Sci-Hub is a pirate repository of scientific papers launched in 2011, and currently hosts more than 46 million articles. Thousands of people use this repository every day to access information, reaching more than 200 000 daily downloads of scientific articles that they would otherwise have to buy.

Sci-Hub is a pirate repository of scientific papers launched in 2011, and currently hosts more than 46 million articles. Thousands of people use this repository every day to access information, reaching more than 200 000 daily downloads of scientific articles that they would otherwise have to buy.

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.

Introducción: Se ha estudiado poco sobre el impacto de los programas de servicio social en salud en el desarrollo profesional de médicos de los Estados Andinos (Argentina, Bolivia, Chile, Colombia, Ecuador, Perú y Venezuela), programas cuya finalidad es incrementar los recursos humanos en salud en zonas rurales y remotas. Objetivo:Describir la normativa de los programas de servicio social para profesionales médicos de los Estados Andinos. : Métodos Se realizó una revisión bibliográfica de documentos normativos concernientes al servicio social para profesionales médicos en sitios web de gobiernos de los Estados Andinos, con la finalidad de obtener información la condición de servicio, financiamiento del programa/remuneraciones y modos de adjudicación. Adicionalmente, se empleó el motor de búsqueda PubMed para complementar la información sobre servicios sociales obligatorios...

Objective: to determine the global offer of Massive Open Online Courses (MOOCs) in health and nursing, and to know the characteristics of its content, for continuing education in nursing professionals in Peru. Method: exploratory study was carried out on the websites: Coursera, edX, FutureLearn, XuetangX and Udacity, Class Central and MOOC List. The courses were classified according to the five nursing areas recognized by the Peruvian College of Nurses (Colegio de Enfermeros del Perú, CEP). From each course, data was collected on institution and country of origin, hours per week and total duration in weeks, audio and subtitle language. Results: a total of 654 courses in this modality are offered in health were found, covering the five areas contemplated by the Peruvian College of Nurses. Fourteen courses were specifically developed for nursing with an average duration of five weeks (3.2...

Objetivo: Determinar la percepción de los médicos que realizan el Servicio Rural y Urbano Marginal de Salud (SERUMS) en Perú sobre el trabajo en el primer nivel de atención (PNA) y sus factores asociados. Materiales y métodos: Se realizó un análisis secundario de datos de una muestra de médicos que realizaron el SERUMS el 2016. Para evaluar la variable de interés se utilizó la escala de «Percepción sobre el trabajo en el PNA», cuyos puntajes más altos indican una peor percepción del trabajo en el PNA. Se aplicó una encuesta basal (antes del SERUMS) y una encuesta de seguimiento (8-12 meses de iniciado el SERUMS) y se evaluaron las diferencias en los puntajes. Resultados: De los 780 encuestados, 215 (27,6%) completaron la encuesta basal y de seguimiento. La media del puntaje incrementó considerablemente (de 3,4 a 6,7; p < 0,001), lo que indica una peor percepción del tra...

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.