Browsing by Autor "Argilio Duran"

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Circunferencia abdominal y maduración sexual en escolares y adolescentes femeninas de la ciudad de Mérida. Abdominal circumference and sexual maturation in females schoolchildren of Merida city
(2021) Aura Suárez; José William Martínez; Ambar Rodríguez; Argilio Duran
The biological mechanisms associated between being overweight and sexual maturation remain unclear, but it has been established that overweight children have earlier sexual development. Objective: To determine the relationship between abdominal circumference and sexual maturation in female schoolchildren from educational institutions in the city of Merida, 2017. Methodology: Comparative, field and cross-sectional study was carried out, with a sample of 217 girls and adolescents from educational institutions, aged between 9 and 17 years. All girls with chronic diseases and endocrine disorders were excluded. Results: It was found that 132 girls (60.83%) presented a normal nutritional state, 36 (16.59%) and 49 (22.58%) of the remaining ones were below the norm and above the norm respectively. It was found that the average age of onset of menarche is inversely proportional to the nutritional status, this difference was not statistically significant. When comparing the abdominal circumference of normal girls and above the norm with the stage of development of the mammary gland (GM) and the stage of pubic hair (VP), a greater abdominal circumference was found for each stage of sexual maturation, being this difference statistically significant for all stages. Conclusions: The abdominal circumference is closely related to all the stages of sexual maturation, both for the mammary gland and for pubic hair, the greater the abdominal circumference the faster the Tanner stages are reached.
COVID-19 por SARSCoV2: pautas a seguir en la consulta oftalmológica. COVID-19 by SARS-CoV-2: guidelines to follow in the ophthalmological consultation
(2020) Argilio Duran; Ambar Rodríguez; Aura Suárez; Andrea Rada
En la actual pandemia por SARS-CoV-2, la consulta oftalmológica es una de las prácticas médicas que tienen un elevado porcentaje de contagio por la cercanía que tiene el personal médico oftalmólogo, optómetra, enfermeros y auxiliares con el paciente. Objetivo: recopilar las pautas recomendadas en la consulta oftalmológica buscando la minimización de los riesgos durante esta pandemia. Metodología: Se realizó una revisión narrativa de la literatura científica en bases de datos y motores de búsqueda como: Pubmed, Elsevier, Revencyt, Scielo, Google y Google Académico. La metodología utilizada consistió en la revisión sistemática de las publicaciones de mayor relevancia y protocolos existentes hasta la actualidad, esto incluyó los emanados desde los organismos mundialmente encargados de la salud como Organización Mundial de la Salud (OMS), archivos de la Sociedad Española de Oftalmología, Sociedad Panamericana de Oftalmología (PAAO), American Academy of Ophthalmology (AAO). Una vez revisada y analizada la información recopilada, se extrajeron las recomendaciones organizando las normas o pautas a seguir para la valoración de pacientes durante la pandemia COVID 19 por SARS-CoV-2 relacionándolas con la valoración de pacientes oftalmológicos antes de la pandemia COVID-19. Conclusión: debido a la situación de emergencia sanitaria a nivel mundial, a causa de la pandemia COVID-19, es imprescindible utilizar estas normas o pautas establecidas a nivel mundial y recopiladas de publicaciones recientes, para evitar contagios no deseados durante las consultas, y de esta manera, trabajar de forma segura en el ámbito oftalmológico. In the current SARS-CoV-2 pandemic, the ophthalmology consultation is one of the medical practices that have a high percentage of contagion due to the proximity of the ophthalmologist, optometrist, nurses and assistants with the patient. Objective: to compile the recommended guidelines in the ophthalmology consultation, seeking to minimize the risks during this pandemic. Methodology: A narrative review of the scientific literature was carried out in databases and search engines such as: Pubmed, Elsevier, Revencyt, Scielo, Google and Google Scholar. The methodology used consisted of the systematic review of the most relevant publications and existing protocols to date, this included those emanating from the organizations in charge of health worldwide such as the World Health Organization (WHO), archives of the Spanish Society of Ophthalmology , Pan American Society of Ophthalmology (PAAO), American Academy of Ophthalmology (AAO). Once the collected information had been reviewed and analyzed, the recommendations were extracted organizing the norms or guidelines to follow for the assessment of patients during the COVID 19 pandemic by SARS-CoV-2, relating them to the assessment of ophthalmological patients before the COVID 19 pandemic. Conclusion: due to the global health emergency situation, due to the COVID-19 pandemic, it is essential to use these norms or guidelines established worldwide and compiled from recent publications, to avoid unwanted infections during consultations, and from this way, work safely in the ophthalmological field
Fluoroquinolonas en humor acuoso en pacientes sometidos a cirugía de catarata.
