Dentro de la investigación biomédica, un conflicto de interés (CDI) existe “cuando algún participante en el proceso de publicación tiene un interés que podría influenciar en su responsabilidad dentro de dicho proceso (envío de manuscrito, revisión por pares, decisión editorial y comunicación entre autores, revisores y editores)”1. Evitar declararlo podría ser considerado como una mala conducta científica con serias consecuencias en la confianza de la comunicación científica. DOI: https://doi.org/10.25176/RFMH.v17.n4.1222

Aim: This study analyzes the quantitative and qualitative evolution of the Peruvian Clinical Trial Registry during the last 22 years. Methods: Following a cross-sectional design, we reviewed all clinical trials registered at the Peruvian Clinical Trial Registry during 1995-2017. We downloaded and extracted all registries on 31 March 2018. We summarized qualitative variables and quantitative variables. Also, we performed trends analysis of the records by year, clinical phase, institutional review board, and children's participation. Results: The Peruvian Clinical Trial Registry recorded 1748 clinical trials during 1995-2017. Considering World Health Organization 20-standard descriptors as the standard, the registry suitably recorded four of them in 1995 and 19 since 2013. There was a meaningful change in the trend of the registries, showing a significant upward registry trend until 2008 a...

Aim: This study analyzes the quantitative and qualitative evolution of the Peruvian Clinical Trial Registry during the last 22 years. Methods: Following a cross-sectional design, we reviewed all clinical trials registered at the Peruvian Clinical Trial Registry during 1995-2017. We downloaded and extracted all registries on 31 March 2018. We summarized qualitative variables and quantitative variables. Also, we performed trends analysis of the records by year, clinical phase, institutional review board, and children's participation. Results: The Peruvian Clinical Trial Registry recorded 1748 clinical trials during 1995-2017. Considering World Health Organization 20-standard descriptors as the standard, the registry suitably recorded four of them in 1995 and 19 since 2013. There was a meaningful change in the trend of the registries, showing a significant upward registry trend until 2008 a...

Background: Research suggested that waiting time and consultation time are associated with overall patient satisfaction concerning health services. However, there is a lack of information regarding this subject in Latin American countries, where particular aspects of health systems and population characteristics could modify this association. Our aim was to evaluate the association of waiting time and consultation time with patient satisfaction, in Peruvian ambulatory care facilities and propose a cut-off points of waiting and consultation time based on patient satisfaction. Methods: Cross-sectional secondary data analysis of the National Survey on User Satisfaction of Health Services (ENSUSALUD-2015), a national-wide survey with a probabilistic sample of 181 Peruvian ambulatory care facilities. Patient satisfaction, waiting time, consultation time, and sociodemographic variables were co...

Background: Research suggested that waiting time and consultation time are associated with overall patient satisfaction concerning health services. However, there is a lack of information regarding this subject in Latin American countries, where particular aspects of health systems and population characteristics could modify this association. Our aim was to evaluate the association of waiting time and consultation time with patient satisfaction, in Peruvian ambulatory care facilities and propose a cut-off points of waiting and consultation time based on patient satisfaction. Methods: Cross-sectional secondary data analysis of the National Survey on User Satisfaction of Health Services (ENSUSALUD-2015), a national-wide survey with a probabilistic sample of 181 Peruvian ambulatory care facilities. Patient satisfaction, waiting time, consultation time, and sociodemographic variables were co...

Background: Stroke is a leading cause of mortality and disability worldwide. Research activity in Latin American countries might be the key to solving, or at least improving, the understanding of stroke-related issues in the region. Our aim was to describe and analyze the research output on stroke in Latin America. Methods: We performed a bibliometric analysis of studies on stroke in Latin America reported from 2003 to 2017 in Scopus-indexed journals. We extracted the annual research, countries, journals, authors, institutions, citation frequency, and journal metrics. The data were quantitatively analyzed. Publication activity was adjusted to the countries by population size. Also, the results from an author and country co-occurrence analysis are presented as network visualization maps using VOSviewer. Results: A total of 2298 Latin American stroke-related reports were identified, most w...

Background: Stroke is a leading cause of mortality and disability worldwide. Research activity in Latin American countries might be the key to solving, or at least improving, the understanding of stroke-related issues in the region. Our aim was to describe and analyze the research output on stroke in Latin America. Methods: We performed a bibliometric analysis of studies on stroke in Latin America reported from 2003 to 2017 in Scopus-indexed journals. We extracted the annual research, countries, journals, authors, institutions, citation frequency, and journal metrics. The data were quantitatively analyzed. Publication activity was adjusted to the countries by population size. Also, the results from an author and country co-occurrence analysis are presented as network visualization maps using VOSviewer. Results: A total of 2298 Latin American stroke-related reports were identified, most w...

