Resultados de Búsqueda por Autor

1

artículo

Nylon de pescar como sutura quirúrgica: una alternativa en los servicios de salud

Publicado por
Uriol V., Ronald, Morales R., Victor, Instituto Peruano de Seguridad Social

Publicado 1995

Con el fin de comprobar la eficacia y eficiencia del nylon de pescar como sutura quirúrgica, estudiamos prospectivamente 254 Pacientes en quienes se utilizó dicho material Para el Cierre de la pared abdominal, entre Setiembre de 1992 a junio 1994 en el Hospital I de Florencia de Mora del IPSS, Gerencia La Libertad. Los porcentajes de infección de herida encontrados fueron de 1.2% para heridas limpias y 1.2% para heridas contaminadas, cifras concordantes con la literatura consultada. En un seguimiento promedio de un año, encontramos que 5 pacientes (1.9%), Presentaron "rechazo" al material, identificándose en 2 de ellos técnica quirúrgica deficiente; y 7% tuvieron algún grado de defecto estético (queloides, hiperpigmentadas). No hubieron evisceraciones ni, eventraciones. Constatamos una importante reducción de costos respecto al uso de suturas tradicionales de hasta 2000%. Por l...

2

artículo

Alfabetización en salud sobre calidad de vida en pacientes pediátricos con cáncer: módulos sobre cuidados paliativos pediátricos

Publicado por
Garcia-Quintero, X, Blanco, DB, Vasquez, L, Fuentes-Alabi, S, Benites-Majano, S, Maza, M, Ugaz, C, Morales, R, Baker, JN, McNeil, MJ

Publicado 2023

Enlace

Objective. To describe the development of educational materials for parents and other caregivers of children with cancer, which utilized a culturally sensitive approach to reduce acceptance barriers to palliative care (PC). Methods. The Pan American Health Organization (PAHO), St. Jude Children’s Research Hospital, and partners in Latin America and the Caribbean collaborated in a three-phase project, beginning with a needs assessment survey of caregivers of children with cancer in Peru. Based on this finding, an interdisciplinary team of pediatric PC experts developed educational content that was designed and validated by an international committee of PC and communication experts. Results. The collaboration resulted in the development of an eight-module series that introduces caregivers to key concepts of pediatric PC, including management of pain, quality of life, and end of life care...

3

artículo

Preventing and Treating Pain and Anxiety during Needle-Based Procedures in Children with Cancer in Low- and Middle-Income Countries

Publicado por
McNeil, MJ, Garcia, Quintero, X, Gonzalez, M, Zheng, Y, Ugaz, Olivares, C, Morales, R, Boldrini, E, Rebollo, de, Campos, D, Ferreira, D, Coopasamy, K, Caneba, J, Padernilla, ML, Friedrichsdorf, S, Baker, JN, Friedrich, P

Publicado 2024

Enlace

Introduction: Children with cancer experience significant pain and anxiety during needle-based procedures. Undertreated pain in children has long-lasting consequences and reduces the efficacy of subsequent analgesic efforts. A validated quality improvement (QI) intervention, known as the “Children’s Comfort Promise”, includes (1) topical anesthetics, (2) sucrose or breastfeeding for infants, (3) comfort positioning, and (4) distraction techniques, and has been shown to be highly effective in decreasing procedural pain and anxiety in children. However, there is limited data about the adoption, adaptation, and implementation of these interventions in low- and middle-income countries (LMICs). Methods: A QI pilot project utilizing the Model for Improvement of the “Global Comfort Promise” was implemented in four global pediatric cancer hospitals (Lima, Peru; Barretos, Brazil; Pieter...

4

artículo

Catalyzing Childhood Cancer Care in Peru After One Year of the Global Initiative for Childhood Cancer

Publicado por
Vasquez, L, Maradiegue, E, Rojas Montoya, J, Zapata, A, Ugaz, C, Pascual, C, Santillán, C, Wachtel, A, Celis, E, Bernedo, H, Rossi, J, Saldaña, L, Diaz, R, Morales, R, Perez, V, Metzger, ML, Luciani, S

Publicado 2021

Enlace

Tesis desarrollada en el ámbito de la Ingeniería, orientada al análisis y/o solución de problemáticas técnicas propias de la disciplina.

5

artículo

Effect of gamma radiation of 60Co on sunflower plants (Helianthus annuus L.) (Asteraceae), from irradiated achenes

Publicado por
Díaz, L.E, García, S.A.L., Morales, R.A, Báez, R.I., Pérez, V.E., Olivar, H.A., Vargas, R.E.J., Hernández, H.P., De la Cruz, T.E., García, A.J.M., Loeza, C.J.M.

