We read with interest the article published by Flores-Bendezú et al (1), where it is mentioned that the prevalence of anemia in children under 5 years of indigenous households was 47.5%, highlighting that all children under 12 months had anemia, considered as possible causes poor eating foods rich in iron and enteroparasitosis (1).

OBJETIVO: Determinar la relación entre las diferentes prácticas de alimentación complementaria y anemia ferropénica en niños de seis a doce meses de edad, atendidos en cuatro centros de salud urbanos de Cusco, 2017. MATERIALES Y MÉTODOS: Se realizó un estudio observacional de corte transversal, prospectivo y relacional en cuatro centros de salud urbanos de Cusco (Belenpampa, San Sebastián, San Jerónimo y Ttio) entre agosto-diciembre 2017. Se utilizó un cuestionario semi-estructurado dirigido a las madres, y se realizó la medición de hemoglobina en sangre capilar en el lactante. El análisis bivariado y multivariado entre cada variable y presencia de anemia en el lactante fue realizado mediante regresión simple y múltiple de Poisson para estudios transversales. Con el cálculo de las razones de prevalencia (RP), se determinó las prácticas de alimentación relacionadas con ...

Objective: To assess glycemic control in patients with diabetes mellitus (DM) seen in live consultation or remote consultation, and to identify factors associated with variations in glycated hemoglobin (HbA1c) values. Materials and methods: We did a retrospective cohort study that included patients >18 years old who were seen in live consultation or remote consultation because of DM in Alberto Sabogal-Sologuren National Hospital, during June 2021. Clinical data from electronic clinical records were obtained, including baseline and at 11-month follow-up HbA1c values. We used Poisson regression with robust variance for calculating relative risk (RR) and 95% confidence intervals (CI), for identifying factors associated with ≥0.5 HbA1c variations during follow-up. Results: Four-hundred and sixteen patients were included, their mean age was 62 years, 57.2% were female, and 68.5% had remote ...

Introducción: La pandemia por COVID-19 afectó la continuidad de las consultas médicas presenciales, así se implementaron estrategias, como las teleconsultas, para cerrar brechas de atención. El objetivo del estudio fue describir el impacto de la pandemia en la consulta endocrinológica en el Hospital Nacional Alberto Sabogal Sologuren (Callao, Perú). Materiales y métodos: Se realizó un estudio descriptivo de análisis de datos secundarios obtenidos del Sistema de Salud Inteligente del Seguro Social de Perú. Se analizó datos de las consultas ambulatorias entre mayo 2019 y noviembre 2021. Resultados: Debido a la pandemia, la proporción de consultas presenciales disminuyó de 100% (periodo prepandemia) a 29,4% (durante la pandemia), mientras que las teleconsultas predominaron tras su implementación. Mas del 68% de pacientes fueron mujeres, en las consultas presenciales la median...

Objective: To assess glycemic control in patients with diabetes mellitus (DM) seen in live consultation or remote consultation, and to identify factors associated with variations in glycated hemoglobin (HbA1c) values. Materials and methods: We did a retrospective cohort study that included patients >18 years old who were seen in live consultation or remote consultation because of DM in Alberto Sabogal-Sologuren National Hospital, during June 2021. Clinical data from electronic clinical records were obtained, including baseline and at 11-month follow-up HbA1c values. We used Poisson regression with robust variance for calculating relative risk (RR) and 95% confidence intervals (CI), for identifying factors associated with ≥0.5 HbA1c variations during follow-up. Results: Four-hundred and sixteen patients were included, their mean age was 62 years, 57.2% were female, and 68.5% had remo...

Objective: To assess glycemic control in patients with diabetes mellitus (DM) seen in live consultation or remote consultation, and to identify factors associated with variations in glycated hemoglobin (HbA1c) values. Materials and methods: We did a retrospective cohort study that included patients >18 years old who were seen in live consultation or remote consultation because of DM in Alberto Sabogal-Sologuren National Hospital, during June 2021. Clinical data from electronic clinical records were obtained, including baseline and at 11-month follow-up HbA1c values. We used Poisson regression with robust variance for calculating relative risk (RR) and 95% confidence intervals (CI), for identifying factors associated with ≥0.5 HbA1c variations during follow-up. Results: Four-hundred and sixteen patients were included, their mean age was 62 years, 57.2% were female, and 68.5% had remo...

Galería Fotográfica (sin resumen)

Background:  The COVID-19 pandemic affected the continuity of face-to-face medical consultations, so strategies, such as teleconsultations, were implemented to close the gaps in care. The objective of this study was to describe the impact of the pandemic in the traditional endocrinology consultation at Hospital Nacional Alberto Sabogal Sologuren (Callao, Peru). Materials and methods: We carried out a descriptive study of analysis of secondary data, that was obtained from the Sistema de Salud Inteligente of the Social Security of Peru. Data from outpatient consultations between May 2019 and November 2021 were analyzed. Results: Due to the pandemic, the proportion of face-to-face consultations decreased from 100% (pre-pandemic period) to 29,4% (during the pandemic), while teleconsultations predominated after its implementation. More than 68% of patients were women, in face-to-face consult...

La hidatidosis humana es una zoonosis parasitaria de importancia en salud pública y de gran impacto económico, tiene una incidencia anual entre 1,1-15/100 000 habitantes y en la gestación se calcula una incidencia de 1 en 20 000 a 30 000. Se presenta el caso de una gestante de 30 semanas con hidatidosis pulmonar múltiple complicada que tras su estabilización clínica, se decidió tener una actitud expectante y terminar la gestación por cesárea a las 34 semanas. La quistectomía se realizó dos meses después; ambos procedimientos cursaron sin complicaciones de importancia y la evolución clínica fue favorable. La coexistencia de hidatidosis pulmonar y gestación es una condición poco documentada pese a la abundante información sobre la enfermedad y su gran prevalencia. El tratamiento definitivo durante el embarazo es un reto, y los pocos reportes resaltan la falta de consenso e...

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