Introduction: Antimicrobial resistance increases hospital mortality and is a public health problem. Objective: to determine the characteristics of microorganisms isolated from hospitalized patients and to detail antimicrobial sensitivity profiles. Methodology: cross-sectional study Cross-sectional study in a hospital in the Peruvian jungle during 2021. The type of microorganism, antimicrobial sensitivity (VITEK ® 2 bioMérieux), source of isolation, patient age and hospitalization service were identified. Results: 477 positive cultures were included in 453 patients. The samples came from bronchial secretion 54.9%, blood 35.2%, urine 6.5% and others 3.4%. The hospital services of origin were emergency 49.9%, intensive care unit 40.0%, medicine 9.6% and surgery 0.5%. Gram negative bacteria (74.6%), Gram positive bacteria (16.4%) and fungi (9%) were isolated. The most frequently isolated m...

Objective: To evaluate the internal validity of a health sciences graduate program curriculum. Materials and methods: A descriptive study using a documentary analysis of a public university’s Master of Education and Health Research Program. The internal validity was analyzed through the identification of professional profile indicators, subjects’ syllabi were rated, and the congruence in the curriculum map was assessed. Personality (alpha) and occupational (beta) indicators were considered. Descriptive statistics was performed using Microsoft Excel 2013. Results: Alpha indicators such as the ability to design, demonstrate, assess and apply, and beta indicators such as being a leader, researcher, professor and assessor were identified. The syllabi achieved a passing grade, but deficiencies in the methodology, materials and bibliography were observed. The indicators "knowledge", "appl...

Global demographic changes have generated new challenges in the health system. Treating increasingly older patients with more complex health problems has significantly raised and exceeded our response capacity, and Peru is not indifferent to this situation. These patients need more and more care, and late-stage chronic diseases require an approach change: from aggressive healing treatments to palliative ones which improve quality of life and are associated with an important social content. Late-stage diseases occur in the final stage of life, where irreversible damage; multiple somatic, psychological and spiritual symptoms; as well as great impact in the patients and their families take place. Late-stage cancer diseases have been studied on a relatively frequent basis; however, non-cancer diseases occur more often and result in better survival rates. This review article aims at gathering...

Contexto: En las últimas décadas, los pacientes con enfermedades crónicas terminales han tenido visitas más frecuentes a los servicios de emergencia. Objetivos: Este estudio tiene como objetivo determinar la proporción de enfermedad terminal en pacientes reingresados ​​a urgencias, evaluar el uso de este servicio y la tasa de mortalidad. Ambientación y diseño: Estudio transversal en un hospital terciario con 120 camillas que reporta anualmente 160 mil atenciones y 22 mil ingresos. Sujetos y métodos: Se incluyeron pacientes de 18 años o más que fueron readmitidos en urgencias. Se entrevistó al paciente y / o cuidador; Se revisó la historia clínica y se realizó un seguimiento de 1 año. El cáncer terminal se determinó mediante confirmación histológica en el estadio IV y la enfermedad terminal no oncológica mediante dependencia funcional total (índice de Katz) o dete...

En la presente mesa redonda los ponentes realizan una discusión acerca de los problemas de la normativa actual referente a contrataciones con el Estado y los proyectos de ley que se encuentran discutiendo en el Poder Legislativo, considerando las diversas aristas de un tema tan polémico como este, que incluso ha llevado a cambios dentro del gabinete ministerial

Esta investigación tuvo como objetivo evaluar el Ruido Ambiental del Parque Automotor en la Percepción de la Población en el Eje Zonal Industrial del distrito de Independencia. El tipo de investigación fue aplicada, de un nivel descriptivo y de enfoque cuantitativo, mientras que el método utilizado fue el analítico. La metodología para la determinación de los niveles de presión sonora fue la aplicación de un monitoreo de ruido ambiental según los lineamientos establecidos por el Protocolo Nacional de Monitoreo de Ruido Ambiental y la representación gráfica del ruido elaborando mapas de ruido, mientras que, para la determinación de fuentes de ruido y efectos del ruido percibidos por la población, se aplicó un cuestionario de dieciocho ítems, el cual presentó un rango de confiabilidad muy alta y validado por juicio de expertos. Los resultados obtenidos del monitoreo de ru...

