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Clinical Performance Of A New Prediction Rule Of Systemic Loxoscellism. Case Report, Rafael Pichardo-Rodriguez, Marcos Saavedra-Velasco, Cesar Sánchez-Alvarez, Juan J. Bracamonte-Hernández, Abel Aldave-Visurraga, Oscar Ruiz-Franco Oct 2021

Clinical Performance Of A New Prediction Rule Of Systemic Loxoscellism. Case Report, Rafael Pichardo-Rodriguez, Marcos Saavedra-Velasco, Cesar Sánchez-Alvarez, Juan J. Bracamonte-Hernández, Abel Aldave-Visurraga, Oscar Ruiz-Franco

Revista de la Facultad de Medicina Humana

Systemic or cutaneous-visceral loxoscelism is the most severe clinical presentation of loxoscelism. Currently there is no validated laboratory diagnostic method that allows us to confirm the presence of this disease in the face of arachneism. However, there is a clinical prediction rule (CPR), which allows us to predict the evolution of a bite towards a systemic condition and which would be useful in emergency rooms. We present the case of a woman who developed the systemic picture of loxoscelism to whom a new CPR was applied for the early detection of systemic loxoscelism, presenting adequate performance for early evaluation in …


The Social Representations Of Patients Of Quechua Origin With Type 2 Diabetes About Their Disease And Treatment In Two Hospitals In Cusco, Ramón Figueroa-Mujica, Guisela Yábar-Torres Oct 2021

The Social Representations Of Patients Of Quechua Origin With Type 2 Diabetes About Their Disease And Treatment In Two Hospitals In Cusco, Ramón Figueroa-Mujica, Guisela Yábar-Torres

Revista de la Facultad de Medicina Humana

Objectives: To achieve an approximation the social representations of patients about their disease. and about its treatment. Methodos: This is a qualitative study on social representations based on the interpretive paradigm and through an in-depth interview, for which a guide of topics or categories was used, based on the objectives of the study. The study population was made up of patients treated in the Endocrinology Units of the Antonio Lorena and Regional Hospitals of Cusco, diagnosed with type 2 diabetes and of Quechua origin evidenced by their mother tongue. The sample is non-probabilistic for convenience, the representativeness of the discourse …


Knowledge And Attitudes About Organ Donation In Students Of Health Sciences From A National University Of Lambayeque - 2019, César Cabrejos-Montalvo, Katherine Ipanaqué Muñoz, Ana Vásquez Del Castillo Oct 2021

Knowledge And Attitudes About Organ Donation In Students Of Health Sciences From A National University Of Lambayeque - 2019, César Cabrejos-Montalvo, Katherine Ipanaqué Muñoz, Ana Vásquez Del Castillo

Revista de la Facultad de Medicina Humana

Objective: Determine the level of knowledge and attitudes about organ donation and xenotransplantation in students of a National University of Lambayeque. Methods: The sampling carried out was probabilistic of a simple random type and the sample was made up of 100 university students. An observational, descriptive and cross-sectional study was conducted to assess levels of knowledge and attitudes about organ donation. A survey of 20 dichotomous key questions was applied. Results: 53 women (53.0%) and 47 (47.0%) men were interviewed. It was observed that 76% do not know about the Law on the Promotion of Solidarity Donation of Human Organs …


Association Between Educational Level And Knowledge On Transmission Of Hiv/Aids In Adolescent Women In Peru-Endes 2019, Nathalie Amado-Cornejo, Consuelo Luna-Muñoz Oct 2021

Association Between Educational Level And Knowledge On Transmission Of Hiv/Aids In Adolescent Women In Peru-Endes 2019, Nathalie Amado-Cornejo, Consuelo Luna-Muñoz

Revista de la Facultad de Medicina Humana

Introduction: Knowledge about the transmission of HIV in adolescent women is important due to the great risk of contracting said infection. Objectives: To determine the association between the educational level and knowledge about the transmission of HIV in female adolescents according to the ENDES year 2019. Methods: Quantitative, observational, retrospective, cross-sectional and analytical study based on the public availability data of the ENDES 2019. Results: Of the 4 668 women in the age range of 15 to 19 years. 30.6% had adequate knowledge about HIV and 69.4% had inadequate knowledge. No association was found between educational level and level of …


Validation Of The Predictive Criteria Of High Risk For Choledocholithiasis Of The American Society For Gastrointestinal Endoscopy, 2010: Experience Of A Colombian Caribbean Center, Willfrant J. Muñoz-Murillo, Ivan D. Lozada-Martinez, Amileth Suarez-Causado, Maria P. Bolaño-Romero, Maria M. Rodriguez-Gutierrez, Yelson A. Picón-Jaimes Oct 2021

