Revista SCientifica

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Authors: Carlos Galarza Portugal

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Authors: Andrea Gabriela García Quito, Katherine de los Ángeles Cuenca León, Patricia Anabel Solano Jara, Ana Lucía Montalvo Iñiguez

Abstract Introduction: Self-medication is a condition that the patient acquires during the course of his life, in which people obtain medication without prescription control and supervision. Objectives: To determine whether the degree of academic instruction is a risk factor for selfmedication in adults aged 45 to 65. Materials and Methods: Control case study, quantitative; a questionnaire was applied which helped determine the frequency of selfmedication in adults aged 45 to 65 associated with the level of academic instruction; the sample consisted of 296 people; the data was processed in the free software Epi Info ver. 7.2. Results: It was found that 72% of self-medicate respondents; a higher percentage was obtained in women with 57% and 43% in men, with respect to the ages, the people with the highest consumption of medications are 47 years with 10%. Conclusions: At the end of the study, it was observed that the degree of academic instruction is associated with the frequency of selfmedication since the majority of people who self-medicated did not have an academic preparation degree, and this could be a trigger for this phenomenon to occur.

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Authors: Andrea Poleth Castellanos Ulloa, Rolando Aguilera Lagos, Eduardo Alberto Piloña Flores, Eduardo Jose Lainez Lainez, Valeria Margarita Sierra Roca

Abstract Introduction: In Central America there is no epidemiological data related to adherence to antihypertensive treatment or its relationship to quality of life. In order to expand this information, we conducted this research in Primary Care Centers in four communities of Honduras. Objectives: Evaluate adherence to antihypertensive treatment, identifying influential factors and establish the relationship between adherence and quality of life in patients in primary care centers. Materials and Methods: Cross-sectional analytical study. Using an intentional sampling, the sample being equivalent to the universe, a total of 400 patients were selected with a diagnosis of high blood pressure. The Morisky-Green questionnaire was applied to each patient to assess adherence, and the Mini Quality of Life in Arterial Hypertension (MINICHAL) questionnaire to assess health-related quality of life. Results: Out of a total of 400 patients, 44,75% were adherent, 58,75% had controlled hypertension with a Quality of Life Related to Health (QLRH) within a mean range of 41,75%. An association between treatment adherence and quality of life was found. Non-adherence increases the risk of poor quality of life by 10 times with a CI 95% 10.7 (5.5-20.8. Conclusions: Among the factors that positively influenced on adherence were: marital status and blood pressure control. Adherent patients showed a high level of quality of life while non-adherent patients presented an average quality of life.

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Authors: Gonzalo H. Amador Rivera

Evidence-Based Medicine is undoubtedly one of the great medical advances in the field of scientific research, rejecting its validity would be as absurd as those contemporary terraplanists, who despite each of the incontrovertible evidences, continue to affirm that “ the earth is flat “ . However, accepting their results as dogmas mediated by Randomized Clinical Trials is as big a mistake as the first one. The present work exposes a critical reading of this paradigm, lecturing the reader to question, without detracting, to then appreciate and not abuse what is the application of statistical principles, scientific medical practice, especially therapeutics.

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Authors: Kevin Sergio Quiróz Vásquez, Patricia Andrea Navarro Coriza

AbstractIntroduction: High blood pressure (HBP) is one of the most relevant risk factors for the development of cardiovascular diseases (CVDs). It has been estimated that reducing salt intake is the most cost-effective strategy for controlling the development of HTA values.Objective: To determine the relationship between salt intake and HBP values in adult population of the town of Huajchilla, Municipio Mecapaca, January-March, 2017. Material and methods: We perform a modified survey made from variables to patients between 40-59 years old belonging to the town of Huajchilla, researching risk factors, salt intake and blood pressure values. Inclusion criteria: people between 40-59 years old, belonging to one of the 7 communities of Huajchilla, informed consent and without previous diagnosis of HBP; exclusion: people with HBP treatment, women in pregnancy or recent delivery and / or consume OA; elimination: incomplete surveys, not assisting to the 2nd blood pressure taking and refusing to answer the questions. Results: There is evidence that of the total of 131 participants, 20.6% have a high salt intake, having the female sex the higher intake of salt representing 11%. Risk factors are poorly correlated with HBP. A relationship was found between salt intake and blood pressure values. Conclusions: When comparing the blood pressure between the 1st and 2nd data collection after the recommendations of decrease salt consumption, a decrease of blood pressure is observed comparable to other studies.