vol. 3 núm. 3 (2025): julio - septiembre

Introduction: The imprisonment of the genital organs by metallic elements is a rare clinical event, which requires finding the best method for metal ablation, allowing rapid decompression of the acute injury and in-depth urological study of the damage caused. Clinical case: An 11-year-old male patient who consulted the emergency department with strangulation of the base of the penis, with a self-inflicted object (steel ring), which generated grade II trauma, with decreased distal perfusion and three hours of evolution. evaluated by Pediatric Surgery-Urology. Results: Prior to regional blockade of the penis, ring cutting techniques were performed with a cold cutter, circular saw clamp and pincer clamp without achieving objective ablation, for which a lymph evacuation procedure was performed with direct pressure, achieving a reduction in distal edema and mobilization of the object, with satisfactory evolution and without urethral injury. Discussion: It is of vital importance for the efficient management of pediatric emergencies to be able to guarantee penile block and edema drainage techniques in a timely manner that reduce the risks of failed cutting procedures.

The presence of the cecal appendix whether, inflamed, perforated, or intact, within the hernia sac is known as an Amyand hernia, a rare condition first described by surgeon Claudius Amyand in 1735 (with a global prevalence of 0.13%), which can mimic a strangulated hernia; This report describes the case of an elderly patient who underwent scheduled surgery for a right inguinal hernia, with a clinical history of two years. During the surgical procedure, a direct sliding inguinal hernia measuring 3 × 2 cm was identified. Upon opening the hernia sac, the cecal appendix was found in a phlegmonous phase, adhered to the sac wall. A decision was made to perform an appendectomy, the hernia sac was reintroduced, and the posterior wall of the inguinal canal was repaired using the Lichtenstein technique. As no complications occurred, the patient was discharged two days after surgery with outpatient antibiotic management.

Introduction: The migration process brings with it different feelings such as anxiety and depression. Anxiety is an emotion that the individual experiences when they feel afraid or worried in everyday situations, while depression is considered a mental disorder in which sadness and loss of interest in everyday life persist, leading to affectation of the physical and mental state, expressed through thoughts and behaviors. Objective: To determine the levels of anxiety and depression in Venezuelan migrants who live in a municipality in the department of Atlántico. Methodology: The study is a cross-sectional descriptive observational study. The study population is made up of all Venezuelan migrants who are registered with the “Fundemar” foundation in a municipality in the department of Atlántico, and the sample was taken in its entirety. Two surveys were applied: Hamilton test for anxiety and the 17-item Hamilton test for depression. Results: A descriptive analysis of the data obtained from the application of the surveys was carried out, where it was found that 76% of the people surveyed had mild anxiety and only 6% had severe anxiety. 58% of the migrants who participated in the study do not present depression, 30% present mild minor depression, 8% moderate depression and 2% severe depression. Conclusion: The results revealed a significant picture, the majority of participants showed levels of anxiety classified as mild, while a minimal proportion experienced severe anxiety. This finding highlights that the majority of people studied experience mild anxiety.

Introduction: Guillain Barré syndrome (SGB) is an acute demyelinating disease that causes the rapid development of weakness of the extremities and often of the facial, respiratory and swallowing muscles. It is the most common cause of flaccid paralysis, reported with an incidence of 0.6 cases in 100 000 people per year. Case report: an adolescent with acute and progressive decrease of upper and later lower limbs that additionally led to data of respiratory distress that required advanced management of the airway, later management with immunoglobulin was started and a conduction speed study was conducted with evidence of “SBG PCB” variant. Conclusion: Although SGB is a recurrent pathology secondary to infection processes, we consider that the previously described variant does not occur frequently, so it is prudent to present the case and evaluate the patient's follow-up.

The overall objective of this research is to determine the impact of performance patterns on occupational behaviors in the population at risk of obesity at the Guaimaral Technical Institute, Cúcuta. The methodology employed is quantitative and descriptive, using data collection techniques such as the sociodemographic form, the Occupational Performance Historical Interview (OPHI-II), and the MOHOST assessment instrument. The target population includes overweight high school students selected through random, non-probability sampling. The instruments used include the sociodemographic form to characterize the population, the OPHI-II to assess performance patterns, and the MOHOST to assess occupational behavior. This study seeks to provide an understanding of how habits, routines, and roles affect overweight and offer a solid basis for designing occupational therapy interventions.

Introduction: Thermal burns in the pediatric population are one of the leading causes of childhood trauma worldwide, with serious physical and emotional consequences. The World Health Organization (WHO) identifies children as a highly vulnerable group, with the majority of cases being preventable. In Colombia, the National Institute of Health reports an increase in cases, especially in Norte de Santander. However, gaps in local knowledge about this problem persist. This study seeks to determine the incidence and characteristics of pediatric burns in Cúcuta to understand the epidemiological profile and guide preventive actions. Objective: To establish the incidence of thermal burns requiring surgical management and their eventual prognosis in the pediatric population. Methodology: A descriptive, observational, and retrospective study was conducted at the Erasmo Meoz University Hospital in San José de Cúcuta, Norte de Santander, Colombia, from June 2023 to February 2025. Medical records were selected from the database submitted by the IT department, based on inclusion and exclusion criteria, and data entry was performed using an-Excel spreadsheet. Results: Predominance in older male infants, scalds by hot liquids (75.3%) as the predominant causative agent, most injuries were second degree (85.7%) and mild (49.4%), percentage of surgical interventions (83.1%) with predominance of debridement and favorable prognosis with 100% survival. Conclusion: Pediatric thermal burns represent an important cause of morbidity in Cúcuta, with predominance of scalds in older infants, second-degree injuries, and surgical management. These findings, together with the high childhood vulnerability and risk conditions in the home environment, confirm the urgency of focused preventive strategies.

Malignant pleural mesothelioma (MPM) constitutes less than 1% of total malignant neoplasms. It is characterized by aggressive tumorigenesis, exhibiting low incidence rates, poor prognostic outcomes, and diminished survival metrics. MPM is derived from pleural mesothelial cells, making it a primary neoplasm of the pleura. It manifests in the pleura (70-90%), with exposure to asbestos increasing its incidence to 80%. Diagnostic assessment necessitates imaging modalities, histopathological biopsy, and immunohistochemical analysis, rather than reliance solely on clinical symptomatology, particularly given past asbestos exposure which may obscure differential diagnoses that emulate these clinical presentations. We report a case involving a 51-year-old male patient exhibiting pleural effusion and coagulated hemothorax, who underwent diagnostic evaluations confirming epithelioid mesothelioma, which does not warrant surgical resection prioritization and has been referred for oncological management.

Neonatal Abstinence Syndrome (NAS) represents a complex clinical condition in newborns exposed to psychoactive substances (PS) during pregnancy. The main purpose of this research was to determine the prevalence of NAS and its association with the type of PS used by mothers attended at the Erasmo Meoz University Hospital (HUEM) between 2010 and 2024. This work is based on the understanding of placental substance transfer and its effects on fetal neurodevelopment. An observational, retrospective, and quantitative study was carried out, analyzing 119 medical records through a structured data collection tool and statistical processing using RStudio. Findings showed a prevalence rate of 25.2%, being most common in newborns exposed to cocaine, bazuco, and heroin. The main clinical features included irritability, feeding difficulties, and respiratory problems. Additionally, maternal polysubstance use and social vulnerability were linked to greater severity of NAS and a higher rate of neonatal institutionalization. These results highlight the need to strengthen preventive measures, early diagnosis, and comprehensive care programs in perinatal health services.