La evaluación del neurodesarrollo es una actividad básica en los servicios de atención del niño. Las pruebas que evalúan el neurodesarrollo infantil se dividen en dos grupos, las de detección o tamizaje y las de diagnóstico o evaluación. Las de detección fueron diseñadas para identificar a los niños en riesgo, utilizándose en una primera etapa para recomendar una futura evaluación. Posteriormente se utilizan las pruebas de diagnóstico que son aplicadas con mayor detalle por especialistas en el área. Una vez identificado el niño en riesgo de retraso es necesario que sea incluido oportunamente en un programa de intervención, principalmente antes de los 3 años. La prevención de un posible retraso y la recuperación de los niños en riesgo contribuirán a la reducción de la pobreza y la inequidad, ya que los niños podrán adquirir capacidades y destrezas que le aseguren ...

Background: Previous studies have shown oxidative stress in pemphigus vulgaris and pemphigus foliaceus, nevertheless, it remains unknown whether a similar response is characteristic of endemic pemphigus foliaceus in Peru. Objectives: To determine the oxidative stress response in endemic pemphigus foliaceus patients and subjects with positive for anti-desmoglein1 antibodies (anti-dsg1) from endemic areas of Peru. Subjects and Methods: This is a cross-sectional study. The study population included 21 patients with Endemic Pemphigus foliaceus and 12 healthy subjects with anti-dsg1 antibodies from the Peruvian Amazon (Ucayali), as well as 30 healthy control subjects. Malondialdehyde, an indicator of lipid peroxidation by free radicals, was measured in serum. Results: We collected 21 cases of endemic pemphigus foliaceus, 15 of them with active chronic disease and 6 in clinical remission. Seru...

La evaluación del neurodesarrollo es una actividad básica en los servicios de atención del niño. Las pruebas que evalúan el neurodesarrollo infantil se dividen en dos grupos, las de detección o tamizaje y las de diagnóstico o evaluación. Las de detección fueron diseñadas para identificar a los niños en riesgo, utilizándose en una primera etapa para recomendar una futura evaluación. Posteriormente se utilizan las pruebas de diagnóstico que son aplicadas con mayor detalle por especialistas en el área. Una vez identificado el niño en riesgo de retraso es necesario que sea incluido oportunamente en un programa de intervención, principalmente antes de los 3 años. La prevención de un posible retraso y la recuperación de los niños en riesgo contribuirán a la reducción de la pobreza y la inequidad, ya que los niños podrán adquirir capacidades y destrezas que le aseguren ...

ABSTRACT Introduction: Young women are at an increased risk of anemia, because they need a greater iron intake for their body growth and because of losses of this mineral due to menstruation. Also during adolescence, eating disorders can occur that would lead to not ingesting an adequate supply of iron for its development. Objective: To determine the frequency of food intake and anemia in high school adolescent girls from a Public National School of Lima. Methods: Cross-sectional analytical study. Hemoglobin was measured by a portable hemoglobinometer. Nutritional status was assessed using the body mass index, according to WHO tables. The diet and frequency of food intake were assessed using multiple choice surveys. Results: A total of 125 adolescents were included in this study. The frequency of anemia was 16 %. In the nutritional state, 81.6 % presented healthy weight, 13.6 % overweigh...

ABSTRACT Objective: To determine prevalence and associated factors of Burnout Syndrome in medicine interns. Methods: Analytical cross-sectional study. Maslach Burnout Inventory and a Sociodemographic Variables and Associated Factors questionnaire, were applied. The study was carried out at Hospital Militar Central "Coronel Luis Arias Schreiber", October 2016. Results: The prevalence of Burnout Syndrome was established at 5.2 % (n= 5). 27.1 % (26), 13.4 % (13) and 20.8 % (20), had high levels of emotional exhaustion and depersonalization and low levels of personal accomplishment, respectively. A statistically significant association was established between the living alone variable and emotional exhaustion (p= 0,046) and with depersonalization (p= 0.018). We found an association between working more than 50 hours per week and Burnout Syndrome (p= 0,038). Conclusion: The prevalence of Burn...

