Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Introduction: placenta succenturiata is a morphological abnormality of the placenta that can result in significant morbidity and mortality for both the fetus and the mother. Aim to describe a clinical case of antepartum hemorrhage associated with placenta succenturiata. Materials and methods: a retrospective descriptive study, clinical case presentation, informed consent of the patient to have access to the clinical history and use of images corresponding to the present investigation. Clinical case: the case of a pregnant woman of 33 weeks, who enters the emergency area, with hemorrhage of the third trimester, was observed in the ultrasound, presence of a lobe that reaches the level of the internal cervical orifice, being confused with placenta previa, patient was stable and under observation, with continuous fetal monitoring, until complete lung maturation was obtained, later I present pain and bleeding before delivery so it was operated surgically by cesarean operation where the presence of succenturiado lobe in the placenta is confirmed. Both developments were favourable. Discussion: The present article demonstrates, a rare variety of placental malformation that causes multiple complications and belongs to the differential of other pathologies that cause third trimester bleeding, being associated with placenta previa, so, we must keep in mind the placenta succenturiata as a cause of bleeding in the third trimester, also take into account that in the postpartum period is cause of retention of a placental portion and can cause bleeding or infection. Conclusions: The placenta succenturiata is an abnormality of rare presentation, which is part of the differential diagnosis of haemorrhages before delivery and must be diagnosed in the prenatal period, so that prenatal control and care of the birth can be performed properly, in addition to giving guidance to the patient and her family. Caesarean delivery is recommended in these cases, with surgical approach and type of incision of choice, according to comorbidities and clinical status of the patient.

Introduction: Interstitial pneumonia is an acute and rapidly progressive lung disease that often leads to respiratory failure and respiratory distress syndrome. Pulmonary mycosis is an infection that can behave like a chronic lung disease or an invasive fungal infection, mainly in immunocompromised patients. Objective: the general objective is to report a clinical case of a patient with acute interstitial pneumonia due to pulmonary mycosis, treated in the intensive care unit, as well as to describe its diagnosis, treatment and evolution. Materials and methods: A descriptive study was carried out; With presentation of a clinical case, relevant aspects of acute interstitial pneumonia due to pulmonary mycosis, authorization was requested from the teaching and research department of the Teodoro Maldonado Carbo hospital, for the review of the clinical history, images, and data publication. Clinical case: the case of a 41-year-old male patient with acquired immunodeficiency syndrome is presented, who was admitted to the intensive care unit due to neurological deterioration and who developed pulmonary sepsis due to Candida tropicalis, hemodynamically unstable with outcome not favorable. Discussion: Pulmonary fungal infections are associated with high morbidity and mortality. The risk factors that favor the presence of invasive pulmonary mycosis are: structural lung damage, immunological compromise such as immunodeficiency, patients in critical condition and with haematological tumors, the latter group being the most at risk.  Conclusion: Candida tropicalis is a fungus rarely reported as a cause of pneumonia. The importance of the case presented lies in the fact that this was the causative agent of infection, evidencing invasive candidiasis, characteristic of biofilm-forming candida species, having a more serious course than other species, since its diagnosis and treatment in due time they are vital.

