Carta al editor

Introduction. Among the Peruvian population, the prevalence of overweight and obesity has increased, making it one of the main public health problems. There is also conflicting evidence on the association between increased BMI and depressive symptoms in the adult population. Objective. To determine the association between nutritional status (NS) and depressive symptoms (DS) in the Peruvian population. Method. We conducted a secondary data analysis of the Peruvian Demographic and Family Health Survey (ENDES). We assessed the NS according to body mass index (BMI), grouped into normal weight (BMI = 18.50 - 24.99), overweight (BMI = 25.00 - 29.99), 1A obesity (BMI = 30.00 - 32.49), and 1B obesity (BMI ≥ 32.50). DS were assessed using the Patient Health Questionnaire (PHQ-9) instrument. A generalized linear model stratified by sex was constructed to calculate crude (cPRc) and adjusted (aPR)...

Cartas al editor

Objective: to estimate reference values for spirometry parameters in healthy workers at different altitude levels in Peru. Materials and methods: we performed a secondary analysis of records from occupational medical examinations carried out between May and June 2019 in workers at four different altitude levels: level 1: 0-100 m above sea level (ASL) (Trujillo, Pisco, Marcona, Lima), level 2: 2.300–2.800 m ASL (Arequipa and Cajamarca), level 3: 3.200–3.800 m ASL (Huancayo, La Oroya, Orcopampa, and Oyon); and level 4: 4.000–4.400 m ASL (Carhuacoto and Cerro de Pasco). Spirometry reference values for forced expiratory volume during the first second (FEV1), forced vital capacity (FVC), and the FEV1/FVC rate were constructed and compared using a multiple linear regression model. Results: we analyzed 33.232 records obtained from healthy workers in different altitude levels in Peru. In m...

Objective To assess the spatial distribution, trends and determinants of crude full vaccination coverage (FVC) in children aged 12-59 months between 2010 and 2019 in Peru. Design, setting and analysis A cross-sectional study based on the secondary data analysis of the 2010 and 2019 Peruvian Demographic and Health Surveys (DHSs) was conducted. Logit based multivariate decomposition analysis was employed to identify factors contributing to differences in FVC between 2010 and 2019. The spatial distribution of FVC in 2019 was evaluated through spatial autocorrelation (Global Moran's I), ordinary kriging interpolation (Gaussian process regression) and Bernoulli-based purely spatial scan statistic. Outcome measure FVC, as crude coverage, was defined as having completely received BCG; three doses of diphtheria, pertussis, and tetanus, and polio vaccines; and measles vaccine by 12 months of age....

Cartas al editor.

Objective: to estimate reference values for spirometry parameters in healthy workers at different altitude levels in Peru. Materials and methods: we performed a secondary analysis of records from occupational medical examinations carried out between May and June 2019 in workers at four different altitude levels: level 1: 0-100 m above sea level (ASL) (Trujillo, Pisco, Marcona, Lima), level 2: 2.300–2.800 m ASL (Arequipa and Cajamarca), level 3: 3.200–3.800 m ASL (Huancayo, La Oroya, Orcopampa, and Oyon); and level 4: 4.000–4.400 m ASL (Carhuacoto and Cerro de Pasco). Spirometry reference values for forced expiratory volume during the first second (FEV1), forced vital capacity (FVC), and the FEV1/FVC rate were constructed and compared using a multiple linear regression model. Results: we analyzed 33.232 records obtained from healthy workers in different altitude levels in Peru. In m...

We conducted a secondary data analysis based on the 2014, 2015, and 2016 Demographic and Health Surveys to determine the association between intimate partner violence (IPV) and depressive symptoms in Peruvian women aged 15–45 years. Depressive symptoms were assessed through the PHQ-9, while IPV was assessed through the CTS-2. A total of 24,099 subjects were included. The prevalence of depressive symptoms and IPV was 6.98% and 64.72%, respectively. Victims of IPV were 2.47 times more likely to have depressive symptoms compared to those who were never assaulted. In conclusion, there is a strong association between IPV and depressive symptoms.