Dentro de la investigación biomédica, un conflicto de interés (CDI) existe “cuando algún participante en el proceso de publicación tiene un interés que podría influenciar en su responsabilidad dentro de dicho proceso (envío de manuscrito, revisión por pares, decisión editorial y comunicación entre autores, revisores y editores)”1. Evitar declararlo podría ser considerado como una mala conducta científica con serias consecuencias en la confianza de la comunicación científica. DOI: https://doi.org/10.25176/RFMH.v17.n4.1222

Objective: to describe the reasons that influence the choice of medical specialty in general physicians in Peru, and to calculate the applicants and vacancies in the national medical residency exam in 2018. Materials and methods: descriptive cross-sectional study in general physicians who attended an event that aimed to inform about medical specialties, carried out by the Peruvian Medical College. During this event, a self-applied questionnaire was distributed to collect the variables of interest. The statistical analyzes were performed with the Stata v.14 program. Results: surveys of 298 participants wereanalyzed, of which 54.4% were women, 46.3% had less than 28 years old, 59.8% studied their undergraduate studies in Lima, and 52.3% completed their career between 2014-2016. 49.7%, 46.6%, and 3.7% preferred choosing a surgical specialty, clinic, and some other, respectively. The reasons...

Introducción: Las mujeres en edad reproductiva podrían considerarse como una población vulnerable a contraer la infección por VIH. La relación entre conocimiento y prácticas no está descrita en un contexto donde los conocimientos, actitudes y prácticas sobre el VIH son inadecuados. Objetivo: Determinar la asociación entre conocimientos y prácticas sobre la infección por VIH en mujeres peruanas en edad reproductiva. Material y Métodos: Análisis de Encuesta Demográfica y de Salud Familiar 2019, cuya muestra fue probabilística, estratificada y bietápica. El análisis consideró a mujeres en edad reproductiva sexualmente activas. Se definió “conocimientos adecuados” a los puntajes superiores al tercil superior de las observaciones al responder 18 preguntas y se determinó la asociación con cada una de las cinco prácticas. Se utilizó estadística descriptiva e inferenc...

Background: The COVID-19 pandemic significantly impacted the mental and emotional health of the elderly, especially those from low to middle-income countries. However, COVID-19 vaccination may reduce this influence. Therefore, we aimed to estimate the effect of vaccination against COVID-19 on the emotional health of older adults. Methods: We selected a national, random, and stratified sample of non-hospitalized adults aged 60 to 79 years from Peru who intended to receive or had already received the COVID-19 vaccine during recruitment. During June and July 2021, the assessed outcomes were the fear, anxiety, and worry about COVID-19, general anxiety, and depression at baseline and after a month. We estimated the adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) for each altered emotional health outcomes in those who had one and two doses, compared with those who were not vac...

Objetivos: Determinar la frecuencia de publicación de artículos científicos por los asesores de tesis de la Facultad de Medicina de una Universidad privada de Lima, Perú. Material y métodos: Estudio transversal y descriptivo. La búsqueda de artículos se realizó mediante Google Scholar, y en Medline y Scopus. Se determinaron las frecuencias y porcentajes de las variables. Resultados: De 19 asesores, el 63% había publicado alguna vez en su vida algún artículo y el 53% publicó alguna vez un artículo original. El 26% y 21% había publicado un artículo original en Scopus y Medline en los últimos 5 años, respectivamente; mientras que sólo el 5% había publicado un artículo original en los últimos 2 años en dichas bases. Solamente un asesor (5,3%) estuvo registrado en REGINA. Conclusiones: La tasa de publicación en los últimos años de los asesores de tesis de una Facultad...

Background: Scientific production of Social Security in Perú (EsSalud) has progressively increased. However, there is no description of its scientific production and collaboration networks in relevant international databases. Objectives: Describe the scientific production of EsSalud in indexed journals during the 2008-2020 period. Material and Methods: Bibliometric study that evaluated scientific articles and meeting abstracts, with at least one institutional affiliation related to EsSalud among its authors, indexed in the Scopus, Web of Science, Ovid-Medline, or Scielo Citation Index databases published during the period 2008-2020. The total annual scientific production is reported and separately according to base. Intra and extra-institutional collaboration networks were evaluated. Results: 4159 records were obtained and, after applying the selection criteria, 2333 articles remained. ...

Objective: to describe the reasons that influence the choice of medical specialty in general physicians in Peru, and to calculate the applicants and vacancies in the national medical residency exam in 2018. Materials and methods: descriptive cross-sectional study in general physicians who attended an event that aimed to inform about medical specialties, carried out by the Peruvian Medical College. During this event, a self-applied questionnaire was distributed to collect the variables of interest. The statistical analyzes were performed with the Stata v.14 program. Results: surveys of 298 participants wereanalyzed, of which 54.4% were women, 46.3% had less than 28 years old, 59.8% studied their undergraduate studies in Lima, and 52.3% completed their career between 2014-2016. 49.7%, 46.6%, and 3.7% preferred choosing a surgical specialty, clinic, and some other, respectively. The reasons...