Validation Of The Predictive Criteria Of High Risk For Choledocholithiasis Of The American Society For Gastrointestinal Endoscopy, 2010: Experience Of A Colombian Caribbean Center, Willfrant J. Muñoz-Murillo, Ivan D. Lozada-Martinez, Amileth Suarez-Causado, Maria P. Bolaño-Romero, Maria M. Rodriguez-Gutierrez, Yelson A. Picón-Jaimes

Revista de la Facultad de Medicina Humana

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) has become the gold standard for diagnosis and treatment of choledocholithiasis. The American Society for Gastrointestinal Endoscopy (ASGE) in 2010 proposed stratifying patients into 3 risk levels; however, studies have found controversial results about the predictive parameters of these diagnostic criteria. The objective of this study is to determine the performance of the high-risk predictive criteria of the ASGE 2010 in the diagnosis of choledocholithiasis in a Colombian Caribbean population. Methods: Retrospective cross-sectional study, which included patients with suspected choledocholithiasis, and who were taken for evaluation by ERCP, meeting the criteria proposed by the ASGE …


Whatsapp Assessment For Communication And Organization Of Group Work In Resident Physicians, Luisa E. Villar Meza, Hugo F. Gutiérrez Crespo, Juan P. Matzumura Kasano Oct 2021

Whatsapp Assessment For Communication And Organization Of Group Work In Resident Physicians, Luisa E. Villar Meza, Hugo F. Gutiérrez Crespo, Juan P. Matzumura Kasano

Revista de la Facultad de Medicina Humana

Introduction: New communication technologies allow new opportunities to optimize medical work. Objective: To determine the assessment of WhatsApp for communication and organization of group work among resident physicians during a healthcare management course. Methods: Descriptive, prospective, cross-sectional study. The population consisted of 140 resident physicians who participated in a healthcare management course in 2019 and 2020. A non-probability convenience sample of 132 participants was obtained. We applied the instrument to assess WhatsApp for regulating group work, through the dimensions “WhatsApp for organizing group work” and “WhatsApp as a communication system for group work”, with a reliability of 0.92. Based on …


Correlation Between Mortality Due To Covid-19, Wealth Index, Human Development And Population Density In Districts Of Metropolitan Lima During 2020, Zalia E. Dorregaray-Farge, Alonso Soto, Jhony A. De La Cruz Vargas Oct 2021

Correlation Between Mortality Due To Covid-19, Wealth Index, Human Development And Population Density In Districts Of Metropolitan Lima During 2020, Zalia E. Dorregaray-Farge, Alonso Soto, Jhony A. De La Cruz Vargas

Revista de la Facultad de Medicina Humana

Objectives: To determine the correlation between mortality from COVID-19 and the percentage of poverty and the district Human Development Index (HDI) in the department of Lima. Methods: Ecological observational correlation study. The population were patients who died from COVID-19 in metropolitan Lima. All deceased patients reported in the open database of the Ministry of Health were included. The dependent variable was the mortality from COVID-19 calculated by dividing the number of deaths by the total population of the districts and the independent variables were the percentage of poverty and HDI. A secondary analysis was performed evaluating the fatality from COVID-19. …


Association Between Prenatal Care And Peripartum And Postpartum Maternal Obstetric Complications. Endes 2017 To 2019, Angela Méndez, Estefany Morales, Willer Chanduví, Pedro M. Arango-Ochante Oct 2021

Association Between Prenatal Care And Peripartum And Postpartum Maternal Obstetric Complications. Endes 2017 To 2019, Angela Méndez, Estefany Morales, Willer Chanduví, Pedro M. Arango-Ochante

Revista de la Facultad de Medicina Humana

Introduction: Obstetric complications are an important cause of maternal morbidity and mortality, with prenatal control (PNC) being a strategy for their adequate prevention and treatment. Objective: To determine the association between adequate CPN and peripartum and postpartum maternal obstetric complications. Methodology: Quantitative, observational, retrospective, cross-sectional and analytical study, based on information from the ENDES 2017-2019. Results: A sample of 41,803 mothers was analyzed, 21,0% and 28,7% had peripartum and postpartum complications respectively, furthermore, it was found that not having a quality NPC (PR = 1.20; 95% CI = 1.14-1.27), residing in metropolitan Lima (PR = 1,38; 95% CI = 1,27-1,49) …


