ABSTRACT The emergence and re-emergence of infectious diseases such as Ebola, chikungunya, and Zika increase the necessity of knowledgeable and skilled health professionals. Massive open online courses (MOOCs) arise as opportunities that allow people around the world to participate in higher education courses. A search was conducted on specialized MOOC platforms to find courses related to outbreaks, using terms included in the list of the WHO disease outbreaks from January 1st to December 31st, 2016. We found seven courses about Ebola, two about Zika, three about the dynamics of epidemics and pandemics, and only one course about dengue, chikungunya, and malaria. Most of the courses were conducted in English. The courses on Ebola, Zika and chikungunya were released after their last outbreak. MOOCs could be used to learn about health issues of global relevance, and with the necessity of fa...

“Background: Demodex folliculorum is a mite that causes human demodicosis, which is characterized by producing lesions on the face, and its infestation could be associated with factors that alter the immune response, including Type 2 Diabetes (T2D). This study aimed to evaluate the relationship between T2D and D. folliculorum infestation in patients attended at a hospital in Peru in 2021. Methods: A cross-sectional study enrolling patients who were classified according to the presence (n = 100) and absence (n = 100) of T2D was conducted. Information was obtained on age, sex, domestic animal husbandry, and symptoms and signs associated with demodicosis. Demodicosis was determined to be present when counts of D. folliculorum greater than five mites per cm2 were found in superficial facial skin biopsies. Results: A frequency of demodicosis in 76 and 35 patients with and without T2D, respe...

“Background: Demodex folliculorum is a mite that causes human demodicosis, which is characterized by producing lesions on the face, and its infestation could be associated with factors that alter the immune response, including Type 2 Diabetes (T2D). This study aimed to evaluate the relationship between T2D and D. folliculorum infestation in patients attended at a hospital in Peru in 2021. Methods: A cross-sectional study enrolling patients who were classified according to the presence (n = 100) and absence (n = 100) of T2D was conducted. Information was obtained on age, sex, domestic animal husbandry, and symptoms and signs associated with demodicosis. Demodicosis was determined to be present when counts of D. folliculorum greater than five mites per cm2 were found in superficial facial skin biopsies. Results: A frequency of demodicosis in 76 and 35 patients with and without T2D, respe...

Es conocida la poca producción científica en el País comparada a la producida a nivel regional y mundial. Las sociedades médicas persiguen potenciar el desarrollo académico y científico de sus miembros a través del desarrollo de cursos y eventos científicos. Se revisó el total de resúmenes de trabajos de investigación presentados al Congreso Peruano de Obstetricia y ginecología (2002-2010). Se realizó una descripción de las características de las investigaciones presentadas y se describió las variables en frecuencias y porcentajes. Además, se buscó con una estrategia de búsqueda en Google Scholar la publicación de los trabajos de investigación en revistas médicas indizadas. Se evaluó 389 resúmenes, la media de autores fue de 4,37 ± 1,93; los trabajos de diseño transversal fueron de 81,7 %; seguido por los reportes de casos 6,2 %. De las especialidades del evento...

Explica que, los cursos masivos abiertos en línea son una herramienta emergente en la educación, ya que por sus características intrínsecas ofrecen la posibilidad de ofertar cursos de manera rápida y con información actualizada, y la facilidad de acceso desde cualquier punto del planeta con conexión a internet.

Users of complementary and alternative medicine (CAM) have a lower intention to receive vaccines. Furthermore, Latin America and the Caribbean (LAC) region are among the most affected areas by the COVID-19 pandemics and present a high proportion of CAM users. Therefore, this study evaluates the association between the consumption of herbal supplements or homeopathic remedies to prevent COVID-19 and the intention to vaccinate against COVID-19 in the LAC region. We conducted a secondary data analysis of a Massachusetts Institute of Technology (MIT) survey with Facebook to assess COVID-19 beliefs, behaviours, and norms. Crude and adjusted prevalence ratios (aPR) with their respective 95% confidence intervals (95% CI) were calculated using generalized linear models of the Poisson family with the log link function. The prevalence of the use of products to prevent COVID-19 was the following: c...

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Objetivo: Determinar si un módulo de partograma electrónico implementado en centros de salud maternos mejora el ingreso completo de datos (completitud) de la atención de parto. Métodos: Se realizó un estudio mixto (cuantitativo: Antes y después y cualitativo: entrevistas a profundidad) en dos centros de salud materno. Se comparó la completitud de la data registrada en papel versus electrónica medida en puntaje del 0 a 15, asignándose un punto por cada componente del partograma ingresado correctamente. Se evaluó la usabilidad del sistema empleando el cuestionario CSUQ. Los usuarios fueron entrevistados sobre la satisfacción percibida en el uso del sistema. Resultados: Se evaluó un total de 42 partogramas en papel y 23 partogramas electrónicos. El puntaje de completitud promedio fue de 10.33±2.26 (papel) y 14.04±0.93 (electrónico), siendo esta diferencia estadísticamente s...

