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Introduction. The metabolic syndrome is made up of a group of clinical entities that increase the risk of cardiovascular disease and diabetes mellitus. 2; which have increased in recent years. Objective.To compare the diagnostic concordance of the metabolic syndrome, according to the diagnostic criteria of the International Diabetes Federation (FID) and the National Cholesterol Education Program (PNEC-ATP III) in an adult population living at 3,270 m.a.s.l. Methods. An observational, cross-sectional and analytical study was designed. The sample was determined with inclusion and exclusion criteria, in a simple random way. Laboratory tests were performed on an empty stomach. The kappa coefficient (k) was used to determine the degree of agreement. Results. 43 (100 %) people were included. 58.1 % were over 60 years old. The frequency of the Metabolic Syndrome was 27.9 % (12), according to th...

Obesity is a public health problem that increases progressively over the years, and its etiology is considered an important factor in the disordered eating habits of the population. In most cases In most cases, poor eating habits begin in childhood or adolescence (1,2). The demographic and family health survey (ENDES) conducted in 2014 in Peru, reports an overall prevalence of overweight of 33.8% and obesity of 18.3% in people over 15 years of age, being higher in coastal cities compared to what is reported in the jungle and highlands.

Deep vein thrombosis of the upper extremities is a rare clinical entity. The secondary causes associated with more frequency are: the presence of central venous catheter and cancer. A case of deep vein thrombosis of the upper extremities was reported that was related to the fall suffered with probable trauma of the subclavian vein and the excessive erythrocytosis he suffered. The diagnosis was made with duplex ultrasound. The anticoagulant treatment used was with low molecular weight heparin at the beginning and subsequently with warfarin. The patient evolved favorably. In people who live in height, and develop  excessive erythrocytosis, this could be an important factor in the genesis of deep vein thrombosis of the upper extremities.

The world is experiencing the coronavirus disease pandemic (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which started in Wuhan (China) at the end of December 2019; progressively spreading worldwide and currently affecting more than two hundred countries (Zhang, 2019; WHO, 2020). In Latin America, the highest incidence rates per 100 000 inhabitants correspond to Chile with 1200 cases and Peru with 730.6 cases (WHO, 2020).

Introduction: Coronavirus SARS-CoV-2 had an impact on health and education, among other subjects. It caused changes in teaching medicine. The objective of the study was to determine student satisfaction in the subjects of the clinical area in a medical school during the coronavirus SARS-CoV-2 pandemic. Methods: The current study has an observational, descriptive, and cross-sectional design. The sample consisted of 119 students. Inclusion criteria included being a student enrolled in the 2021–2022 semester, between the VI and XII semesters in a medical school. Results: It was found that the median age was 21 years; 68 (57.1%) were men. Overall student satisfaction was 67.1%. High student satisfaction was found in the dimension development of professional skills (84.9%), achievement of student expectations (69.7%), and virtual assistance (67.2%) at a medium level of student satisfaction....

Objective: To determine the characteristics of left ventricular hypertrophy (LVH) in hypertensive people. Materials and methods: A descriptive, cross-sectional and prospective study conducted in the echocardiography laboratory of the Hospital Regional Docente Clínico Daniel Alcides Carrión in Huancayo, Peru. The sample consisted of 226 patients (calculated by formula) who met the inclusion criteria. A purposive non-probability sampling was used. LVH was diagnosed with an echocardiographic study. For the statistical analysis, chi square test, Student's t-test and odds ratio (95 % CI) were used. Results: The study population consisted of 226 (100 %) hypertensive patients. The average age was 67 years (range: 30 – 94). The most significant sociodemographic characteristics were being 60 years old and older (168 patients; 74.33 %) and female (140 patients; 61.95 %). Clinically, 96 subject...

Objective: To determine the clinical and epidemiological characteristics of patients with COVID-19 at a high-altitude hospital. Materials and methods: An observational, cross-sectional and analytical study carried out at the Hospital Daniel Alcides Carrión in Huancayo, Peru, located at 3,250 m a.s.l. The population consisted of 2,248 people. COVID-19 was diagnosed through serology testing and/or reverse transcription polymerase chain reaction (RT-PCR) testing. Data were recorded in a questionnaire. For the statistical analysis, the X2 test, Student’s t-test, and bivariate and multivariate logistic regression analyses were used. A p value < 0.05 was considered statistically significant. Results: The study population with a diagnosis of COVID-19 accounted for 760 patients (100 %), most of whom were males (474 individuals; 62.36 %). The average age was 49 years (range: 15 to 95). Most...

