Objective: To determine the working characteristics of young physicians graduated from San Fernando School of Medicine. Design: Observational, transversal study. Setting: San Fernando School of Medicine, Universidad Nacional Mayor de San Marcos. Participants: Physicians graduated from the School of Medicine. Interventions: Information about sociodemographics, work performance, professional degree, satisfaction level and extracurricular performance during pregrade was collected directly, by phone interview or by e-mail questionnaire from 232 randomly selected physicians graduated between 1994 and 2003. We also obtained pregrade final scores. Main outcome measures: Working rate, labor type, work performance, especialization. Results: From all subjects 72,4% were men, 73,2% lived in Lima, 19,3% lived outside of Lima and 7,5% abroad; 97% had remunerated work, 51,4% had two or more jobs; 71% ...

It is estimated that worldwide 150 million pregnancies occur each year, causing a risk of death to the differing substantially amdre living standards of each population. Thus, in Africa, a woman dies every 24 pregnancies in Latin America and one for every 90 in developed countries one per 1750 pregnancies. It is impossible to know the exact number of abortions, especially the huge underreporting of the more obvious induced abortions in countries that criminalize this procedure; but QE is calculated annually about 60 million induce abortions is worldwide; of these, 3.5 million occur in Latin America

In 14 pregnant inducing uterine evacuation it was conducted using Prostaglandin F2-alpha, administered by trans-abdominal puncture under ultrasound guidance in amniotic cavity. 73 cases had ultrasound diagnosis of fetal death, 1 patient had multiple malformations (acranea, etc.) and 9 were severe hypertensive disease. 42.1% were primiparous and 78.5% nulliparous. All had closed cervix. Gestational age ranged between 20 and 39 weeks and uterine height between 04 and 26 cm. The average dose of PGF-2 alpha used was 7.5 mg. (5 to 10 mg.); not greater volume of amniotic fluid was extracted. Uterine evacuation occurred in 100% of cases, between 2-73 hours after (average 6.2 hours). In 2 cases after curettage evacuation it was made. There was one case of nausea, vomiting, and hypotension. We conclude that the use of intra-amniotic PGF2-Alpha gives excellent results in uterine evacuation.

Labor induction was performed on 40 women using prostaglandin F2-Allfa in isotonic sodium chloride solution in infusion; was monitored at all with external monitoring and in half, infusion pump was used. The indications for induction were: premature rupture of membranes hypertensive disease of pregnancy (20%) and prolonged pregnancy (10%). The average age of patients was 29.7 years, 60% were primigestos, 80% were between 36 and 40 weeks and the remainder over 40 weeks. Bishop all had greater than 4. The length of dilation, in primiqestas, was 6.4 hours on average 4.3 variations {7.1 hours); in multiparous was 5.3 hours (range 3.7 to 6.8 hours). The doses used ranged from 3 to 15 ug / 1 '(6.9 ug / 1' average). There were no complications in uterine activity or fetal heartbeats. A case of mild nausea and vomiting was observed. The delivery was eutocic in 92% of cases, there was one cesarea...

OBJECTIVE. To determine the presence of vascular flow in the implantation area (‘comet sign’) by ultrasound before the observation of the gestational sac. MATERIALS AND METHODS. Observational study done in 8 patientswith altered reproductive history and amenorrhea by power Doppler endovaginal ultrasound and human chorionic gonadotrophin β subunit. RESULTS. We identified in the 8 patients the implantation site vessels before the gestational sac was visualized. At such time hCG-b levels were 375 to 730 UI, median 515 UI. CONCLUSION. The first echographic sign of eutopic pregnancy would be the decidual vessels at the site of implantation as demonstrated by power Doppler.

Results of a longitudinal prospective study done between 1988 and 1993 to determine the predictive  value in fetal wellbeing of the ultrasound biophysical profile (UBP) created by the first author a represented. The UBP considers seven feto-placental parameters: fetal movements, respiratory movements, fetal tone, basal heart frequency, cardiac reactivity, amniotic fluid volume and placental maturity. We assigned two points to each normal parameter. We performed 1434 studies in high risk pregnancies over 27 week; with presumptive diagnosis of prolonged pregnancy, pregnancy induced hypertension, fetal distress, intrauterine fetal growth retardation, premature rupture of membranes and others. We considered normal air UBP score of 11 to 14, and correlated score; with one or more of the following adverse perinatal results: clinical oligohydramnios, thick meconial amniotic fluid, Apgar less t...