(2021) Argilio Duran; Pedro Rivas; Yasmín Morales; A. Villanueva Rodríguez
Los procesos infecciosos como la endoftalmitis postquirúrgica sigue siendo una de las complicaciones más devastadoras de la cirugía de cataratas, por tal motivo el uso de antibióticos de amplio espectro, evitarían o tratarían de disminuir estas complicaciones. Objetivo: determinar los niveles de moxifloxacina en humor acuoso previa administración tópica 24 o 48 horas al acto quirúrgico. Método: estudio clínico trasversal comparativo realizado en el servicio de oftalmología, Hospital Universitario de Los Andes, en 29 pacientes que fueron sometidos a cirugía de catarata, divididos en dos grupos, según administración tópica del fármaco moxifloxacina, 24 o 48 horas previo a la cirugía, se aplicó 1 gota cada 4 horas, durante su preparación preoperatoria, luego se toma 0,1 ml de humor acuoso a través de una paracentesis. Al iniciar el acto quirúrgico, la muestra es almacenada en eppendorf y trasladadas para su procesamiento, cada muestra tomada se procesa por medio de electroforesis capilar con detección ultra violeta. Resultados: el grupo de administración tópica de 24 y 48 horas previo a la cirugía no obtuvieron diferencias estadísticamente significativas a un nivel de confianza del 95% en la absorción de moxifloxacina (p=0,337) y en el área (p=0,446), lo cual explica que no hay diferencias entre recibir el tratamiento 24 o 48 horas antes al acto quirúrgico. Conclusión: Los valores alcanzados en ambos grupos no tienen diferencias estadísticamente significativas según su posología para obtener la concentración mínima inhibitoria profiláctica. Infectious processes such as postsurgical endophthalmitis continue to be one of the most devastating complications of cataract surgery, for this reason the use of broad-spectrum antibiotics would prevent or try to reduce these complications. Objective: to determine the levels of moxifloxacin in aqueous humor previous topical administration 24 or 48 hours to the surgical act. Method: comparative cross-sectional clinical study carried out in the ophthalmology service, University Hospital of Los Andes, in 29 patients who underwent cataract surgery, divided into two groups, according to topical administration of the drug moxifloxacin, 24 or 48 hours prior to surgery, 1 drop was applied every 4 hours, during its preoperative preparation, then 0.1 ml of aqueous humor is taken through a paracentesis. At the beginning of the surgical act, the sample is stored in eppendorf and transferred for processing, each sample taken is processed by capillary electrophoresis with ultra violet detection. Results: the group of topical administration 24 and 48 hours prior to surgery did not obtain statistically significant differences at a 95% confidence level in the absorption of moxifloxacin (p = 0.337) and in the area (p = 0.446), which explains that there are no differences between receiving treatment 24 hours or 48 hours before surgery. Conclusion: The values achieved in both groups do not have statistically significant differences according to their posology to obtain the minimum prophylactic inhibitory concentration.
Fluoroquinolonas en humor acuoso en pacientes sometidos a cirugía de catarata. Fluoroquinolones in aqueous humor in patients undergoing cataract surgery
(2021) Argilio Duran; Pedro Rivas; Yasmín Morales; Ambar Rodríguez
Infectious processes such as postsurgical endophthalmitis continue to be one of the most devastating complications of cataract surgery, for this reason the use of broad-spectrum antibiotics would prevent or try to reduce these complications. Objective: to determine the levels of moxifloxacin in aqueous humor previous topical administration 24 or 48 hours to the surgical act. Method: comparative cross-sectional clinical study carried out in the ophthalmology service, University Hospital of Los Andes, in 29 patients who underwent cataract surgery, divided into two groups, according to topical administration of the drug moxifloxacin, 24 or 48 hours prior to surgery, 1 drop was applied every 4 hours, during its preoperative preparation, then 0.1 ml of aqueous humor is taken through a paracentesis. At the beginning of the surgical act, the sample is stored in eppendorf and transferred for processing, each sample taken is processed by capillary electrophoresis with ultra violet detection. Results: the group of topical administration 24 and 48 hours prior to surgery did not obtain statistically significant differences at a 95% confidence level in the absorption of moxifloxacin (p = 0.337) and in the area (p = 0.446), which explains that there are no differences between receiving treatment 24 hours or 48 hours before surgery. Conclusion: The values achieved in both groups do not have statistically significant differences according to their posology to obtain the minimum prophylactic inhibitory concentration.