The present work is an investigation directed to propose and apply a model of educational management that is essentially based on the management of the knowledge, the social, intellectual, cultural and moral capital; expressed in the holistic scientific education of the students who have finished their high schools for their revenue to the National University of Trujillo. The research has an experimental basic; the population was constituted by the pupils who study in the academy pre-university Kepler which was chosen aleatorelly among formally constituted seven academies in the region La Libertad, whose sample belongs to 3012 students registered in 6 academic corresponding to the year 2005, 2006, 2007. In the respective pictures the number of registered people in the academy is indicated, their scores obtained during their permanency, as well as the enrolled people and the students who ...

New coronavirus disease was detected in Peru in March 2020, spreading rapidly, producing serious respiratory conditions and high mortality. In the emergency service, isolation measures must be implemented for patients with specific environments for suspected and confirmed cases (depending on severity). Define care flow charts based on objective and easily evaluable data. Guidelines should be established for conducting ancillary examinations and adopting treatment based on the best available evidence. Hygiene measures and personal protective equipment must be ensured to avoid contagion, as well as suspending visits and accompaniment of family members; but at the same time, an adequate flow of information (preferably virtual) must be ensured for family members and the staff themselves. Rapid adaptation of plans and resources (material and human) is n...

The coronavirus disease originated in the year 2019 (COVID-19), has spread rapidly throughout the world, wreaking havoc on the health system and society. We report the case of a 26-year-old man with a history of asthma and obesity, who returned from the US and went to the emergency room with respiratory symptoms, hypoxemia and interstitial infiltrate on chest radiography, he was admitted to the isolation room The nasopharyngeal swab RT-PCR molecular test was negative, so he was transferred to a common emergency room. Initial management was conservative, however the patient evolved unfavorably requiring ventilatory support, but died on the fifth day of hospitalization. A second positive result for SARS-CoV-2 was received the day after the patient died, being one of the first young victims in Peru.

The coronavirus disease originated in the year 2019 (COVID-19), has spread rapidly throughout the world, wreaking havoc on the health system and society. We report the case of a 26-year-old man with a history of asthma and obesity, who returned from the US and went to the emergency room with respiratory symptoms, hypoxemia and interstitial infiltrate on chest radiography, he was admitted to the isolation room The nasopharyngeal swab RT-PCR molecular test was negative, so he was transferred to a common emergency room. Initial management was conservative, however the patient evolved unfavorably requiring ventilatory support, but died on the fifth day of hospitalization. A second positive result for SARS-CoV-2 was received the day after the patient died, being one of the first young victims in Peru.

GAMOCHAETA AMERICANA DESCRIPCIÓN UBICACIÓN TAXONÓMICA NOMBRE CIENTÍFICO NOMBRE COMÚN COMPOSICIÓN QUÍMICA EFECTOS FARMACOLÓGICOS Y USOS INFLAMACIÓN CONCEPTO CONCEPTO CAUSAS CARACTERÍSTICAS DEL PROCESO INFLAMATORIO MEDIADORES QUÍMICOS FÁRMACOS ANTIINFLAMATORIOS GELES EXTRACCIÓN DE PRINCIPIOS VEGETALES MÉTODOS DE EXTRACCIÓN TIPO DE EXTRACCIONES CON DISOLVENTES SOLUCIONES EXTRACTIVAS VENTAJAS Y DESVENTAJAS TIPOS DE EXTRACTOS

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Over-demand and overcrowding is a problem in the emergency department of our environment. Objective: to determine the characteristics of the demand for medical care at the emergency department of a tertiary social security hospital. Methodology: observational study at Rebagliati hospital, first quarter 2019. Sociodemographic, time and emergency indicators of the institutional statistical system, descriptive statistical statistics with IBM SPSS 24.00 were evaluated. Results: 51294 patient care between 14 and 102 years (median 60), 56.7% female sex, 18% recorded more than one visit in the quarter. Monday was the day of greatest demand and the schedule between 8 and 13 hours. Priority attention 3 and 4 corresponded to 60.8 and 20.8% of the total. The topics of medicine, relief and surgery performed 41, 22 and 20% of attentions respectively. In the shock trauma unit, 3% of attentions were pe...

