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

Introduction Cerebral Vascular Acident (CVA) or Stroke is a sudden onset syndrome characterized by focal or global changes in the brain funcion as consequence of a desorder of vascular origin witen a development longer than 24 hours. Depending or the nature of the injury, it can be Ischemic or Hemorrhsgic. The latter way be intraparenchymator or subarachnoid. Stroke is the second leading cause of death adult disability in the world. There are several risk factos associated with the above mentioned disease, among them the hypertension. There is an exponential increase in cases of fore mentioned disease as well as in the prevalence of risk factos in population. Objective: To know clinical and radiological profile of patients treated at Sagrada Esperança Clinic, from January to December 2018. Materials and Methods: The universe of study consisted of all the files of patients admitted from january 1st to December 31 st, 2018, with the following release diagnostic codes: I60 ( subarachnoid Hemorrhage), I61 ( Intracerebral Hemorrhage), I62 ( Other non-traumatic Subarachnoid Hemorrhage), I63 ( Cerebral Infarction), I64 (not specified), G45 (Transient Ischemic Stroke and Correlated syndromes), making up a total a 312 listed patients, of which 211 were excluded by having a history of the disease being studied, 18 due to misdiagnosis in the process and 8 cases were lost due to non exam sor reports on the severs. There were 75 cases for the study. Results: from the total number of cases studied which is 75, the most prevalent age group was from 41-60 years old which makes up 45%, the average age was 58,8 ± 13 years old, the male gender represented 45 cases (60%); Blacks were predominant with 64 cases (89%). Ischemic stroke was the most frequent with 42 cases (56%), the average hospitalization was the most prevalente deficit in both Isquemic VCA, with 18 cases (9%), and 4 patients (5%) died. The widdle cerebral arrtery área was the most affected in both Isquemic 23 cases (30,7%) and Intraparenchymal Hemorrhagie Strokes 17 cases (53,1%) and subarachnnoid 2 cases (3,7%). Conclusion Most patients were 40-80 years old, male and black. Stroke was more frequent, and the most affected área was the middle cerebral artery, with the most frequent deficit being hemiparesis and facial paresis; The most aommon risk factor was Hypertension. In regards to the lenth of stay mosto f them were in the clinic from 5-9 days and few of them died.

Critical syndromes are conditions that carry a high global burden of disease. Scoring systems are practical and reproducible aids that allow patients with more severe disease to be quickly identified and admitted to intensive care and to initiate structured and aggressive therapy. The Sequential Organ Failure Assessment (SOFA) score is one of the most widely used in the world, as there are several versions and it is simple. However, with the appearance of the COVID-19, several studies showed that there was a disparity in the estimation of mortality and associated outcomes, with respect to race, which culminated in an excess of preventable mortality in certain racial groups. Constant evaluation of the performance of these scoring systems must be performed due to definitional updates, which may vary the accuracy of the predictive value. There is a very large evidence gap in this regard, as the existing studies are from high-income countries where the predominant racial group is Caucasian, which should draw attention to the magnitude of the problem. Based on the above, the objective of this review is to discuss evidence on the performance of critical care scoring systems, particularly SOFA, and the impact that race has had on its predictive value.

Diabetes mellitus is a public health problem that causes early and late complications. Continuous glucose monitoring (CGM) has become the main technological tool for real-time glycemic control and has the potential to prevent complications. However, its use has not spread in low- and middle-income countries. We present the experience in the management of a patient with type 1 diabetes with hypoglycemia unawareness in whom the use of real-time CGM achieved both: less hypoglycemic episodes and optimization of insulin regimen. The benefit of real-time CGM in addition to the use of analog insulins and diabetes education resulted in better metabolic control. CGM is a useful tool to consider in patients with hypoglycemia unawareness and to minimize the risk of complications in the future.

Introduction: Anaplastic Large T-Cell Lymphoma is an infrequent pathology, determined by the expression of CD30, with different characteristics in its presentation and being more aggressive according to the expression of ALK. Objectives: The present study seeks to determine the epidemiological, clinicopathological and prognostic characteristics of patients with Anaplastic Large T-Cell Lymphoma. Methods: Descriptive, retrospective study of patients diagnosed with Anaplastic Large T-Cell Lymphoma of the National Institute of Neoplastic Diseases (INEN) between 2006 and 2016. Results: The pathology of 86 patients was analyzed and reviewed, 57% were men and 33% women, of the total population 21.9% were positive for ALK. 48 of the patients were found in CD I and II and 36 between stages III and IV. 57 patients had low or low-intermediate risk, while 26 had high-intermediate and high risk. The estimated overall survival was 40.8% at 5 years, in the group of patients with ALK + it was 67.4% and in the group with ALK- it was estimated at 30.2%. Conclusions: Anaplastic Large T-Cell Lymphoma is an aggressive disease, with a heterogeneous distribution with respect to age and slightly more frequent in males, with ALK and the international prognostic index as important prognostic factors.