This research introduces a new method to determine fetal well-being through diagnostic ultrasound. Biophysical Profile Ecographic (PBE) devised by the authors, is a substantial modification of the biophysical profile consists Mannig and evaluation 7 fetoplacental parameters: fetal tone, body movement, breathing movements, basal heart rate, cardiac reactivity to body movement, amniotic fluid volume and placental maturity. It is considered that the test is abnormal when two or more parameters are altered. PBE specificity was determined by evaluating perinatal outcomes, including clinical oligohydramnios, the presence of thick meconium, the Apcar at 5 minutes, the occurrence of seizures and perinatal mortality. PBE goodness of the results of electronic monitoring, the nonstress test (NST) and / or stressful test (CST), under the same compared pregnant. The PBE determined in 186 high-risk pr...

OBJECTIVE: To determine the resistance index (RI) of umbilical artery and fetal middle cerebral artery in normal patients enrolled in the second half of pregnancy. DESIGN: Prospective study of pregnant women without complications from 20 weeks to term. MATERIALS AND METHODS: 125 patients with no risk factors were selected. The resistance index was evaluated in the umbilical artery and middle cerebral artery using equipment Logiq 500 MD / MR 3 GE. RESULTS: IR umbilical artery at 20 weeks is about 0,750; then decreases steadily, faster between 26 and 34 weeks and at the end of gestation, it is less than 0,600. The IR fetal middle cerebral artery of a mean value close to 0,900 at 20 weeks, showing a rapid decline up to 24 weeks and then maintain a slow and gradual decline until the end, with around 0,700. CONCLUSION: During the second half of pregnancy flow resistance measured by IR fetal ...

Worldwide, the increased prevalence of contraceptive use (AC) and the strengthening of family planning programs (PF) is observed; However, hundreds of millions of couples-more than 50% in the underdeveloped countries do not have access to family planning services despite wanting to, with the consequent unwanted pregnancy, illegal abortion and maternal death 2.4, 5.10. At present, it is considered as the primary goal of the PF improving reproductive health of couples, improve the quality of life and promote free and shapely choice of birth control, if requiere2,9,12. There are  many barriers that prevent or alter the access and quality of care in PF.

In the last decade we have seen important advances in ultrasound volumetric software. Specific programs for new applications have been obtained by improving volume capture, presentation and management processes. We review in this paper physics of 3D-4D volumetric ultrasound and the new technology application in  Gynecology, Obstetrics and human reproduction.

In the last decade we have seen important advances in ultrasound volumetric software. Specific programs for new applications have been obtained by improving volume capture, presentation and management processes. We review in this paper physics of 3D-4D volumetric ultrasound and the new technology application in  Gynecology, Obstetrics and human reproduction.

OBJECTIVE. To determine the presence of vascular flow in the implantation area (‘comet sign’) by ultrasound before the observation of the gestational sac. MATERIALS AND METHODS. Observational study done in 8 patientswith altered reproductive history and amenorrhea by power Doppler endovaginal ultrasound and human chorionic gonadotrophin β subunit. RESULTS. We identified in the 8 patients the implantation site vessels before the gestational sac was visualized. At such time hCG-b levels were 375 to 730 UI, median 515 UI. CONCLUSION. The first echographic sign of eutopic pregnancy would be the decidual vessels at the site of implantation as demonstrated by power Doppler.

In 14 pregnant inducing uterine evacuation it was conducted using Prostaglandin F2-alpha, administered by trans-abdominal puncture under ultrasound guidance in amniotic cavity. 73 cases had ultrasound diagnosis of fetal death, 1 patient had multiple malformations (acranea, etc.) and 9 were severe hypertensive disease. 42.1% were primiparous and 78.5% nulliparous. All had closed cervix. Gestational age ranged between 20 and 39 weeks and uterine height between 04 and 26 cm. The average dose of PGF-2 alpha used was 7.5 mg. (5 to 10 mg.); not greater volume of amniotic fluid was extracted. Uterine evacuation occurred in 100% of cases, between 2-73 hours after (average 6.2 hours). In 2 cases after curettage evacuation it was made. There was one case of nausea, vomiting, and hypotension. We conclude that the use of intra-amniotic PGF2-Alpha gives excellent results in uterine evacuation.

