Browsing by Autor "Sara Milca Robles-Nina"

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Atypical rash, a diagnostic challenge in clinical practice: A Case Report from Bolivia
(2025) C. Roman; Jhossmar Cristians Auza-Santiváñez; Paola Nielsen Fuentes Luzcuber; L. Castedo; Mildred Ericka Kubatz La Madrid; Sara Milca Robles-Nina; Carmen Julia Salvatierra Rocha; Jorge Márquez-Molina
Hand-foot-and-mouth disease, commonly caused by Coxsackievirus A16, can manifest in atypical and severe forms associated with the CVA6 serotype, termed "eczema coxsackium," which may mimic serious pathologies. This report describes the case of a 10-year-old boy with a diffuse maculopapular rash, targetoid and bullous lesions, and systemic compromise, initially diagnosed as erythema multiforme major. The discussion focuses on the differential diagnostic challenge with eczema herpeticum, highlighting that despite the alarming clinical presentation, etiological confirmation via PCR for CVA6 was crucial to rule out other infections, discontinue unnecessary acyclovir, and focus treatment on supportive care, leading to a favorable outcome. In conclusion, eczema coxsackium due to CVA6 should be considered in severe vesiculobullous rashes, with PCR being essential for an accurate diagnosis and proper management, as its prognosis is generally benign.
Bibliometric Analysis of the Worldwide Scholarly Output on Artificial Intelligence in Scopus
(Grupo de Investigación “Nodo Educativo” / Red Universitaria de Tecnología Educativa (RUTE), 2023) Jhossmar Cristians Auza-Santiváñez; José Alejandro Carías Díaz; Óscar Vedia; Sara Milca Robles-Nina; Carlos Sánchez Escalante; Blas Apaza-Huanca
Introduction: the use of bibliometric analyses is useful to gain insight into the development, trends, and impact of scholarly output on artificial intelligence (AI) in several fields. Objective: to characterize the worldwide scholarly output on AI in Scopus in the period 2013-2022. Method: a descriptive observational bibliometric study was carried out. The study population consisted of the 776,961 documents identified using SciVal. The following variables were studied: number of documents (Ndoc), year of publication, annual variation rate (AVR) of the scholarly output, type of document, source, number of citations (Ncit), field-weighted citation impact (FWCI), author(s), author-level h-index, institution, country, type of collaboration, and keyphrases. Results: the scholarly output showed a steady quantitative increase during the period studied, with a positive AVR. Conference papers (68,5 %) and articles (26,5 %) were the main types of documents. Neurocomputing led the list of sources in both Ndoc (12,989) and Ncit (351,837). The highest FWCI (3.02) corresponded to Proceedings – IEEE International Conference on Robotics and Automation. China, the United States and India were the countries with the highest Ndoc by year of publication. Institutional collaboration was the most common (46,7 %) type of collaboration. The most prominent keyphrases were: Robot, Artificial Intelligence, Deep Learning, Convolutional Neural Network and Robotics. Conclusions: the scholarly production analyzed is characterized by its constant quantitative growth and is mostly represented by conference papers. Productivity and impact indicators based on citations show remarkable results. The science produced was led by China, and scientific collaboration played a relevant role.
