Mostrando 1 - 20 Resultados de 24 Para Buscar 'Guevara-Tirado, Alberto', tiempo de consulta: 0.09s Limitar resultados
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Objective: To evaluate the degree of correlation between high-density, low-density, and very low-density lipoproteins and total cholesterol in patients with normal and high cholesterolemia.Methodology: Observational, analytical and cross-sectional study carried out from January to September 2022 with 207 patients over 18 years of age divided into a group with normal cholesterol and another with hypercholesterolemia. The Spearman correlation test was performed.Results: In normocholesterolemic subjects there was a low and negative correlation between high-density lipoproteins and low-density lipoproteins (-0.263) as well as between high-density lipoproteins and very low-density lipoproteins (-0.220). In hypercholesterolemic patients there was a low and positive correlation between high-density lipoproteins and total cholesterol (0.344). In both groups there was a high correlation betwee...
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Introducción: La infección por Helicobacter pylori tiene una alta prevalencia en el Perú y en el mundo y está altamente asociada a ulcera gastrointestinal y cáncer gástrico. El objetivo fue determinar la prevalencia de Helicobacter pylori en una población urbana de Lima-Perú. Material y métodos: Estudio descriptivo, prospectivo, transversal realizado en una población de ambos sexos y de todas las edades que acude tanto a consulta médica de rutina como campañas por primera vez por sintomatología gastrointestinal a un centro médico del distrito de Villa el Salvador durante el año 2021. Se revisaron los resultados de laboratorio obtenidos luego de la consulta médica, el método utilizado fue la detección de anticuerpos IgG, IgM e IgA en sangre. Para el análisis de datos se utilizó estadística descriptiva. Resultados: La población estudiada se caracterizó por ser priori...
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Objective: To determine the sociodemographic risk factors associated with suicidal risk in the Peruvian population. Methods: An analytical and cross-sectional study was performed based on data from 24,000 violent deaths registered at the national death system (SINADEF) in 2021. Variables tested were suicidal death, other violent causes of death, sex, age group, geographic location, degree of education, and civil state. Chi-square and Cramer’s V tests were used to evaluate associations and crude and adjusted odd ratios through binary logistic regression; a p-value <0.05 and 95% confidence intervals were calculated. Results: Most of the people who died of suicide were ≤39 years old, lived on the coast, had no university degree, and had a couple at the time of death. Multivariate analysis in men identified living on the coast (OR=1.307; IC95%=1.185-1.441) and university degree (OR=1....
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This study aimed to evaluate the association between Internet use with geographical area and mother tongue in the Peruvian population. A descriptive, observational and cross-sectional study was carried out. The information was obtained from the National Household Survey belonging to the National Statistics and Informatics Institute, which included 15,360 people from different regions of the country. The association analysis was carried out using the Chi square test, the intensity of association was carried out with the Phi and Cramer's V correlation tests considering an alpha value of less than 0.05. Data processing and analysis was carried out with the SPSS 25 program. It was found that the Sierra and Selva regions had less Internet use than the Coast and Metropolitan Lima regions (p=0.000). Likewise, the use of native mother tongues was associated with less Internet use than in people ...
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The objective was to determine if the type of mother tongue practiced in the Peruvian population is associated with educational level, literacy level, age, sex, and geographic domain. A descriptive, retrospective, cross-sectional study from the national household survey-2022 was carried out. The sampling was probabilistic, of areas, stratified. The Chi-square test was performed. The variables were: mother tongue, age, educational level, geographic domain, sex, and literacy. 4.2% and 0.5% of native language speakers reached university and postgraduate level, respectively, in contrast to Spanish speakers with 12.4% and 1.3% respectively. 65.2% of native language practitioners belong to the Sierra, 48.7% of native language speakers do not know how to read or write, adolescents are the age group that speaks the most Spanish while intermediate and older adults speak mainly native languages. A...
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Objective: To evaluate the association between having received iron during pregnancy and the size of the child at birth in the Peruvian population. Materials and methods: Descriptive, retrospective and cross-sectional study based on information obtained from the database of the National Institute of Statistics and Informatics (INEI), referring to the demographic and family health survey (ENDES) of the year 2021, which included a two-stage sample, probabilistic, stratified and independent, designed to be nationally representative. The variables considered were whether or not the patient received any iron supplement during pregnancy and the size of the child at birth. For the association analysis, the Pearson Chi-square test was performed using the SPSS statistics 25 software. Results: 51.10% of pregnant women who took iron supplements had children with normal weight, 46.50% of pregnant wo...