The objective of this research work is to determine the frequency of risk factors for developing anorexia and bulimia in students in the 3rd and 4th years of secondary school in an educational institution in San Juan de Lurigancho, Lima. For this purpose, a cross-sectional study was carried out. Then, a validated instrument called “risk factors for Anorexia and Bulimia (FRAB)” was applied to the students, during the month of October 2017. A total of 100 students were included in the study, of which 67% were women. 21% of the students had a higher risk of presenting anorexia and bulimia compared to the other students on campus. The main risk factors were behaviors influenced by family and peers (25%), irrational attitudes (22%) and self-esteem (22%). In conclusion, the risk frequency for presenting anorexia and bulimia in general was 21%, the main risk factors identified were behavior...

The objective of this research work is to determine the frequency of risk factors for developing anorexia and bulimia in students in the 3rd and 4th years of secondary school in an educational institution in San Juan de Lurigancho, Lima. For this purpose, a cross-sectional study was carried out. Then, a validated instrument called “risk factors for Anorexia and Bulimia (FRAB)” was applied to the students, during the month of October 2017. A total of 100 students were included in the study, of which 67% were women. 21% of the students had a higher risk of presenting anorexia and bulimia compared to the other students on campus. The main risk factors were behaviors influenced by family and peers (25%), irrational attitudes (22%) and self-esteem (22%). In conclusion, the risk frequency for presenting anorexia and bulimia in general was 21%, the main risk factors identified were behavior...

¿Son efectivos los repelentes contra mosquitos para prevenir enfermedades transmitidas por vectores?

¿Son efectivos los repelentes contra mosquitos para prevenir enfermedades transmitidas por vectores?

Objective: To describe the Physician-patient relationship and to determine the factors associated with a good perception of it by the patients that attend ambulatory care in the Carlos Lanfranco La Hoz Hospital (CLLHH) of the Health Ministry (MINSA), during May 2014. Material and Methods: Transversal-comparative study performed with patients that attend ambulatory care of medical specialties. In this study, a structured semi closed questionnaire called PREMEPA was used and statistical calculations were made with 95% confidence level. Results: A total of 179 patients completed the questionnaire. Of those, 64.8% (116) were women, the average age was 42,1 ± 11,9 years old. 23% (41) of the patients perceived a good physician-patient relationship, 52% (93) regular and 25% (45) a bad relationship. The variables finally associated with a good physician -patient relationship were having between...

OBJECTIVES: To determine the clinical and epidemiological characteristics in older adults with hip fracture in a hospital in Lima, Peru. METHOD: Case series type study carried out in the trauma department of the PNP Central Hospital “Luis N. Saenz” during the period 2015-2018. Medical records of patients diagnosed with hip fracture were reviewed. RESULTS: A total of medical records were included. A predominance was found in the female sex (54.3%) and in patients over 80 years old (45%). Most of these events occurred at home (81.4%). Intertrochanteric fractures were the most frequent (60%), especially on the right side (51.4%), osteosynthesis was the most used therapeutic option (62.1%). Pain (92%) and functional impotence (91.4%) were the characteristic clinical presentation of hip fractures, and arterial hypertension was the most common associated pathology (52.2%). CONCLUSIONS: Hip...

OBJECTIVES: To determine the clinical and epidemiological characteristics in older adults with hip fracture in a hospital in Lima, Peru. METHOD: Case series type study carried out in the trauma department of the PNP Central Hospital “Luis N. Saenz” during the period 2015-2018. Medical records of patients diagnosed with hip fracture were reviewed. RESULTS: A total of medical records were included. A predominance was found in the female sex (54.3%) and in patients over 80 years old (45%). Most of these events occurred at home (81.4%). Intertrochanteric fractures were the most frequent (60%), especially on the right side (51.4%), osteosynthesis was the most used therapeutic option (62.1%). Pain (92%) and functional impotence (91.4%) were the characteristic clinical presentation of hip fractures, and arterial hypertension was the most common associated pathology (52.2%). CONCLUSIONS: Hip...

