<br class="Apple-interchange-newline"><div></div>   2797/5000   Mr. Editor Clinical trials are characterized by having one of the highest levels of scientific evidence1. A properly designed, executed and reported clinical trial constitutes the gold standard in the evaluation of medical interventions. Therefore, timely dissemination is essential to ensure that the clinical decisions made by physicians and patients reflect the best available evidence2. However, the literature reports that in the last decade only half of clinical trials carried out worldwide have been published3. A study conducted in the United States described that less than 30% of clinical trials were published within 2 years of completion in that country4. In the case of Latin America, only 15% of published clinical trials are reported5. In Peru, information regar...

<br class="Apple-interchange-newline"><div></div>   2797/5000   Mr. Editor Clinical trials are characterized by having one of the highest levels of scientific evidence1. A properly designed, executed and reported clinical trial constitutes the gold standard in the evaluation of medical interventions. Therefore, timely dissemination is essential to ensure that the clinical decisions made by physicians and patients reflect the best available evidence2. However, the literature reports that in the last decade only half of clinical trials carried out worldwide have been published3. A study conducted in the United States described that less than 30% of clinical trials were published within 2 years of completion in that country4. In the case of Latin America, only 15% of published clinical trials are reported5. In Peru, information regar...

La Leishmaniasis es una infección parasitaria provocada por protozoarios del orden Kinetoplastida, familia Trypanosomatidae, género Leishmania1 que atacan piel y mucosas generando enfermedades degenerativas que son conocidas comúnmente en Perú como Uta y Espundia, las cuales se corresponden a sus manifestaciones cutáneas y mucocutaneas respectivamente. Esta parasitosis ha mostrada una elevada prevalencia en el país andino, sobretodo, en las regiones de la sierra y la selva; representando un problema de Salud Pública. Por esta razón, se debe contar con un sistema de tratamiento y prevención que se ajuste a la problemática cambiante de esta dolencia.   DOI: https://doi.org/10.25176/RFMH.v17.n2.919

La Leishmaniasis es una infección parasitaria provocada por protozoarios del orden Kinetoplastida, familia Trypanosomatidae, género Leishmania1 que atacan piel y mucosas generando enfermedades degenerativas que son conocidas comúnmente en Perú como Uta y Espundia, las cuales se corresponden a sus manifestaciones cutáneas y mucocutaneas respectivamente. Esta parasitosis ha mostrada una elevada prevalencia en el país andino, sobretodo, en las regiones de la sierra y la selva; representando un problema de Salud Pública. Por esta razón, se debe contar con un sistema de tratamiento y prevención que se ajuste a la problemática cambiante de esta dolencia.   DOI: https://doi.org/10.25176/RFMH.v17.n2.919

Background: Research suggested that waiting time and consultation time are associated with overall patient satisfaction concerning health services. However, there is a lack of information regarding this subject in Latin American countries, where particular aspects of health systems and population characteristics could modify this association. Our aim was to evaluate the association of waiting time and consultation time with patient satisfaction, in Peruvian ambulatory care facilities and propose a cut-off points of waiting and consultation time based on patient satisfaction. Methods: Cross-sectional secondary data analysis of the National Survey on User Satisfaction of Health Services (ENSUSALUD-2015), a national-wide survey with a probabilistic sample of 181 Peruvian ambulatory care facilities. Patient satisfaction, waiting time, consultation time, and sociodemographic variables were co...

Background: Research suggested that waiting time and consultation time are associated with overall patient satisfaction concerning health services. However, there is a lack of information regarding this subject in Latin American countries, where particular aspects of health systems and population characteristics could modify this association. Our aim was to evaluate the association of waiting time and consultation time with patient satisfaction, in Peruvian ambulatory care facilities and propose a cut-off points of waiting and consultation time based on patient satisfaction. Methods: Cross-sectional secondary data analysis of the National Survey on User Satisfaction of Health Services (ENSUSALUD-2015), a national-wide survey with a probabilistic sample of 181 Peruvian ambulatory care facilities. Patient satisfaction, waiting time, consultation time, and sociodemographic variables were co...

