Universidad de San Pedro Sula

A 48-year-old man presented to a rural Honduran hospital with progressive dyspnea for three days, worsening at rest. He was hemodynamically stable and without tachypnea or pulmonary crackles. The electrocardiogram showed sinus tachycardia, suggestive of pulmonary thromboembolism (PTE). Chest CT confirmed the diagnosis of bilateral PTE with total occlusion of the right pulmonary artery and significant stenosis of the left pulmonary artery. Transthoracic echocardiogram revealed a right atrial thrombus. Medical treatment with therapeutic anticoagulation was provided. Echocardiographic follow-up at 10 days showed that the original thrombus had been significantly reduced to two smaller thrombi. The patient was discharged from the hospital with more anticoagulants. Thrombus in transit alongside pulmonary embolism is rare and is an emergent condition; it can quickly progress to cardiogenic shock or cardiac arrest. This patient’s effective diagnosis and treatment highlight the importance of bedside echocardiography in resource-limited settings.

Leadership development among school managers is a complex and evolving process influenced not only by professional responsibilities but also by deeply personal life experiences. While numerous studies have examined leadership competencies and administrative effectiveness, limited research has focused on how retired school managers interpret and assign meaning to the critical life events that shaped their leadership journey. The lived experiences of these seasoned leaders—particularly in the context of their emotional, moral, and spiritual development—remain largely unexplored in educational leadership literature. This study addresses that gap by exploring the highest and lowest points in the careers of 15 retired public elementary and secondary school principals and examining how these pivotal moments shaped their leadership beliefs and practices. Using a constructivist grounded theory design, data were collected through in-depth interviews and analyzed via constant comparative analysis, memoing, theoretical sampling, and theoretical saturation. A core category emerged: “Engaging Self for Others,” reflecting the essence of selfless and relational leadership. Five supporting categories were identified: (1) coping with challenges, (2) strengthening engagement with teachers, students/pupils, and parents, (3) anchoring oneself on values and virtues, (4) believing in God, and (5) achieving success. Participants metaphorically described their leadership journey as a spider's web, symbolizing the complexity and resilience that form through years of dedicated service. The findings reveal that effective school leadership extends beyond administrative functions, deeply rooted in self-awareness, relational commitment, spiritual grounding, and moral integrity. The study concludes that significant life events and core values play a crucial role in the development of authentic and transformative school leadership. The emergent theory offers practical implications for leadership preparation programs, emphasizing the importance of nurturing personal growth, faith, and service in cultivating educational leaders who lead with purpose, resilience, and compassion.

This case report describes a 23-year-old male who was incidentally diagnosed with Caroli disease while investigating symptoms of recurrent upper quadrant pain and fever. Imagining studies, including magnetic resonance cholangiography revealed the “central dot sign,” which is pathognomonic for this condition, along with cystic dilatations of the intrahepatic bile ducts and the presence of biliary stones. The diagnosis was confirmed and treatment with ursodeoxycholic acid led to a notable reduction in symptoms. This case underscores the need for further research and understanding to develop more effective diagnostic and treatment strategies. Regular follow-up remains essential for managing disease progression and preventing complications.

Introduction: Microscopic fungi colonize many food substrates resulting in considerable economic losses. Their development leads to an alteration in the organoleptic quality of the food, and produces mycotoxins. The aim of the present work was to evaluate the extraction kinetics and in vitro antifungal activity of the essential oil of Hyptis suaveolens on the growth of three toxigenic fungal strains. Methodology: The essential oil was extracted by steam distillation using a Clevenger-type device. It was tested for in vitro antifungal activity against three mold strains (Aspergillus flavus, Aspergillus niger and Fusarium sp) using the agar dilution method. Results: The results of the extraction kinetics evaluation show that in fifty minutes of distillation, almost all the essential oil contained in the aerial parts of H. suaveolens is recovered. In vitro antifungal tests showed a slight slowdown in mycelial growth for the three strains studied. However, the antifungal parameters determined show that these strains are sensitive to 50 μL/mL with a CMF of 100 μL/mL. This is just a simple fungistatic effect of this extract on the mycelial growth of the strains tested. Aspergillus strains seem to be slightly more affected than Fusarium strains. Conclusion: The antifungal potential of H. suaveolens essential oil does not offer a novel approach to the control of these three fungal strains.

Peanuts (Arachis hypogaea) since colonization have been an obligatory crop in Ivory Coast. It is currently the culture of women par excellence in the North of Côte d'Ivoire and especially in Korhogo. Almost the entire production is consumed on site and mainly in the form of peanut paste. The objective of this study is to determine the nutritional composition of peanut pastes of three varieties produced in Côte d'Ivoire. To achieve this, three varieties of peanut were studied and named according to their morphological characteristics (large striated shell (Gcs), medium striated shell (Mcs) and small smooth shell (Pcl). These grains were transformed into paste then subjected to analyzes to know their physicochemical characteristics. The results of statistical analysis showed significant differences at P  0.05. The variety that contains the least water is (Pcl), it will better resist microbial proliferation. Gcs peanut paste was much richer in fat with a value of 45.088  0.19% and also contained myristic acid (2.976  0.008%) and linolenic acid (0.263  0.002%). As for the Pcl variety, the linoleic and oleic acid contents were dominant compared to the other varieties respectively with values of 1.139  0.006 and 0.412  0.002%. Furthermore, regarding proteins, the Pcl variety presented a high level of proteins (29.00  1.75%), however, arginine, methionine, cysteine and glutamic acid are absent.