Publicado 2018

Enlace

In order to know the effect of 60Co gamma irradiation, in the sunflower crop, were irradiated achenes in the Transelektro LGI-01 in the Instituto Nacional de Investigaciones Nucleares. The data was evaluated under a completely randomized design, where the treatments were 0, 100, 200, 300, 400, 500, 600, 700, 800 and 900 Gy and four repetitions (10x4) = 40 experimental units. The response variables were: plant height, root length and volume, dry biomass. The results indicated that germination and sprouting decreased as the radiation increased, adjusting these to a quadratic model. Plant height, length, root volume and dry biomass decreased at high doses. From this investigation it was concluded, that doses of 100 and 200 Gy, have a stimulating effect on plant height and root length, being an important agent, to induce genetic variability in sunflower.

6

artículo

Effect of gamma radiation of 60Co on sunflower plants (Helianthus annuus L.) (Asteraceae), from irradiated achenes

Publicado por
Díaz, L.E, García, S.A.L., Morales, R.A, Báez, R.I., Pérez, V.E., Olivar, H.A., Vargas, R.E.J., Hernández, H.P., De la Cruz, T.E., García, A.J.M., Loeza, C.J.M.

Publicado 2018

Enlace

In order to know the effect of 60Co gamma irradiation, in the sunflower crop, were irradiated achenes in the Transelektro LGI-01 in the Instituto Nacional de Investigaciones Nucleares. The data was evaluated under a completely randomized design, where the treatments were 0, 100, 200, 300, 400, 500, 600, 700, 800 and 900 Gy and four repetitions (10x4) = 40 experimental units. The response variables were: plant height, root length and volume, dry biomass. The results indicated that germination and sprouting decreased as the radiation increased, adjusting these to a quadratic model. Plant height, length, root volume and dry biomass decreased at high doses. From this investigation it was concluded, that doses of 100 and 200 Gy, have a stimulating effect on plant height and root length, being an important agent, to induce genetic variability in sunflower.

7

artículo

Cardiovascular testing recovery in Latin America one year into the COVID-19 pandemic: An analysis of data from an international longitudinal survey

Publicado por
Bremner, L, Vitola, J, Cerci, R, Campisi, R, Araujo, Ríos, R, Massardo, T, Gutierrez-Villamil, C, Solis, F, Peix, A, Speckter, H, Sanchez, Velez, M, Flores, AC, Madu, E, Alexánderson-Rosas, E, Ortellado, J, Morales, R, Mut, F, Vera, L, Hirschfeld, CB, Shaw, LJ, Williams, MC, Villines, TC, Better, N, Dorbala, S, Karthikeyan, G, Malkovskiy, E, Cohen, YA, Randazzo, M, Pascual, TNB, Pynda, Y, Dondi, M, Paez, D, Einstein, AJ

Publicado 2024

Enlace

Background: The COVID-19 pandemic disproportionately impacted Latin America (LATAM), significantly disrupting cardiovascular testing. This study evaluated cardiac procedure recovery in LATAM one year after the outbreak. Methods: The International Atomic Energy Agency (IAEA) surveyed 669 centers in 107 countries worldwide, including 135 facilities in 19 LATAM countries, to assess cardiovascular procedure volumes in March 2019, April 2020, and April 2021, and changes in center practices and staffing conditions one year into the COVID-19 pandemic. Findings: LATAM centers reported a 21 % decrease in procedure volumes in April 2021 from pre-pandemic-baseline, vs. a 0 % change in the rest of the world (RoW), and greater volume reductions for almost all procedure types. Centers in Central America and Mexico reported the largest procedure reductions (47 % reduction) compared to the Caribbean (15...

8

artículo

Fortalecimiento de las políticas de salud pública contra el cáncer infantil: logros de Perú en el marco de la Iniciativa Mundial de la OMS contra el Cáncer Infantil

Publicado por
Maradiegue, E, Pascual, C, Vasquez, L, Maza, I, Ugaz, C, Montoya, J, Zapata, A, García, H, Chavez, S, Ordoñez, K, Rossi, J, Diaz, R, Morales, R, Trigoso, V, Ames, R, Celis, E, Barzola, I, Torres, L, Cosme, M, Tarrillo, F, Rojas, N, Santillan, C, Quispe, Y, Palacios, V, Godoy, V, Tello, M, Tarco, D, Wachtel, A, Malaver, E, Diaz, E, Goyburu, M, Perez, V, Talavera, I, Baca, ME, Maza M, Saldaña, L, Holguin, A, Jarquin, M, Loggetto, P, Metzger, M, Friedrich, P, Lam, C, Rodriguez-Galindo, C

Publicado 2023

Enlace

Objective. To report the progress in Peru, since June 2019, in the implementation of the World Health Organization Global Initiative for Childhood Cancer using the CureAll framework, which can be replicated in low- and middle-income countries. Methods. A mixed method was used of participatory and documentary evaluation. The participatory evaluation included stakeholders from various government institutions, nonprofit organizations, and international partners. The documentary aspect consisted of a review of data on the regulatory environment, national projects, and interventions implemented. The Ministry of Health engaged more than 150 participants to form working committees, which have developed policy and regulatory documents to strengthen care services. Results. Achievements include a decrease in the national treatment abandonment rate from 18.6% to 8.5%, the approval of the Childhood ...

