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La hemoptisis se define como la expulsión de sangre proveniente del parénquima pulmonar mediante la tos, sus principales causas son la tuberculosis (TB) y bronquiectasias; por lo tanto, es relevante estudiar los factores que predisponen a hemoptizar en pacientes diagnosticados de TB. El objetivo del estudio fue determinar los factores sociodemográficos, clínicos y laboratoriales asociados a hemoptisis en pacientes diagnosticados de TB. La investigación realizada es de tipo observacional, analítico, retrospectivo de tipo casos y controles; definiendo como caso al paciente con hemoptisis y diagnóstico de TB, y como control al paciente sin hemoptisis con diagnóstico de TB. Se identifican 71 casos de hemoptisis en pacientes con TB incluidos en el Programa de Control de Tuberculosis, fueron excluidos 21 casos con datos incompletos; de tal manera que se analizaron 50 casos y 100 contro...

Introducción: la enfermedad renal crónica (ERC) es un problema de salud pública en el Perú. El sistema de salud peruano invierte alrededor del 4% de su presupuesto total en financiar solo terapias de hemodiálisis. Objetivo: determinar la comparación de los costos directos entre las terapias de reemplazo renal (TRR). Materiales y métodos: estudio descriptivo de análisis de costos. Se evaluaron los costos de los pacientes en las tres diferentes TRR: trasplante renal, hemodiálisis, diálisis peritoneal de la Red Asistencial Junín del Seguro Social EsSalud. Se analizaron los datos de 213 pacientes. Se calcularon los costos medios. Los datos fueron tomados de la Unidad de Adquisiciones y Costos de la Red Asistencial Junín (RAJ) EsSalud desde el año 2016 al año 2021. Resultados: el trasplante renal en el primer año acarrea un costo de 70 680 soles (US$ 18 123,07), el cual disminu...

Introduction: Chronic kidney disease (CKD) is a public health problem in Peru. The Peruvian health system spends nearly 4% of its total budget just for paying only hemodialysis therapy. Objective: To determine a comparison of direct costs between kidney replacement therapy options. Materials and methods: This is a descriptive study for cost analysis. Costs for patients when using different modalities of kidney replacement therapy were assessed: renal transplant, hemodialysis, and peritoneal dialysis in Junin Health Network from Peruvian Social Security (EsSalud). Data from 213 patients was analyzed. Mean costs were calculated. Data was taken from the Acquisition and Cost Unit of the Junin Health Network in EsSalud from 2016 to 2021. Results: Renal transplant in the first year costs 70 680 PEN (US$ 18,123.07), and the cost is reduced as years go by. Afterwards, from the second year on the...

Introduction: Chronic kidney disease (CKD) is a public health problem in Peru. The Peruvian health system spends nearly 4% of its total budget just for paying only hemodialysis therapy. Objective: To determine a comparison of direct costs between kidney replacement therapy options. Materials and methods: This is a descriptive study for cost analysis. Costs for patients when using different modalities of kidney replacement therapy were assessed: renal transplant, hemodialysis, and peritoneal dialysis in Junin Health Network from Peruvian Social Security (EsSalud). Data from 213 patients was analyzed. Mean costs were calculated. Data was taken from the Acquisition and Cost Unit of the Junin Health Network in EsSalud from 2016 to 2021. Results: Renal transplant in the first year costs 70 680 PEN (US$ 18,123.07), and the cost is reduced as years go by. Afterwards, from the second year on the...

Objective: To determine the role of self-esteem against burnout syndrome (BOS) among physicians of the Department of Emergency and Critical Care of the Hospital Nacional Dos de Mayo (HNDM). Lima–Peru, 2020. Materials and methods: An analytical and correlational study. Sixty-six (66) physicians were surveyed. The variables “selfesteem” and “burnout” were measured with the Rosenberg Self-Esteem Scale and the Maslach Burnout Inventory–Human Services Survey (MBI–HSS), respectively. The odds ratio was used to establish the probability of burnout according to the self-esteem level, and the Pearson correlation coefficient was used to determine the correlation of major variables. A value of p < 0.05 was considered as statistically significant. Results: Sixteen point six six percent (16.66 %) of the study population showed emotional fatigue; 28.78 %, depersonalization; and 25.75 ...