Introducción: La tuberculosis pulmonar (TBP) sigue siendo considerada una de las enfermedades infecciosas, afectando especialmente a las personas privadas de su libertad (PPL). Por lo tanto, este estudio tuvo como objetivo determinar la distribución de casos auto-reportados de TBP en seis Centros Penitenciarios (CP) peruanos según nivel de hacinamiento. El estudio: Se realizó un estudio observacional, transversal y descriptivo de la base de datos del Primer Censo Nacional Penitenciario del 2016. Se incluyó PPL de los 6 CP del departamento de Lima, los cuales cuentan con la mayor prevalencia de tuberculosis intrapenitenciaria a nivel nacional. Hallazgos: Se calculó la prevalencia según nivel de hacinamiento tanto bajo, medio y alto, siendo su valor: 4 834, 3 902 y 3 039/100 000 habitantes, respectivamente. Conclusiones: La distribución de TBP fue predominantemente homogénea en lo...

Introduction: Eating disorders (anorexia and bulimia) have been increasing worldwide and nationally. Prior to the development of this disorder, adolescents' present body dissatisfaction, whose study through the ¨Tripartite Influence Model¨ gives us three main pressures: Pressure from parents, media and peers. Factors that are studied through SATAQ-4. We conduct a study to validate the Peruvian version of SATAQ-4 "Sociocultural Attitudes Toward Appearance Questionnaire-4". Methods: A cross-sectional study was carried out in 2015. It was started by culturally adapting the test. Subsequently, validity was determined through the validity of the construct, and reliability through internal consistency assessment and intra-observer reliability (test-retest). Results: We obtained a culturally adapted instrument which presented a mean greater than 3 in the Delphi method, an intraclass correlati...

Letter to the Editor (without abstract)

Objetivo: El presente trabajo tuvo como propósito describir las características físicas, citológicas y bioquímicas, así como clasificar los líquidos pleurales de pacientes con COVID-19 como exudados o trasudados. Material y Métodos: Se realizó un estudio observacional, transversal descriptivo. Se recopiló datos del examen citoquímico de muestras de líquido pleural procesadas entre los meses de abril a setiembre del 2020, en el laboratorio del Centro de Emergencias de Lima Metropolitana (CELIM). Resultados: Durante el periodo de estudio un total de 81 muestras de líquido pleural de pacientes con COVID-19 fueron evaluadas, de estos, 26 cumplieron con nuestros criterios de elegibilidad. Catorce líquidos (54%), tuvieron un color rojo y 18 (69%) tuvieron un aspecto turbio. Los líquidos pleurales exudativos fueron la mayoría (n = 17), las proteínas totales presentaron una medi...

Objetive: The purpose of this work was to describe the physical, cytological and biochemical characteristics, as well as to classify the pleural fluids of patients with COVID-19 as exudates or transudates. Material and Methods: An observational, descriptive cross-sectional study was carried out. Data was collected from the cytochemical examination of pleural fluid samples processed between the months of April to September 2020, in the laboratory of the Emergency Center of Metropolitan Lima (CELIM). Results: During the study period, a total of 81 samples of pleural fluid from patients with COVID-19 were evaluated, of these, 26 met our eligibility criteria. Fourteen liquids (54%) had a red color and 18 (69%) had a cloudy appearance. Exudative pleural fluids were the majority (n = 17), total proteins presented a mean of 3.3 g / dl (SD: 1.5), LDH a median of 544 U / L (IQR: 262-2016), the le...