Relationship Between The Approval Of The Adoption Of Children By Homosexuals And The Attitude Towards Homosexuality Among Medical Students And Graduates, Marco A. Tipula Mamani, Lincol M. Cruz Aquino, María I. Vásquez Suyo, Maritza D. Placencia Medina Oct 2021

Relationship Between The Approval Of The Adoption Of Children By Homosexuals And The Attitude Towards Homosexuality Among Medical Students And Graduates, Marco A. Tipula Mamani, Lincol M. Cruz Aquino, María I. Vásquez Suyo, Maritza D. Placencia Medina

Revista de la Facultad de Medicina Humana

Introduction. Due to changes in the composition of the family and society, the adoption of children by homosexuals is becoming more frequent. It has been found that opposition to this request is often associated with homophobia. In Peru, no studies exist on these aspects. Objective: To determine the correlation between adoption approval and attitude towards homosexuality in medical students and graduates, Lima, Peru. Method: The observational and cross-sectional study was carried out. 205 people over 21 years of age participated. The Attitude Toward Homosexuality Scale (EAH-10) and the question “Should homosexual couples be allowed to adopt children like heterosexual couples?” …


Socioeconomic Characteristics And Costs Of Rare And Orphan Diseases In Peru, 2019, Grecia Claussen Portocarrero, Alfonso Gutierrez Aguado Oct 2021

Socioeconomic Characteristics And Costs Of Rare And Orphan Diseases In Peru, 2019, Grecia Claussen Portocarrero, Alfonso Gutierrez Aguado

Revista de la Facultad de Medicina Humana

Introduction: The rare and orphan diseases (ROD) constitute a current challenge due to the lack of investigation. Objective: Describe the socioeconomic characteristics of rare and orphan diseases (ROD) in Peru, 2019. Methods: Descriptive observational design. The information was obtained from FISSAL administrative records, and an intentional sample of 20 patients was taken to carry out the questionnaire on ROD. For the economic records, a review of the public budget of the MEF was made. The data analysis was descriptive and inferential. Results: There were 454 patients with a total of 49 ROD; of these, the most representative age groups were …


Relationship Between Expectations And Satisfaction On Technical Knowledge - An Empathic Attitude In The Clinical Practice Of Nursing Students. Hospital De Emergencias Grau Essalud, 2019., Sonia E. Miguel Sinchez Oct 2021

Relationship Between Expectations And Satisfaction On Technical Knowledge - An Empathic Attitude In The Clinical Practice Of Nursing Students. Hospital De Emergencias Grau Essalud, 2019., Sonia E. Miguel Sinchez

Revista de la Facultad de Medicina Humana

Objective: To determine the relationship between expectations and satisfaction regarding technical knowledge - empathic attitude in the clinical practices of nursing students at the Grau de EsSalud Emergency Hospital in 2019. Methods: A study with a quantitative approach, observational type, and correlational design showed 80 nursing students who carried out their clinical practices at the Hospital de Emergencias Grau participated in 2019. Results: Nursing students were characterized by an average age of 21.36 years, 75% were female, and 72.5% were single. The expectations and satisfaction regarding technical knowledge - empathic attitude in the clinical practices of nursing students were high …


Echocardiographic Parameters Related To Pulmonary Arterial Hypertension In Patients With Chronic Myeloid Leukemia Under Dasatinib Treatment, Karla Poot Noh, Ernesto Hernández Jiménez, María Del Rayo Juárez Santiesteban, Patricia Zaqoya Martínez, Alvaro J. Monliel Jarquin, Arturo García Galicia, David E. Herrera Solano Oct 2021

Echocardiographic Parameters Related To Pulmonary Arterial Hypertension In Patients With Chronic Myeloid Leukemia Under Dasatinib Treatment, Karla Poot Noh, Ernesto Hernández Jiménez, María Del Rayo Juárez Santiesteban, Patricia Zaqoya Martínez, Alvaro J. Monliel Jarquin, Arturo García Galicia, David E. Herrera Solano

Revista de la Facultad de Medicina Humana

Introduction: The use of dasatinib in patients with CML has improved life expectancy and follow-up with transthoracic echocardiography (ECOTT) for early detection of PAH allows modifications to the treatment. Objectives: To determine the echocardiographic parameters and echocardiographic probability for PAH in patients with CML treated with dasatinib. Methods: Correlation, cross-sectional, retrospective, single-center study; patients with CML treated with dasatinib were included. Spearman and Pearson correlation was used. Results: 16 patients were analyzed, mean age 53.5 years; 62.5% men, 37.5% women. The dasatinib dose was 50 mg / day in 18.7%, and 100 mg / day in 81.2%, mean pulmonary arterial …