Introduction: Sexual dysfunction in male patients is considered as the difficulty to maintain or achieve a firm penile erection, therefore, a difficulty to maintain satisfactory sexual relations. Worldwide, it is estimated that 150 million male patients suffer from this disease and the average age is between 40 and 70 years of life. It is worth mentioning that cardiovascular disease is associated with this pathology thanks to fulfilling similar pathophysiological mechanisms.Objective: To analyze the current bibliography and the relationship between erectile dysfunction as an indicator of cardiovascular disease.Materials and methods: Information was collected from scientific articles in different search engines and databases such as PubMed and Medline, variants of the keyword headings, and combinations of words for erectile dysfunction and indicators of cardiovascular disease were used, articles were collected from 2017 until 2022, without language limitation, about erectile dysfunction as an indicator of cardiovascular disease. Among the inclusion criteria we have articles focused on erectile dysfunction as an indicator of cardiovascular disease and articles with original data (cohort case series, retrospective, clinical case-control studies). Studies related only to cardiovascular disease and articles with little explanation of the relationship between erectile dysfunction and cardiovascular damage were excluded from the review studies.Results: It was evidenced that the most frequent cardiovascular pathologies that coexist in patients with ED (erectile dysfunction) are: 62% acute myocardial infarction, 44% associated with cardiovascular events, 39% cerebrovascular accidents and increased mortality in 25%. %. The onset time of cardiovascular disease after presenting erectile dysfunction in men is around 3 to 5 years (with an average of 4 years), which favors a crucial period for the identification of this pathology and the prevention of diseases with high mortality. .Conclusions: There is good evidence regarding erectile dysfunction as an indicator of cardiovascular disease, which is why erectile dysfunction is considered an independent factor in predicting a cardiovascular event after the clinical presentation and vice versa, associating it as a clinical entity with great value at present, favoring immediate prevention after said finding, so it is important to raise awareness of the value of going to the consultation early.

The present research analyzes the possible changes in the enzymatic marks of the liver in college students from the major of “Laboratorio Clínico de la Universidad Técnica de Ambato” as a consequence of the elevated range of consumption of alcoholic beverages through the analyses of hepatic enzymes in the laboratory. To develop the following investigation a sample of 160 students 18 to 25 years old from a population of 272 using the STATS app. Therefore, Neyman stratification was used to choose the students from the courses of the first to eighth semesters to whom a survey and a sample of laboratory analysis in the chemistry team CST 180DIRUI with the corresponding permission of each student. Also, the SPSS statistics program is used. The results gathered from the laboratory from the fourth measurands analyzed (Phosphatase, alkaline, Glutamyltransferase range, aspartate aminotransferase/AST, and aspartate aminotransferase/ALT) it is determined that nine students from the major of “Laboratorio clinico” have high elevated levels in the fourth parameters of analysis. In addition, with the surveys applied it is shown that 76,4% starts to consume alcoholic beverages at 17-18 years old, and 22,7% at 15-16 years old. So, the time during the consumption is a key factor for the enzymes’ hepatic alteration.

Al entregar este nuevo número de la Revista de la Facultad de Ciencias de la Salud, se cumple el propósito de que cada artículo publicado registra información de hallazgos procedentes de estudios circunspectos acerca de la temática concerniente a la esfera de la salud, y ubica al lector en la actualización de logros investigativos y proponentes de soluciones desarrolladas y contendidas desde el ámbito académico. Las actividades que se emprenden en el área de la salud fortalecen el contenido científico, al mismo tiempo que se potencializa la identificación de brindar bienestar al paciente que es considerado ente importante para todo avance, que se vaya a tener en cuenta para que su calidad de vida contenga relaciones armónicas con su entorno y poder hacer que ese bien estar no sea pasajero, ni de transición, sino que las condiciones de la salud de las poblaciones sean óptimas, involucradas en la calidad y calidez de aportar un servicio, de mostrar que lo valioso está en la atención oportuna, la palabra precisa y la escucha que se le debe brindar al ser humano que necesita de estar bien, acompañada también de todos los progresos que en salud han alcanzado innovaciones gratificantes.  

