El objetivo de este estudio fue evaluar el riesgo para la salud humana asociado con la exposición a PM 10 en residentes del Área Metropolitana de Lima (MAL), Perú, para el mejor de los casos y para el peor de los casos con base en el promedio mensual de PM 10 y percentil 90 de concentración de PM 10 , respectivamente. Las concentraciones horarias de PM 10 entre 2010 y 2023 correspondientes a cinco estaciones de monitoreo fueron proporcionadas por el Servicio Nacional de Meteorología e Hidrología (SENAMHI). La calidad del aire se evaluó mediante el índice de calidad del aire (ICA). El cociente de peligro para evaluar el riesgo para la salud humana se calculó utilizando el valor límite anual establecido por la Unión Europea (UE, 40 μg/m 3 ) y la Organización Mundial de la Salud (OMS, 15 μg/m 3 ) porque no existe un valor de toxicidad para PM. 10 . La concentración media anua...

El trabajo de investigación titulado "Competencias parentales en educación sexual y prevención del abuso sexual Infantil", tuvo como objetivo general caracterizar las competencias parentales que poseen padres y madres en la educación sexual y la prevención del abuso sexual de sus hijos/as de entre 5 y 1 O ·años de edad; desde una perspectiva de género y de su experiencia parental; en Cerro Candela del distrito de Ate Vitarte 2013. El enfoque aplicado fue el mixto, es decir se recolectaron y analizaron datos cualitativos y cuantitativos. Se utilizó el diseño de triangulación concurrente; porque se pretendió confirmar o corroborar resultados y efectuar validaciones cruzadas entre los datos cualitativos y cuantitativos. La muestra estuvo conformada por 73 personas (padres de familia, docentes y psicólogos). Se aplicó una entrevista no estructurada y estructurada: Los...

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Objetivo: Evaluar el impacto del triaje estructurado en indicadores de hacinamiento del servicio de urgencias (SU) de un hospital terciario. Material y Métodos: Estudio observacional retrospectivo de diseño pre y post. Realizado en un hospital de la seguridad social, comparando las atenciones de dos trimestres. Se evaluó la implementación de triaje estructurado de cinco prioridades tipo Manchester, comparando número de atenciones, atendidos, prioridad de atención, tópico de ingreso, pacientes no atendidos, fallecidos en las primeras 6 horas y tiempo de primera atención. Con datos del sistema institucional se realizó el análisis estadístico (intervalo de confianza de 95%) utilizando SPSS 24.0, con aprobación institucional. Resultados: 42000 atenciones por trimestre, donde el 12% fue admitida a salas de observación. Mediana de edad 57 años (rango 14 - 103), sexo femenino 57%....

Objetive: To assess the impact of structured triage on overcrowding indicators in the emergency department (ED) of a tertiary hospital. Material and Methods: Retrospective observational study of pre and post design. Carried out in a social security hospital, comparing care during two quarters. The implementation of structured triage of five Manchester-type priorities was evaluated, comparing the number of visits, patients attended, priority of care, admission topic, patients not attended, patients who died in the first 6 hours and time to first attention. Statistical analysis (95% confidence interval) was performed with data from the institutional system using SPSS 24.0, with institutional approval. Results: 42000 attendances per quarter, 12% were admitted to observation wards. Median age 57 years (range 14 - 103), female 57%. Average daily number of patients admitted to the ED was 240 v...

Objective: To describe the characteristics of patients with non-urgent demand to the emergency room of an urban social security hospital. Methods: Observational study in a referral hospital. Stratified random sampling, 120 patients older than 14 years of priority IV (patients without commitment to vital functions or risk of immediate complication, which can be attended in outpatient room or decentralized offices). A validated predesigned questionnaire was applied. Performing descriptive statistics with IBM SPSS 24. Results: 66% of patients were female, most frequent ages over 65 years and between 20-40 years. 47% were active workers, with high school level or higher 86%, they had 83% personal cell phone and 73% wire TV or internet at home. 63% arrived at the public transport emergency, the delay time to the hospital was 30-60 minutes in 50% of cases and <30 minutes in 28%. He did ...

Introduction. Overcrowding in emergency department of tertiary hospitals collapses its processes and prolongs waiting times. Objective. To evaluate waiting times for patients with urgent medical problems, in an emergency department after implementing a program of process improvement with facilitators. Methods. An observational study. Patients older than 14 years-old with priority III problems, who were attended between 6-23 hours, were included in the study. The team of facilitators was made up of trained administrative technicians (two each 8-hour period per day), who accelerated the diagnostic and therapeutic processes in outpatient. Waiting time for first attention and total length of stay in emergency services were measured. Results. 36 thousand attentions of priority III were evaluated, being higher in the fourth quarter of the year, on Monday, bet...

Objective: To describe the characteristics of patients with non-urgent demand to the emergency room of an urban social security hospital. Methods: Observational study in a referral hospital. Stratified random sampling, 120 patients older than 14 years of priority IV (patients without commitment to vital functions or risk of immediate complication, which can be attended in outpatient room or decentralized offices). A validated predesigned questionnaire was applied. Performing descriptive statistics with IBM SPSS 24. Results: 66% of patients were female, most frequent ages over 65 years and between 20-40 years. 47% were active workers, with high school level or higher 86%, they had 83% personal cell phone and 73% wire TV or internet at home. 63% arrived at the public transport emergency, the delay time to the hospital was 30-60 minutes in 50% of cases and <30 minutes in 28%. He did ...