Indigenous Communities From Oaxaca, Mexico. Health Problems, Opportunities And Challenges In Public Health With Special Attention In Mental Health, Helda Pinzón-Pérez, Leoncio Vásquez Santos Oct 2021

Indigenous Communities From Oaxaca, Mexico. Health Problems, Opportunities And Challenges In Public Health With Special Attention In Mental Health, Helda Pinzón-Pérez, Leoncio Vásquez Santos

Revista de la Facultad de Medicina Humana

Oaxacans come from the Mexican state of Oaxaca and have relocated primarily in the Central Valley of California, Los Angeles, and San Diego. They are the fastest growing farm-worker population in California and are estimated to be between 100,000 and 150,0001. This community is affected by various health problems, which have been exacerbated by the COVID-19 pandemic. This article intends to familiarize the reader with the cultural characteristics of the Indigenous Mexican Oaxacan communities and their health care needs, especially in mental health, the main programs and services carried out, the challenges of nurses and public health workers in this …


Critical Reading Of Clinical Studies. Practical Bases For The Resident Physician In Medical Specialties, Rafael Pichardo-Rodriguez, Liz B. Cordova-Cueva, Marcos Saavedra-Velasco Oct 2021

Critical Reading Of Clinical Studies. Practical Bases For The Resident Physician In Medical Specialties, Rafael Pichardo-Rodriguez, Liz B. Cordova-Cueva, Marcos Saavedra-Velasco

Revista de la Facultad de Medicina Humana

Critical reading from the point of view of evidence-based medicine is a structured reading that allows us to evaluate the validity and relevance of the results and the applicability of a clinical study in our patient. However, the level of critical reading in resident physicians is low, as various studies have described. In a study of oncology resident physicians, a poor level of critical reading of clinical research articles was found. And in the same way, deficient levels were found in cardiology and family medicine residents. In our country, this situation is unknown and it is most likely deficient. Reason …


Family Cohesion And Time Of Hospitalization In Patients With Mental Disorders In A Hospital In Lambayeque, Peru, Kimberly Requelme Portocarrero, Juliana Melissa Delgado Arriola, Alain Eduard Monsalve Mera, Víctor Hugo Díaz Silva, Ricardo Villarreal Trujillo Oct 2021

Family Cohesion And Time Of Hospitalization In Patients With Mental Disorders In A Hospital In Lambayeque, Peru, Kimberly Requelme Portocarrero, Juliana Melissa Delgado Arriola, Alain Eduard Monsalve Mera, Víctor Hugo Díaz Silva, Ricardo Villarreal Trujillo

Revista de la Facultad de Medicina Humana

Mental disorders represent about 22% of the total burden of disease, and family support plays an important role in the length of hospitalization time in these patients. We described the family cohesion and the time of hospitalization in patients of the psychiatric service of the Almanzor Aguinaga Asenjo National Hospital (H.N.A.A.A) during 2019. This is a cross-sectional descriptive census-type study, in which a questionnaire of 11 questions on family cohesion was applied. Sociodemographic and clinical data were collected through a data collection form. 60 patients were surveyed, the median age was 50 years, the most frequent diagnosis was schizophrenia; most …


Resilience, Anxiety And Eating Habits Of The South-East Amazon Population Before And During The Pandemic, Ana María Montero Doig, Guisela Yábar Torres, Lucy E. Correa-Lopez Oct 2021

Resilience, Anxiety And Eating Habits Of The South-East Amazon Population Before And During The Pandemic, Ana María Montero Doig, Guisela Yábar Torres, Lucy E. Correa-Lopez

Revista de la Facultad de Medicina Humana

Objective: To determine the relationship between resilience, anxiety and eating habits of the south-eastern Amazonian population before and during the pandemic in 2020. Methods: Relational, quantitative and qualitative descriptive, the sample consisted of 150 inhabitants aged 30 to 45 years. The instrument used was the STAI: state-trait anxiety inventory, the data were processed with SPSS-25, analysis of significance and difference of means was performed, non-parametric test and post-test significant differences (Wilcoxon test for related samples ). Results: In adults, State-Trait Anxiety was greater than 65%, a bilateral significance of p = 0.01 was obtained, indicating that anxiety was related to …


Validity Of The American Diabetes Association Diabetes Risk Test As Screening For Prediabetes In A Sample Of Peruvian Workers, Victor Juan Vera-Ponce, Jorge Enrique Osada Liy, Mario J. Valladares-Garrido Oct 2021