Globally, the adoption of Solid Organ Transplantation (SOT) as first-line therapy for end-stage organ failure has not come without its share of complications. Enterococcal endocarditis poses a substantial risk to renal transplant patients, and multiple factors must be considered due to the grave nature of this infection. Such factors include addressing multidrug-resistant organisms, antibiotic therapy-related toxicity, and preserving the transplanted organ. Additional considerations include salvaging an affected cardiac valve and avoiding the need for a valve replacement with the attendant complications. Ampicillin and gentamicin have historically been the standard of care as first-line treatment for many years until the aminoglycoside sparing regimen of ampicillin and ceftriaxone showed non-inferiority in clinical studies. We present a second case report with an aminoglycoside sparing regimen of ampicillin and daptomycin in a renal transplant patient who developed Enterococcus faecalis endocarditis. We conclude with a brief review of published research with this combination.

Glutathione peroxidase (GPx) is an antioxidant that plays an important role in the maintenance of male fertility. The aim of this study was to compare the profile of enzymatic activity of glutathione peroxidase in the seminal plasma of normozoosperm and those of pathological sperm. Thus, the activity of glutathione peroxidase was determined in the seminal plasma of 20 normozoosperms, 9 azoosperms and 31 oligoasthenoteratozoosperms.

Due to the covid-19 pandemic, people were forced to spend the last 2 years in confinement due to the high rate of contagion that it presented. As a consequence, the term of telemedicine reappeared, many medical consultations went to the technological level, thus reducing the contact of people with the possible contagion from abroad, but the effectiveness of the consultations decreased since the touch and use of the equipment with those that doctors count to monitor the signals that the body provides to know its status. In this investigation, an embedded board with IoT functions was developed to monitor the vital signs of a person through analog and digital sensors, using a TCP protocol to transport the data. Using communication with the Ubidots web application for realtime data reading and data collection, thus creating a medical history to be analyzed by the doctor and having a better vision of possible risk scenarios in the patients health. The results were accepted as healthy people were examined in a controlled environment. The final prototype design proved to be effective and was reviewed by healthcare professionals who found that a tool like this could be very useful.

Antecedentes: El dengue es una enfermedad infecciosa causada por el virus del dengue, uno de los cuatro serotipos del virus (DENV). Actualmente es uno de los mayores problemas en salud pública a nivel nacional y en la región de las Américas. Objetivo: Determinar las características epidemiológicas y clínicas de pacientes adultos con dengue, Hospital Tela, enero-diciembre 2019. Métodos: estudio retrospectivo, descriptivo, se registró información de expedientes clínicos de los pacientes adultos con diagnóstico epidemiológico y clínico de dengue atendidos en el Hospital Tela, Atlántida durante el 2019. Resultados: Se evaluaron 276 casos. La edad media fue 37 años, femenino 57.3% (158). De acuerdo con la clasificación por gravedad de la Organización Panamericana de la Salud (OPS), 58.3% (161) fueron clasificados como dengue con signos de alarma. Los signos y síntomas más frecuentes fueron fiebre 100% (276), artralgias 90.2% (249), mialgias 89.9% (248), cefalea 79.4% (219). El 92% (254) presentó leucopenia desde el segundo día y trombocitopenia 92.8% (267) desde el primer día de enfermedad. Solamente 6.9% (19) contó con resultados de pruebas de laboratorio y de éstas fueron positivas 0.7% (2) RT-PCR, serología IgM 1.8% (5) e IgG 1.4% (4). Discusión: La presentación clínicaepidemiológica más común fue en mujeres jóvenes sin antecedentes personales patológicos, clasificada como dengue con signos de alarma. Los pacientes presentaron trombocitopenia desde el primer día de enfermedad. La caracterización se vio limitada por la ausencia de confirmación por laboratorio. Se requiere correlacionar con estudios multicéntricos en el futuro.

El propósito de esta investigación ha sido revelar la propuesta educativa desarrollada por una universidad de Honduras para virtualizar sus procesos durante la COVID-19, así como determinar el grado de satisfacción con esa propuesta que manifiestan sus estudiantes y docentes. Con carácter exploratorio y descriptivo no experimental, tuvo dos fases: reconstrucción de la experiencia y estudio de satisfacción a través de un instrumento tipo Likert-5 aplicado a una muestra n = 1156 estudiantes y n = 130 docentes. Los resultados han permitido identificar tres etapas en el paso a la virtualización: aseguramiento, reordenamiento e implementación; definir la modalidad de estudios implementada como una educación presencial con mediación virtual; y constatar un alto grado de satisfacción de estudiantes y docentes. Los resultados permiten avanzar hacia el desarrollo de un modelo de educación presencial con mediación virtual como alternativa para la virtualización de los procesos educativos en la educación superior.