Epidemiological, clinical, and therapeutic profile of tuberculosis in a high-burden Latin American capital: Tegucigalpa, Honduras
(2025) Alejandro Carías; Lourdes Carolina Vega; Pablo Carías; Jhossmar Cristians Auza-Santivañez; Sara Milca Robles-Nina; Freddy Ednildon Bautista-Vanegas; Ingrid Neysa Cabezas Soliz; Jose Bernardo Antezana-Muñoz; Jaykel Evelio Gómez-Triana
Introduction: Tuberculosis (TB) remains a major public health problem in Honduras, particularly in urban areas such as Tegucigalpa. Identifying clinical and epidemiological patterns helps guide control strategies. Objective: To describe the sociodemographic, clinical, and treatment outcome characteristics of patients diagnosed with TB in Tegucigalpa between 2022 and 2024. Methods: A descriptive, retrospective study was conducted with 165 patients diagnosed with TB. Data on sociodemographics, medical history, diagnostic methods, type of TB, treatment regimen, and discharge condition were collected. Analysis was performed using frequencies and percentages. Results: Males accounted for 61.2% of patients. Unemployed individuals represented 15.8%, prisoners 14.5%, and housewives 8.5%. A total of 14.5% had completed preschool education, and another 14.5% had no formal education. The most common comorbidity was diabetes mellitus (11.5%), followed by diabetes mellitus/hypertension (8.5%). The most frequent diagnostic method was smear microscopy (80.6%). Pulmonary TB accounted for 97.6% of cases. Basic treatment was administered to 96.4% of patients. Cure rate was 84.8%, with 3.6% relapses and 1.8% deaths. Conclusion: Most TB cases in Tegucigalpa occurred in adult men with low education levels and chronic comorbidities such as diabetes. Diagnosis was mainly through smear microscopy, with a high cure rate, though challenges remain in relapse monitoring and prevention in vulnerable populations.
Extubation based on predictive scales in the management of neurocritical patients: Narrative review and update
(2025) Jhossmar Cristians Auza-Santiváñez; Edwin Cruz Choquetopa; José Bernardo Antezana-Muñoz; Osman Arteaga Iriarte; Sara Milca Robles-Nina; Blas Apaza-Huanca; Rodrigo Stalin Torrico-Araúz; David Oliver Aguirre-Soliz
Introduction: Invasive mechanical ventilation (IMV) is essential in neurocritical patients to ensure oxygenation, control ventilation and prevent secondary brain damage, although its prolonged use is associated with complications such as ventilator-associated pneumonia (VAP) and increased mortality. Extubation in this population faces failure rates of up to 40%, highlighting the need for specific strategies. Methodology: A narrative review was conducted based on original articles, case series and open access systematic reviews, consulted in SciELO, LILACS, Scopus, PubMed-Medline, Google Scholar and ClinicalKey. DeCS descriptors and Boolean operators were used, excluding letters to the editor and conference proceedings to prioritise quality evidence. Development: Extubation in neurocritical patients is compromised by neurological (altered level of consciousness, reflex dysfunction), respiratory (secretions, weak cough) and systemic (prolonged IMV) factors. Scales such as VISAGE, AIRWAY SCORE and ENIO integrate key variables to predict success, although they lack universal validation. Tracheostomy reduces duration of IMV, but not VAPV or mortality, while physiotherapy shows unconfirmed potential. Conclusion: Predictive scales offer valuable tools, but their standardisation is limited. Level of consciousness does not consistently predict success, prioritising airway protection. Prospective studies are needed to develop specific protocols and improve outcomes in neurocritical patients.
Gamification in personal health management: a focus on mobile apps
(Grupo de Investigación “Nodo Educativo” / Red Universitaria de Tecnología Educativa (RUTE), 2024) Jhossmar Cristians Auza-Santiváñez; José Alejandro Carías Díaz; Óscar Vedia; Sara Milca Robles-Nina; Carlos Sánchez Escalante; Blas Apaza-Huanca
This review article explores the concept and applications of gamification in personal health management, with a focus on mobile apps. Gamification is the use of game elements and techniques in non-game contexts to motivate and engage users in achieving certain goals or behaviors. Gamification has been applied to various domains of health, such as wellness, diet, exercise, chronic disease management, and mental health. The article discusses the benefits and challenges of gamification for health, as well as the theoretical frameworks and empirical evidence that support its effectiveness.