Objective: To determine the relationship between vascular age (VA) and endothelial dysfunction (ED) in adults living at more than 3,000 m.a.s.l. Materials and methods: An observational, descriptive, cross-sectional study was performed at the Hospital Regional Docente Clínico Quirúrgico Daniel Alcides Carrión, Huancayo - Peru, from January to December 2015. The VA was calculated using the Framingham Risk Score and the ED was evaluated with the flow-mediated dilation (FMD) test in the brachial artery. A p-value <0.05 was considered significant. Results: The study included 67 individuals (100 %), whose mean age was 55.3 ± 13.4 years (range: 30-74), out of which 41 (61.1 %) were women. The VA and the delta value were 57.9 ± 18.3 and 2.3 ± 9.3 years, respectively. Fifty-three point seven percent (53.7 %) (36 participants) had an increased VA and 22.3 % (15 participants) were older t...

Objective: to determine the prevalence and factors associated with high blood pressure (HTN) in adults who live at high altitude. Material and methods: observational, analytical, cross-sectional and prospective study. A sample of 843 people aged 18 or older was included; HBP was defined as a blood pressure value ≥ 140/90 mmHg. A survey was carried out using simple random sampling. Adjusted prevalence rates were estimated to determine associated factors. P< 0,05 was shown to be significant. Results: the median age was 53 years (IQR: 27); 520 (61,7%) were women; 307 (36,4%) were > 60 years old. A prevalence of HTN was found to be 19,6% (165). Between 40 and 49 years of age the prevalence was 14% and from 70 and older it was 41%. The incidence of new cases was 8,30 cases per 1000 people, 71,5% (118) received pharmacological treatment, of which 72,8% (86) were on monotherapy. HBP con...

Objective: The aim was identify the factors associated with the development of carotid atherosclerosis in high altitude inhabitants. Material and Methods: Evaluation with carotid Doppler ultrasound was carried out on 144 people over 40 years of age from and native to Huancayo, Peru, located between 3000 and 4000 meters above sea level (m.a.s.l), sociodemographic data and their results from the studies were recorded. laboratory. Factors affecting carotid atherosclerosis were compared using logistic regression analysis. Results: Of the total participants, the average age was 59 years, 73 people (50.7%) were male, the average body mass index was 27. The morbidities identified were arterial hypertension (HTA) (OR 2.63; 95% CI: 1.81-5.89; p=0.018), diabetes mellitus (OR 1.74; 95% CI: 1.04-3.48; p=0.041), and dyslipidemia (OR 1.87; 95% CI: 1.09-3.63; p=0.037). Duration of HTA for 5 years and o...

Objective: to determine the factors related to left ventricular hypertrophy (LVH) in adults living high. Methods: An observational, cross-sectional and analytical study was carried out in the Echocardiography Laboratory of the Hospital Regional Docente Clínico (HRDCQ) Daniel Alcides Carrión (HRDCQ) of Huancayo, Peru at 3,259 m.s.n.m. The sample was determined with a formula and the sampling was simple random. The inclusion criteria were: be 18 years of age or older; have an echocardiography study with a diagnosis of LVH. The exclusion criteria were: having valvular disease, congenital heart disease, dilated cardiomyopathy, acute cardiovascular event, and cardiac arrhythmia. The data were collected in a file. For the statistical analysis, the X2 test, student's t test, binary and multivariate logistic regression, odds ratio, 95% confidence interval were applied. P <0.050 was consider...

Deep vein thrombosis of the upper extremities is a rare clinical entity. The secondary causes associated with more frequency are: the presence of central venous catheter and cancer. A case of deep vein thrombosis of the upper extremities was reported that was related to the fall suffered with probable trauma of the subclavian vein and the excessive erythrocytosis he suffered. The diagnosis was made with duplex ultrasound. The  anticoagulant treatment used was with low molecular weight heparin at the beginning and subsequently with warfarin. The patient evolved favorably. In people who live in height, and develop excessive erythrocytosis, this could be an important factor in the genesis of deep vein thrombosis of the upper extremities.

Objective. to describe the histopathological features of gastric cancer from a tertiary care hospital. Methods. a descriptive, retrospective, cross-sectional study was conducted in 103 patients. The inclusion criteria were: being 18 years of age or older, have upper digestive endoscopy study and pathological study with a diagnosis of adenocarcinoma. Exclusion criteria: not having and examination and/or a gastric biopsy result, having a diagnosis compatible with other types of malignancies. The data were drained in a questionnaire from the epidemiological surveillance registry of the Hospital’s oncology service. Results. the average was 67 years. Gastric cancer presented in 83,5 % in over 50 years of age. The most affected age group was between the sixth and eighth decade (54, 6 %), with a similar frequency of presentation in men (50,5 %) and women (49,5 %). The sites of gastric involve...

