Cranial polyneuritis is a variant of Guillain-Barré Syndrome, of unusual presentation, which occurs wuht simultaneous involvement of oculomotor and pharyngeal cranial nerves, without affectation of consciousness, ataxia or alteration in the extremities. It is usually preceded by an infectious condition. The presencie of autoantibodies directed against gangliosides has been reported in these patients and albumin-cytological dissoaciation has been observed in the cerebrospinal fluid. We present the case of a 29-year-old male patient, with rapidly progressive involvement of the cranial nerves III, IV, VI, VII, IX and X bilaterally, with albumin-cytological dissociation in cerebrospinal fluid. He received treatment with intravenous immunoglubulin, with a favolrable clinical evolution.
Objetivo: Estimar la proporción de sujetos con diabetes mellitus tipo 2 (DMT2) que alcanzan la meta terapéutica para HbA1C un año después del diagnóstico. Métodos: Revisión retrospectiva de historias clínicas de adultos atendidos en nueve ciudades peruanas. Se incluyeron pacientes que recibieron un diagnóstico inicial de DMT2 y tuvieron al menos un año de seguimiento. Resultados: Se incluyeron 457 sujetos (53,03% mujeres). Cuando fueron diagnosticados, la edad media fue de 55,75 años (DE ± 12,92), la media de HbA1C fue de 9,10% (DE ± 2,28). Hubo diagnóstico concomitante de hipertensión arterial o de dislipidemia en 27,13% y 52,40%, respectivamente. Al año de seguimiento, 57,76% de los sujetos alcanzó la meta de HbA1C (<7,0%). El logro de metas en otros parámetros fue 39,66% para LDL-c (<100 mg / dL), 55.56% para HDL-c en hombres (> 40 mg / dL), 24.31% para HDL-c en mujeres (>50 mg/dL), 48.24% para triglicéridos (<150 mg/dL), y 89,23% para presión arterial (<140/90 mmHg). Conclusiones: En este estudio en condiciones de la vida real, en adultos con DMT2 con un año de seguimiento, el logro de la meta de HbA1c (<7%) se alcanzó en el 58% de los pacientes. Si bien estos resultados son compatibles con los reportados en otros estudios de la región, se evidencia la oportunidad de mejorar el logro temprano de metas con el objetivo de optimizar los resultados a largo plazo.
The lack of unified criteria in the practice of nursing care can lead to errors during procedures. For this reason, this nursing care procedures guide (NCPG) aims to establish and unify action criteria to control seizure activity and prevent the appearance of secondary injuries in children during hospital care. Descriptive study of narrative literature review. The information collection process was carried out through an exhaustive search in high-impact journals and other reliable media such as Scopus, ProQuest, EBSCO, Scielo, repositories and Google Scholar. This review addresses indications, contraindications, necessary materials and equipment, stages of care procedures, complications and recommendations. It is concluded that this NCPG makes it possible to minimize errors and normalize nursing care in children's seizures in hospital care; generating impact on the health of the population. Finally, it is emphasized to continue developing NCPG to generate expectations in nursing care and the health of the country.
This article is prepared with the purpose of presenting a proposal for an occupational risk management system for the nursing staff of the sterilization center of a public hospital in Peru, which will help control the dangers that are affecting the staff. . from the sterilization center; This proposal was prepared based on the occupational risks found in the research called: “Evaluation of occupational risks in the staff of the sterilization center of the Lambayeque Regional Hospital - 2021”. For which, specific actions are specified to solve the risks, this includes: organization, responsibilities, planning of activities, practices, procedures and resources to be developed, policies to prevent risks. An IPERC risk matrix and a risk map were prepared which must be placed in a visible place. Likewise, procedure guides, an internal SST regulation, accident reporting and risk control records, a risk control monitoring plan, occupational risk indicators, among others, were prepared. An occupational risk management system was developed for the nursing staff of the sterilization center of a public hospital in Peru.
