Objectives: To measure Peruvian scientific production on public health in Scopus database. Methods: Bibliometric study using advanced Scopus web search engine (https://www.scopus.com/search/ form.uri?display=advanced). The inclusion criteria were the publications of articles related to public health between 1973 and 2020. The equation was used as a strategy: TITLE-ABS-CLAVE (“public health”) AND AFFILCOUNTRY (Peru) AND (EXCLUDE (PUBYEAR, 2021) OR EXCLUDE (PUBYEAR, 2020)). SCImago journal & country rank was used to determine the impact factor (h-index) and the quartile of the journals identified. The analysis included in SPSS v24.0 included years of publication, institutions, h-index, list of authors with the most publications, publication types, and journals. Results: 903 articles published by 7.5±12.5 authors were included, showing that 74.5% were original articles written mainly i...

Context: Quality assurance in cervical cytology is based on the cyto-histological correlation that is performed in several countries even without standardized protocols. Aims: To evaluate the quality of the Pap smear with the Clinical and Laboratory Standards Institute (CLSI) EP12-A2 guideline in a Peruvian hospital. Settings and Design: This prospective study was carried out at tertiary care national hospital. Methods and Material: The 156 cyto-histological results were collected and coded according to the Bethesda 2014 and FIGO system. The evaluation with the CLSI EP12-A2 guide allowed estimating the performance and quality of the test. Statistical Analysis Used: We performed a descriptive analysis of the cytological and histological data and correlation with the weight Kappa test. From the calculation of the likelihood ratios, the post-test probability was estimated using Bayes’ the...

The objective of the present study is to make a comparison between various free and open-source software used for medical image processing, such as 3D Slicer (version 4.11), ITK-Snap (version 3.8), and Invesalius (version 3.1) in its application for the calculation of solitary fibrous tumor volumes. Knowing the size, shape, and volume of mesothelioma is decisive for clinical decisionmaking by health personnel when performing surgery; the currently used standard procedure is manual segmentation through magnetic resonance imaging (MRI). This process tends to take a long time to complete. On the other hand, automatic segmentation software is much faster and more user-friendly, so looking for software that gives us greater accuracy when doing this task is very important. This work obtained magnetic resonance imaging (MRI) of a mesothelioma patient, and the images were segmented in the 3 diff...

Realiza una crítica de la investigación de Inga-Berrospi y otros titulada "Funcionalidad familiar, habilidades sociales y estilos de vida en estudiantes durante la pandemia por la COVID-19", señalado problemas con la selección de participantes y el tipo de muestreo, además, anota una falta de complejidad necesaria en la presentación de los datos demográficos de los participantes.

Analiza brevemente la salud mental del personal sanitario en el contexto de la COVID-19 en base a artículos anteriores que aborden este asunto.

En Corea del Sur se han gestado dos hitos con la publicación de Hana Yori Dango durante los 90’s y la emisión de la serie Boys over flowers (2009) a inicios de la primera década del siglo XXI. En Boys over flowers se presenta a Yoo Ji Hoo como miembro de los F4, un grupo de elite coreano, quien sufre de un accidente en su primera infancia donde fallecen sus padres y adquiere autismo luego del trauma. En su orfandad logra «salir» del autismo con la ayuda de Min Seo Hyun, una amiga cercana y de quien se enamora, permitiendo su reincorporación social como un sujeto neurotípico. En vista del progresivo incremento de los casos de niños autistas en todo el mundo, y de las ventajas que promete la medicina moderna sobre su tratamiento y ocasional «curación», aquí buscamos responder a las siguientes preguntas: i) ¿es posible desarrollar autismo luego de un evento traumático?, y ii...

Los autores reflexionan acerca de las posibles alternaciones que el personal sanitario puede experimentar al tratar con pacientes en áreas de cuidado crítico por COVID-19.

Introducción: La tuberculosis es una de las principales causas de morbimortalidad en todo el mundo. Las medidas de prevención son clave para evitar su propagación y el contagio entre profesionales de salud. Objetivo: Determinar las actitudes del autocuidado sobre la tuberculosis en el personal de enfermería luego de un brote infeccioso hospitalario. Métodos: Estudio transversal, en personal de enfermería (n=94; personal técnico n=44; 46,8%). Se incluyó al personal de enfermería voluntario >18 años, de ambos sexos, que trabaje en el Departamento de Emergencia. Se usó el cuestionario de 15 ítems de Valle (2017), para estimar los conocimientos y actitudes sobre el autocuidado, 3 dimensiones: prevención, diagnóstico y tratamiento de la tuberculosis. Resultados: El promedio de edad de los participantes fue de 44,7±8,8 años, el 88,3% mujeres y el tiempo promedio de trabajo fue ...