Validity Of The American Diabetes Association Diabetes Risk Test As Screening For Prediabetes In A Sample Of Peruvian Workers, Victor Juan Vera-Ponce, Jorge Enrique Osada Liy, Mario J. Valladares-Garrido

Revista de la Facultad de Medicina Humana

Objective: To evaluate the validity of the risk test of the American Diabetes Association (ADA Test) as a screening for hyperglycemia in a sample of workers in Lima, Peru. Methods: Cross-sectional study of diagnostic tests. Secondary analysis of the data generated by the electronic health record of an occupational polyclinic, carried out in January and February 2020. The sample was made up of workers from different areas who attended for their occupational medical evaluation. Prediabetes was considered with a fasting glucose ≥ 100 mg / dl but less than 126 mg / dl. Results: 397 subjects were evaluated. The prevalence …


Risk Of Infections, Chronic Diseases And Mental Health Disorders After Floods By The Coastal Child Phenomenon In Displaced Populations, Piura, 2017, Manuel J. Loayza-Alarico, Jhony A. De La Cruz -Vargas Oct 2021

Risk Of Infections, Chronic Diseases And Mental Health Disorders After Floods By The Coastal Child Phenomenon In Displaced Populations, Piura, 2017, Manuel J. Loayza-Alarico, Jhony A. De La Cruz -Vargas

Revista de la Facultad de Medicina Humana

Introduction: In Peru, the presence of the Coastal Child Phenomenon produces floods and the appearance of diseases cyclically. Objective: To determine the risk factors for the presence of diseases in displaced populations in Piura due to the Nino Costero. Methods: Quantitative, longitudinal, analytical investigation of cases and controls with 544 families that were selected through a two-stage random sampling considering the proportion of families per block, area and cluster. For data collection, various diagnostic and monitoring instruments were used, such as that of the International Organization for Migration (IOM), the health care base and the application of an instrument for …


Access Routes For Infiltration Of Viscosuplementation In The Knees Of Patients With Grade Ii-Iii Gonartrosis, Oswaldo Fernández-Miranda, Miguel Ángel Sánchez-Durán, Blanca Paola Rivera-Zúñiga, Rodolfo Barragán-Hervella, Jorge Quiroz-Williams Oct 2021

Access Routes For Infiltration Of Viscosuplementation In The Knees Of Patients With Grade Ii-Iii Gonartrosis, Oswaldo Fernández-Miranda, Miguel Ángel Sánchez-Durán, Blanca Paola Rivera-Zúñiga, Rodolfo Barragán-Hervella, Jorge Quiroz-Williams

Revista de la Facultad de Medicina Humana

Introduction: Knee joint injection is a daily procedure in orthopedic outpatient visit. In order to obtain the maximum therapeutic benefit, it is necessary to perform the injection directly into the articular space and not into the adjacent structures. Objective: To establish the accuracy of the injection site into the knee joint in patients with grade II-III gonarthrosis. The portal approaches taken into consideration in this study were: Anterolateral (AL), Anteromedial (AM), Lateral Suprapatellar (LSP), Lateral mid-patellar (LMP), Medial mid-patellar (MMP) and Transtendinous (TT). Methods: A cross-sectional and descriptive study was conducted. A total of 123 knee joints were injected under …


Toxoplasma Gondii Infection And Associated Factors In Blood Donors From Hospital Ii-2 Tarapoto, Peru, July To December 2019, Adolfo Díaz-Ginéz, Heber Silva-Díaz Oct 2021

Toxoplasma Gondii Infection And Associated Factors In Blood Donors From Hospital Ii-2 Tarapoto, Peru, July To December 2019, Adolfo Díaz-Ginéz, Heber Silva-Díaz

Revista de la Facultad de Medicina Humana

Introduction: Toxoplasmosis is a worldwide parasitic infection caused by Toxoplasma gondii that can be transmitted through blood transfusions. Objectives: To determine the frequency and associated factors of T. gondii infection in blood donors from Hospital II-2 Tarapoto, Peru, July to December 2019. Methods: Analytical cross-sectional study carried out in a sample of 92 donors. Infection was determined by detecting serum IgM and IgG anti T. gondii antibodies by the Elisa technique. Sociodemographic, environmental and habit factors were collected by applying an interview to each volunteer participant. Results: The donor sample was characterized by a median age of 30 years, male …


Classical Hodgkin Lymphoma In Pathological Anatomy Department At Edgardo Rebagliati Martins National Hospital During 2015 To 2019, María Del Pilar Quiñones Ávila, Eugenio Américo Palomino Portilla, Herbert Alejandro Yábar Berrocal Oct 2021