La vida con la COVID-19. Life with COVID-19
(2021) Ambar Rodríguez; Argilio Duran
The essay aims to explore an initial reflection of the circumstances that we live today, in relation to the changes arising as a result of the Sars-Cov-2 COVID-19 pandemic, whether in the social, economic and cultural spheres, where we have lived moments of fear and uncertainty, due to this global health situation. We have scientific knowledge about many things about COVID-19, however, no one seems to talk about the consequences or disorders that can remain after suffering a pandemic. I am referring to the consequences of confinement, marked by multiple WHO treatment protocols, and the development of vaccines to prevent cases that compromise the lives of those affected. At the same time, we must continue our lives, using the biosecurity measures already known as: masks, hand washing, among others. These measures, in some way, have changed the perception of the world, and we are adapting every day. For all of the above, it is important to create awareness that perhaps more difficult moments will come in the coming years, that everything experienced so far is a teaching for the population and health personnel to face situations, including stopping all the consequences that these moments can lead, making clear that, from any negative situation we can obtain positive things or the phrase that says that every problem can be an opportunity, we must always see something positive and stand firm to continue doing the right and ethical thing for the welfare of humanity.
Percepción de estrés y resiliencia durante la primera fase de distanciamiento social por COVID-19, Mérida - Venezuela, 2020.<br> Perception of stress and resilience during the first phase of social distancing by COVID-19, Mérida - Venezuela, 2020.
(2020) María Isabel Niño Rada; Alejandra Jiménez; Argilio Duran
La Organización Mundial de la Salud declara como pandemia a la aparición de un brote de casos de neumonía, por una nueva variedad de coronavirus en marzo del presente año. La pandemia tiene un impacto psicológico en la población mundial con consecuencias en la salud física y mental. Se evaluó la percepción de estrés y resiliencia en la población de Mérida durante la primera fase del distanciamiento social. Método: Se realizó una investigación con enfoque cuantitativo, tipo correlacional, diseño transversal. Se obtuvo una muestra mediante la difusión de los instrumentos utilizando la plataforma virtual de google forms a través de redes sociales y correos electrónicos. Resultados: El promedio de Percepción de Estrés fue de (14,34±0.33). El 95% de la población del estudio presenta una percepción de estrés inferior o igual a 25ptos. El promedio de resiliencia presentado por los participantes fue de (76,36±0.77). El 95% de los individuos estudiados tienen un valor menor o igual a 96 puntos de resiliencia. Existe una alta correlación -0.63 con un 95% de confianza entre estrés y resiliencia en la población de estudio. Conclusiones: Durante la primera fase de distanciamiento social, la población de Mérida en su mayoría se presentó resiliente y con moderado estrés. The World Health Organization declares the appearance of an outbreak of pneumonia cases due to a new variety of coronavirus as a pandemic in March of this year. The pandemic has a psychological impact on the world population with consequences on physical and mental health. The perception of stress and resilience was evaluated in the population of Mérida during the first phase of social distancing. Method: An investigation was carried out with a quantitative approach, correlational type, transversal design of the perception of stress and resilience in the population of Mérida-Venezuela. A sample was obtained by disseminating the instruments using the virtual platform of google forms through social networks and emails. Results: The mean Perception of Stress was (14.34 ± 0.33). 95% of the study population has a perception of stress less than or equal to 25 points. The average resilience presented by the participants was (76.36 ± 0.77). 95% of the individuals studied have a value less than or equal to 96 resilience points. There is a high correlation -0.63 with 95% confidence between stress and resilience in the study population. Conclusions: During the first phase of social distancing, the majority of the population of Mérida was resilient and with moderate stress.