No description

Objective: To determine the diagnostic accuracy and reliability of the neurological test (NT) and the arterial test (AT) according to the International Working Group on the Diabetic Foot (IWGDF) guidelines in the diagnosis of diabetic peripheral neuropathy (DPN) and peripheral arterial disease (PAD), respectively, using variables such as sensitivity (Se), specificity (Sp), positive predictive value (PPV), and positive likelihood ratio (PLR) in type 2 diabetic patients attending the primary health care. Materials and methods: One hundred (100) type 2 diabetic patients were chosen from the public primary health care system, and evaluated by a primary physician in a private diabetic foot unit. The NT was represented by the tactile-vibratory sensitivity and the AT by the ankle-brachial index according to the IWGDF guidelines. They were compared to standard neurological and arterial tests cal...

Objetivo: Determinar la exactitud (Ex) por la sensibilidad(S), especificidad (E) de un estudio de prueba diagnóstica (PD) por imagen termográfica (IT)  en la granulación de las úlceras diabéticas no infectadas (UDSI)  que recibieron tratamiento  convencional o coadyuvante   en una unidad de pie diabético.Material y métodos: El diseño fue transversal que se realizó con 29 pacientes diabéticos tipo 2   con UDSI comparando la observación directa de una zona de granulación  por IT  como  PD en evaluación respecto a estándar  por estudio anatómico patológico(AP) por medio de una biopsia tipo punch. El estudio obtuvo la autorización del comité de ética de la Facultad de medicina de la Universidad Nacional de Trujillo. Las estadísticas descriptivas se realizaron usando el programa SPSS y las estadísticas analíticas usando EPIDAT.Resultados: Estos fueron realizad...

Objetivo: Determinar la exactitud (Ex) por la sensibilidad(S), especificidad (E) de un estudio de prueba diagnóstica (PD) por imagen termográfica (IT)  en la granulación de las úlceras diabéticas no infectadas (UDSI)  que recibieron tratamiento  convencional o coadyuvante   en una unidad de pie diabético.Material y métodos: El diseño fue transversal que se realizó con 29 pacientes diabéticos tipo 2   con UDSI comparando la observación directa de una zona de granulación  por IT  como  PD en evaluación respecto a estándar  por estudio anatómico patológico(AP) por medio de una biopsia tipo punch. El estudio obtuvo la autorización del comité de ética de la Facultad de medicina de la Universidad Nacional de Trujillo. Las estadísticas descriptivas se realizaron usando el programa SPSS y las estadísticas analíticas usando EPIDAT.Resultados: Estos fueron realizad...

Objetive: Determine the characteristics and level of satisfaction of parents using pediatric teleconsultation during the COVID-19 pandemic, treated at the Víctor Lazarte Echegaray The sample was made up of 273 parents to whom a user satisfaction survey was conducted by telephone, which consists of 15 questions that were answered based on the Thurstone scale. Results: the level of satisfaction was distributed as high (34.1%), medium (55.3%) and low (10.6%). Most of the patients belonged to the age group of 0-4 years (54.9%), male (54.2%) and resided in the province of Trujillo (67.8%). The parents were mainly aged between 30-39 years (45.8%), were female (90.5%) and had a higher level of education (60%). Teleconsultations had chronic diseases as the main reason for consultation (63.4%), lasted >10 minutes (76.9%), and prescriptions were issued in half of the cases (50.2%). Conclusion:...

Objective: To determine the relationship between carbon dioxide gradient/arteriovenous oxygen gradient index and lactate in patients with pneumonia complicated by septic shock in areas delivering care for critically ill or injured patients of the Hospital III EsSalud Chimbote between 2018 and 2019. Materials and methods: A quantitative, observational, correlational, longitudinal trend study. The study population consisted of patients with pneumonia complicated by septic shock who had carbon dioxide gradient/arteriovenous oxygen gradient index and lactate readings. Results: Ninety (90) patients with pneumonia complicated by septic shock participated in the research. The present study showed a robust relationship between gas gradient index and serum lactate when monitoring patients at baseline, 3 hours, 6 hours and 12 hours. Conclusions: There is a relationship between carbon dioxide gradi...

Introduction: Small fibers diabetic peripheral neuropathy (DPN-sf) are diagnosed by biomedical vasomotor tests whose foundation is altered skin thermoregulation.Objectives: To estimate the prevalence and factors associated with DPN-sf using thermographic imaging (TI).Methods: An observational, cross-sectional, analytical study was performed in a specialized unit in the primary care setting, in which patients with type 2 diabetes mellitus were assessed by peripheral neurological tests such as tactile and vibratory sensitivity for the diagnosis of large fibers peripheral neuropathy (DPN-lf) and passive thermoregulation by TI for DPN-sf .The latter was performed on the sole using a thermographic camera in the outpatient clinic, evaluating 5 plantar thermographic measurements per subject. Then, the association between diabetics with and without DPN-sf was analyzed concerning gender, age, tim...