Introducción: La coledocolitiasis es una enfermedad en la cual el conducto biliar común está ocupado por cálculos. La colangiopancreatografía retrógrada endoscópica juega un papel importante en el tratamiento, al conseguir el aclaramiento de la vía biliar principal y restaurar el paso normal de la bilis. Objetivo: Presentar un paciente con la COVID-19 y colangitis aguda por coledocolitiasis múltiple, que se le realizó colangiopancreatografía retrógrada endoscópica. Caso clínico: Mujer de 58 años, antecedentes de cálculos en vesícula biliar, que ingresó en estado de shockséptico por posible colangitis aguda y síntomas respiratorios leves, con prueba positiva para la COVID-19. Por ultrasonido abdominal se le diagnosticó coledocolitiasis y se le realizó colangiopancreatografìa retrógrada endoscópica, se visualizaron múltiples cálculos en colédoco. Se logró el dr...

Expone la situación de riesgo que tiene el personal sanitario al tratar con pacientes con COVID-19, los cuales ha presentando angustia, ansiedad y depresión deteriorando así su área emocional y calidad de vida. Asimismo, señala que los problemas mentales afectan sobre todo a mujeres de este sector ocupacional,

Background: The COVID-19 pandemic caused a health crisis worldwide that ended up affecting the daily lives of university students. Considering prevention strategies for contagion and decreased physical activity, altered perceptions of body image were seen that may negatively disrupt their eating habits. Methods: Our cross-sectional survey-based study (N=180) had the objective to determine the association between body image perception and the risk of eating disorders in university students during the pandemic. We surveyed male and female university students aged 18-35 years using the Montero Anatomical Models questionnaire and the Eating Attitude Test-26 (EAT-26) as instruments. Results: Most of the university students were female (67.8%) with an average age of 22.8±3.9 years. 51.1% perceived themselves as overweight and 53.9% were at low risk of an eating disorder. This mainly affected ...

Background: Adverse events (AE) are unintentional injuries or harm that occur during medical care. These represent a public health problem, and they are one of the main causes of death in the world. Objective: The objective of the study was to determine AEs derived from nursing care in hospitalized patients, as well as to estimate their frequency according to severity, follow-up, and type of care service. Methods: We undertook a retrospective study in hospitalized patients. EA by severity (no damage, irreversible damage, disability, and death), types (pressure ulcers (PUs), falls, phlebitis, and blood transfusion), and demographic data (age and gender) were taken into account. Damage severity was determined according to the guidelines of the Peruvian Ministry of Health. Results: We obtained 127 reports (55.9% women, mean age of 28+8 years). The main EA were PUs (57.5%), followed by phleb...

Introduction: Cervical cancer is the second most frequent malignant disease in the Peruvian female population, and the Papanicolaou test is its main screening tool. However, the COVID-19 pandemic can hinder cervical cancer screening, reducing its scope. Objective: To analyze the decline of Papanicolaou-based cervical cancer screening due to COVID-19 in a specialized hospital in Lima. Methods: We designed a retrospective study (from 2015 to 2020) on 355 029 Papanicolaou smears at the Hospital Nacional Madre Niño San Bartolomé. T-test and one-way ANOVA were used to define differences in the study period and Ljung-Box test with ARIMA (1,0,0) model to describe and forecast monthly expected Papanicolaou smears for 2020. Results: Throughout the six years of the study, the average Papanicolaou smears was 59 171.5 ± 8898.7 per year. However, in 2020 only 16 273 (4.58%) Papanicolaou tests were...

Introduction: Academic procrastination (AP) is a global phenomenon that significantly affects college students, potentially influencing their academic performance and mental well-being. Objective: To investigate the relationship between levels of academic procrastination and the academic performance of nursing students during their internship in Peru. Methods: A cross-sectional study was conducted, involving 112 nursing interns aged 18 years and above and enrolled in the 2019-I semester. The participants completed the Academic Procrastination Scale (EPA), a Likert-like scale consisting of 12 items, which measured two dimensions: academic self-regulation (9 items) and procrastination of activities (3 items). A threshold score of 36 points was used to identify high levels of academic procrastination. Academic performance was assessed on a scale of 0-10 (failed), 11-14 (passed), 15-17 (rema...

Background: Burnout Syndrome (BS) is a work fatigue phenomenon that leads to physical exhaustion during care work, and there could be an increase in the proportion of nurses affected during the COVID-19 pandemic, especially in those caring for infected patients. We aimed to determine BS in nurses during the COVID-19 pandemic. Methods: An observational study was conducted on 100 nurses over the age of 18 and working in COVID-19 medical units in 2021. The 22-item Maslach Burnout Inventory questionnaire was used to estimate BS, and differences between age groups, gender, work time, and previous infection were estimated. Results: The majority of nurses (mean 30 ± 5.5 years) were women (78%), and the most frequent working time was from 1 to 10 years (58%). A total of 88% of the nurses had moderate BS, affecting more males, aged between 20 and 30 years, and without previous infection. The you...