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Impact Of Covid-19 On Sexual And Reproductive Health, Lalescka Soria Gonzales 2021 Universidad de San Martín de Porres, Lima-Perú.

Impact Of Covid-19 On Sexual And Reproductive Health, Lalescka Soria Gonzales

Revista de la Facultad de Medicina Humana

Peru is going through a pandemic originated by coronavirus disease (COVID-19) and we continue to maintain mandatory social isolation as a preventive measure to reduce infections.Due to this event, many health establishments had to suspend care, also affecting Sexual and Reproductive Health (SRH) services, especially external consultation services. Due to this event, many health establishments had to suspend their attention , also affecting Sexual and Reproductive Health (SRH) services, especially external consultation services. Limited access to those services would increase the rate of unwanted pregnancies, abortions, sexually transmitted infections (STIs), complications during pregnancy, intimate partner violence, and maternal and infant …


Telemedicine: A Viable Option In Times Of Covid-19?, Dayana Ticona Tiña 2021 Universidad Nacional de San Agustín de Arequipa, Arequipa-Perú.

Telemedicine: A Viable Option In Times Of Covid-19?, Dayana Ticona Tiña

Revista de la Facultad de Medicina Humana

We have read with great interest the article “A new coronavirus, a new disease: COVID-19” by Pareja, et. al. where we observe that the repercussions bringing with pandemic, evidence the limited experience we have. Telemedicine (TM) has become a technological tool to provide medical care and a tool with great potential in settings where the infrastructure is intact and doctors are available for care. In this way, exposure is minimized, taking into account that number of infections occurred in hospitals was gargantuan.


Patellar Tendon Rupture After Radial Pressure Wave Therapy – Also Known As Radial Shock Wave Therapy – For Patellar Tendinopathy: Report Of Two Cases, Walter Insuasti Abarca, Sussan Llocclla Delgado, Paul Terán Vela, Tania Platero Portillo, Diana Martínez Asnalema, Lilian Abarca García 2021 Centro de Especialidades Ortopédicas, Quito - Ecuador

Patellar Tendon Rupture After Radial Pressure Wave Therapy – Also Known As Radial Shock Wave Therapy – For Patellar Tendinopathy: Report Of Two Cases, Walter Insuasti Abarca, Sussan Llocclla Delgado, Paul Terán Vela, Tania Platero Portillo, Diana Martínez Asnalema, Lilian Abarca García

Revista de la Facultad de Medicina Humana

Patellar tendinopathy is characterized by anterior knee pain located at the lower pole of the patella at the junction of the patellar tendon. This is often a disabling condition that limits patients' quality of life, affects their ability to participate in sports, and even hinders their normal daily activities. Extracorporeal shock wave therapy (ESWT) has been recognized as a promising and safe alternative for the treatment of various musculoskeletal disorders – including chronic patellar tendinopathy. However, there is limited evidence regarding its side effects, in particular ESWT-associated tendon injuries. To the authors' knowledge, this is the first report demonstrating clinical …


Spontaneous Pneumomediastinum In Patients With Covid-19. Case Report., Pedro Sotelo-Jiménez, Enrique Moyano Navarro, Félix Tipacti Rodríguez, Carlos Milla Bravo 2021 Departamento de Medicina Interna, Hospital Nacional Edgardo Rebagliati Martins, Essalud, Lima-Perú.

Spontaneous Pneumomediastinum In Patients With Covid-19. Case Report., Pedro Sotelo-Jiménez, Enrique Moyano Navarro, Félix Tipacti Rodríguez, Carlos Milla Bravo

Revista de la Facultad de Medicina Humana

Introduction: Pneumomediastinum is an infrequent and rare pathology. The typical radiological manifestations in patients with SARS-CoV-2 pneumonia consist of the presence of bilateral pulmonary opacities, of peripheral distribution. In a recent series of patients with COVID-19, it indicates that 1% of patients can develop spontaneous pneumomediastinum as a complication, it is generally benign and it is not yet clear that this may be an indicator of worsening. Clinical Case: This is a 43-year-old male patient who presented a 15-day illness characterized by pharyngeal pain, fever, chest pain and respiratory distress, receiving multiple antiviral and antibiotic treatment schemes without response, for …


Dengue With Signs Of Alarm And Leptospirosis In A Pediatric Patient With Covid-19, Mayron Nakandakari Gomez, Hamilton Marín-Macedo, Raúl Seminario-Vilca 2021 Universidad Nacional de la Amazonía Peruana, Loreto - Perú.

