adherence to treatment using the Morisky-Green-Levine test, drugs used, and non-adherence factors. The information gathered was processed via SPSS statistic 25.0. Results: patients with 60 years old (46.9%), males (58.1%), and clasified as stage 2 hypertension (51%) were predominant. Also, were predominant patients with partial therapeutic adherence (68.3%) (asper the Morisky-Green-Levine test outcomes), and patients whitch used three types of drugs to treat the illness (46.9%). The most common factors found were lack of drugs to treat the hypertension (86.7%) and the inadequate diet (77.5%). Conclusions: non-adherence to treatment in hypertensive patients expose them to adquire any cardiovascular complication, aspect whitch affect patients themselve, family, and the society. |
| Paraprosthetic lesions in geriatric patients with removable prostheses | Author : Ileana Maria Yero-Mier, Lizandro Michel Pérez-García, Jenny Marlié Fernández-Serrano | Abstract | Full Text | Abstract :Introduction: geriatric patients with removable prostheses often present paraprosthetic lesions that have an unfavorable impact on their quality of life. Objective: to identify the type of paraprosthetic lesions in geriatric patients with removable prostheses. Method: an observational and descriptive study in a total of 97 patients with removable prostheses, no specific sex, and over 60 years of age, was carried out. All patients studied were presented to the Clínica Estomatológica Docente Provincial “Dr. Justo Ortelio Pestana Lorenzo” in Sancti Spíritus, from January 2019 throughout February 2020, with any type of oral lesions. Theoretical, empirical and statistical-mathematical methods were used to study the following variables: age, sex, type of lesions. Results: the 49.5% of the total of patients studied were 60 to 69 years old and 66% were female. Most common paraprosthetic lesions found were the subprosthetic stomatitis (55.6%) and traumatic ulcers (31.9%). Conclusions: the oral lesions related to removable prostheses were most common in females. The subprosthetic stomatitis was the most predominant followed by the traumatic ulcer and fissured epulis. |
| Dietary and hygiene habits associated with the Helicobacter pylori seroprevalence in Peruvian university students | Author : Yohany Nohelí Díaz-Pérez, Yudith Ramos-Guevara, Cinthya Yanina Santa Cruz-López, Christian Rivera-Salazar | Abstract | Full Text | Abstract :Introduction: Helicobacter pylori infection is becoming more frequent in the young population of Peru and at the same time increases the risk of gastric neoplasms. Objective: to identify the dietary and higiene habits associated with the seroprevalence of Helicobacter pylori infection in university students at the Cajamarca Department. Assesed period from September throughout October 2019. Method: an observational, cross-sectional, prospective study with a non-experimental design was carried out. A population of 367 students on Medical technology career were involved and 188 of them, in both sex, were selected as trial. It was detected, using the immunochromatography method in serum assay, IgG antibodies against Helicobacter pylori. Dietary and hygiene habits were collected using a well-structed enquiry. Results: it was identified IgG antibodies against Helicobacter pylori infection in 51.1% of students. The 31.38% of those who, not frequently, had consumed food prepared outdoors were seropositive for Helicobacter pylori. Those students who revealed wash their hands, not frequently (29.79%) and frequently (21.28%) before eating, produced antibodies against this bacterial infection. In addition, Helicobacter pylori seropositive students washed their fruits and vegetables with obtained water from the tap (43.62%) and consumed untreated water fom the tap too (29.79%). Conclusions: food intake outdoors, wash of hands, fruits and vegetables before eating, and the quality of water to be consumption are dietary and hygiene habits associated with the Helicobacter pylori seroprevalence. |
| Clinicopathological characterization of patients with advanced esophageal cancer at Princess Marina Hospital, Botswana | Author : Miguel Vanterpool-Hector, Keleboaile Sid-Motumise, Yunier Acosta-Hernández, Roxana Avalos-García, Sahilí Corrales-Alonso | Abstract | Full Text | Abstract :Introduction: advanced esophageal cancer is one of the most aggressive neoplasms with high morbidity and mortality. Botswana ranks 14th in the world for deaths from this disease. Objective: to determine the clinicopathological characteristics of patients with advanced esophageal cancer at the Princess Marina Hospital in Gaborone, Botswana. Method: a prospective-descriptive study was carried out, where 45 patients with endoscopic and histological diagnosis of advanced esophageal cancer were characterized clinically and pathologically, from January to September 2019. Results: males predominated (86.7%), and also patients older than 60 years (60.0%). Dysphagia, anorexia and weight loss were the most frequent symptoms, and prevailed patients with three to six months between the appearance of symptoms and endoscopic diagnosis; inadequate diet, chronic alcoholism, and smoking were the predominant risk factors. The most frequent anatomical location was the middle third (51.1%), the predominant endoscopic type was the vegetative (46.7%) and most of the patients presented the histological type squamous cell carcinoma (95.6%) well differentiated (84.4%). Conclusions: the study of the clinical-pathological characteristics of patients with advanced esophageal cancer allows its correct staging, being a useful tool in the multidisciplinary assessment of treatment due to its complex clinical and institutional management. |
| Frequency of Suicidal Ideation Inventory: Psychometric evidence in Peruvian adults | Author : Jonatan Baños-Chaparro, Paul Ynquillay-Lima, Fernando Lamas-Delgado, Fiorella Gaby Fuster-Guillen | Abstract | Full Text | Abstract :Introduction: updated research reveals permanence of suicidal ideation in the Peruvian population. In Peru the significant increases of completed suicides and the lack of evidence-based assessment instruments are problem to be considered. The assessment of suicidal ideation is essential for suicide prevention and it is advisable to have confidence instruments for the correct interpretation and informed inferences of the scores obtained. Objective: to assess the psychometric properties of the Frequency of Suicidal Ideation Inventory (FSII) in the Peruvian adult population. Method: an instrumental and cross-sectional research was designed, involving in it 376 Peruvian adults. Content-based evidence, internal structure, confidence, not invariant measurement according sex and age, and evidence of the relationship among other variables. Results: FSII is a unidimensional measurement (CFI=0.99, RMSEA=0,03 [90% confidence interval (CI): 0.00 to 0.08], SRMR=0.03, WRMR=0.37), with an adequate confidence (?=0.80 and H= 0.91) and invariant measurement according sex and age (?CFI<0.010; ?SRMR<0.030). At the same time, the FSII scores were correlated with depression stages (r=0.67; p=0.001) presenting a strong effect size. The expert reviewers considered all items as relevant. Conclusions: the FSII is a unidimensional tool with an adequate confidence values and different sources which can provide valid evidence. Therefore, it is recommended to use the FSII as an additional tool for the assessment of suicidal ideation in the general Peruvian adult population. |
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