Background: In Peru, intestinal infections rank third as cause of morbidity registered in outpatient settings. On the other hand access to water and sewage was respectively 74.7% and 62.8%. Objectives: To determine correlation of drinking water and sewage access and consultations for intestinal infectious diseases. Design: Ecological study of time series. Setting: Faculty of Medicine San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Peru. Material: Records from the Ministry of Health and Statistics and data from the Statistics and Informatics National Institute, Lima, Peru. Methods: A time series study was conducted based on records of the Ministry of Health on causes of morbidity in outpatients and data from the Statistics and Informatics National Institute records during the period 2002-2009. Results were analyzed using Spearman’s rho coefficient. Main outcome measures: C...

Introduction: The National Medical Examination is a tool that measures knowledge and clinical reasoning as an approach to assess educational quality. Objective: To determine factors associated with qualification of the National Medical Examination (ENAM) 2012 at Universidad Nacional Mayor de San Marcos (UNMSM). Design: Cross-sectional study. Setting: Faculty of Human Medicine, UNMSM, Lima, Peru. Participants: Medical Interns 2012. Interventions: Analysis of secondary sources using the binary logistic regression method. Pearson and Spearman correlation coefficients and Student t test were applied. Main outcome measures: ENAM’s average scores, belonging to the 2006 class, internship hospital, and merit rank according to weighted university average (PPU). Results: Belonging to the 2006 incoming class, doing internship at EsSalud, and be placed in the academic upper and middle third were f...

Los meniscos absorben impacto, distribuyen carga axial asisten, lubricación articular y facilitan distribución de nutrientes, tienen una forma de cuña, semiluna y es fibrocartilocartilaginoso, su superficie superior es cóncava con base plana y tiene fibras circunferenciales longitudinales.

Introduction. Urinary tract infections (UTI) represent a common health problem. In Peru Escherichia coli resistance rates to ciprofloxacin vary from 31% to 69.8%. Objectives. To determine the frequency and characteristics associated with community-acquired ciprofloxacinresistant E. coli upper urinary tract infection (cUTI). Design. Cross-sectional study. Setting. Emergency Department, Edgardo Rebagliati Martins Hospital, Lima, Peru. Participants. Patients diagnosed with cUTI in 2010. Interventions. Medical records of patients with cUTI and urine cultures positive for E. coli were reviewed. Descriptive analysis (mean, frequency) and bivariate analysis (chi-square test or Fisher test) were used with p <0.05 significance. Main outcomes measures. Sociodemographic variables, clinical presentation, comorbidities and resistance to other antibiotics. Results. Eighty-one patients with cUTI wer...

Estudio transversal para determinar la frecuencia y características asociadas a infección urinaria alta comunitaria (ITUc) por Escherichia coli resistente a ciprofloxacino. Se realizó en el Departamento de Emergencia del Hospital Edgardo Rebagliati Martins, en Lima, Perú, con 81 pacientes con diagnóstico de ITUc en el 2010. Se revisó la historia clínica de pacientes con urocultivos positivos a E. coli, con diagnóstico de ITUc confirmado. Las principales medidas de resultados fueron variables sociodemográficas, presentación clínica, comorbilidades y resistencia a otros antibióticos. Conclusiones. La resistencia de E. coli a ciprofloxacino en ITUc fue más frecuente comparada con estudios previos, asociada con resistencias a cotrimoxazol, cefalosporinas, aminoglicósidos y producción de beta lactamasa de espectro extendido (BLEE).

We present the clinical case of a patient with a diagnosis of primary non-gestational ovarian choriocarcinoma corresponding to a germline malignant neoplasm. Likewise, the updated literature on the subject is reviewed, emphasizing molecular biology, diagnosis, and initial cancer management. It was developed at the Dos de Mayo National Hospital (HNDM) in the Oncology Gynecology Service, Lima, Peru. The present case is recorded due to its limited casuistry in our setting and due to the important value of oncological criteria in the management of adnexal ovarian masses.

We present the clinical case of a patient with a diagnosis of primary non-gestational ovarian choriocarcinoma corresponding to a germline malignant neoplasm. Likewise, the updated literature on the subject is reviewed, emphasizing molecular biology, diagnosis, and initial cancer management. It was developed at the Dos de Mayo National Hospital (HNDM) in the Oncology Gynecology Service, Lima, Peru. The present case is recorded due to its limited casuistry in our setting and due to the important value of oncological criteria in the management of adnexal ovarian masses.