Objetivo: Analizar cómo se aplica la gestión de calidad en la gestión de la construcción del departamento de diagnóstico por imágenes en el Hospital Santa Rosa de Madre de Dios-año 2016Material y métodos: investigación de la presente investigación es no experimental, Descriptivo, Relacional. La población de estudio estuvo conformada por 30 integrantes del personal, incluidos ingenieros, arquitectos, técnicos que participan en la obra.se aplico una encuesta. Resultados y conclusiones: En Los procesos de planificación y construcción del departamento de diagnóstico por imágenes en el Hospital Santa Rosa de Madre de Dios-año 2016, no se cuenta con un sistema de gestión de calidad que permita realizar un control de calidad que responda a la realidad local, con un nivel de confianza del 95%. De acuerdo al análisis estadístico realizado mediante el método de distribución d...

En el Perú y en el mundo la enfermedad de la tuberculosis actualmente todavía continúa siendo una gran preocupación para gestores, políticos y trabajadores de la salud que tienen la responsabilidad de brindar servicios relacionados con la atención y cuidado de las personas enfermas, las cifras estadísticas todavía van en aumento a pesar de los esfuerzos desplegados por las entidades competentes en la materia. Uno de estos esfuerzos es el control ambiental, mediante la ventilación, es así que en los países en desarrollo como es el caso de Perú se viene promoviendo la ventilación natural, desconociéndose hasta el momento si esta medida es suficiente para reducir el riesgo a enfermarse de los trabajadores de salud. El presente estudio tuvo como finalidad obtener indagación concerniente a la resolución del aire en los ambientes de las unidades de Prevención y Vigilancia de T...

La presente investigación, titulada: Gestión del riesgo y el manejo de residuos sólidos en el Hospital Santa Rosa de la Ciudad de Puerto Maldonado, 2018, buscó determinar la relación que existe entre las variables gestión del riesgo y manejo de residuos sólidos, se empleó la investigación no experimental con diseño descriptivo correlacional, tomándose una población de 102 trabajadores. Llegando a las siguientes conclusiones: Según datos obtenidos el promedio de la muestra se ubica en 27.25 puntos, en el nivel moderado, lo cual considera que la gestión del riesgo utilizada como estrategia para mitigar o eliminar posibles o potenciales peligros, puede afectar a la institución debido al desconocimiento en cuanto a las funciones organizativas; la limitada orientación puede conducir al manejo inadecuado de residuos sólidos y poder identificar, analizar, monitorear, intervenir...

Las espondiloartritis (SpA) son un grupo heterogéneo de enfermedades inflamatorias crónicas con características comunes en términos de presentación clínica y predisposición genética. Estas enfermedades se caracterizan por la inflamación de la columna vertebral y articulaciones periféricas, así como manifestaciones extraarticulares. Actualmente se clasifican principalmente en espondiloartritis axial (axSpA) y periférica (pSpA) de acuerdo con el compromiso predominante. La etiología de las SpA no está completamente dilucidada, pero se sabe que tiene un fuerte componente genético relacionado al antígeno leucocitario humano HLA – B27. Asimismo, las características clínicas pueden variar de acuerdo con la presencia o no de dicho alelo. En los últimos años se han identificado otros genes candidatos, lo que proporciona nuevas direcciones potenciales en los mecanismos de la...

OBJETIVES: To evaluate the effects of epidural analgesia in the mother during labor and the newborn. DESIGN: A retrospective case control study was conducted. Methods: Study of 153 cases of childbirth with analgesia and 73 cases in the control group, population sample with p <0.05. RESULTS: The rate of expansion was 2.27 cm per hour for the control group and 4.7 cm per hour for labor analgesia group, with statistically significant difference p <0.01. The second stage was 13.904 minutes in the control and statistically significant in the group 16.132 minutes of delivery with analgesia group difference with p <0.01. In the newborn, the Apgar minute was 8.7 and 8.5 in the control group in the delivery with analgesia, and five minutes 9.0 and 8.9 in the control group in the delivery with analgesia , both without significant difference. Respiratory depression in the control group was 2.7% and...

OBJETIVES: To evaluate the effects of epidural analgesia in the mother during labor and the newborn. DESIGN: A retrospective case control study was conducted. Methods: Study of 153 cases of childbirth with analgesia and 73 cases in the control group, population sample with p <0.05. RESULTS: The rate of expansion was 2.27 cm per hour for the control group and 4.7 cm per hour for labor analgesia group, with statistically significant difference p <0.01. The second stage was 13.904 minutes in the control and statistically significant in the group 16.132 minutes of delivery with analgesia group difference with p <0.01. In the newborn, the Apgar minute was 8.7 and 8.5 in the control group in the delivery with analgesia, and five minutes 9.0 and 8.9 in the control group in the delivery with analgesia , both without significant difference. Respiratory depression in the control group was...

Background: Self-efficacy for managing chronic conditions assesses the confidence a person has on the ability of successfully perform specific tasks related to a chronic condition in several different situations. Self-efficacy is considered one of the most important modifiable factors in educational interventions that enhance Systemic Lupus Erythematosus (SLE) patients’ mental health status. Low disease self-efficacy is associated with SLE morbidity. Objectives: To determine the association of several domains of self-efficacy for managing chronic conditions and health-related quality of life (HRQoL) in SLE patients.

Introduction. Lupus patients have an increased risk of developing infections due to the disease, use of immunosuppressants and corticosteroids. Objective. To identify the associated factors for serious infections in lupus patients in a national referral hospital. Retrospective, analytical, case-control study in the Rheumatology Service of the Guillermo Almenara Irigoyen National Hospital, Lima, Peru. Methods. The registry of hospitalized patients in the study period was analyzed, the cases were patients in whom the etiology of the first infection developed their hospitalization. Controls were hospitalized lupus patients without infections in the same study period. Variables predisposing to the development of infections were analyzed. Results. 61 patients out of 390 hospitalized developed infections during their hospitalization. 48 developed 1 only infectious event (in 40 an etiology deve...

Background: Because most patients with SLE are in their productive-age years, the ability to maintain a gainful employment is fundamental for both, the patient and society at large. It is thus quite important to determine the work and non-work factors that are associated with work productivity impairment in these patients. Objectives: To determine the factors associated with absenteeism (percentage of the time missed from scheduled work-time over the preceding 7 days, due to SLE), presenteeism (percentage of time from scheduled work-time where productivity was impaired while patient was at work, over the preceding 7 days, due to SLE) and overall work impairment (combination of absenteeism and presenteeism) in patients with SLE.

Objective: To determine the impact of homocysteine levels on damage accrual in systemic lupus erythematosus (SLE) patients. Methods: This longitudinal study was conducted in consecutive patients seen every 6 months at our Rheumatology Department since 2012. Patients with available homocysteine levels and who had at least one subsequent visit were included. Univariable and multivariable Cox regression models were done to determine if homocysteine levels were predictive of damage accrual as per the SLICC Damage Index (SDI). The multivariable model was adjusted for pertinent variables (age at diagnosis, gender, socioeconomic status, disease duration, disease activity (SLEDAI), Framingham score, antimalarial and immunosuppressive drug use, average daily dose, and exposure time to prednisone (PDN)). Results: One hundred forty-five patients were included; their mean (SD) age at diagnosis was 4...