9

artículo

Model for regional collaboration: Successful strategy to implement a pediatric early warning system in 36 pediatric oncology centers in Latin America

Publicado por
Agulnik, A, Gonzalez-Ruiz, A, Muniz-Talavera, H, Carrillo, AK, Cárdenas, A, Puerto-Torres, MF, Garza, M, Conde, T, Soberanis-Vasquez, DJ, Méndez-Aceituno, A, Acuña-Aguirre, C, Alfonso, Y, Álvarez-Arellano, SY, Argüello Vargas, D, Batista, R, Blasco Arriaga, EE, Chávez Rios, M, Cuencio Rodríguez, ME, Fing Soto, EA, Gómez-García, W, Guillén Villatoro, RH, Gutiérrez Rivera, MDL, Herrera Almanza, M, Jimenez Antolinez, YV, Juárez Tobias, MS, López Facundo, NA, Martínez Soria, RA, Miller, K, Miralda, S, Morales, R, Negroe Ocampo, N, Osuna, A, Pascual Morales, C, Pérez Fermin, CK, Pérez Alvarado, CM, Pineda, E, Andrés Portilla, C, Rios López, LE, Rivera, J, Sagaón Olivares, AS, Saguay Tacuri, MC, Salas-Mendoza, BT, Solano Picado, I, Soto Chávez, V, Tejocote Romero, I, Tatay, D, Teixeira Costa, J, Villanueva, E, Villegas Pacheco, M, McKay, VR, Metzger, ML, Friedrich, P, Rodriguez-Galindo, C

Publicado 2022

Enlace

Background: Pediatric early warning systems (PEWS) aid in the early identification of deterioration in hospitalized children with cancer however, they are under-used in resource-limited settings. The authors use the knowledge-to-action framework to describe the implementation strategy for Proyecto Escala de Valoracion de Alerta Temprana (EVAT), a multicenter quality-improvement collaborative, to scale-up PEWS in pediatric oncology centers in Latin America. Methods: Proyecto EVAT mentored participating centers through an adaptable implementation strategy to: (1) monitor clinical deterioration in children with cancer, (2) contextually adapt PEWS, (3) assess barriers to using PEWS, (4) pilot and implement PEWS, (5) monitor the use of PEWS, (6) evaluate outcomes, and (7) sustain PEWS. The implementation outcomes assessed included the quality of PEWS use, the time required for implementation,...

10

artículo

Gender associated with the intention to choose a medical specialty in medical students: A cross-sectional study in 11 countries in Latin America.

Publicado por
Ng-Sueng, L.F., Vargas-Matos, I., Mayta-Tristán, P., Pereyra-Elías, R., Montenegro-Idrogo, J.J., Inga-Berrospi, F., Ancalli, F., Bonilla-Escobar, F., Diáz-Vélez, C., Gutierrez-Quezada, E., Gómez-Alhach, J., Muñoz-Medina, C.E., Sanchez-Pozo, A., Vidal, M., Pozo, A.M.S., López, J.P.C., Panozo, S.L., Villar, R., Morales, R.S., Adauy, G.A., Toloza, P.A., de Aguilera Aedo, R.O., González, J.P.S., Brito, I.N., Avendaño, J.S., Romero, F., Alhach, J.G., Escobar, F.B., Calixto, O., Cardona, Á.M., Arias, J.L.O., Cifuentes, L.A., Acosta, K., Ospina, M., Ruíz, G.D.L., Cifuentes, A.F.Q., Ortega, I.B., Valverde, C., Fernández, J.B., Urrutia, L.E.C., Moya, G., Yescas, G., León, M.V., Gutiérrez, E., Peralta, R.M.I.A., Sulca, R.V., Urbina, J.A.G., León-Jiménez, F., Diaz, C., Cabrera-Enríquez, J., Berrospi, F.I., Muñoz, K.M., Loaiza, O.M., Torres, M.M., Figueroa, J.Á., Dextre, M.T., Purizaca-Rosillo, N., Vidal, O.R., Chambi, D.E.V., Alfonso, M., Castagnino, D.L., Mogollón, C.A., Maquera, J., Franco, M.J., Gómez, G.F., Castro, J.J., Vela, E.J.J., Sampé, M.O., García, G.R.V., Anaya, K.R.H., Calizaya, F.A., Lázaro, L.E.G., Medina, C.E.M., Rodríguez, M.A., da Silva-Abreu, A.

Publicado 2016

Enlace

Introduction: The selection of a medical specialty has been associated with multiple factors, such as personal preferences, academic exposure, motivational factors and sociodemographic factors, such as gender. The number of women in the medical field has increased in recent years. In Latin America, we have not found any studies that explore this relationship. Objective: To determine whether there is an association between gender and the intention to choose a medical specialty in medical students from 11 countries in Latin America. Methods: Secondary analysis of the Collaborative Working Group for the Research of Human Resources for Health (Red-LIRHUS) data; a multi-country project of students in their first year and fifth year of study, from 63 medical schools in 11 Latin American countries. All students who referred intention to choose a certain medical specialty were considered as part...