Dengue With Signs Of Alarm And Leptospirosis In A Pediatric Patient With Covid-19, Mayron Nakandakari Gomez, Hamilton Marín-Macedo, Raúl Seminario-Vilca

Revista de la Facultad de Medicina Humana

Dengue and Leptospirosis are endemic metaxenic diseases that affect tropical and subtropical areas, mostly in underdeveloped countries. In addition to this, the COVID-19 pandemic is causing a great deal of damage to both the population and the health level. This is the case of a 13-year-old patient who had fever, gingival and intermenstrual bleeding, abdominal pain and shortness of breath. She had SARS-CoV-2 IgM and IgG positive rapid test, and positive serology NS1 for Dengue and IgM for Leptospira. In addition, non-contrast pulmonary tomography showed areas of consolidated and frosted glass at the base level, as well as cysturitis. Diagnoses …


Characteristics Of The Mentor In Surgery And Its Contribution In The Education Of The Future, Alberto Córdova-Aguilar, Lucy Cedillo Ramírez 2021 Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima-Perú.

Characteristics Of The Mentor In Surgery And Its Contribution In The Education Of The Future, Alberto Córdova-Aguilar, Lucy Cedillo Ramírez

Revista de la Facultad de Medicina Humana

Mentoring in surgery is the art of guiding a future surgeon toward specific academic and professional goals that are likely to determine career success. This mentoring requires a solid mentor-resident relationship and a mentor with certain characteristics such as: research productivity, understanding of pedagogy and the application of educational technology. The mentor in surgery is in charge of properly channeling the resident's various clinical-surgical experiences to achieve meaningful learning; likewise, experience and motivation are the main characteristics of a good mentor. The availability of the mentor is essential to foster a solid mentor-resident relationship, in order to achieve the academic …


Molecular Basis Of Covid-19 Pathogenesis And In Silico Studies Of Potential Pharmacological Treatment, Eduardo Lam Cabanillas, Anthony León Risco, Kevyn León Risco, Gaby Llamo Hoyos, Rosa López Zavaleta, Estefanía Luzuriaga Tirado, Alex Mendoza Blas, Juan Huamán Saavedra 2021 Facultad de Medicina, Universidad Nacional de Trujillo. Trujillo, Perú.

Molecular Basis Of Covid-19 Pathogenesis And In Silico Studies Of Potential Pharmacological Treatment, Eduardo Lam Cabanillas, Anthony León Risco, Kevyn León Risco, Gaby Llamo Hoyos, Rosa López Zavaleta, Estefanía Luzuriaga Tirado, Alex Mendoza Blas, Juan Huamán Saavedra

Revista de la Facultad de Medicina Humana

COVID-19 is a disease caused by SARS-CoV-2, a virus that represents a serious threat to global health. The objective of the article is to deepen into the structure of the structural and non-structural proteins of SARS-CoV-2 and their role during the infection of its target cells; also to propose molecules from in silico studies that inhibit proteins of the viral cycle for potential pharmacological treatments. The SARS-CoV-2 genome has ORFs that encode sixteen non-structural proteins (Nsp1-16), four structural proteins (Spike, Envelope, Membrane, and Nucleocapsid), and nine accessory proteins; that fulfill various functions in the entry of the virus and its …


Management Of Genetic Diseases: Present And Future, Hugo Abarca Barriga, Milana Trubnykova, María Castro Mujica 2021 Facultad de Medicina Humana, Universidad Ricardo Palma, Lima-Perú.

Management Of Genetic Diseases: Present And Future, Hugo Abarca Barriga, Milana Trubnykova, María Castro Mujica

Revista de la Facultad de Medicina Humana

Today, the number of genetic diseases is around 10000 conditions, affecting to 6%-8% of all populations. This review shows us how the discovery of genetic variants in our genome, this facilitated to know with precision about the mechanisms physiopathological, and hence to recognize those target points susceptible to modifications, through therapeutical strategies different with palliative proposals, increase life expectancy, or improve qualities of life. These therapies are diverse, using drugs for polygenic diseases, nutritional therapy, special formulas, enzyme replacement therapies, hematopoietic stem cell transplant, substrate reduction, oligonucleotides, and gene therapy. These genetic diseases are heterogeneous clinically with a very low …


