This study analizes Daniel Alcides Carrion role as a cultural hero and central element of Peruvian medical tradition. We verify the meaning of the elaboration process of Carrion’s experiment in a political struggle and national reconstruction scenery that converges with the beginning of the century aristocratic elite positivism. Social recomposition of medical institutions and the emergent fraction entrance to the Faculty of Medicine makes end of the XIX century-Carrion’s created image to become a neutral icon at the present time, amenable to absolute reivindication by all sectors as it is deeply rooted in the past with no current presence. A cultural imaginary analysis of Peruvian Medical School development (1886-1956) is done, as during this period San Fernando produced the country’s largest and best quality medical knowledge. We conclude that confluence of local medical imaginary e...

The study analyzes the various modernization projects at the Faculty of Medicine San Fernando, in the context of a serious institutional crisis at the end of the XXth century. Beginning from the thinking collective and thinking style categories proposed by Ludwick Fleck, we study the social and historical processes related to the different initiatives displayed in the ancient Peruvian school of medicine. Analysis of the different initiatives identified lead us to the hypothesis that San Fernando’s crisis as an academic collective is based in the proper contradictions of an unfinished institutional project that also manifests cyclically asynchronous and dysfunctional to the complex and changing Peruvian society’s institutional and cultural environment. The study systematizes the main characteristics of the different institutional modernization projects. Following an analysis of the cu...

This essay is a first approximation to the study of Hipolito Unanue’s thinking influence on the Peruvian epidemiology discourse construction. After describing general aspects of Unanue’s thought on the processes of disease propagation, we discuss how at the beginning of the XX century, in middle of the debate on the community problems and the various possibilities of the nation’s development, different authors retake Unanue’s ideas, who had already been raised up as a cultural hero of the medical community. We analyze his influence in the work of intellectuals like Paz Soldan, Olaechea and Lastres analyzing the diverse particularities of their thinking decodifying process and how this allowed the development of an identity process linked to the making of a ‘Peruvian conscience’, that is, of a particular way of seeing and transforming the world. This systemic way of approachin...

This paper aims to present the conceptual and methodological basis that allowed the design of a set of content and learning experiences aimed to achieve basic intercultural competences in first year students of Medical School, Faculty of Medicine San Fernando, for the study period 2010-2013. It describes the development of a set of learning experiences aimed at what we call ‘Otherness Management’ designed to introduce a general basis for intercultural competences. Advantages and limitations of the proposal are analyzed within the cultural and institutional context, and elements for future development of these competencies in the medical curriculum are proposed.

Infant mortality is one of the most sensitive indicators for assessing the living conditions and well-being of populations. It is also a valuable indicator for analyzing the deployment of interventions in the territory linked to public health. The study proposes to explore the extent to which the State density index is useful to understand the deployment of infant mortality in the territory and to contextualize its associated factors. For the data and the study period analyzed and in reference to the values of the 2007 Census, we highlight there is a limited relation of the State density index as a variable associated with infant mortality. Its usefulness as a criterion for the analysis of groups is emphasized, allowing a finer discrimination of the inequities and of the differential characteristics associated with the infant mortality at the provincial level.

Introduction: Health systems require evaluations about the quality of the delivery of services in Peru. Objective: Estimate the levels of satisfaction and waiting time in users of public and private peruvian health services. Methods: Secondary analysis of questionnaire 1 of the National Survey of Satisfaction of Users in Health (ENSUSALUD) 2014, 2015 and 2016. The waiting time was defined as the minutes it took since the user arrived at the health facility until he entered the doctor’s office. Satisfaction was evaluated with the user’s perception. Results: Satisfaction levels were: 70,1% (95% CI: 69,7%-71,2%), 73,7% (95% CI: 72,5%-74,9%) and 73,9% (IC 95%: 72,6%-75,1%) for 2014, 2015 and 2016, respectively. The users affiliated to the Comprehensive Health Insurance (2014: 67,7%, and 2016: 67,6%) and Social Health Insurance (EsSalud) (2015: 67,2%) we...