Classical Hodgkin Lymphoma In Pathological Anatomy Department At Edgardo Rebagliati Martins National Hospital During 2015 To 2019, María Del Pilar Quiñones Ávila, Eugenio Américo Palomino Portilla, Herbert Alejandro Yábar Berrocal

Revista de la Facultad de Medicina Humana

Introduction: Hodgkin lymphomas are B-cell lymphoid neoplasms histologically characterized by a mixed inflammatory cellular component and few Hodgkin/Reed-Sternberg neoplastic cells. Classical Hodgkin Lymphoma (CHL) represents 10% of all lymphoma cases and 85% of all Hodgkin Lymphomas. According to the current World Health Organization classification, CHL is divided into 4 types: Nodular Sclerosing (NS), Mixed Cellularity (MC), Lymphocyte-Rich (LR), and Lymphocyte-Depleted (LD). Objetive: We reviewed all cases of Classical Hodgkin Lymphoma in the Pathological Anatomy Department at Edgardo Rebagliati Martins National Hospital during 2015 to 2019, in order to determine the most frequent type, the incidence according to age and gender, …


Eating Disorders In Under 5 Years Old And Their Relationship With Family Functionality, Arturo García-Galicia, Álvaro José Montiel-Jarquín, Blanca Paola Rivera-Zúñiga, Diego Torres-Santiago, Alejandra Aréchiga-Santamaría, Akihiki Mizuki González- López, Carlos Alberto López-Bernal Oct 2021

Eating Disorders In Under 5 Years Old And Their Relationship With Family Functionality, Arturo García-Galicia, Álvaro José Montiel-Jarquín, Blanca Paola Rivera-Zúñiga, Diego Torres-Santiago, Alejandra Aréchiga-Santamaría, Akihiki Mizuki González- López, Carlos Alberto López-Bernal

Revista de la Facultad de Medicina Humana

Introduction: Eating disorders under 5 years old may cause development and grow problems. Disorders in family functionality can be associated. Objective: To describe non-organic eating disorders in children under 5 years of age and their association with family functionality in a second-level hospital in Puebla. Methods: It was a descriptive, cross-sectional study. Children under 5 years old with non-organic eating disorders were included. A questionnaire to study eating disorders (IMFED) and other one to describe family functionality (FACES III) were applied to their parents who previously signed informed consent. Descriptive statistics and Spearman test were used. Results: 105 patients were …


Evaluation Of The Discriminative Capacity Of Anthropometric Indicators And Their Predictive Relationship Of Diabetes In Health Workers Of The University Hospital Of Guayaquil - Ecuador, Janet Dr Gordillo-Cortaza, Franklin Encalada-Calero, Fatima V. Feraud-Ibarra, Juan C. Roque-Quezada, Rosa L. Quintana-Columbus, Jennifer A. Plaza-Plaza, Miguel A. Castro-Mattos, Cinthya I. Falquez-García, Dagmar Y. Meza-Solorzano Oct 2021

Evaluation Of The Discriminative Capacity Of Anthropometric Indicators And Their Predictive Relationship Of Diabetes In Health Workers Of The University Hospital Of Guayaquil - Ecuador, Janet Dr Gordillo-Cortaza, Franklin Encalada-Calero, Fatima V. Feraud-Ibarra, Juan C. Roque-Quezada, Rosa L. Quintana-Columbus, Jennifer A. Plaza-Plaza, Miguel A. Castro-Mattos, Cinthya I. Falquez-García, Dagmar Y. Meza-Solorzano

Revista de la Facultad de Medicina Humana

Objective: To evaluate the discriminative ability to predict diabetes with anthropometric and biochemical indicators and medical history. Methods: The sampling carried out was census and the sample consisted of 104 workers. A longitudinal study was carried out to evaluate the discriminative ability to predict diabetes with the anthropometric, biochemical, and antecedent indicators, using two models, the analysis of the ROC curves and binary logistic regression. Results: By analyzing the ROC curves, the abdominal circumference obtained greater predictive discriminative power (AUC = 0.747; p <0.001; CI: 0.624-0.870), compared to glycemia (AUC=0.749; p <0.001; CI: 0.645-0.852) and the waist-height index (AUC=0.737; p=0.001; CI: 0.638-0.836). Personal medical history is included in the logistic regression equation P(Y=1)=(1+e0,693+1,897APP)-1 to predict the risk of developing diabetes in the future. Conclusions: The abdominal circumference obtained the highest discriminative power, followed by the pathological history.