Objective: To describe main factors associated to maternal near-miss (NM). Design: Descriptive cross-sectional study. Setting: Hospital IV Augusto Hernández Mendoza, EsSalud, Ica, Peru. Participants: Pregnant women with NM. Methods: Between January 2006 and December 2012, 58 cases of NM in pregnant or post partum women were hospitalized. A file card was filled with data obtained from the clinical records, perinatal cards and obstetrical registries. Main outcome measures: Complications associated to NM. Results: Average age was 30.67 ± 6.06 range 20-42 years old, 48% was cohabiting, most attended high school (43%), 58% were housewife. Gravidity averaged 1.66 ± 2.84, and multigravidity accounted for 67.2%. Main cause of NM was postpartum hemorrhage in 35%; 31% of patients were admitted to ICU for management. The maternal NM outcome ratio was 3.7 cases/1 000 live births with a mortality ...

Con el objetivo de describir los principales factores relacionados con la mortalidad materna extremadamente grave (MMEG), se realizó un estudio descriptivo transversal en el Hospital IV Augusto Hernández Mendoza, de EsSalud, en Ica, Perú. Se identificó 58 casos con MMEG en gestantes o puérperas que ingresaron al hospital entre enero 2006 y diciembre 2012. Se confeccionó una ficha con información obtenida de la historia clínica, carnet perinatal y registros obstétricos y se identificó las complicaciones asociadas a la MMEG. Se encontró que las causas principales de MMEG fueron las hemorragias en el posparto (35%) y embarazo ectópico complicado (31%). Sólo el 31% de las pacientes fueron internadas en UCI para su manejo.

Objective: To describe main factors associated to maternal near-miss (NM). Design: Descriptive cross-sectional study. Setting: Hospital IV Augusto Hernández Mendoza, EsSalud, Ica, Peru. Participants: Pregnant women with NM. Methods: Between January 2006 and December 2012, 58 cases of NM in pregnant or post partum women were hospitalized. A file card was filled with data obtained from the clinical records, perinatal cards and obstetrical registries. Main outcome measures: Complications associated to NM. Results: Average age was 30.67 ± 6.06 range 20-42 years old, 48% was cohabiting, most attended high school (43%), 58% were housewife. Gravidity averaged 1.66 ± 2.84, and multigravidity accounted for 67.2%. Main cause of NM was postpartum hemorrhage in 35%; 31% of patients were admitted to ICU for management. The maternal NM outcome ratio was 3.7 cases/1 000 live births with a mortality ...

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Sr Editor:Leímos con interés el artículo de Albinagorta y Campodónico acerca de la aplicación del algoritmo de la Fundación de Medicina Fetal (FMF) en el tamizaje prenatal de aneuploidías en el primer trimestre de gestación. Los autores promueven la normalización de la metodología de tamizaje prenatal de aneuploidías en el primer trimestre en nuestro país respaldada por la evidencia científica y que sea aplicable a nuestro contexto clínico, teniendo en cuenta las características de la práctica médica en el Perú.

“Background. The use of Chlorpyrifos leads to a public, environmental, and occupational health problem associated with adverse effects in the exposed population, generating alterations mainly in the central nervous system, such as cognitive function. This study aimed to estimate the association between butyrylcholinesterase activity (BChE) and cognitive ability in workers exposed to chlorpyrifos. Methods. We designed a cross-sectional study, where we measured BChE in serum samples as an indicator of exposure to chlorpyrifos. The cognitive ability was assessed by the mean score of the Peruvian version of the Mini-Mental State Examination (MMSE). We also used a questionary to collect demographic and occupational information. Results. We evaluated 120 farmers with a predominance of males (92%) and a mean age of 32.1 ± 9.0 years. We found most of the workers in fumigation activities (84%)...

Background There is a global concern about the high rates of cesarean birth (CB). This study aimed to investigate the geographic and socioeconomic inequalities in CB rates in the Peruvian population. Methods We conducted a population-based study using the Peruvian Demographic and Family Health Surveys (ENDES, the Spanish acronym for Encuesta Demográfica y de Salud Familiar) between 2009 and 2018. ENDES reported data from births registered in the five years preceding survey execution. For the years 2009 (n = 10 289) and 2018 (n = 23 077), we calculated the weighted rates of CB among variables such as natural geographic domain (Coast, Andean, or Amazon), area of residence (rural or urban), wealth index quintile (quintile 1 is poorest, and quintile 5 is richest), and educational level. To assess inequalities, we calculated the concentration index (CIs), the slope index of inequality (SII),...

“Background. The use of Chlorpyrifos leads to a public, environmental, and occupational health problem associated with adverse effects in the exposed population, generating alterations mainly in the central nervous system, such as cognitive function. This study aimed to estimate the association between butyrylcholinesterase activity (BChE) and cognitive ability in workers exposed to chlorpyrifos. Methods. We designed a cross-sectional study, where we measured BChE in serum samples as an indicator of exposure to chlorpyrifos. The cognitive ability was assessed by the mean score of the Peruvian version of the Mini-Mental State Examination (MMSE). We also used a questionary to collect demographic and occupational information. Results. We evaluated 120 farmers with a predominance of males (92%) and a mean age of 32.1 ± 9.0 years. We found most of the workers in fumigation activities (84%)...

Sr Editor:Leímos con interés el artículo de Albinagorta y Campodónico acerca de la aplicación del algoritmo de la Fundación de Medicina Fetal (FMF) en el tamizaje prenatal de aneuploidías en el primer trimestre de gestación. Los autores promueven la normalización de la metodología de tamizaje prenatal de aneuploidías en el primer trimestre en nuestro país respaldada por la evidencia científica y que sea aplicable a nuestro contexto clínico, teniendo en cuenta las características de la práctica médica en el Perú.