Objective: to describe the reasons that influence the choice of medical specialty in general physicians in Peru, and to calculate the applicants and vacancies in the national medical residency exam in 2018. Materials and methods: descriptive cross-sectional study in general physicians who attended an event that aimed to inform about medical specialties, carried out by the Peruvian Medical College. During this event, a self-applied questionnaire was distributed to collect the variables of interest. The statistical analyzes were performed with the Stata v.14 program. Results: surveys of 298 participants wereanalyzed, of which 54.4% were women, 46.3% had less than 28 years old, 59.8% studied their undergraduate studies in Lima, and 52.3% completed their career between 2014-2016. 49.7%, 46.6%, and 3.7% preferred choosing a surgical specialty, clinic, and some other, respectively. The reasons...

Background: Noonan syndrome is a genetic disorder mostly related to PTPN11 gene mutation. Report Case: Newborn male of 34 weeks of gestational age with obstetric ultrasounds showing cystic hygroma, bilateral renal hydronephrosis, and polyhydramnios. At born, he presented nuchal edema, wide nose, low-set ears, and right cryptorchidism. Additionally, he presented atrial septum defect, absence of inferior vena cava, mild pulmonary hypertension, persistent ductus arteriosus, and respiratory distress. The result of the 14-gene panel analysis showed a MAP2K1 gene mutation and a variation of uncertain significance in the CBL gene, confirming the diagnosis of PTPN11-negative Noonan syndrome. During the follow-up, he was additionally diagnosed with blepharoptosis of left eye and gastroesophageal reflux disease. Conclusion: This report highlights the wide variety of phenotypical characteristics in...

ABSTRACT Introduction: Male chauvinism is rooted in certain populations, but it has not been measured among those who will be responsible for healthcare. Objective: To determine the factors associated with male chauvinism among the medical students of 12 Peruvian universities. Methods: Cross-sectional multicentre analytical study, with previously collected data, which used validated tests to measure male chauvinism and strong religious beliefs. In addition, other social and educational factors were analysed and the data was crossed. Descriptive and analytical statistics were obtained. Results: In the multivariate analysis, we found an association between male chauvinism and religious non-believers (RP=1.88; 95% CI, 1.47-2.40), as well as being female (RP=0.35; 95% CI, 0.27-0.46). Of the 12 universities evaluated, the least chauvinistic university was in Lima. Using this university as a c...

Objective: to describe the reasons that influence the choice of medical specialty in general physicians in Peru, and to calculate the applicants and vacancies in the national medical residency exam in 2018. Materials and methods: descriptive cross-sectional study in general physicians who attended an event that aimed to inform about medical specialties, carried out by the Peruvian Medical College. During this event, a self-applied questionnaire was distributed to collect the variables of interest. The statistical analyzes were performed with the Stata v.14 program. Results: surveys of 298 participants wereanalyzed, of which 54.4% were women, 46.3% had less than 28 years old, 59.8% studied their undergraduate studies in Lima, and 52.3% completed their career between 2014-2016. 49.7%, 46.6%, and 3.7% preferred choosing a surgical specialty, clinic, and some other, respectively. The reasons...

Aim: This study analyzes the quantitative and qualitative evolution of the Peruvian Clinical Trial Registry during the last 22 years. Methods: Following a cross-sectional design, we reviewed all clinical trials registered at the Peruvian Clinical Trial Registry during 1995-2017. We downloaded and extracted all registries on 31 March 2018. We summarized qualitative variables and quantitative variables. Also, we performed trends analysis of the records by year, clinical phase, institutional review board, and children's participation. Results: The Peruvian Clinical Trial Registry recorded 1748 clinical trials during 1995-2017. Considering World Health Organization 20-standard descriptors as the standard, the registry suitably recorded four of them in 1995 and 19 since 2013. There was a meaningful change in the trend of the registries, showing a significant upward registry trend until 2008 a...

