Publications by authors named "Fernando Runzer Colmenares"
Objective: The present study aims to analyze the effectiveness of a gait re-education program using a sequential square mat (Tapiz Fisior®, in advance SSM Fisior®) in aspects related to mobility, balance, muscle strength, and gait of elderly people.
Methods: The intervention lasted eight weeks through progressive resistance training designed specifically for older people, with an approximate duration of 30-40 min, and was carried out three times a week on non-consecutive days using the SSM Fisior®.
Result: The intervention improved gait, balance, physical performance, lower limb strength, and walking speed.
We aimed to assess motoric cognitive risk syndrome (MCRS) as a mortality predictor in older male adults with cancer at Centro Médico Naval (CEMENA) in Peru from 2012 to 2015. We conducted a secondary analysis of a prospective cohort within CEMENA's Geriatrics Service. We considered all-cause mortality as the primary outcome.
View Article and Find Full Text PDFThis study highlights the growing significance of healthcare simulation in enhancing the quality and safety of patient care across Latin America and the Caribbean, by analyzing bibliometric trends and the impact of publications on simulation-based clinical training between 2012 and 2022. Leveraging the Scopus database and VOSviewer software for thesaurus interaction analysis, the research identified 610 documents, accumulating 4681 citations, thereby indicating a burgeoning interest in this field with notable publication spikes in 2017 and 2020. Brazil and the United States emerged as leading contributors, with a primary focus on "simulation training," "clinical competence," "medical education," and "education.
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- * Participants engaged in resistance training sessions three times a week, and their physical performance was compared between an intervention group and a control group.
- * Results showed significant improvements in various physical performance metrics, indicating that the Fisior® Mat program can effectively enhance physical abilities in older adults with PD when combined with standard physiotherapy.
Clinical characteristics, management, diagnostic findings, and various etiologies of patients with Kounis syndrome. A systematic review.
Int J Cardiol
January 2025
Article Synopsis
- - Kounis syndrome (KS) involves acute coronary syndrome triggered by an anaphylactic reaction and is often missed in diagnoses; new causes for it are being recognized.
- - A review of 190 studies revealed that most patients were male, with an average age of 54.4 years, and common issues included hypertension, diabetes, and chest pain.
- - KS commonly results from drug use (especially antibiotics) and has a calculated incidence rate of 11.12 per 1000 people, with a mortality rate of 7.47%, but 86.92% of patients showed positive outcomes after treatment.
Association between frailty and activities of daily living disability in older adults residing in a high-altitude Peruvian Andean community: the Aunqui-Andes study.
BMC Geriatr
September 2024
Background: The prevalence of frailty and activities of daily living (ADL) disability may be higher in high-altitude Andean regions, due to chronic hypoxia, malnutrition, and physical challenges. and their association is relevant. This study aimed to evaluate the association between frailty and ADL disability among older adults residing in the Totos district in Peru during the year 2022.
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- Severe asthma is a complex condition that needs careful diagnosis and understanding of its various types (endotypes) to ensure proper treatment.
- The review summarizes existing research on the diagnosis, underlying mechanisms (pathophysiology), and management strategies for severe asthma.
- The information was gathered by critically analyzing studies from major medical databases like Medline, Scopus, and Embase.
Article Synopsis
- *Methods*: Researchers analyzed data from 1,385 elderly patients, using statistical methods to identify correlations, specifically looking for links between thyroid function and glycemic control with a significance level of 95%.
- *Results*: They found that subclinical hypothyroidism was significantly more common in patients with poor glycemic control, indicating that those with hypothyroidism were 2.22 times more likely to have inadequate blood sugar levels.
Article Synopsis
- Gait speed is linked to balance disorders in older adults living at high altitudes, particularly in 12 Andean Peruvian communities.
- A study analyzed 418 participants over 60 years old, finding that lower gait speeds correlated with a higher prevalence of balance issues.
- The results suggest that those with intermediate and low gait speeds have a significantly increased risk of balance disorders, indicating a need for more research to develop preventative interventions for the elderly in these areas.
Introduction: Sarcopenia and sarcopenic obesity (SO) have emerged as significant contributors to negative health outcomes in the past decade. We aimed to estimate the prevalence of probable sarcopenia, sarcopenia, and SO in a community-dwelling population of 1151 adults aged ≥55 years in Lima, Peru.
Methods: This cross-sectional study was conducted between 2018 and 2020.
Background: There is evidence that sarcopenia and functionality are closely related. However, the association between geriatric syndromes, such as dependence, on instrumental activities and sarcopenia could be affected by the presence of certain comorbidities, such as overweight, obesity, diabetes, and chronic obstructive pulmonary disease (COPD). Therefore, the present study aimed to determine the association between instrumental activities of daily living and muscle mass in the elderly and evaluate the impact of certain comorbidities on this association.
View Article and Find Full Text PDFBackground: Sarcopenia is a musculoskeletal disease involving the reduction of muscle mass, strength, and performance. Handgrip strength (HGS) measurements included in frailty assessments are great biomarkers of aging and are related to functional deficits. We assessed the association between potential influencing factors and HGS asymmetry in older Peruvian adults.