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Helicobacter pylori infection has a high prevalence in Peru and in the world and is highly associated with gastrointestinal ulcer and gastric cancer. The objective of this research is to determine the prevalence of Helicobacter Pylori in an urban population that attends a medical consultation for the first time due to gastrointestinal symptoms. Descriptive, prospective, cross-sectional study carried out in a population of both sexes and all ages in the district of Villa el Salvador. A 74.3% prevalence of H. Pylori is considered, with a higher prevalence in the intermediate adult and older adult age groups (75%). Likewise, there was a greater attendance to medical consultation on the part of the female sex (n = 208). It is concluded that there is a high prevalence of Helicobacter Pylori infection in patients with gastrointestinal symptoms.
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The most efficient glycemic control evaluation measure currently in diabetic patients is the determination of glycated hemoglobin (Hba1c) (desirable level <7 In Peru, diabetes is one of the most important public health problems due to the high burden The objective is to determine the levels of glycemic control in diabetic patients treated in a private medical center in an urban area of ​​Lima, Peru during the year 2020. with ages equal to or greater than 39 years with diagnosis and treatment of diabetes mellitus for 1 year or more Among the results we have that glycated hemoglobin in the studied population is 7.78% metabolic in these patients and it is necessary to rethink health measures at all levels of care.
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Objective. To determine if there is a correlation between basal glucose levels and cholesterol and triglyceride levels in asymptomatic patients or with non-specific complaints who attend a consultation for routine evaluations. Materials and methods. Correlational analytical cross-sectional study. The variables were cholesterol, triglyceride and glucose levels. Information was collected from 637 patients over 18 years of age in a polyclinic in the district of Villa el Salvador from January to July of the year 2021, in the statistical analysis the SPSS 21 program was used, for the correlation study the Spearman coefficient was used with a significance level of 0.01. Results. Only 50.60% and 50.90% of patients had normal cholesterol and triglyceride levels, respectively. 15.90% of patients have pre-diabetes and 15.10% have diabetes mellitus. Likewise, a low and positive association was foun...
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Objective. To evaluate the frequency of the ICD-10 diagnosis called "problems related to inadequate social skills" in children according to age and sex in a physical therapy and rehabilitation polyclinic in the district of Villa el Salvador in Lima, Peru. Materials and methods. Observational, descriptive, retrospective and cross-sectional study based on the compilation of data concerning the diagnosis CIE-10 code Z73.4 “problems related to inadequate social skills” of 188 patients of both sexes in a parochial polyclinic of physical therapy and rehabilitation located in the district of Villa el Salvador during the months of January 2021 to July 2022. The study variables were: sex, age and diagnosis Z73.4. I have a validated collection form. The sample was the total of the objective population which was 218 patients, patients with a history of neurodevelopmental disorders such as autis...
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Objective. To evaluate the association between having received iron during pregnancy and the size of the child at birth in the Peruvian population. Materials and methods. Descriptive, retrospective and cross-sectional study based on information obtained from the database of the National Institute of Statistics and Informatics (INEI), referring to the demographic and family health survey (ENDES) of the year 2021, which included a two-stage sample, probabilistic, stratified and independent, designed to be nationally representative. The variables considered were whether or not the patient received any iron supplement during pregnancy and the size of the child at birth. For the association analysis, the Pearson Chi-square test was performed using the SPSS statistics 25 software. Results. 51.10% of pregnant women who took iron supplements had children with normal weight, 46.50% of pregnant wo...
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artículo
La medición de los niveles de hemoglobina glicada (HbA1c) es el método de laboratorio más utilizado en el seguimiento y monitorización de la glucemia media estimada de los últimos 3 a 4 meses. El objetivo de la investigación es determinar el nivel de correlación entre hemoglobina glicosilada y glucemia basal en pacientes diabéticos en un centro médico de Lima, Perú. Estudio descriptivo correlacional de corte transversal de una población de 172 pacientes con edad igual o mayor de 39 años diagnosticados y en tratamiento por diabetes mellitus (DM), se encontró que existe una correlación moderada y positiva de 0,50. Se concluye que los niveles de hemoglobina glicada están moderamente relacionados con los niveles de glucosa basal por lo que se recomienda valorar ambos exámenes de laboratorio por separado y en el contexto individualizado de cada paciente.
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tesis de maestría
Objetivo: Determinar los niveles de depresión en pacientes tratados por patología musculoesquelética crónica en un centro médico de rehabilitación en el año 2016.Metodología: Estudio no experimental, prospectivo, cuantitativo y de corte transversal. El grupo fue conformado por 366 pacientes tratados en un centro médico de terapia física y rehabilitación por patología musculoesquelética crónica. El instrumento utilizado fue el inventario de depresión de Aaron Beck, el cual mide los niveles de depresión en normal, leve, moderada y severa. Resultados: El 69% de los pacientes con patología musculoesquelética presentan niveles de depresión moderada. Los adultos entre 30 y 64 años presentan depresión moderada en mayor cantidad (66,2%), 54,8% de pacientes con nivel de estudio técnico presentaron niveles de depresión moderada, asimismo el 33,7% y 27,8% de pacientes con est...
