Objective: To identify the "opportunity gap" with the BABIES method using perinatal mortality rates. Materials and methods: A descriptive cross-sectional study was performed with the Perinatal and Neonatal Epidemiological Surveillance Database. Perinatal mortality rates by districts and by areas of possible intervention were determined according to the BABIES method. Results: The district of Independencia had the lowest mortality rate, with 6.1 and 5.9 per 100 live births in the years 2014 and 2015, respectively. The priority area of intervention in the district of Comas was "maternal health" and in Carabayllo, "care during pregnancy". Conclusions: The BABIES method allows us to identify the "opportunity gap" which can guide us to perform interventions at the local level.

Introduction: Despite the efficacy of treatment for osteoporosis, about 50% of the patients tend to discontinue. Objectives: To assess the frequency of poor adherence to treatment of osteoporosis and its associated characteristics. Design: A descriptive, cross-sectional study. Location: Department of Rheumatology, National Hospital Alberto Sabogal, Callao, Peru. Participants: Patients diagnosed with postmenopausal osteoporosis. Interventions: In February and March 2013 a questionnaire of 32 questions to postmenopausal women with osteoporosis was applied. The Morisky-Green (MG) was used to measure adherence to treatment. Main outcome measures: Percentage and characteristics associated with nonadherence. Results: 81 patients were surveyed; the mean age was 67.1 years (± 8.2); the percentage of non-adherence to treatment was 80.2%. Associated features were number of additional medications,...

Estudio descriptivo, transversal y observacional para evaluar la frecuencia de la baja adherencia al tratamiento de la osteoporosis y sus características asociadas. Se realizó en el Servicio de Reumatología del Hospital Nacional Alberto Sabogal, en Callao, Perú, en febrero y marzo 2013, con 81 pacientes posmenopáusicas con diagnóstico de osteoporosis. Se aplicó un cuestionario de 32 preguntas y se usó la prueba de Morisky-Green (MG) para medir la adherencia al tratamiento. Se encontró que el porcentaje de no adherencia al tratamiento fue 80,2%. Las características asociadas fueron número de medicamentos adicionales, número de comorbilidades, diabetes y la falta de búsqueda de información sobre la enfermedad.

Pulmonary alveolar microlithiasis a rare disease whose main characteristic accumulation of calcium salts within the air cell, this due to the presence of a genetic mutation autosomal recessive. This entity is within the group of diffuse lung diseases and primary diagnosis is a challenge for health professionals. There is no treatment to date, has raised the use of bisphosphonate, steroids and bronchoalveolar lavage without reaching conclusive results. It is preferred to perform the transplant before the development of right ventricular failure for best results. The definitive diagnosis is histopathological. In Peru it has been poorly described this disease as the only report found no definitive histopathological diagnosis. We report a case diagnosed in the Department of Thoracic and Cardiovascular Surgery Hipolito Unanue National Hospital in Lima, Peru.

Introduction: Studies have reported high prevalence of parasitic disease in students from the jungle although none has associated itwith poverty and nutritional factors. Objectives: To determine the relationship between poverty and nutritional factors with the presenceof intestinal parasites in students from a Huanuco village. Design: Cross-sectional study. Setting: Venenillo hamlet, Huanuco, Peru.Participants: Students from the only school in Venenillo. Interventions: Parasitological examination by Lugol’s iodine direct examinationand Lumbreras' fast sedimentation technique was performed in 42 students. Level of poverty was determined by the unsatisfied basicneeds index and degree of malnutrition by the Waterlow index. Statistical analysis was performed using Goodman and Kruskal’sgamma coefficient. Main outcome measures: Intestinal parasitosis association with poverty and nutritiona...