Background: One of the impact indicators of priorities in health research-setting is the scientific production that refers to these priorities. EsSalud raised nine priority research topics (PRT) and 20 priority research questions (PRQ) for the 2017-2019 period. We assess the alignment to these research priorities in the scientific articles published during the 2017-2020 period by EsSalud, and we characterize those financed by this institution. Material and Methods: Analysis of the scientific articles registered in the EsSalud scientific production database for the period 2017-2020. We used a standardized methodology and in duplicate to evaluate the alignment of a scientific article to the PRT and PRQ 2017-2019 of EsSalud. The evaluation of the alignment to the PRQs is only carried out in original articles and congress summaries. We report alignment frequencies to each PRT and PRQ, and we...

Objetivo: La pobreza impacta negativamente en la salud, educación y entorno familiar. La sectorización a través de sus componentes permite identificar los grupos de riesgo y daño en las familias. El objetivo del presente trabajo es determinar el estado de pobreza y su influencia en el riesgo y daño familiar del distrito de Villa María del Triunfo, Lima, Perú. Materiales y métodos: Estudio ecológico que usó la base de datos de un establecimiento de salud del distrito de Villa María del Triunfo, en el que se evalúa el riesgo familiar y el nivel socioeconómico de 450 familias en 7 sectores entre los años 2015 y junio del 2017. Resultados: Más de la mitad de las familias son pobres (77,9%). Los daños más prevalentes fueron malnutrición y salud mental. Los factores de riesgo familiar más frecuentes fueron violencia familiar, ausencia de lactancia materna y gestante adolesce...

Objetivo: La pobreza impacta negativamente en la salud, educación y entorno familiar. La sectorización a través de sus componentes permite identificar los grupos de riesgo y daño en las familias. El objetivo del presente trabajo es determinar el estado de pobreza y su influencia en el riesgo y daño familiar del distrito de Villa María del Triunfo, Lima, Perú. Materiales y métodos: Estudio ecológico que usó la base de datos de un establecimiento de salud del distrito de Villa María del Triunfo, en el que se evalúa el riesgo familiar y el nivel socioeconómico de 450 familias en 7 sectores entre los años 2015 y junio del 2017. Resultados: Más de la mitad de las familias son pobres (77,9%). Los daños más prevalentes fueron malnutrición y salud mental. Los factores de riesgo familiar más frecuentes fueron violencia familiar, ausencia de lactancia materna y gestante adolesce...

Background: Low availability of medicines in health services, self-medication, inadequate use of medicines, and inadequate dispensing practices in pharmacies are frequent problems in Peru. We aimed to evaluate how frequent the purchase of medications without medical prescription is in Peru, and which factors are associated with this practice. Methods: We conducted a secondary analysis of the 2016 ENSUSALUD national survey data. Purchase of medicines that require a prescription was measured as a dichotomous coded as bought one or more medicines that requires medical prescription or bought medicines that do not require a prescription. Crude and adjusted prevalence ratios (PR) and their 95% confidence intervals (95% CI) were calculated using Poisson regressions model with robust variance to assess the association of purchasing of medicines that require prescriptions with sociodemographic fa...

Background: Low availability of medicines in health services, self-medication, inadequate use of medicines, and inadequate dispensing practices in pharmacies are frequent problems in Peru. We aimed to evaluate how frequent the purchase of medications without medical prescription is in Peru, and which factors are associated with this practice. Methods: We conducted a secondary analysis of the 2016 ENSUSALUD national survey data. Purchase of medicines that require a prescription was measured as a dichotomous coded as bought one or more medicines that requires medical prescription or bought medicines that do not require a prescription. Crude and adjusted prevalence ratios (PR) and their 95% confidence intervals (95% CI) were calculated using Poisson regressions model with robust variance to assess the association of purchasing of medicines that require prescriptions with sociodemographic fa...

Background: Noonan syndrome is a genetic disorder mostly related to PTPN11 gene mutation. Report Case: Newborn male of 34 weeks of gestational age with obstetric ultrasounds showing cystic hygroma, bilateral renal hydronephrosis, and polyhydramnios. At born, he presented nuchal edema, wide nose, low-set ears, and right cryptorchidism. Additionally, he presented atrial septum defect, absence of inferior vena cava, mild pulmonary hypertension, persistent ductus arteriosus, and respiratory distress. The result of the 14-gene panel analysis showed a MAP2K1 gene mutation and a variation of uncertain significance in the CBL gene, confirming the diagnosis of PTPN11-negative Noonan syndrome. During the follow-up, he was additionally diagnosed with blepharoptosis of left eye and gastroesophageal reflux disease. Conclusion: This report highlights the wide variety of phenotypical characteristics in...