Analysis Of Sars-Cov-2 Genomes Of Samples From Peru, Johnny Leandro Saavedra-Camacho, Sebastian Iglesias-Osores, Miguel Alcántara-Mimbela, Lizbeth M. Córdova-Rojas Oct 2021

Analysis Of Sars-Cov-2 Genomes Of Samples From Peru, Johnny Leandro Saavedra-Camacho, Sebastian Iglesias-Osores, Miguel Alcántara-Mimbela, Lizbeth M. Córdova-Rojas

Revista de la Facultad de Medicina Humana

Introduction: Genomic analysis of samples from documented COVID-19 cases can be used successfully to help track sources of Sars-Cov-2 infection, which can be quarantined to prevent the recurrent spread of the disease around the world. Objective: To describe the SARS-CoV-2 sequences isolated from Peruvian patients. Methods: All genomes published up to March 2021, uploaded in the GISAID and Nextstrain repository, were selected. All data is on the web in a public way; In addition, the information was filtered by continent, country, region, clade, lineage, and sex from March 2020 to February 2021. Results: It was evidenced that the region with …


Transcendence Of Computer Vision Syndrome Due To Prolonged Exposure To Electronic Devices, Klisman Custodio Sanchez Mar 2021

Transcendence Of Computer Vision Syndrome Due To Prolonged Exposure To Electronic Devices, Klisman Custodio Sanchez

Revista de la Facultad de Medicina Humana

Eye health, without a doubt, has been gaining more relevance in recent years due to the promotion of healthy habits in search of caring for our eyes, but the question also arises as to whether we are increasingly exposed to electronic devices with screens, these, can be detrimental to our visual well-being since, due to confinement, the use of these as a work and study tool has increased exponentially.


Teacher's Educational Capacity And Achievement Of Competences During Its Clinical Practices In The Nursing Internal Of The Emergency Hospital Grau Essalud, 2019., Diana García Caldas Mar 2021

Teacher's Educational Capacity And Achievement Of Competences During Its Clinical Practices In The Nursing Internal Of The Emergency Hospital Grau Essalud, 2019., Diana García Caldas

Revista de la Facultad de Medicina Humana

Objective: To identify the relationship between the teaching capacity of the teacher tutor and the achievement of competencies of the Nursing intern during their clinical practices at the Grau Emergency Hospital in 2019. Methods. Study with a quantitative approach, relational level and non-experimental design. Through non-probabilistic convenience sampling, a sample of 50 nursing interns from the Grau EsSalud emergency hospital was used. Results. Most were between 20 and 27 years old (56%), and female (98%). The teaching capacity of the teacher achieved a regular (62%) and good (34%) level, and the achievement of the nursing interns' competencies was at a …


Anxiety, Depression, Somatization And Experiential Avoidance Indicators In Peruvian University Students In Quarantine By Covid-19, Héctor Sánchez Carlessi, Luis Yarlequé Chocas, Leda Javier Alva, Edith Nuñez Llacuachaqui, Carlos Arenas Iparraguirre, Maria Matalinares Calvet, Eduardo Gutiérrez Santayana, Irma Egoavil Medina, Jorge Solis Quispe, Ceyda Fernandez Figueroa Mar 2021

Anxiety, Depression, Somatization And Experiential Avoidance Indicators In Peruvian University Students In Quarantine By Covid-19, Héctor Sánchez Carlessi, Luis Yarlequé Chocas, Leda Javier Alva, Edith Nuñez Llacuachaqui, Carlos Arenas Iparraguirre, Maria Matalinares Calvet, Eduardo Gutiérrez Santayana, Irma Egoavil Medina, Jorge Solis Quispe, Ceyda Fernandez Figueroa

Revista de la Facultad de Medicina Humana

Introduction: The COVID-19 quarantine has greatly affected university students in Peru, generating a series of physical, psychological and behavioral effects. Objective: To determine the factors associated with anxiety, depression, somatization and experiential avoidance in peruvian university students quarantined by COVID-19. Methods: A cross-sectional observational study was carried out. The sample was made up of 1264 university students from various departments of Peru, anxiety, depression, somatization and experiential avoidance were taken as dependent variables, which were evaluated with the questionnaire "The Inventory of unadjusted psychosocial behavior, in the presence of COVID-19 in the Peruvian population” and the AAQ II, for the …


Work Conditions And Personal Protective Equipment Against Covid-19 In Health Personnel, Lima-Peru, Jarvis Raraz Vidal, Henry Allpas Gomez, Flor Torres Salome, Wenner Cabrera Patiño, Rafael Ramos Gómez, Lilian Alcántara Leyva, Flor Aldea Chihuantito, Viviana Colona Risco, Omar Raraz Vidal Mar 2021