Objetivo: Determinar los factores pronósticos de mortalidad hospitalaria en pacientes con insuficiencia cardíaca congestiva (ICC) en un hospital a 3,250 m.s.n.m. Material y Métodos: Se realizó un estudio observacional de cohortes prospectivo y analítico entre Noviembre del 2012 a Octubre del 2013. Los datos fueron recolectados al ingreso del paciente, durante su hospitalización y al egreso. Resultados: La muestra incluyó 92 pacientes con diagnóstico de ICC, con un promedio de edad de 67.8 años (rango: 23-95). 49 (52.26%) fueron varones. 24 (26.09%) fallecieron durante el estudio, 19 de los cuales (79.2%) tuvieron más de 60 años de edad. Los síntomas más frecuentes fueron: disnea al esfuerzo (90.2%), cardiomegalia (82.6%), crepitantes (69.5%), tos nocturna (72.8%) e ingurgitación yugular (63.04%). Los factores de riesgo asociados a mortalidad hospitalaria fueron: hipoxemia, ...

Objective: to determine the factors related to left ventricular hypertrophy (LVH) in adults living high. Methods: An observational, cross-sectional and analytical study was carried out in the Echocardiography Laboratory of the Hospital Regional Docente Clínico (HRDCQ) Daniel Alcides Carrión (HRDCQ) of Huancayo, Peru at 3,259 m.s.n.m. The sample was determined with a formula and the sampling was simple random. The inclusion criteria were: be 18 years of age or older; have an echocardiography study with a diagnosis of LVH. The exclusion criteria were: having valvular disease, congenital heart disease, dilated cardiomyopathy, acute cardiovascular event, and cardiac arrhythmia. The data were collected in a file. For the statistical analysis, the X2 test, student's t test, binary and multivariate logistic regression, odds ratio, 95% confidence interval were applied. P <0.050 was consider...

El objetivo fue determinar la relación que existe entre el error de diagnóstico y la responsabilidad civil médica en el Hospital Regional Docente Clínico Quirúrgico Daniel Alcides Carrión de Huancayo 2015.La hipótesis formulada fue si existe relación entre el error de diagnóstico y la responsabilidad civil médica. La población de estudio estuvo conformada por 132 médicos y la muestra estuvo constituida por 64 médicos. Para la selección de la muestra se empleó el muestreo probabilístico aleatorio simple. Para la recolección de los datos se usó la técnica de la encuesta y el instrumento utilizado fue un cuestionario de 30 items con respuestas politómicas en escala de Likert. Los datos se procesaron con el programa Excel y el SPSS 22. Los resultados se muestran en tablas y gráficos considerándose una escala ordinal de alto, medio y bajo. Se obtuvo un relación negativa...

Objective. to describe the histopathological features of gastric cancer from a tertiary care hospital. Methods. a descriptive, retrospective, cross-sectional study was conducted in 103 patients. The inclusion criteria were: being 18 years of age or older, have upper digestive endoscopy study and pathological study with a diagnosis of adenocarcinoma. Exclusion criteria: not having and examination and/or a gastric biopsy result, having a diagnosis compatible with other types of malignancies. The data were drained in a questionnaire from the epidemiological surveillance registry of the Hospital’s oncology service. Results. the average was 67 years. Gastric cancer presented in 83,5% in over 50 years of age. The most affected age group was between the sixth and eighth decade (54, 6 %), with a similar frequency of presentation in men (50,5 %) and women (49,5 %). The sites of gastric involvem...

The purpose of this article is to review the pathogenesis and management of altitude pulmonary hypertension (APH), which is a disease resulting from chronic exposure to altitude and, at present, it is not defined whether it is a public health problem or a rare disease. The prevalence of APH varies according to geographic, environmental and genetic location. The population living at high altitude is chronically exposed to alveolar hypoxia; this causes vasoconstriction and then pulmonary vascular remodeling. APH is usually asymptomatic; only in advanced stages does it produce symptoms characterized by exertional dyspnea and fatigue. The accurate diagnosis is right heart catheterization with mean arterial pressure values greater than 30 mmHg or systolic pulmonary artery pressure greater than 50 mmHg. The ideal treatment is the descent of the patient to low places. Prognosis is good in most ...

The generation of scientific production (SP) requires a personal and institutional motivational culture. Objective. To determine the factors related to SP made by teachers of a School of Medicine. Methods. The design was descriptive, prospective and transversal. The sample consisted of 65 teachers and it was collected in November 2014. They were surveyed with informed consent. The data was collected in a questionnaire. Results. 65 (100 %) teachers were included, average age 47 + - 8 years (range: 33-62). There were 60 (92.3 %) males. 98.5 %(64) consider that communication of research results is important, and 6.1 % publish in indexed journals. Teachers aged 30-49 years (80 %) performed the highest number of publications compared to those who were 50 years of ageor older (20 %) (OR = 5.0, 95 % CI: 1.4-17.3; p < 0.011). The main motivational factors with SP were: the increase in profess...