Objective: to determine the factors associated with the presence of acute bacterial prostatitis in patients undergoing transrectal prostate biopsy between 2015 and 2019 at an Army Forces Hospital in Lima, Peru. Materials and methods: this is a retrospective observational and cross-sectional study. Clinical records from 142 patients were reviewed, which were selected using non-probabilistic sampling. We analyzed factors associated with the occurrence of acute bacterial prostatitis (ABP) in patients undergoing a transrectal prostate biopsy (model 1), and the number of factors associated with ABP (model 2). Results: the rate of ABP was 15.5%. This condition was more prevalent in subjects with diabetes, high blood pressure and chronic renal failure. In model 1, a past history of type 2 diabetes mellitus (aPR: 3.18; 95% CI: 0.92–11.03), high blood pressure (aPR: 1.78; 95% CI: 0.53–5.98), ...

Background Cyberchondria is defined as the increase in health-related anxiety or anguish associated with excessive or repeated online searches for health-related information. Our objective was to cross-culturally adapt and validate the CSS-12 scale for Peruvian Spanish speakers, to determine whether the Bifactor model works as well in our population as in previous studies’ and to explore whether the Bifactor-ESEM is a more suitable model. Methods We performed a cultural adaptation using the Delphi method and a validation study on medical students between 2018 and 2019. Reliability was evaluated by using Cronbach’s alpha (α) and McDonald’s omega (Ω) for internal consistency, and Pearson’s r and intraclass correlation coefficient (ICC), for test-retest reliability. We evaluated construct validity by contrasting four measurement models for the CSS-12 and the convergent validity ag...

Objective: to determine the factors associated with the presence of acute bacterial prostatitis in patients undergoing transrectal prostate biopsy between 2015 and 2019 at an Army Forces Hospital in Lima, Peru. Materials and methods: this is a retrospective observational and cross-sectional study. Clinical records from 142 patients were reviewed, which were selected using non-probabilistic sampling. We analyzed factors associated with the occurrence of acute bacterial prostatitis (ABP) in patients undergoing a transrectal prostate biopsy (model 1), and the number of factors associated with ABP (model 2). Results: the rate of ABP was 15.5%. This condition was more prevalent in subjects with diabetes, high blood pressure and chronic renal failure. In model 1, a past history of type 2 diabetes mellitus (aPR: 3.18; 95% CI: 0.92–11.03), high blood pressure (aPR: 1.78; 95% CI: 0.53–5.98), ...

Objectives: Among different factors, diet patterns seem to be related to depression. The aim of this study was to evaluate the association between the consumption of fruits and/or vegetables and depressive symptoms. Methodology/Principal findings: A secondary data analysis was conducted using information from a population-based survey from 25 regions from Peru. The outcome was the presence of depressive symptoms according to the Patient Health Questionnaire (cutoff 15 to define major depressive syndrome); whereas the exposure was the self-reported consumption of fruits and/or vegetables (in tertiles and using WHO recommendation 5 servings/day). The association of interest was evaluated using Poisson regression models controlling for the complex-sample survey design and potential confounders. Data from 25,901 participants were analyzed, mean age 44.2 (SD: 17.7) and 13,944 (54.0%) women. O...

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.

El presente trabajo tuvo como propósito describir las características físicas, citológicas y bioquímicas, así como clasificar los líquidos pleurales de pacientes con COVID-19 como exudados o trasudados.

Background: Antibiotic resistance is considered to be the next worldwide epidemic. Urinary tract infections (UTI) are the second most common cause of infection, which also has the highest resistance frequency. Nevertheless, in high Andean regions, little is known about the antibiotic resistance. Objectives : Determine the antimicrobial resistance patterns of the enterobacteriaceae family isolated from urinary tract infections of a Peruvian Andean region. Material and Methods: A retrospective cross-sectional review of 1717 records from the microbiology service of a private health institution from Puno - Peru, was done between the years 2014 and 2017. Antibiotic resistance by uropathogens was studied among different age groups. Statistical analysis included Chi2 test with a p<0.05. Poisson regression was used to calculate the prevalence ratio (PR) with a 95% confidence interval. Finding...