Neurological Damage In Sars-Cov-2 Infections, Jorge Vega-Fernández, Danny Suclupe-Campos, Franklin Aguilar-Gamboa 2021 Facultad de Ciencias Biológicas, Departamento De Microbiología. Universidad Nacional Pedro Ruiz Gallo, Lambayeque-Perú

Neurological Damage In Sars-Cov-2 Infections, Jorge Vega-Fernández, Danny Suclupe-Campos, Franklin Aguilar-Gamboa

Revista de la Facultad de Medicina Humana

The current Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic has severely impacted the economy and health care system in more than 180 countries around the world in an unprecedented event, which since its inception has resulted in countless case reports focusing on the potentially fatal systemic and respiratory manifestations of the disease. However, the full extent of possible neurological manifestations caused by this new virus is not yet known. Understanding the interaction of SARS-CoV-2 with the nervous system is essential to assessing likely short- and long-term pathologic consequences. This review seeks to gather and discuss evidence on the occurrence …


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 2021 Hospital De Emergencias Grau Essalud, Lima - Perú.

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 …


Hand Hygiene Habit And Pathogens Found In Medical Students, Nicanor Domínguez Navarrete, Sara Palomino Berríos, Carolina Cucho Espinoza, Kelly Alarcón Oré, Jossian Valencia Pillaca 2021 Facultad de Medicina Humana, Universidad Ricardo Palma, Lima-Perú.

Hand Hygiene Habit And Pathogens Found In Medical Students, Nicanor Domínguez Navarrete, Sara Palomino Berríos, Carolina Cucho Espinoza, Kelly Alarcón Oré, Jossian Valencia Pillaca

Revista de la Facultad de Medicina Humana

The objective was to know the hand hygiene habits of medical students; as well as the bacterial population resident in the palm of the hands. An observational, descriptive cross-sectional study was carried out. Likewise, a hand hygiene behavior survey was carried out on 100 students, and a microbiological culture of the palmar surface was carried out on 33 other students. Regarding hygiene habits, 74% showed an appropriate attitude. The hygiene attitude was appropriate in 41.3% and 46% in relation to the prevention of contagion. The following pathogenic microorganisms were isolated: S.aureus with 20 cases (60.6%), P. aeruginosa, Enterobacter and S.viridans, …


Occupational Disease And Absenteeism In The Workers In One Hospital In Lima -Perú, Catherine Suárez Egoávil 2021 Hospital Augusto B. Leguía, Lima-Perú.

Occupational Disease And Absenteeism In The Workers In One Hospital In Lima -Perú, Catherine Suárez Egoávil

Revista de la Facultad de Medicina Humana

Introduction: Absenteeism from work in public or private institutions is classified as one of the main labor problems. Objective: To determine the association between occupational disease and work absenteeism at the Hospital Policial Augusto Belisario Leguía, in the years 2017-2018. Methodology: A descriptive, cross-sectional, and qualitative-quantitative retrospective study in a convenience sample of 79 medical breaks with a diagnosis of occupational diseases of police health personnel. Collecting data was used. Results: The highest work absenteeism occurred in female patients, married, over 50 years of age, technical nursing profession and with a work seniority of more than 20 years. A global …


Prenatal Factors Associated With Breach Of The Basic Vaccination Scheme In Under 5 Years Of Age, Trinidad L. Isidro-Ríos, Alfonso Gutiérrez-Aguado 2021 Instituto de Investigación en ciencias biomédicas. Facultad de medicina. Universidad Ricardo Palma, Lima-Perú.

Prenatal Factors Associated With Breach Of The Basic Vaccination Scheme In Under 5 Years Of Age, Trinidad L. Isidro-Ríos, Alfonso Gutiérrez-Aguado

Revista de la Facultad de Medicina Humana

Objective: To determine the prenatal risk factors associated with the failure to comply with the basic vaccination scheme in children under 5 years of age, based on the Demographic and Family Health Survey (ENDES) of 2018. Materials and Methods: It is an observational, retrospective, analytical and transversal study. We study the sample of the National Demographic and Health Survey (ENDES) for 2018 that includes 18 104 children between 1 and 5 years with health card seen in the interview, finding the results in the INEI surveys. The files containing the vaccination scheme questionnaires are selected and the data processed with …


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 2021 Universidad Ricardo Palma, Lima-Perú.