Introduction: Situs inversus is an autosomal recessive genetic condition that causes variation in the anatomical position of the abdominal viscera (1,3,9) in relation to the midline. The incidence of cholelithiasis and cholecystitis in these patients is similar to the reported in the population without this condition, however the diagnosis and surgery imply a challenge for the surgeon mainly because of changes in conventional surgical technique. Objective: Describe a clinical case of cholelithiasis in a patient with situs inversus totalis, its management and clinical evolution, and determine the most current therapeutic surgical techniques. Material and methods: Retrospective descriptive study presentation of a clinical case. The informed consent of the patient was requested, for review of clinical history and images that contributed to the development of the present investigation. Complete articles and review of clinical cases were reviewed. Results: We present a case of a 42 year old patient who came into emergency area with symptoms compatible with acute cholelithiasis and a history of situs inversus totalis in which laparoscopic cholecystectomy was performed with American mirror technique. Conclusion: Laparoscopic cholecystectomy is a safe method in patients with situs inversus totalis American mirror technique with a right-handed surgeon, as demonstrated in the present case. The diagnosis of gallbladder diseases in this type of patients is a challenge, so a thorough physical examination is a key and important part. Management is surgery, laparoscopic cholecystectomy is the Gold Standard, there is no consensus regarding the technique for trocar placement. Different techniques have been described that vary in the position and number of trocars and also in the use of ports. unique, or accessories in order to avoid bile duct injuries. It can be mentioned that for this type of surgical intervention the choice depends on the surgeon; he must feel comfortable with the placement of the trocars and triangulation. The surgeon's skill and training, preoperative imaging, and careful planning are essential pillars for the success of this surgical intervention

The article presents reflections on digital culture and public history articulated to specific issues of the learning of History at school in the present time. Considering school as a space for knowledge production, we seek to understand how digital technology has been appropriated as a methodology in educational actions in the teaching of History. Many of these actions result in the elaboration of authorial products which, conjoining teaching with research, involve teachers and students, and explore the potentialities of the dialog between mediatized and didactic narratives of History. An example is the interactive digital map of the city of Rio de Janeiro (1808-1850). The map is the starting point for accessing animations, which aim to reconstruct the experiences of African and Afro-descendant historical subjects who were enslaved and freed, in their daily life in the city. These narratives present problem situations, which raise sociocultural questions and contribute to the elaboration of a historical perspective.

This essay discusses how research in Humanities can take advantage of inquiring resources available in digital and physical archives since their media agency works in a complementary dynamic, bringing new analytical insights about the studied object. The considerations brought about in this brief text were made during my ongoing research based on the bookwork of the scholar and artist Johanna Drucker, which figures in the realm of Book Studies. However, the experience of analyzing the target objects first through a digital archive and then onsite, in Special Collections, gave me a better sense of how combining these different types of visualization and manipulation enriches the outcomes of research within the Humanities realm. Finally, pondering the coexistence and accessibility of both instances reinforces the contribution of digitalization for humanist scholarship and endorse the physical scrutiny of primary sources as a core analytical requirement to quality in interpretative research.

The social and political role of the parish clergy during the Portuguese Liberal Monarchy is frequently mentioned, but it is insufficiently studied, contrary to what happens with this social group in other historiographies. This article aims to present the ongoing research on the ecclesiastical administrative staff segment in the confessional period of the Portuguese State, which should result in the identification of individuals; the geographic location of their jobs and respective typologies; in evaluating their careers. By identifying the sources that support this investigation, this paper presents the way they were treated using digital methodologies. Moreover, it presents the analytical possibilities opened by the features of the relational database. On one hand, the biographical elements of the individuals who were part of the parish clergy during the Liberal Monarchy. On another, the respective elements related to their various nomination processes for the set of parishes in which, then, the ecclesiastical administration of the Portuguese State was articulated.

Based on the film Rua do Prior 41, by Lorenzo d’Amico de Carvalho, the two authors discuss the possibilities of representing the Carnation Revolution of April 1974 and the uses of memory. Crossing their gazes on historiographical interests, the use of image, creation and dissemination through theatre and cinema, Strippoli and d’Amico de Carvalho talk about the relationship between archival sources, literature, and mise en scène, for addressing the history of the largest Italian extra-parliamentary left-wing group of the seventies, Lotta Continua, and its connection to the April Revolution and the “Sixty-eight”. The text introduces the film and offers an interpretation about the relationship between the history of the revolution, the memory of the protagonists and the visuality of the past.