La sobredemanda y hacinamiento es un problema en los servicios de  emergencia de nuestro medio. Objetivo: determinar las características de la demanda de atención médica al servicio de emergencia de un hospital terciario de la seguridad social. Metodología: estudio observacional en hospital Rebagliati, primer trimestre 2019. Se evaluó variables sociodemográficas, de tiempo e indicadores de emergencia del sistema estadístico institucional, realizando estadística descriptiva con IBM SPSS 24.00. Resultados: 51294 atenciones de pacientes entre 14 y 102 años (mediana 60), 56,7% sexo femenino, 18% registró más de una atención en el trimestre. El lunes fue el día de mayor demanda y el horario entre 8 y 13 horas. Las atenciones de prioridad III y IV correspondieron al 60,8 y 20,8% del total. Los tópicos de medicina, alivio y cirugía realizaron el 41, 22 y 20% de atenciones re...

Introduction: The COVID-19 pandemic has caused more than 70 thousand deaths worldwide. Objective: To describe the characteristics of COVID-19 patients who died in a tertiary hospital. Methods: A descriptive study was carried out in the emergency service of the Hospital Rebagliati in Lima, Peru, which includes deceased patients with a positive result for SARS-CoV-2 infection diagnosed by PCR-TR until April 4, 2020. The medical history was reviewed. and hospital records looking for sociodemographic variables, clinical characteristics, radiological manifestations, treatment and evolution. Results: 14 cases were identified, 78.6% were male, average age 73.4 years (range 26 to 97). 21.4% of cases acquired the infection out of Peru. Risk factors were found in 92.9% of patients (more frequent elderly, hypertension and obesity). The most frequent symptoms were dyspnea, fever and cough, with illn...

Introduction: The COVID-19 pandemic has caused more than 70 thousand deaths worldwide. Objective: To describe the characteristics of COVID-19 patients who died in a tertiary hospital. Methods: A descriptive study was carried out in the emergency service of the Hospital Rebagliati in Lima, Peru, which includes deceased patients with a positive result for SARS-CoV-2 infection diagnosed by PCR-TR until April 4, 2020. The medical history was reviewed. and hospital records looking for sociodemographic variables, clinical characteristics, radiological manifestations, treatment and evolution. Results: 14 cases were identified, 78.6% were male, average age 73.4 years (range 26 to 97). 21.4% of cases acquired the infection out of Peru. Risk factors were found in 92.9% of patients (more frequent elderly, hypertension and obesity). The most frequent symptoms were dyspnea, fever and cough, with illn...

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Aim: CKD-EPIcr (Chronic Kidney Disease Epidemiology Collaboration creatinine) and BIS1 (Berlin Initiative Study) are two serum creatinine-based formulae for the estimation of glomerular filtration rate (GFR). However, their comparative accuracy in older people has not been well established. Our aim was to conduct a systematic comparative study of the accuracy of estimation of GFR in older people with these two formulae. Methods: We conducted a systematic search in Pubmed, EMBASE and Central databases on the validity of the CKD-EPIcr and BIS1 formulae in people aged 60 or more years. The search ranged from 2009 and 2012 for CKD-EPIcr and BIS1, respectively, until May 2017. The validity criterion for comparing the formulae was to have a P30 accuracy level equal to or greater than 80%. Results: Of 1295 identified studies, 16 met our inclusion criteria. Out of 16 studies reporting the accura...

 

En el Perú, en el contexto de la pandemia de enfermedad por coronavirus 2019 (COVID-19), un gran número de pacientes contagiados son evaluados en los servicios de emergencia de los diferentes hospitales del país. En ese sentido, es vital que se realice un diagnóstico precoz de la enfermedad con el fin de identificar inmediatamente a los pacientes de alto riesgo que necesitarán ser ingresados a diversas áreas críticas y para realizar un correcto triaje de los pacientes afectados por otras enfermedades agudas.