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Objective: To establish the cut-off point of the abdominal perimeter for overweight and obesity adjusted to the body mass index in adults of the Peruvian population. Material and methods: Observational, analytical, retrospective and cross-sectional study based on data from the national demographic and family health survey (ENDES). There was no sample calculation because the entire population was analyzed. The variables were: sex, abdominal perimeter and body mass index (BMI). Results: With an area under the curve of 0.954 in women and 0.952 for men, an abdominal perimeter of 86 centimeters was established as the cut-off point for overweight in women, with a sensitivity (S) of 90%, and a specificity (E) 89% and for obesity an abdominal perimeter of 95 centimeters (S=89%, E=85%). In men, an abdominal perimeter of 89 centimeters (S=87%, E=87%) was established as a cut-off point to determine...
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Objective: To develop a simplified anthropometric equation of total body water based on abdominal circumference and age based on Watson's formula. Material and methods: Analytical and cross-sectional study, based on data from the 2022 national demographic health survey (population=32,066). The variables were: total body water, age, sex, abdominal perimeter. Neural networks (multilayer perceptron), multiple linear regression, and Spearman correlation were used to compare the results with the 2021 survey population (population=31,966). Results: The multilayer perceptron had a relative error of 0.17 and 0.12 in women and men, respectively. The regression equation in women was: 8.083 + (0.308*abdominal circumference) + (-0.084*age). In men: 12.132 + (0.338*abdominal circumference) + (-0.166*age). The correlation of both equations was compared with a control group (ENDES-2021), finding very s...
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Introduction: the presence or absence of ST elevation determines the prognostic and therapeutic approach to acute coronary syndrome. Objective: to predict, using neural networks, the presence or absence of ST-elevation according to symptoms and signs of acute coronary syndrome. Material and methods: analytical and cross-sectional study based on a database of 106 patients admitted for acute coronary syndrome in a Peruvian hospital. A series of symptoms and signs were analyzed prior to performing the electrocardiogram. Multilayer perceptron-type neural networks were used, from which the classification table of correct forecasts, the predictive capacity of the model, as well as the normalized importance of the predictor variables were evaluated. Results: The neural network had overall percentages of correct predictions in training and testing of 93.40% and 93.30%, respectively. The area und...
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There is a perception that women visit the general practitioner's office more frequently than men. This study aims to determine the differences between men and women regarding the frequency of healthcare visits to the general medicine service in private medical centers. The sample consisting of 1,144 adults over 18 years of age from the district of Villa El Salvador was collected from July 2020 to July 2021. It was found that 777 (67.9 %) women and 467 (32.1 %) men attended an appointment. Therefore, it is concluded that women visit the general practitioner's office more frequently than men. It is necessary to assess what factors affect this difference and whether there is any epidemiological and public health impact.
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Objective: To describe the socioeconomic characteristics of, the most frequent pathologies and symptoms of, and the subjective pain assessment by patients treated at a physical therapy and rehabilitation center located in the district of Villa El Salvador, Lima, Peru.Materials and methods: A descriptive, prospective and cross-sectional study conducted in 366 patients over 18 years of age, of both sexes, who attended their first physical therapy. Results: The patients reported moderate pain intensity in the pre-physical therapy and rehabilitation sessions assessment. Low back pain was the most frequent pathology, followed by neck pain and painful shoulder. Regarding the education level, most patients had secondary and technical education. Moreover, a statistical association was found between pain intensity and sex (p = 0.049), as well as between pain intensity and profession/occupation (p...
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Objective: To assess the degree of hemoglobin correlation as a possible predictor of hematocrit and red blood cell count according to age and sex in a population of the district of Villa El Salvador, Lima, Peru. Materials and methods: An observational, analytical, correlational and prospective study carried out with 550 menand 700 women of all ages who attended monthly preventive-promotional health campaigns, as well as routine medicalconsultations, from January 2021 to June 2022. Collected data consisted of hematocrit, red blood cells and hemoglobincounts. The Spearman’s correlation coefficient was used. Results: There was a higher prevalence of anemia in the group of women older than 11 years (35.10 %), while hemoglobin levels in most children younger than 11 years were mainly normal. High and positive correlations between hemoglobin and hematocrit close to one were found in all age ...