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...

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

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

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...

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

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.

Con el objetivo de calificar la formación del programa de residentado médico desde las percepciones de los residentes, se aplicó una encuesta estructurada, basada en la literatura internacional a 228 participantes. Los residentes, en su mayoría, tenían baja supervisión durante las guardias, se encontraban en sobrecarga laboral y no tenían descanso posguardia. En conclusión, la calificación de los residentes acerca de su formación en su mayoría es buena, pero este porcentaje no supera el 50%, los entes formadores podrían utilizar estos resultados para proponer mejoras en los programas de formación de médicos residentes en el Perú.

Primary care in Peru is understood as medical attention given at precarious healthcare establishments where physicians may not always be present. This phenomenon creates an overflow of patients at specialized healthcare centers with diseases that could very well be treated by a general physician. As a consequence of this transition, physicians and other healthcare professionals who do provide primary care may experience low job satisfaction which could, at the same time, have a negative impact on patient satisfaction.

Objective: To determine the feasibility of genetic identification in a group of newborns from a public hospital in Lima, Peru. Material and Method: Descriptive cross-sectional study, carried out by the National Registry of Identification and Civil Status of Peru, on live newborns and their mothers, from the Carlos Lanfranco La Hoz Hospital (Puente Piedra, Lima) during January. 2015. The samples were collected in FTA (Fast Technology for Analysis of nucleic acids) cards that allowed a direct analysis by PCR (Polymerase Chain Reaction) and capillary electrophoresis of 21 STR markers (Short Tandem Repeats), including the amelogenin marker for gender determination. Results: 44 mothers and 45 newborns were included (there was a twin birth). The probability of maternity was higher than 99.9% in all cases. There were no difficulties in the sampling or in transporting the material. The obtained ...

Letter to the Editor (without abstract)

Objective: To determine the factors associated with compliance with tetanus vaccination in Peruvian pregnant women according to ENDES 2021. Materials and methods: Cross-sectional and analytical study. The demographic and family health survey (ENDES) 2021 was analyzed. Women aged of 12 and 49 who were pregnant or had been pregnant in the last year were included. Results: A higher prevalence of the complete tetanus vaccination was found in the age group of 35-49 years (PRa = 1,348 [ 95% I.C.; 1,144 - 1,588]), 20 to 34 years (PRa = 1,337 [ 95% I.C. 1,146 - 1,560] ), originating from Metropolitan Lima (PRa = 1,209 [ 95% CI; 1,078 – 1,356]), the coastal region (PRa = 1,318 [ 95% CI; 1,190 – 1,460]), jungle (PRa = 1,440 [ 95% CI; 1,271 – 1,631]) the wealthiest income quintile (PRa = 1,110 [ 95% CI; 1,014 - 1,216]), having health insurance (RPa = 1,108 [ 95% CI; 1,029 - 1,194]), receiving...

Introduction: Older adults are susceptible to malnutrition and vitamin deficiency. Objective: To determine the association between the low level of vitamin B12 and cognitive deterioration in older adults from the Naval Medical Center, located in Lima-Peru, in the period 2010-2015. Methods: An analytical cross-sectional study was carried out, based on a secondary analysis of the Texas-Cemena UTMB 2010-2015 database of the Center for Research on Aging (CIEN) of the University of San Martín de Porres. To quantify the cognitive impairment variable, the MiniMental Test was used. To analyze the association, the Chi-square test and Poisson regression were performed. Results: 57.6% of the patients were male and the mean age was 78 ± 8.4. 41.2% presented cognitive deterioration and 9.5% of the patients presented vitamin B12 deficiency. The factors independently associated with cognitive ...

Sr. Editor, El adulto mayor es susceptible a varios cambios de composición corporal, como la pérdida de peso magro, la disminución de la altura y la redistribución del tejido graso. La obesidad es una morbilidad que aumenta el riesgo de enfermedades cardiovasculares, metabólicas y trastornos del aparato locomotor (1). En el Perú no hay suficientes estudios que analicen la asociación entre la sarcopenia y la obesidad, por lo que se plantea el siguiente estudio que tiene como objetivo determinar la asociación entre sarcopenia según el cuestionario SARC-F (del inglés Strength, assistance with walking, rising from a chair, climbing stairs, and falls) y el índice de masa corporal (IMC) en adultos mayores.

El Pénfigo Foliáceo Endémico (PFE) es una enfermedad autoinmune de la piel endémica en áreas de la Amazonía. Se revisa el caso de una mujer de 36 años que presentó PFE en la semana 17 de embarazo. A las 29 semanas, comenzó un tratamiento antimicrobiano y esteroides. En el momento del parto la enfermedad en la madre ya había sido controlada con corticoterapia, mostrando inmunofluorescencia indirecta (IFI) para IgG total negativa. De esta manera no habría descarga de anticuerpos hacia la placenta, y la recién nacida también mostró títulos negativos. Durante el seguimiento la niña varió sus títulos de anticuerpos, de negativo a 1/20. Recientemente se demostró que 45% de familiares de pacientes con PFE presentan anticuerpos anti Dsg-1, siendo más frecuente en familiares de primer grado.