Work Conditions And Personal Protective Equipment Against Covid-19 In Health Personnel, Lima-Peru, Jarvis Raraz Vidal, Henry Allpas Gomez, Flor Torres Salome, Wenner Cabrera Patiño, Rafael Ramos Gómez, Lilian Alcántara Leyva, Flor Aldea Chihuantito, Viviana Colona Risco, Omar Raraz Vidal

Revista de la Facultad de Medicina Humana

Objective: To determine the association between working conditions and access to personal protective equipment (PPE) in health personnel in the city of Lima-Perú. Methods: Descriptive, cross-sectional and analytical study. The sample was of 323 respondents virtually in the city of Lima, who met the selection criteria, captured between 07/09/2020 to 08/09/2020. The data collection instrument was validated by expert judgment with a score> 80% (content validity). An analysis was carried out with the generalized linear model of the poisson family, log link function, robust models with fit. A statistically significant value of p <0.05 was considered. Results: 52% of health personnels (HP) worked more than 12 hours and only 55% received one PPE per work day. 50.9% of the HCP almost never received a mask. In the multivariate analysis, the SP with ages <26 years (p=0.00) and from 26 to 55 years (p=0.00) received an incomplete PPE. HP who did not have an employment relationship with the institution (p=0.006) and those who worked in areas with little contact with COVID-19 patients (p=0.022) received a mask on few occasions. Conclusion: Health personnels under 56 years of age rarely received PPE. When they work without an employment relationship and belonged to areas with little contact with COVID-19 patients, they sometimes received a mask.


Regional Distribution Of Covid-19 Mortality In Peru, Maria Flores López, Alonso Soto Tarazona, Jhony A. De La Cruz-Vargas Mar 2021

Regional Distribution Of Covid-19 Mortality In Peru, Maria Flores López, Alonso Soto Tarazona, Jhony A. De La Cruz-Vargas

Revista de la Facultad de Medicina Humana

Objectives: Compare the death rate from COVID-19 at the national level by regions and departments from March to September 2020. Methods: Quantitative, observational, cross-sectional, ecological and retrospective study. The data was extracted from the National Death System (SINADEF) in Microsoft Excel 2016 and imported into Stata. The variables were described as frequencies and percentages. Mortality was obtained by dividing the total deaths over the total population according to the last census. An adjusted exploratory analysis was performed using robust regression methods to evaluate the association between mortality by department and regions adjusted for age and sex of the deceased. P <0.05 was considered significant. Results: 32535 deaths were reported, 69.84% were male and the median was 67. The mortality rate in the Costa region 145 deaths were calculated (n = 24,276), followed by Sierra with 51 (n = 4434) and Selva with 63 (n = 2545). There were significant differences in mortality according to the region, in the comparison of the coast with the Sierra region a beta coefficient of -96.28 was found (p <0.001 IC -123.76 -68.77), while in the comparison with the Selva it was determined a coefficient of -50.38 (p 0.01 95% CI -91.47 -9.29). No significant association was found between the mortality rate and the average age or sex of the deceased by department. Conclusion: The death rate from COVID-19 at the national level was 101 per 100 000 inhabitants. The mortality rate found was higher on the Costa region than in the Sierra and Selva, regardless of the proportion of men, women or age.


Quality Of Work-Life And Work Performance In Physicians At The Mexican Institute Of Social Security, In The State Of Chiapas, Brenda López-Martínez, Jason Aragón-Castillo, Manuel Muñoz-Palomeque, Saúl Madrid-Tovilla, Iván Tornell-Castillo Mar 2021

Quality Of Work-Life And Work Performance In Physicians At The Mexican Institute Of Social Security, In The State Of Chiapas, Brenda López-Martínez, Jason Aragón-Castillo, Manuel Muñoz-Palomeque, Saúl Madrid-Tovilla, Iván Tornell-Castillo

Revista de la Facultad de Medicina Humana

Introduction: Maintaining a quality of working life brings as a benefit a greater productivity. Objective: To know if the quality of work life is a significant predictor of the level of self-perceived work performance by the doctors who work at the Mexican Institute of Social Security of Well-being, in the state of Chiapas. Material and methods: The study had a quantitative, cross-sectional and predictive approach. The population consisted of 445 doctors. The type of sampling was non-probabilistic for convenience, since the doctors who work in the Mexican Institute of Social Security (IMMSS) Bienestar, in the state of Chiapas, were selected. …