Objective: To compare the professional performance of the health establishments with essential obstetric and neonatal functions from Lima with respect provincie during September-October of 2015. Materials and methods: It´s a cross- sectional analytical investigation conducted in 350 health establishments with essential obstetric-neonatal functions I-II (FONE I-II) database based on national surveys conducted by the National Institute of Statistics and Informatics (INEI) during 2015. New variables were created from the databases to determinate the gynecology staff´s professional performance and analyzed the data with the R statistical software and the IBM SPSS Statistics 25 using the chi-square test. Results: The investigation showed that midwifes were the healthl staff who most frequently attended vaginal births, both in Lima (62.9%) and in provinces (91.4%). With respect to the partog...

Objetivo: Comparar el desempeño profesional de los establecimientos de salud con funciones obstétricas-neonatales esencialessI-II entre Lima y Provincias durante el periodo setiembre-octubre del 2015. Materiales y métodos: Es una investigación analítica transversal realizada a 350 establecimientos de salud con funciones obstétricas-neonatales esencialessI-II, basada en las encuestas nacionales realizadas por el Instituto Nacional de Estadística e Informática durante el 2015. Se fusionó 2 bases de datos y se generó nuevas variables para determinar el desempeño laboral y se analizaron los datos con el software estadístico R y el IBM SPSS Statistics 25 usando la prueba chi cuadrado. Resultados: El estudio mostró que el obstetra fue el personal de salud que con más frecuencia atendió partos vaginales, tanto en Lima (62.9%) como en provincias (91.4%). Respecto al partograma, so...

Objective: To compare the professional performance of the health establishments with essential obstetric and neonatal functions from Lima with respect provincie during September-October of 2015. Materials and methods: It´s a cross- sectional analytical investigation conducted in 350 health establishments with essential obstetric-neonatal functions I-II (FONE I-II) database based on national surveys conducted by the National Institute of Statistics and Informatics (INEI) during 2015. New variables were created from the databases to determinate the gynecology staff´s professional performance and analyzed the data with the R statistical software and the IBM SPSS Statistics 25 using the chi-square test. Results: The investigation showed that midwifes were the healthl staff who most frequently attended vaginal births, both in Lima (62.9%) and in provinces (91.4%). With respect to the partog...

ABSTRACT The gastropleural fistula is an unusual pathological condition that requires a high index of diagnostic suspicion. A 30-year-old male patient was admitted to the María Auxiliadora Hospital due to a thoracoabdominal trauma opened by a firearm projectile, with an entrance hole in the left anterior hemithorax at the level of the 6th intercostal space and exit orifice in the right posterior hemithorax at the D10 level. When a hemopneumothorax was suspected, a thoracic drainage tube was placed and an exploratory laparotomy was performed after suspicion of gastric perforation. On the ninth day, 400cc of smelly greenish-green discharge with food debris in a thoracic drainage bottle was evident. The diagnosis of gastropleural fistula was made through upper gastrointestinal endoscopy and thoracoabdominal multislice spiral tomography. The treatment was by laparotomy and thoracotomy. Conc...

ABSTRACT The gastropleural fistula is an unusual pathological condition that requires a high index of diagnostic suspicion. A 30-year-old male patient was admitted to the María Auxiliadora Hospital due to a thoracoabdominal trauma opened by a firearm projectile, with an entrance hole in the left anterior hemithorax at the level of the 6th intercostal space and exit orifice in the right posterior hemithorax at the D10 level. When a hemopneumothorax was suspected, a thoracic drainage tube was placed and an exploratory laparotomy was performed after suspicion of gastric perforation. On the ninth day, 400cc of smelly greenish-green discharge with food debris in a thoracic drainage bottle was evident. The diagnosis of gastropleural fistula was made through upper gastrointestinal endoscopy and thoracoabdominal multislice spiral tomography. The treatment was by laparotomy and thoracotomy. Conc...