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Las Moscas de la fruta en especial “Ceratitis capitata Wiedemann” es una de las plagas más dañinas que existe, ataca a las diferentes producciones frutícolas y de hortalizas originando así la principal restricción fitosanitaria para poder exportar estos productos que son de mucha importancia para la economía de nuestros agricultores y del país. La OIEA (Organismo Internacional de Energía Atómica) dentro del proyecto RLA/5/043 (ARCAL XXXIII). “Reglamento Cuarentenario Armonizado para la Irradiación de Frutas Frescas” con la participación de Cuba, Argentina, Brasil, Chile, Venezuela, México y Perú, es que inician investigaciones para demostrar la eficacia, viabilidad y poder así validar la irradiación como tratamiento cuarentenario. Perú inicia estas actividades con el IPEN (Instituto Peruano de Energía Nuclear), así mismo teniendo la posibilidad de realizar un en...

La presente tesis se ejecutó con el objetivo de determinar la relación entre la satisfacción y el desempeño laboral de los servidores administrativos de una entidad pública de Piura-2022, asimismo se plateo como hipótesis general, existe relación entre la satisfacción y el desempeño laboral de los servidores administrativos. El tipo de investigación fue de tipo básica, cuantitativa de alcance temporal con un diseño No Experimental, de carácter correlacional; la población y muestra estuvo constituida por 129 servidores de una entidad pública de Piura, estuvo enmarcada de un muestreo no probabilístico. Para la recolección de información se utilizaron como técnicas a la encuesta y como instrumentos dos cuestionarios con escala Likert, referente a las variables satisfacción laboral (20 ítems) y desempeño laboral (20 ítems), los cuales fueron validados por juicio de exp...

Una gran parte de la generación de energía renovable variable, como la eólica y la solar, se considera una de las estrategias clave a nivel mundial para descarbonizar el sector energético y así reducir el consumo de combustibles fósiles. El consumo de energía eléctrica en industria representa aproximadamente al 30% del costo total de la producción. En el caso de Perú, las empresas que contraten más de 1 MW de potencia lo pueden hacerlo directamente a la distribuidora o generadora con una tarifa libre que puede ser negociable. En todo caso, existen tarifas diferenciadas entre las horas punta, que van desde las 17:00 hasta las 21:00 horas, y fuera de punta que son todas las horas restantes del día. Son muy pocas las empresas industriales que cuentan con sistemas de generación eléctrica propia, y menos que empleen sistemas de generación con energías no convencionales como la...

La presente investigación, tiene como objetivo describir las características de la sensibilidad materna en un grupo de madres de niños diagnosticados con parálisis cerebral (PC). Para este propósito se evaluó a 6 madres con edades entre 26 y 41 años (M=32.5, DE=6.41) de niños diagnosticados con PC de tipo espástica y disquinética con edades entre 4 y 6 años (M=5.5, DE=0.84) utilizando el Maternal Behavior for Preschoolers Q-Set de Posada, Moreno y Richmond (1998 en Posada, et al. 2007) y una entrevista desarrollada en base a las conductas que se mostraron como más características de su comportamiento sensible. Los resultados muestran que la PC del niño otorga características particulares a la interacción de las diadas evaluadas. Utilizando como referentes de comparación dos estudios que exploraron el constructo de sensibilidad materna en muestras peruanas y estadounidens...

La presente investigación, tiene como objetivo describir las características de la sensibilidad materna en un grupo de madres de niños diagnosticados con parálisis cerebral (PC). Para este propósito se evaluó a 6 madres con edades entre 26 y 41 años (M=32.5, DE=6.41) de niños diagnosticados con PC de tipo espástica y disquinética con edades entre 4 y 6 años (M=5.5, DE=0.84) utilizando el Maternal Behavior for Preschoolers Q-Set de Posada, Moreno y Richmond (1998 en Posada, et al. 2007) y una entrevista desarrollada en base a las conductas que se mostraron como más características de su comportamiento sensible. Los resultados muestran que la PC del niño otorga características particulares a la interacción de las diadas evaluadas. Utilizando como referentes de comparación dos estudios que exploraron el constructo de sensibilidad materna en muestras peruanas y estadounidens...

This study was designed to establish the perinatal mortality rate and the early neonatal mortality associated factors. We analyzed the characteristic of birth registered in the Daniel Alcides A Carrion Hospital in Callao, Lima - Peru, between October 1994 and July 1995. The perinatal mortality rate was 31,8 x 1000 live birth and the early, neonatal mortality rate was 24 x 1000 birth. The associated factors with early neonatal mortality was gestational age less than 37 weeks (RR 21,30 CI 13,61-33,32), low birth weight, lower than 1500 g (RR 123,32 CI 66,44-228,89), and between 1500-2499 g (RR 11,75 CI 7,27-18,97), footling breech presentation (RR 6,42 CI 3,93-10,47), other abnormal presentation (RR 5,88 CI 2,27-15,23), absence of prenatal care (RR 4,56 CI 1,86-11,20), incompleted prenatal care (RR 5,29 CI 1,92-14,60). We found a population attributable risk percent ó'ARP) of 46,9% associ...