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- This study systematically reviews case reports related to acute abdomen following COVID-19 vaccination to explore potential associations and patient characteristics.
- A total of 17 cases were identified, most frequently linked to the Pfizer-BioNTech vaccine, with conditions like acute pancreatitis and appendicitis observed post-vaccination.
- The findings suggest acute abdomen is a rare complication, mostly treatable, and emphasize the need for further research to understand the mechanisms behind these occurrences.
Background: Sarcopenia and sarcopenic obesity (SO) have emerged as significant contributors to negative health outcomes in the past decade. However, there remains a lack of consensus on the criteria and cut-off thresholds for assessing sarcopenia and SO. Moreover, limited data are available on the prevalence of these conditions in Latin American countries.
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- * A study in Peru assessed the impact of COVID-19 vaccination on the emotional health of adults aged 60-79, comparing outcomes before and after vaccination.
- * Results showed that older adults who received two doses of the vaccine experienced significantly less fear and anxiety regarding COVID-19, suggesting that the benefits of vaccination extend beyond physical health.
Introduction: COVID-19 related mortality is about 2%, and it increases with comorbidities, like hypertension. Regarding management, there is debatable evidence about the benefits of continuation vs. discontinuation of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers (ACEI/ARB).
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- - COVID-19, caused by the SARS-CoV-2 virus, has become a persistent global health crisis, prompting a study in a tertiary hospital in Peru to explore mortality factors among hospitalized patients.
- - The study analyzed 297 COVID-19 patients, revealing that most were women with a mean age of nearly 64 years; common comorbidities included hypertension and diabetes, with survival probabilities decreasing significantly over a week of ICU care.
- - Key mortality risk factors identified included older age, male gender, tachypnea, low blood pressure, low oxygen levels, renal issues, and high levels of inflammatory markers like IL-6 and D-dimer, highlighting a mortality rate of 51.18 per 100 patients.
Article Synopsis
- A study was conducted to determine the frequency of food allergies among Human Medicine students at a private Peruvian university, using observational and retrospective methods.
- The research involved 355 students aged 18-25, revealing that 9.3% reported having a food allergy, with seafood and spices being the most common triggers.
- The findings suggest a notable prevalence of food allergies related to both native Peruvian products and those commonly consumed in the country.
Background: Older adults are a particularly vulnerable group to drug use and self-medication. The aim of the study was to evaluate self-medication as a factor associated with the purchase of brand-name and over-the-counter (OTC) drugs in older adults in Peru.
Methods: A secondary analysis was performed using an analytical cross-sectional design of data from a nationally representative survey from 2014 to 2016.
High anthropometric indexes before sleeve gastrectomy (SG) are associated with an increased risk of erosive esophagitis (EE) in bariatric surgery candidates. Reasons that explain how these indexes influence the development of esophageal pathology after surgery remains unclear. To assess the association between the body mass index (BMI), waist circumference (WC), and body fat percentage (BFP) with the development of EE in adults with obesity three months after SG.
View Article and Find Full Text PDFThe COVID-19 pandemic changed the way of living on the planet and, in my case, revealed the fragility of primary care services to respond to a health emergency that mainly affected older adults. Upon obtaining my medical degree, I felt guaranteed to have the skills to be a primary care physician; however, the coronavirus gave me "a reality bath with the aroma of impotence, bewilderment, and abandonment." Contradictory provisions and regulations, absence of a continuous policy, poor leadership, insufficient resources, and mismanagement by the Ministry of Health.
View Article and Find Full Text PDFObjective: To evaluate the role of cognitive frailty and its components as risk factors of mortality in older adults of the (CEMENA) in Callao, Peru during 2010-2015.
Methods: We performed a secondary analysis of data from a prospective cohort that included older adults (60 years and older) treated at the CEMENA Geriatrics service between 2010-2015. Frailty was defined as the presence of three or more criteria of the modified Fried Phenotype.
Background: Given the increase in incidence and mortality from cancer in recent years in Latin America and Peru, it is necessary to identify frailty older adults at higher risk of disability, hospitalizations and mortality. However, its measure is complex and requires time. For this reason, it has been proposed that frailty can be evaluated by a single measure, as gait speed.
View Article and Find Full Text PDFIntroduction: Frailty and depression can coexist as depressed frail phenotype, useful for the comprehensive evaluation of older adults and prevention of adverse outcomes. The objective of this study was to evaluate the role of the depressed frail phenotype and its components as risk factors for mortality in older adults of the (CEMENA) of Peru during 2010-2015.
Material And Methods: We carried out a secondary data analysis of a prospective cohort that included older adults (60 years and older) treated in the Geriatrics service of CEMENA between the years 2010-2015.
Objective: To specify the association between atopic dermatitis and food allergies in students of Human Medicine in a private university in Lima-Peru.
Methods: An observational, analytical, cross-sectional study that included 355 students of human medicine between the ages of 18 and 25 years, of a private university in Lima-Peru, through a virtual survey. The data were analyzed using Fisher's technique, Student's T test, and Poisson regression.