Introducción: La rehabilitación física puede verse beneficiada con el uso de dispositivos, los cuales en su mayoría suelen ser patentados. La oficina de patentes y marcas de los Estados Unidos (USPTO) es una de las oficinas de patentes y marcas más grandes y reconocidas. Resulta de interés evaluar las características y la evolución de las patentes para la rehabilitación física; sin embargo, existen pocos estudios al respecto. Objetivo: Identificar las características de las patentes de dispositivos de rehabilitación física de extremidades, registradas en la oficina de patentes y marcas de los Estados Unidos.

Introducción: La rehabilitación física puede verse beneficiada con el uso de dispositivos, los cuales en su mayoría suelen ser patentados. La oficina de patentes y marcas de los Estados Unidos (USPTO) es una de las oficinas de patentes y marcas más grandes y reconocidas. Resulta de interés evaluar las características y la evolución de las patentes para la rehabilitación física; sin embargo, existen pocos estudios al respecto. Objetivo: Identificar las características de las patentes de dispositivos de rehabilitación física de extremidades, registradas en la oficina de patentes y marcas de los Estados Unidos.

Objetivo: describir la percepción de los médicos recién egresados de las facultades de Medicina Humana de Lima (Perú) sobre su internado. Métodos: Se llevó a cabo un estudio observacional, descriptivo y transversal. Se encuestó a médicos durante un curso, recolectando datos sobre el internado relacionados a bioseguridad, seguro médico, agresión, docencia, carga laboral, y carga administrativa. Resultados: en una población de 268 médicos, el 42,5% afirmó que se le ha entregado materiales de bioseguridad siempre que fuera necesario, el 35,8% que no contaron con seguro de salud, el 42,5% no haber tenido descanso postguardia en ninguna rotación, el 63,1% haber sufrido alguna vez durante su internado agresión verbal, el 21,6% acoso sexual, y 6,3% agresión física. Conclusión: según la percepción de los encuestados, se describen situaciones problemáticas durante el internad...

ABSTRACT Introduction: Physical rehabilitation can be benefitted from the use of devices, which are usually patented. The United States Patent and Trademark Office (USPTO) is one of the largest and most recognized patent and trademark offices. The characteristics and evolution of patents for physical rehabilitation is of great interest; however, there are few studies in this respect. Objective: To identify the characteristics of patents of physical rehabilitation devices for the physical rehabilitation of damaged limbs registered the United States Patent and Trademark Office. Material and methods: A cross-sectional descriptive study was conducted. A search was made at UPSTO using a list of keywords related to rehabilitation. Ten groups of patents related to rehabilitation were chosen. The variables studied were: patent number, publication date, country, holder, patent area, limbs for whi...

El internado médico es una etapa en la que el estudiante de medicina consolida e integra los conocimientos adquiridos en años previos de su carrera. A pesar de la importancia del internado en la formación médica, existen problemas que impiden su adecuado desarrollo, como carencias de áreas de descanso, de equipos de bioseguridad, de las remuneraciones acordadas, entre otros. Ante estos problemas, los internos de medicina han elevado su voz de protesta, llegando incluso a realizar interrupciones colectivas de su actividad laboral, conocidas como huelgas. De esta manera se tiene información sobre huelgas de internos en varios países de Latinoamérica: Honduras, Chile y Costa Rica.

Objective: To describe the effects of the 5% lidocaine patch on the symptomatic relief of Peruvian patients with postherpetic neuralgia. Methods: Case series report of adult patients with post-herpetic neuralgia admitted to and treated at the Air Force Central Hospital in Lima. Symptomatic relief was defined as the difference between the specified pain score before and after patch treatment. The pain score was evaluated by the visual analogue scale and the Pain Assessment in Advanced Dementia scale, for patients with dementia. Results: Twenty-two patients with postherpetic neuralgia (mean age 74.4 ± 12.40 years) were recruited, 17 of whom began topical therapy with lidocaine following oral systemic treatment. The main reasons for the decision to change were a persistent pain and the adverse effects of the preceding therapy. A statistically significant decrease in pain symptoms was obser...