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 2021 Miembro de European Association of Science Editors; Universidad Nacional Hermilio Valdizán, Lima-Perú

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 2021 Facultad de Medicina Humana. Universidad Ricardo Palma, Lima-Perú.

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 2021 Universidad de Montemorelos, Montemorelos, México

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. …


Fragility Syndrome In Older Adults In A Rural Community In The Peruvian Andes, Jaime Lama-Valdivia, Erick Acosta-Illatopa, Franko García-Solórzano 2021 Facultad de Medicina Humana “Manuel Huamán Guerrero”, Universidad Ricardo Palma, Lima-Perú.

Fragility Syndrome In Older Adults In A Rural Community In The Peruvian Andes, Jaime Lama-Valdivia, Erick Acosta-Illatopa, Franko García-Solórzano

Revista de la Facultad de Medicina Humana

Objectives: To determine the prevalence and factors associated with Frailty Syndrome (SF) in older adults residing in the district of Chaglla-Huánuco, located at 3000 meters above sea level. Methods: Analytical cross-sectional study of adults over 60 years of age living in a rural community in the Peruvian Andes. For the evaluation of the dependent variable, a modified version of Fried's criteria was used. The factors associated with SF were calculated using crude and adjusted prevalence ratios with 95% confidence intervals (95%CI), using a multiple Poisson regression model with robust variance. A p value <0.05 was considered significant. Results: 233 older adults were studied (median: 74, interquartile range: 70-79 years), 50.6% women. The prevalence of FS was 72.1%. The presence of depression (PR=1.77; 95%CI: 1.43-2.18, p <0.001) and female gender (PR=1.46; 95%CI: 1.16-1.81, p=0.001), were associated factors that increased the prevalence of FS. Conclusions: The prevalence of FS among older adults residing in a rural Andean community was high. The factors associated with this diagnosis were the presence of depression and female sex. More studies are required on this topic in rural populations in high altitudes.


Most Frequent Pediatric Diseases In An International Airport In Mexico, Augusto Figueroa Uribe, Inti Bocanegra Cedillon, Julia Hernández Ramírez, Maribel Mújica Hernández, Viridiana Cruz Laureano 2021 Hospital Pediátrico Peralvillo SSCDMX, Ciudad de México-México.

Most Frequent Pediatric Diseases In An International Airport In Mexico, Augusto Figueroa Uribe, Inti Bocanegra Cedillon, Julia Hernández Ramírez, Maribel Mújica Hernández, Viridiana Cruz Laureano

Revista de la Facultad de Medicina Humana

The frequency in which people travel internationally increases the potential for transmission of infectious diseases. The main causes of disease in children and adolescents vary according to the age group. Prevention is the most important action to take in public health, as it cannot be carried out if the diseases are not detected in a timely manner. The purpose of this study was to identify the most frequent pediatric diseases in the Emergency Medical Service of an international airport in Mexico. The study was observational, descriptive, retrospective and cross-sectional. It is concluded that diseases of digestive (presumed infectious gastroenteritis) and …


Perception Of Knowledge And Attitudes Towards Covid-19 In A Group Of Citizens In The Urban Area Of Huánuco, Mely Ruiz Aquino, Anibal Diaz Lazo, Milward Ubillús, Alejandrina Aguí Ortiz 2021 Universidad de Huánuco, Huánuco-Perú.

Perception Of Knowledge And Attitudes Towards Covid-19 In A Group Of Citizens In The Urban Area Of Huánuco, Mely Ruiz Aquino, Anibal Diaz Lazo, Milward Ubillús, Alejandrina Aguí Ortiz

Revista de la Facultad de Medicina Humana

Objective. To identify relationship between knowledge and type of attitudes towards COVID-19 in the citizens of the urban area of Huánuco. Methods. Observational, descriptive and cross-sectional study, with a quantitative approach. It was carried out in the city of Huánuco, 2020. Sample comprised 168 citizens. A previously validated knowledge questionnaire and an attitudes scale towards COVID-19 were applied. Pearson's χ² test and Spearman's correlation coefficient (rho) were applied. Results. When analyzing the type of knowledge regarding COVID-19, 62.5% (105) of the sample was located in the category “unknown”. Analyzing the type of attitudes perceived by citizens towards COVID-19, 36.9% (62) …


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