El proceso de autoevaluación en las escuelas médicas busca el mejoramiento continuo de la institución para alcanzar la calidad y excelencia determinada por estándares nacionales e internacionales. El presente trabajo busca determinar las características laborales de los egresados de la EAP. Medicina Humana de la UNMSM durante los años 1994 y 2003, además de calcular la proporción que logra el desempeño laboral esperado y explorar algunos factores del pregrado que influyen en ello. Se realizó un estudio observacional, transversal en una cohorte de 232 egresados de Medicina Humana elegidos al azar. Fue necesario obtener los promedios finales del pregrado disponible en la Facultad de Medicina. Como resultado, el 72.4% de los egresados son varones; el 73.2% radica en Lima y entre éstos el 43.5% procede de Lima Moderna. El 97% de los egresados trabaja. El 71% trabaja en el sector p...

Objective: To evaluate the use of methotexate (MTX) in the treatment of non-complicated ectopic pregnancy. design: Observational prospective study. Setting: Instituto Latinoamericano de Salud Reproductiva. Participants: Women with non complicated ectopic pregnancy. Interventions: Between 1998 and 2005, 21 cases had ultrasound diagnosis of less than 30 mm adnexal tumor, absence of embryo activity, absence of clinical and/or ultrasound evidence of internal hemorrage and chorionic gonadotropin beta sub unit (hCG-β) less than 3000 mUI/mL. Three women had only 1 uterine tube; one of them received MTX in 2 occasions. Treatment consisted in a single dose of MTX 1mg/kg IV or PO. Follow-up consisted in weekly-β and ultrasonographic assessment (including Doppler color study). Informed consent was applied. Main outcome measures: Ectopic pregnancy resolution. Results: Nineteen cases (95,2%) showed...

Objectives: To determine whether volumetric ultrasonography (3D, static and dynamic) provides better information than conventional ultrasound (2D) in the assessment of pregnancy before 7 weeks of amenorrhea. Design: Clinical series of cases study. Setting: Instituto Latinoamericano de Salud Reproductiva – ILSAR. Participants: Pregnant women within the fifth and seventh weeks of pregnancy. Interventions: An endovaginal ultrasound was performed to 30 pregnant women between the fifth and seventh weeks of amenorrhea with a GE Volusson Expert 730 using multifrequency endocavitary transductor (3.7-9.3 MHZ), 75% maximum potency in function ‘Early Pregnancy’ without harmonics; test duration was 5-15 minutes. Once the chorionic sac was localized its content was assessed for the yolk sac and the embryo, first using 2D and then static 3D and dynamic 3D (4D). Main outcome measures: Identifica...

Objectives: To determine whether volumetric ultrasonography (3D, static and dynamic) provides better information than conventional ultrasound (2D) in the assessment of pregnancy before 7 weeks of amenorrhea. Design: Clinical series of cases study. Setting: Instituto Latinoamericano de Salud Reproductiva – ILSAR. Participants: Pregnant women within the fifth and seventh weeks of pregnancy. Interventions: An endovaginal ultrasound was performed to 30 pregnant women between the fifth and seventh weeks of amenorrhea with a GE Volusson Expert 730 using multifrequency endocavitary transductor (3.7-9.3 MHZ), 75% maximum potency in function ‘Early Pregnancy’ without harmonics; test duration was 5-15 minutes. Once the chorionic sac was localized its content was assessed for the yolk sac and the embryo, first using 2D and then static 3D and dynamic 3D (4D). Main outcome measures: Identifica...

Objective: To evaluate the use of methotexate (MTX) in the treatment of non-complicated ectopic pregnancy. design: Observational prospective study. Setting: Instituto Latinoamericano de Salud Reproductiva. Participants: Women with non complicated ectopic pregnancy. Interventions: Between 1998 and 2005, 21 cases had ultrasound diagnosis of less than 30 mm adnexal tumor, absence of embryo activity, absence of clinical and/or ultrasound evidence of internal hemorrage and chorionic gonadotropin beta sub unit (hCG-β) less than 3000 mUI/mL. Three women had only 1 uterine tube; one of them received MTX in 2 occasions. Treatment consisted in a single dose of MTX 1mg/kg IV or PO. Follow-up consisted in weekly-β and ultrasonographic assessment (including Doppler color study). Informed consent was applied. Main outcome measures: Ectopic pregnancy resolution. Results: Nineteen cases (95,2%) showed...

Objectives: To determine Doppler fetal pulmonary arterial trunk acceleration/deceleration times (AT/DT) in relation with gestational age, and if there would be a value of such index that would indicate pulmonary maturity with acceptable predictability. Design: Prospective and descriptive study.Setting: Instituto Latinoamericano de Salud Reproductiva, Lima, Peru, a teaching institution. Participants: Healthy women with single pregnancy. Methods: During 2007 and 2008, 79 pregnant women with 26 to 39 weeks healthy singleton pregnancies were studied. AT and DT mean values were measured in the fetal pulmonary arterial trunk using Doppler ultrasound and related to gestational age (GA). Results had statistical analysis to determine a cut value for pulmonary maturity, considering fetuses over 37 weeks have pulmonary maturity and none of the newborns studied had respiratory distress. Main outcome...

Objectives: To determine Doppler fetal pulmonary arterial trunk acceleration/deceleration times (AT/DT) in relation with gestational age, and if there would be a value of such index that would indicate pulmonary maturity with acceptable predictability. Design: Prospective and descriptive study.Setting: Instituto Latinoamericano de Salud Reproductiva, Lima, Peru, a teaching institution. Participants: Healthy women with single pregnancy. Methods: During 2007 and 2008, 79 pregnant women with 26 to 39 weeks healthy singleton pregnancies were studied. AT and DT mean values were measured in the fetal pulmonary arterial trunk using Doppler ultrasound and related to gestational age (GA). Results had statistical analysis to determine a cut value for pulmonary maturity, considering fetuses over 37 weeks have pulmonary maturity and none of the newborns studied had respiratory distress. Main outcome...