Objetivo: describir la percepción de los médicos recién egresados de las facultades de Medicina Humana de Lima (Perú) sobre su internado. Métodos: Se llevó a cabo un estudio observacional, descriptivo y transversal. Se encuestó a médicos durante un curso, recolectando datos sobre el internado relacionados a bioseguridad, seguro médico, agresión, docencia, carga laboral, y carga administrativa. Resultados: en una población de 268 médicos, el 42,5% afirmó que se le ha entregado materiales de bioseguridad siempre que fuera necesario, el 35,8% que no contaron con seguro de salud, el 42,5% no haber tenido descanso postguardia en ninguna rotación, el 63,1% haber sufrido alguna vez durante su internado agresión verbal, el 21,6% acoso sexual, y 6,3% agresión física. Conclusión: según la percepción de los encuestados, se describen situaciones problemáticas durante el internad...

Objective To determine the prevalence of workplace violence among Peruvian medical residents and to evaluate the association between medical specialty and workplace violence per type of aggressor. Methods This was a cross-sectional secondary analysis that used data from the Peruvian Medical Residents National Survey 2016 (ENMERE-2016). The outcome of interest was workplace violence, including physical and verbal violence, which were categorized according to the perpetrator of violence (patients/relatives and worker-to-worker). Primary exposure was the medical specialty, categorized as clinical, surgical, and other specialties. To evaluate the associations of interest, we estimated adjusted prevalence ratios (PR) with their respective 95% confidence intervals (95% CI) using Poisson regression models with robust variances. Results A total of 1054 Peruvian medical residents were evaluated. ...

Objetivo: Constuir modelos y evaluar su performance para la predicción de letalidad por COVID-19 considerando datos poblacionales del sistema de vigilancia de la enfermedad en el Perú. Metodología: Estudio de tipo cohorte retrospectiva. La población de estudio estuvo conformada por los casos registrados y confirmados de COVID-19 en el sistema de vigilancia de nueve provincias de Lima. La población total fue dividida en una muestra aleatoria de 80%, en donde se realizó la construcción de modelos utilizando estrategias diferentes para seleccionar variables (1: estudios previos; 2: método de Lasso; 3: significancia estadística ; 4: post-hoc). En el 20% restante se realizó la validación interna. La selección de los modelos finales se basó en la comparación del performance obtenido y la coherencia biológica de las asociaciones. Resultados: La información de 17 678 casos fue ut...

Acute appendicitis is the most common pathology from acute abdomen during pregnancy, which hasa difficult diagnosis because of the physiological changes during pregnancy which results in confusingclinical presentations. We reported the case of a multiparous woman of 27 years with 22 3/7 weeksdiagnosed with acute appendicitis, undergoing surgery without complications and with a necrosedappendix that was evidenced through pathological examination. It is important to emphasis the roleof the anamnesis with the physical examination guided by the physiological pregnancy changesrelated to the appendix. A timely diagnosis and treatment with an interdisciplinary approach wouldsignificantly reduce the maternal-fetal risks related to this pathology, the appendix removal and thecontinuation of the pregnancy.

Acute appendicitis is the most common pathology from acute abdomen during pregnancy, which hasa difficult diagnosis because of the physiological changes during pregnancy which results in confusingclinical presentations. We reported the case of a multiparous woman of 27 years with 22 3/7 weeksdiagnosed with acute appendicitis, undergoing surgery without complications and with a necrosedappendix that was evidenced through pathological examination. It is important to emphasis the roleof the anamnesis with the physical examination guided by the physiological pregnancy changesrelated to the appendix. A timely diagnosis and treatment with an interdisciplinary approach wouldsignificantly reduce the maternal-fetal risks related to this pathology, the appendix removal and thecontinuation of the pregnancy.

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Ante la necesidad de establecer estrategias efectivas para mejorar la supervivencia en los pacientes COVID-19 que desarrollan SDRA, se realiza la presente síntesis rápida de evidencia sobre los artículos publicados que evalúen la efectividad y seguridad de la ventilación prona en los pacientes de SDRA, por cualquier etiología y por COVID-19.

Sci-Hub is a pirate repository of scientific papers launched in 2011, and currently hosts more than 46 million articles. Thousands of people use this repository every day to access information, reaching more than 200 000 daily downloads of scientific articles that they would otherwise have to buy.