Objectives: To identify post COVID-19 sequelae in patients with medical discharge for this pathology. Methods: A prospective descriptive study was conducted between the second and fourth quarter of 2021 with a population of 330 patients diagnosed with COVID-19. Baseline was established at the beginning of the study, followed by follow-up and control consultation to identify post-COVID-19 sequelae and to perform control spirometry. Results: The frequency of COVID-19 was 29.78% (330 cases/1108 attended). The 43.94% of positive cases were in the 40-59 years age group, 28.8% (95/330) referred as comorbidity: cardiovascular disease, diabetes mellitus II and bronchial asthma. Post COVID-19 sequelae predominated: respiratory (61%), musculoskeletal (43%) and neurological (20%), with dyspnea, dorsalgia and headache, respectively. The duration of sequelae ranged from 21 days to seven months, spirometry showed a mild restrictive pattern in patients aged 41 to 50 years, all female. Conclusions: It is important to identify post-COVID-19 sequelae for treatment to recover the integral health of individuals.

Objetives: This study investigated the levels of emotional intelligence in undergraduate psychology students, both males and females of a public university in Lambayeque as well as the levels of emotional intelligence according to sex, age and academic semester. Methodology: It is a descriptive study, which type of sampling was non probabilistic, snow ball type sampling for which participated 112 undergraduate students. The instrument used was the Baron Ice Emotional Intelligence Inventory of 133 items, 5-point Likert-scale. The findings show that 27.7% of the students report an average level of emotional intelligence and 10.7/% report a high level. Results: Regarding the levels according to sex, men presented a higher level of emotional intelligence (43%) in comparison to women (22%). Nevertheless, both sexes present an average level (30% and 26.8% respectively). With respect to age, results suggest that older students present an average level of emotional intelligence, according to 50% of the participants, for ages 27 and 31. Likewise, 32.40% of advanced semester students report an average level of emotional intelligence. Conclusions: Finally, it is concluded that the curricular training of psychology students must implement activities toward the development of emotional intelligence for future professional performance, considering the socio-cultural variables.

Introduction In recent years, the number of malaria cases in native communities from Condorcanqui, Amazonas has considerably increased. Plasmodium vivax malaria is endemic in the region and the re-introduction of P. falciparum was reported in 2019. Methods Here, we compiled and analyzed malaria and COVID-19 data reported by the Regional Direction of Health (DIRESA) during the 2020. Additionally, we performed an odds ratio analysis to evaluate significant associations between COVID-19 symptoms and previous malaria infections. Results In 2020, 1547 malaria (97% were P. vivax) and 5968 COVID-19 cases were reported. Furthermore, 96 patients got COVID-19 after getting a malaria infection. From these, 87 were symptomatic (90.6%), and mostly adults, ages 30 to 59 (62.3%). Also, we found that malaria previous infections represent a risk for the presence of symptoms such as fever, cough, throat pain, and respiratory difficulty. Nevertheless, there was no significant association between these cases and hospitalization or death. Conclusion Our analysis suggests that previous malaria infections might affect COVID-19 symptomatology, which highlights the importance of a continuing control and surveillance malaria program to avoid potential syndemics with COVID-19.

The Theory of Special Relativity promoted, in the beginning of the 20th century, a paradigmatic revolution and introduced new interpretations on the concept of mass (inertia) and how it is related to energy. Over the years, several authors have tried to present these concepts to a more general public through scientific dissemination and didactic transposition. Unfortunately, these adaptations have shown the presence of some conceptual errors and inconsistencies. In this paper, we analyze the topics of Special Relativity in physics textbooks approved in the National Textbook Program (PNLD) – 2018 address the concepts of mass and the mass-energy relationship and we point out that these present inconsistencies. As they are persistent and recurrent problems, they have already become epistemological obstacles and therefore require a more careful analysis to show their origin and they are or have become incongruous. For this reason, our work is not limited to pointing out which books they appear in, but it brings a broad reflection on each of these inconsistencies, dialoguing with various authors, aiming to serve as a subsidy for undergraduates, teachers, students and book authors and publishers of the science.

La metal·lúrgia és juntament amb el tèxtil la indústria líder de la primera revolució industrial a Espanya, un tret destacat per la historiografia des de ben aviat. Un dels seus subsectors, el de la transformació de metalls, ha rebut una atenció molt especial per part dels investigadors. No obstant això, encara persisteixen llacunes en algunes branques, especialment les relacionades amb diversos factors del sistema productiu a nivell de fàbrica, com el capital –equips i energia-, el treball i l'estructura empresarial. Aquí rau la principal motivació d'aquesta recerca, que aborda les raons de l'èxit de les empreses mitjanes en la metal·lúrgia especialitzada a finals del segle XIX i principis del XX, utilitzant una metodologia d'estudi de cas, fonts primàries i el procediment comparatiu. El text està format per tres grans apartats, que comprenen la formació de l'empresa Rivière, el sistema de producció d'aquesta empresa i la seva innovació organitzativa.