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tesis de grado
Asma: enfermedad crónica inflamatoria de las vías respiratorias que se caracteriza por episodios recurrentes de obstrucción bronquial, hiperreactividad bronquial e inflamación. En la mayoría de los casos, su manifestación clínica inicia en la infancia temprana, lo que hace fundamental su diagnóstico y tratamiento oportuno para prevenir complicaciones y mejorar la calidad de vida de los pacientes pediátricos. Sin embargo, la detección precoz del asma en niños pequeños representa un reto debido a la variabilidad de los síntomas y la dificultad en la aplicación de pruebas diagnósticas en esta población.(1) Para abordar este desafío, se han desarrollado herramientas predictivas como el Indicador pronóstico de asma, el cual permite señalar a los niños de mayor probabilidad de generar la enfermedad de manera posterior. El IPA se basa en criterios clínicos y antecedentes fa...
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artículo
This study is a product of the Global Ecosystem Monitoring network (GEM), Andes Biodiversity and Ecosystem Research Group (ABERG), Amazon Forest Inventory Network (RAINFOR), Stability of Altered Forest Ecosystem (SAFE), and Instituto de Investigaciones de la Amazonia Peruana (IIAP). WHH was funded by Peruvian FONDECYT/CONCYTEC (grant contract number 213-2015-FONDECYT). The GEM network was supported by a European Research Council Advanced Investigator Grant to YM (GEM-TRAITS: 321131) under the European Union's Seventh Framework Programme (FP7/2007-2013). The field data collection was funded NERC Grants NE/D014174/1 and NE/J022616/1 for in Peru, BALI (NE/K016369/1) for work in Malaysia, the Royal Society-Leverhulme Africa Capacity Building Programme for work in Ghana and Gabon and ESPA-ECOLIMITS (NE/1014705/1) in Ghana and Ethiopia. Plot inventories in South America were supported by fundi...
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artículo
Background: Point prevalence surveys (PPSs) on antibiotic use are useful for understanding different aspects related to prescription patterns in hospitals. Methods: An adaptation of the WHO methodology for a PPS on antibiotic use was applied. Hospital wards were divided into medical (MED), surgical (SUR), ICUs, gynaecology and obstetrics (GO), high-risk (HR) and mixed wards (MIX). A web application (RedCapVC ) through a mobile device was used for data collection. Results: Between December 2018 and August 2019, 5444 patients in 33 hospitals in five countries were included (10 hospitals in Cuba, 7 in Paraguay, 6 in El Salvador, 5 in Mexico and 5 in Peru). Of these patients, 54.6%received at least one antibiotic, with variations between and within hospitals and countries. Antibiotics were more frequently used in ICUs (67.2%), SUR (64.5%) and MED wards (54.2%), with 51.2% of antibiotics pres...