The COVID-19 pandemic has put the world’s governments in an unprecedented situation in which it is necessary to make quick decisions regarding the best strategies to reduce transmission. As part of these strategies, disinfection booths in the community are being implemented in many parts of the world. This document seeks to evaluate the effectiveness and safety of the disinfection booth for people to use in the community through an exhaustive search in the main bibliographic databases as well as in the main relevant institutions worldwide. After conducting the search, we found three technical documents in which the use of these technologies is not recommended because there is insufficient evidence and because they are of potential risk for people due to mucosal conditions. Another WHO recommendation document, although it does not specifically mention&...

ABSTRACT OBJECTIVES: To determine knowledge and attitudes about Zika in pregnant women from southern Lima. METHOD: Cross-sectional analytical study. Pregnant women were included who attended the Maternal and Child Health center in Villa María del Triunfo during October 2017. RESULTS: 97 pregnant women participated, the average age was 28.23 ± 7.9. The largest age group was 16-28 years (54.6%). When categorizing the level of knowledge, we appreciate that most had good knowledge about the disease (78.4%) and all had positive attitudes. Pregnant women with a higher educational level had a better knowledge of the disease (p <0.001). CONCLUSIONS: The knowledge and attitudes of the pregnant women about Zika were generally good.

Se reporta el caso de un paciente peruano con diagnóstico de hidatidosis y vesical y retrovesical diagnosticado  por Tomografía Axial Computarizada  (TAC), confirmándose Equinococcus granulosus por Inmunoblot. Fue intervenido quirúrgicamente para una quistectomía laparoscópica múltiple, en la que se encuentran además quistes en lóbulo hepático izquierdo, mesenterio y pared peritoneal. Recibió tratamiento médico pre y post operatorio con albendazol y continuó con controles a través de consultorio externo.

Utilidad de las pruebas de detección de antígeno urinario para un diagnóstico rápido de legionelosis

Se reporta el caso de un paciente peruano con diagnóstico de hidatidosis y vesical y retrovesical diagnosticado  por Tomografía Axial Computarizada  (TAC), confirmándose Equinococcus granulosus por Inmunoblot. Fue intervenido quirúrgicamente para una quistectomía laparoscópica múltiple, en la que se encuentran además quistes en lóbulo hepático izquierdo, mesenterio y pared peritoneal. Recibió tratamiento médico pre y post operatorio con albendazol y continuó con controles a través de consultorio externo.

Utilidad de las pruebas de detección de antígeno urinario para un diagnóstico rápido de legionelosis

The aim was to describe the prevalence, clinical manifestations, and associated factors of long-COVID. Bibliographic research of systematic reviews and meta-analyses was carried out in MEDLINE (through PubMed) until April 7th, 2022. 37 articles were found and 3 were included. Evidence quality was assessed via AMSTAR 2 criteria. Long-COVID prevalence is 43% (IC95%: 39% – 46%). Main clinical manifestations were weakness (41% [IC95%: 25% – 59%]), malaise (33% [IC95%: 15% – 57%]), fatigue (31% [IC95%: 24% – 39%]), concentration impairment (26% [IC95%: 21% – 32%]), and breathlessness (25% [IC95%: 18% – 34%]). Factors associated with long COVID were female sex, initial disease severity, age, and presence of comorbidities.

Se aprecia un elevado riesgo de DM, sobrepeso y obesidad en la población estudiada, siendo muy similar a la reportada en otros estudios, sin embargo, es superior en comparación a la población general. Si bien no se hizo una asociación de causa, se puede inferir que una alta carga laboral, sedentarismo y limitadas opciones durante la alimentación convierten a este grupo poblacional en un grupo ocupacional de riesgo.