Aim: This study analyzes the quantitative and qualitative evolution of the Peruvian Clinical Trial Registry during the last 22 years. Methods: Following a cross-sectional design, we reviewed all clinical trials registered at the Peruvian Clinical Trial Registry during 1995-2017. We downloaded and extracted all registries on 31 March 2018. We summarized qualitative variables and quantitative variables. Also, we performed trends analysis of the records by year, clinical phase, institutional review board, and children's participation. Results: The Peruvian Clinical Trial Registry recorded 1748 clinical trials during 1995-2017. Considering World Health Organization 20-standard descriptors as the standard, the registry suitably recorded four of them in 1995 and 19 since 2013. There was a meaningful change in the trend of the registries, showing a significant upward registry trend until 2008 a...

Introducción: Las mujeres en edad reproductiva podrían considerarse como una población vulnerable a contraer la infección por VIH. La relación entre conocimiento y prácticas no está descrita en un contexto donde los conocimientos, actitudes y prácticas sobre el VIH son inadecuados. Objetivo: Determinar la asociación entre conocimientos y prácticas sobre la infección por VIH en mujeres peruanas en edad reproductiva. Material y Métodos: Análisis de Encuesta Demográfica y de Salud Familiar 2019, cuya muestra fue probabilística, estratificada y bietápica. El análisis consideró a mujeres en edad reproductiva sexualmente activas. Se definió “conocimientos adecuados” a los puntajes superiores al tercil superior de las observaciones al responder 18 preguntas y se determinó la asociación con cada una de las cinco prácticas. Se utilizó estadística descriptiva e inferenc...

Resistencia bacteriana y factores asociados en pacientes con pie diabético infectado sin desenlace de amputación mayor en un hospital nacional peruano

Resistencia bacteriana y factores asociados en pacientes con pie diabético infectado sin desenlace de amputación mayor en un hospital nacional peruano

Functional dyspepsia impacts on quality of life. Due to its multifactorial etiology its characterization proves difficult, especially in populations at risk such as medical students. Objetives. To determine if behavioral and harmful habits of medical students from eight universities of Peru were associated to functional dyspepsia. Methods. Multicentric, cross-sectional study. A self-administered questionnaire was taken among students enrolled in eight medical faculties in Peru. Functional dyspepsia was measured using a validated test; diet characteristics, alcohol, tobacco, coffee or energy drinks consumption were considered behavioral habits. Furthermore, others from the social and educational sphere were measured. Bivariate and multivariate statistical analyses were made. Results. From a total of 1.923 students, the median of the ages was 20, 55% were women and 24% suffered from functi...

Background Research is an important undergraduate competence for physicians. However, few studies have assessed the scientific production of medical students in Latin-America. Thus, this study had the objective to assess the rate and characteristics of research publications by undergraduate medical students in 2016, in Lima, Peru. Methods This cross-sectional study included all the students of the eight medical schools in Lima (Peru). The medical students included were collected from the registry of the National Medical Examination (taken during their last year of undergraduate studies) in 2016. To evaluate their research publications, systematic searches were performed in Google Scholar and PubMed during August 2018. Results We studied data from 1241 medical students (54.2% females) from eight medical schools. 173 (13.9%) students published at least one paper, 102 (8.2%) published at le...

Antecedentes: Anteriormente informamos un aumento de los niveles sanguíneos no estimulados de interferón-gamma en personas con infección tuberculosa latente (LTBI) en los Estados Unidos, lo que sugiere una mayor activación inmunitaria en la LTBI. Para investigar esto más a fondo en un entorno endémico de TB, evaluamos los niveles de interferón-gamma en personas con y sin LTBI en Perú. Métodos: Analizamos datos de pacientes con y sin un infarto agudo de miocardio (IAM) tipo 1 reciente (espontáneo) que fueron inscritos en dos redes de hospitales públicos en Lima, Perú, y se sometieron a pruebas de ITBL utilizando el tubo QuantiFERON® TB Gold In-tube ( QFT) ensayo. Los participantes con una prueba QFT positiva se definieron como pacientes con LTBI, mientras que los participantes con una prueba QFT negativa se definieron como no LTBI. El interferón-gamma no estimulado se cuanti...

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