Infodemia is the information epidemy associated to fear, speculation and rumors, amplified and transmitted rapidly by modern information technologies and that negatively affects society. Its association with the 2019 Coronavirus Disease pandemic is not exclusive, as it had already been described with the Coronavirus-1 Severe Acute Respiratory Syndrome pandemic in 2003. This false or misleading information may cause public reluctance widespread adoption of infection control measures promoted by health authorities, and thus delaying essential recomendations. The World Health Organization (WHO), in its eagerness to counteract, has established the WHO Information Network to Epidemics.

Introduction: Excess body weight affects the quality of life of millions of young people around the world. Objective: To determine the factors associated with the prevalence of overweight and obesity in university students during COVID-19, from October to December 2020. Methods: Analytical, cross-sectional research with non-experimental design. There was a population of 325 students of the professional career of medical technology and a sample of 169 students of both sexes. Body mass index and waist circumference diameter were used to calculate overweight and obesity. The associated factors were determined by means of a survey validated by expert judgment. Results: 49.1% of the students were overweight or obese, with females being the most affected. Of overweight or obese students, 59.0% were at high risk of abdominal obesity. According to eating habits, 97.6% of young people ate ...

A scientific assay is presented, the objective of this is to provide the state of the art on Burnout Syndrome in dentists. And its purpose is to recognize a syndrome as a predisposing factor that deteriorates the exercise of professional practice and that could lead to negative consequences for the health of dental professionals.

Objetive. To determine the sociodemographic and clinical risk factors related to mortality in COVID-19 patients in a Hospital in northern Peru. Material and Methods: the research was carried out in a Hospital in the north of Peru. The population was made up of 208 Clinical Histories of COVID-19 patients seen between March and July 2020. The independent variable was sociodemographic factors such as age, sex and marital status, and clinical factors such as epidemiological history, risk factors (co-morbidities) and health status and the dependent variable was Covid-19 mortality. Results: COVID-19 mortality reached 46.20% in patients older than 65 years (51.90%), male (60.40%) and married (65.40%), with an epidemiological history (37.5%) , and risk factors (comorbidity) 74.50%, mainly associated with arterial hypertension (8.2%), obesity (3.4%) and diabetes mellitus II (1.9%), and indetermin...

Objetivo. Determinar los factores de riesgo sociodemográficos y clínicos relacionados con la mortalidad en pacientes COVID-19 en un Hospital del norte de Perú. Material y Métodos: la investigación se llevó a cabo en un Hospital del norte de Perú. La población la constituyeron 208 Historias Clínicas de pacientes COVID-19 atendidos entre Marzo a Julio del 2020. La variable independiente fueron los factores sociodemográficos tales como la edad, sexo y el estado civil y los factores clínicos como antecedentes epidemiológicos, los factores de riesgo (comorbilidades) y el estado de salud y la variable dependiente fue la mortalidad Covid-19. Resultados: La mortalidad COVID-19 alcanzó al 46,20 % en pacientes mayores 65 años (51,90 %), de sexo masculino (60,40 %) y casados (65,40 %), con antecedentes epidemiológicos (37,5%), y factores de riesgo (comorbilidad) un 74,50 %, principal...

Introduction: Currently, the impact of COVID-19 on sociodemographic and obstetric factors, linked to nutritional status and anemia in pregnant women, represents a significant change in management and healthcare paradigms. Objectives: To consider a multiple logistic regression model and multiple comparisons (Mann-Whitney U test) based on sociodemographic-obstetric factors, nutritional status and anemia in pregnant women before and during Covid-19. Methods: In this study, 113 medical records of pregnant women attended between November 2019 and April 2020 at a Hospital II-1 in Trujillo, Peru were analyzed. Multiple logistic regression model showed a good fit and allowed to correctly classify most of pregnant women. Results: The covariates; employment situation, obstetric history, nutritional condition and anemia were significant. Differences were observed between sociodemographic factors su...

Introduction: mothers with newborn children became an easy target of the COVID-19 pandemic, their lives today revolve around avoiding its contagion and spread due to the confinement in which they live. Objective: determine the impact of COVID-19 on the relationship between lifestyle and the bond of mother-newborn attachment in a Hospital in Peru. Methods: an explanatory, descriptive-correlational, cross-sectional design was carried out, with a population of 1020 puerperal women and a sample of 103 puerperal women. The sampling was stratified by the presence or absence of COVID-19 in puerperal women. The variables were lifestyles, described by: practice of physical activity, quality of life, rest and sleep, physical health and social integrity, and bonding mother-newborn. Spearman's correlation, discriminant analysis and Wilcoxon's test were used. Results: in both groups of puerperal wome...