Interactive formats: considerations for scientific publications
(2023) Jhossmar Cristians Auza-Santiváñez; José Alejandro Carías Díaz; Óscar Vedia; Sara Milca Robles-Nina; Carlos Sánchez Escalante; Blas Apaza-Huanca
Introduction: in the digital age, information retrieval is dominated by digital data and the demand for digital media is continually growing, consequently the dynamics are very different and e-journals can take advantage of this transition phase as an opportunity to explore ways more effective.Methods: a bibliographic review was carried out in the main databases and other search services. The terms “interactive formats”, “data visualization”, “interactive graphics”, “scientific publication” were used as search descriptors.Results: an interactive publication could contain many multimedia objects: text, video, audio, bitmap images, spreadsheets, presentation graphics, or animation sequences. These objects can be in different file formats. Interactive media can be defined as the integration of various digital media content, including multimedia elements (text, graphics, audio, animation and video) into structured and engaging computerized digital content, facilitating dynamic interaction for specific purposes. An interactive approach is interesting and desirable, because users will get dynamic reactions. They have been revealed and demonstrated that the use of 3D technology for academic publications is useful and necessary. However, widespread application is yet to come. The new academic contexts can serve as a starting point for many scientific journals to redefine their position and open new fields of dissemination and financing.Conclusions: scientific journals must take advantage of the new virtual scenarios to reorganize their communication processes and face new formats of scientific dissemination
mHealth in health systems: barriers to implementation
(2022) Jhossmar Cristians Auza-Santiváñez; José Alejandro Carías Díaz; Óscar Vedia; Sara Milca Robles-Nina; Carlos Sánchez Escalante; Blas Apaza-Huanca
The implementation of mobile health or mHealth in health systems is subject to a number of challenges that are the subject of analysis by the scientific community. In this review, aspects such as interoperability with existing systems, the need for policies and regulatory frameworks, and adaptation to different local and national realities are discussed. The main barriers focus on the acceptability of this mode of care, scaling and sustainability, technological and knowledge barriers, and integration with existing systems. The article highlights the importance of overcoming these barriers to take advantage of the potential of mHealth in improving people's health and well-being. These limitations must be addressed so that mHealth does not represent a gap, instead of an alternative in equitable access to health services
Morbidity at discharge in the Urology Department of the Peltier University Hospital Center in Djibouti
(2025) Dulvis Lianet Acosta Herrería; Jorge Luis Santana Pérez; Ariel Sosa Remón; Jhossmar Cristians Auza-Santiváñez; Ana Esperanza Jeréz Álvarez; Jorge Luis Santana León; Benito Aguirre-Cruz; Sara Milca Robles-Nina
Introduction: Morbidity at discharge after admission for urological diseases has been scarcely described in the literature. Methodology: A quantitative, observational, descriptive, longitudinal study was conducted at the Peltier University Hospital Center in Djibouti, from January to July 2024. The population was 131 patients hospitalized in the urology service and the sample was 129 discharged patients. Objective: to describe morbidity at discharge from the Urology service. Results: The largest number of patients admitted were patients diagnosed with prostatic hypertrophy and hydronephrosis. Adenomectomy and minimal access surgeries were performed relatively frequently and the predominant complication was infection of the surgical wound. Conclusions: The patients who were admitted and treated had diagnoses that reveal the impact of sociodemographic factors on the population of Djibouti, advanced age and desert climate
Point-of-care ultrasound guided Pericardiocentesis in cardiac tamponade: case report
(2024) Adrián Avila Hilari; Jhossmar Cristians Auza-Santiváñez; Digmar Ortiz Huiza; Sara Milca Robles-Nina; Ludovico Lucenti; Jose Luis Diaz-Guerrero
We present the case of a patient with a history of penetrating chest trauma, complicated by hemopneumothorax, resolved by pleurostomy tube. Subsequently, the patient progresses unfavorably with hemodynamic instability and is transferred to the Intensive Care Unit, where POCUS (Point of Care Ultrasound) ultrasonography is performed, showing significant pericardial effusion which is caused by cardiac tamponade, which causes a state of shock. obstructive type, so it was decided to perform ultrasonography-guided pericardiocentesis, showing a favorable evolution after the procedure.