Los cuidados paliativos es un enfoque que mejora la calidad de vida en pacientes terminales. En los siguientes años habrá una gran necesidad de este servicio debido al aumento en la población adulto mayor y a las enfermedades que afectan a este grupo. No todos los países de Latinoamérica y El Caribe tienen políticas nacionales de cuidados paliativos. El objetivo de este estudio es describir la producción científica sobre cuidados paliativos en Latinoamérica y El Caribe. Se realizó un estudio bibliométrico sobre cuidados paliativos en la base de datos Scopus entre 1990 y 2019 cuyos autores tengan al menos una filiación de Latinoamérica y El Caribe. Se obtuvo un total de 2030 documentos, observándose un crecimiento sostenido desde el 2000. Los países con la mayor cantidad de artículos publicados fueron Brasil con 948 (45.65%), México con 373 (18.36%) y Argentina con 274 (1...

Abstract OBJECTIVE: To identify the association between diabetes mellitus type 2 and gait/balance disorder in a retired military geriatric population. MATERIAL AND METHOD: A retrospective cohort study, database secondary analysis was done. Gait and balance disorder was evaluated in a population of retired military personnel from January 2010 to December 2015. An analysis was performed to assess the association of type 2 diabetes mellitus and gait and balance disorder with a Cox regression model, adjusted for age, sex, military rank, chronic kidney disease, hypertension, body mass index, polypharmacy, physical activity, physical performance and osteoarthritis. RESULTS: There were included 1422 retired military patients. The mean age was 77.9 ± 8.5 years. Older adults who had and had not diabetes mellitus 2 were 240 (16.8%) and 1182 (83.1%), respectively. A total of 794 (55.8%) patients h...

Mercury is a heavy metal with toxic eff ects, especially at the level of the central nervous system. Th e poisoning by this metal can be acute when the damage occurs in a limited time or chronic when the deleterious eff ect is sustained. Inorganic mercury poisoning in minors who were never linked to illegal mining, an activity that takes place where minors reside, was determined. Of 118 children under 18 years, 28.8% (34/118) exceeded the permissible limits (5 μg Hg·g-1) of creatinine. Th e percentage of contaminated minors was high given that they are people who are not linked to mining activity, so they must have been accidentally contaminated by activity generated by someone close to the minors. Th is premise was demonstrated in the case of the minor who was contaminated every time the mercury vapor was emitted by a chimney that was near the window of her room when mercury amalgam w...

El mercurio es un metal pesado con efectos tóxicos, especialmente a nivel del sistema nervioso central. El envenenamiento por este metal puede ser agudo cuando el daño ocurre en un tiempo limitado o crónico cuando se mantiene el efecto perjudicial. Se determinó la intoxicación por mercurio inorgánico en menores que nunca fueron vinculados a la minería ilegal, una actividad que tiene lugar donde residen los menores. De 118 niños menores de 18 años, el 28,8% (34/118) excedió los límites permisibles (5 μg Hg·g-1) de creatinina. El porcentaje de menores contaminados fue alto, agregando que son personas que no están vinculadas a la actividad minera, por lo que deben haber sido contaminadas accidentalmente por alguna actividad generada por alguien cercano a los menores. Esta premisa se demostró en el caso de una menor, en la que la niña se contaminaba cada vez que el vapor...

Objective: To describe the types of parasitic intestinal diseases and the immune status in human immunodeficiency virus-positive (HIV+) patients. Materials and methods: A descriptive, comparative and retrospective study was carried out through the selection of 81 medical records from the Infectious Disease Service of the Naval Medical Center "Cirujano Mayor Santiago Távara", with the authorization of the pertinent authorities. Said medical records included the only inclusion criterion considered in the research: the diagnosis of HIV infection. The following data was obtained: results from a copro-parasitological examination and a flow cytometry for CD4 T lymphocyte count, presence or absence of gastrointestinal symptoms, and participation in the Highly Active Antiretroviral Therapy (HAART) program or the conventional antiretroviral treatment program. Results: Thirty-seven percent (37 %)...

Abstract BACKGROUND: Work stress is described as the reaction obtained after exposure to demands and pressures that do not fit the individual’s capacity. OBJECTIVE: To determine the prevalence of stress associated with work and factors related with the workers of the Peruvian Navy (MGP). MATERIAL AND METHOD: A retrospective, analytical study in which the data of civil and military participants were reviewed during 2015, from an independent database, which collected their data through an online survey sent by electronic messaging. The data was analyzed in the STATA program version 13.0. RESULTS: There were included data of 207 participants. The general prevalence of work stress was 51.6%. In the participants with the highest number of comorbidities, there was a higher prevalence of severe stress (45.7%) as in the participants with depression (39.2%). The good quality of life was identif...

ABSTRACT Introduction: Prostate cancer is considered a predominant type of neoplasia and aging is a factor for chemotherapeutic toxicity, which can increase due to chronic diseases, particularly diabetes. Despite all this knowledge, there are no studies to evaluate the association between diabetes and the risk of chemotherapeutic toxicity in these patients. Objective: To determine the association between Type 2 Diabetes Mellitus and the risk of chemotherapy toxicity in in older adults with prostate cancer in the Geriatric Service of the Peruvian Naval Medical Center. Material and methods: Analytical retrospective cohort study and secondary database analysis. The adverse effects of chemotherapy and the associated factors of 161 retired sailors with prostate cancer were evaluated between 2013 and 2015. Cox Regression Model for Adjusted Toxicity was constructed for antecedents of diabetes, ...