1
tesis de grado
Publicado 2021
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El objetivo del estudio es determinar los principales factores de riesgo asociados a la depresión en el paciente con diabetes mellitus, cusco 2021. Metodología: Se elaboró un estudio observacional, transversal y analítico tipo casos y controles, requiriéndose una muestra de 102 pacientes (52casos y 50 controles) a los mismos que se les aplico una ficha de recolección de datos y el test PHQ-9. Se realizo el análisis descriptivo, analítico: bivariado y multivariado de los factores asociados con la variable de interés “depresión” con sus Odds ratio e intervalos de confianza al 95% y significancia si p<0.05. Resultados: El sexo femenino tuvo un OR de 2.93 con IC (1.16-7.52), p=0.01; la no adherencia al tratamiento mostró un OR 2.64 con IC (1.18-5.90) , p=0.004; dormir menos de 7 horas tuvo un OR de 4.05 con IC (1.77-9.26) , p=0.001, vivir solo o con una persona obtuvo un OR de...
2
artículo
Publicado 2020
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Background. Cervical ectopic pregnancy is the implantation of the embryo in the lining of the endocervical canal lining. It represents less than 1% of all ectopic pregnancies. Case description: We report two patients who come to the emergency room for transvaginal bleeding. The diagnosis of cervical ectopic pregnancy was made by transvaginal ultrasound (7- and 8-weeks' gestation). Treatment was started with methotrexate (28-year-old patient) and methotrexate-folinic acid (35-year-old patient). Due to the increase in human chorionic gonadotropin hormone, it was decided to perform an abdominal hysterectomy (28-year-old patient) and McDonald-type cervical curettage-cerclage (35-year-old patient). There were no complications after surgery in both patients. Conclusions: The treatment of cervical ectopic pregnancy is controversial. The most appropriate therapy should be chosen to preserv...
3
artículo
Publicado 2018
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Diabetic foot is one of the main complications of diabetes mellitus; however, in hospitals of provinces from Perú, the relationship of this condition with hospital stay has not been calculated. Objective: To determine the association between hospitalization time and diabetic foot in three hospitals from Cusco, Perú. Methods: A cross-sectional study of secondary data analysis was conducted. We analyzed the data of patients with type 2 diabetes mellitus admitted to the internal medicine service between January and December 2016, in three tertiary hospitals in Cusco, Peru. Correlation coefficients and p-values were calculated using generalized linear models, with Gaussian family and identity function, adjusted by intervening variables. Values of p < 0.05 were considered statistically significant. Results: Of the 153 patients, 14% (21) had a diabetic foot diagnosis, and their median age wa...
4
artículo
Publicado 2018
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Diabetic foot is one of the main complications of diabetes mellitus; however, in hospitals of provinces from Perú, the relationship of this condition with hospital stay has not been calculated. Objective: To determine the association between hospitalization time and diabetic foot in three hospitals from Cusco, Perú. Methods: A cross-sectional study of secondary data analysis was conducted. We analyzed the data of patients with type 2 diabetes mellitus admitted to the internal medicine service between January and December 2016, in three tertiary hospitals in Cusco, Peru. Correlation coefficients and p-values were calculated using generalized linear models, with Gaussian family and identity function, adjusted by intervening variables. Values of p < 0.05 were considered statistically significant. Results: Of the 153 patients, 14% (21) had a diabetic foot diagnosis, and their median age wa...