Labor induction was performed on 40 women using prostaglandin F2-Allfa in isotonic sodium chloride solution in infusion; was monitored at all with external monitoring and in half, infusion pump was used. The indications for induction were: premature rupture of membranes hypertensive disease of pregnancy (20%) and prolonged pregnancy (10%). The average age of patients was 29.7 years, 60% were primigestos, 80% were between 36 and 40 weeks and the remainder over 40 weeks. Bishop all had greater than 4. The length of dilation, in primiqestas, was 6.4 hours on average 4.3 variations {7.1 hours); in multiparous was 5.3 hours (range 3.7 to 6.8 hours). The doses used ranged from 3 to 15 ug / 1 '(6.9 ug / 1' average). There were no complications in uterine activity or fetal heartbeats. A case of mild nausea and vomiting was observed. The delivery was eutocic in 92% of cases, there was one cesarea...

Conferencia presentada en el marco del Foro Internacional "Construcción de la Gestión Regional del Agua" Décimo Aniversario de la Ley de Recursos Hídricos y Décimo Primer Aniversario de la Autoridad Nacional del Agua. Evento organizado por la Autoridad Nacional del Agua (ANA) y el Ministerio de Agricultura y Riego (MINAGRI) el 13 y 14 de marzo del 2019.

La investigación titulada: “Financiamiento y crecimiento empresarial de los productores de té del Centro Poblado de Huyro del distrito de Huayopata de la provincia de La Convención, 2020”, tuvo como objetivo: “Determinar como el financiamiento influye en el crecimiento empresarial de los productores de té del Centro Poblado de Huyro del distrito de Huayopata de la provincia de La Convención – 2020”. La metodología utilizada en este estudio fue mediante un diseño de investigación no experimental transversal, con un enfoque cuantitativo, de tipo básico, la población de interés consistió en los productores de té, la muestra abarcó a 35 residentes del Centro Poblado de Huyro, para la recopilación de datos se empleó la encuesta, considerando un cuestionario como instrumento, asimismo, se llevó a cabo el análisis de los datos recolectados utilizando el software esta...

El presente trabajo se ejecutó con el objetivo de determinar la relación entre el nivel de satisfacción de los estudiantes con el desempeño de sus docentes en el Instituto de Educación Suprior Tecnológico Público Santiago Antúnez de Mayolo de Palian Huancayo en el 2017, para lo cual se seleccionó una muestra de 161 estudiantes. El modelo SERVQUAL define la calidad de servicio, mientras que el desempeño se define, como la valoración periódica del docente en su aula. El trabajo de investigación es del tipo básico, el método científico como general y como específico es el método cualitativo; para el diseño de la investigación fue el descriptivo correlacional. Como instrumentos se aplicó la encuesta SERVQUAL para determinar el nivel de satisfacción de los estudiantes y la encuesta de desempeño en el aula, a una muestra de 161 estudiantes del mencionado instituto. Exist...

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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La investigación buscó determinar la relación entre la diversidad cultural y la satisfacción laboral de los colaboradores de la Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, 2021. Se proyectó como básica, cuantitativa, correlacional, transversal y no experimental; haciendo uso del método descriptivo, deductivo, sintético-analítico para la descripción y análisis de datos. La población de estudio estuvo compuesta por 390 individuos con una muestra de 129 colaboradores. Para medir la confiabilidad del instrumento de recojo de datos se utilizó del Alfa de Cronbach y para la validez se consideró el juicio de 3 expertos investigadores. A través de la prueba de normalidad Kolmogórov-Smirnov se demostró que los datos de las variables no siguen una distribución normal, por lo que se realizó el análisis estadístico no paramétrico mediante el coeficiente de c...