Sci-Hub is a pirate repository of scientific papers launched in 2011, and currently hosts more than 46 million articles. Thousands of people use this repository every day to access information, reaching more than 200 000 daily downloads of scientific articles that they would otherwise have to buy.

Background: Nowadays, the high morbimortality of obesity is mainly related to diabetes, cancer, and hypertension. It is reported that obesity in patients with hypertension can lead to resistance to pressure reduction through pharmacological therapy and lifestyle changes, so bariatric surgery emerges as a proposed treatment for obesity. Methods: We performed an umbrella review that included systematic reviews of clinical trials that evaluated patients with hypertension and non-morbid obesity. The quality and certainty of the evidence was evaluated with the AMSTAR-II and GRADE tools. Results: 677 systematic reviews were identified, of which only three were included for analysis. We considered the outcomes addressed by the reviews on hypertension, identifying that 5 RCTs evaluated pressure reduction at 1 year of follow-up and 5 RCTs at more than 1 year, 5 RCTs evaluated hypertension rate, 6...

Objective: To evaluate the factors associated with depression in older adults in a marginal urban area of ​​Peru. Material and methods:  It is a cross-sectional analytical study in adults over 60 years of age in a marginal urban area of ​​Lima. The dependent variable was evaluated using the geriatric depression scale of 15 items, the presence of depression with a score ≥ 6 was considered. The factors associated with depression were calculated using raw and adjusted prevalence ratios with 95% confidence intervals (95% CI) using poisson regressions with robust variance. Results: Of the 142 older adults with an average age and standard deviation was 70.4 ± 8.14. The prevalence of the presence of depression was 55.6% (women 39.6% and men 53.4%). The lack of schooling (RPa: 1.40, 95% CI: 1.04 - 1.88) and not working (RPa: 1.50, 95% CI: 1.09 - 2.05) were risk factors that ...

Objective: To evaluate the factors associated with depression in older adults in a marginal urban area of ​​Peru. Material and methods:  It is a cross-sectional analytical study in adults over 60 years of age in a marginal urban area of ​​Lima. The dependent variable was evaluated using the geriatric depression scale of 15 items, the presence of depression with a score ≥ 6 was considered. The factors associated with depression were calculated using raw and adjusted prevalence ratios with 95% confidence intervals (95% CI) using poisson regressions with robust variance. Results: Of the 142 older adults with an average age and standard deviation was 70.4 ± 8.14. The prevalence of the presence of depression was 55.6% (women 39.6% and men 53.4%). The lack of schooling (RPa: 1.40, 95% CI: 1.04 - 1.88) and not working (RPa: 1.50, 95% CI: 1.09 - 2.05) were risk factors that ...

ABSTRACT Introduction: Male chauvinism is rooted in certain populations, but it has not been measured among those who will be responsible for healthcare. Objective: To determine the factors associated with male chauvinism among the medical students of 12 Peruvian universities. Methods: Cross-sectional multicentre analytical study, with previously collected data, which used validated tests to measure male chauvinism and strong religious beliefs. In addition, other social and educational factors were analysed and the data was crossed. Descriptive and analytical statistics were obtained. Results: In the multivariate analysis, we found an association between male chauvinism and religious non-believers (RP=1.88; 95% CI, 1.47-2.40), as well as being female (RP=0.35; 95% CI, 0.27-0.46). Of the 12 universities evaluated, the least chauvinistic university was in Lima. Using this university as a c...

Introduction: Resident physicians who work more hours a day are prone to suffer mental health problems such as depression, a subject that has been little studied. In this regard, the aim of this study was to determine the prevalence of depressive symptoms and to evaluate the association between the number of daily working hours and depressive symptoms in Peruvian residents. Methods: Analytical cross-sectional study that used the database of the National Survey for Resident Physicians-2016, a voluntary survey issued virtually by the National Council of Medical Residency of Peru to physicians who were undertaking their residency in Peru. The presence of depressive symptoms was considered as having obtained a score ≥3 with the Patient Health Questionnaire-2 scale. The number of hours worked each day was collected through a direct question. To assess the association of interest, prevalence...