The publication of this historiographical article has two objectives: The first is to pay tribute to the life trajectory of the sanfernandino doctor Rogelio Bermejo Ortega, one of the Peruvian pioneers of rural health, of community participation and intersectoral work in the development of general welfare. The second, to carry out from his life trajectory a first critical analysis of the implementation process of Primary Health Care (PHC) in Peru, based on the observations stated in his work “Primary Health Care in Peru”. Rescuing some elements to sustain —in these years of general crisis— a reform of the health system, oriented in an authentic way to the achievement of “health for all and per all” in Peru.

Phyllodes tumor (Giant Intracanalicular Fibroadenoma) is a breast neoplasm. It shows an enhanced incidence in some countries during the last years. We aim to make an exploratory study of Phyllodes tumor’s epidemiologic features, based in 53 cases from Hospital Nacional Edgardo Rebagliati Martins (HNERM), Lima, between 1989 to 1995. Their mean age was 43,45 years. 67,9% were pre-menopausal women. 39,6% were from Lima and 69,8% of them were living there during diagnosis time. Histologically, most cases (81,13%) were benign. The malignant type were the less frequent. This was seen in patients who were 30 or more years old. These findings showed that the greater the number of pregnancies, the less the frequency of the tumor. Moreover, there is no evidence of high laboral or industrial exposition to cancerigenic agents. Migration to Lima (an urban zone) was associated with tumor among young...

A study about the evolution and main characteristics of scientific articles related to research conducted in Peru publish both in national and, international journals between 1985 - 1993, was made. We identified 2412 scientific articles published in 32 national journals, and 297 articles in 134 international journals. There was found that national journals had published sporadically, and the amount of articles increased only 12% in 8 years. In addition, the autor’s features, the type of scientific articles and the topics studied, are described. Finally some explanations about the factors associated to evolution and characteristics observed, are given.

This is an inquiry study about the main issues of the biomedical scientific-technologic progress in Peru. It was made in the view of the comprehensive development of the country, as well as regional and worldwide situation. Health models used to approach socioeconomic inequalities are commented.Positive association between the principal science and technology agency, health field and Pan American health Organization is examined. This is investigated with dyadic evaluations domestic decisions.This article focus scientific and bibliographic attitude, as well as human resources and science and technology investment. In the same way, it outlines a strength and weakness analysis.Strengthen the information and communication necessity to excellence degrees and construction of a new biomedical research culture is noted.The importance of introduce a national progressive accreditation system, suit...

La población de personas adultas mayores crece de forma paulatina y sostenida en el mundo y por ende en nuestro país. Sin embargo, la información que se tiene sobre la forma de vida, salud y bienestar de este grupo poblacional es limitada debido a que la mayor parte de las investigaciones en adultos mayores es derivada del estudio de grupos pequeños con patología bien circunscrita y características especiales. Por otro lado, la realización de estudios, en la población abierta, que permitan establecer la demografía y epidemiología de las personas mayores de 60 años requieren de una gran infraestructura y recursos tanto humanos como económicos. El Proyecto-Encuesta Salud Bienestar y Envejecimiento (SABE), mediante la realización de un estudio tipo encuesta, tiene la finalidad de obtener dicha información contando conla participación del Sector Salud, instituciones de educaci...

La población de personas adultas mayores crece de forma paulatina y sostenida en el mundo y por ende en nuestro país. Sin embargo, la información que se tiene sobre la forma de vida, salud y bienestar de este grupo poblacional es limitada debido a que la mayor parte de las investigaciones en adultos mayores es derivada del estudio de grupos pequeños con patología bien circunscrita y características especiales. Por otro lado, la realización de estudios, en la población abierta, que permitan establecer la demografía y epidemiología de las personas mayores de 60 años requieren de una gran infraestructura y recursos tanto humanos como económicos. El Proyecto-Encuesta Salud Bienestar y Envejecimiento (SABE), mediante la realización de un estudio tipo encuesta, tiene la finalidad de obtener dicha información contando conla participación del Sector Salud, instituciones de educaci...