Medical emigration is a really important problem for Peru in order to consolidate a sustainable health system. Objectives: To determine the prevalence of emigration intention and associated factors according to gender in recently Peruvian graduated physicians. Design and setting: Cross-sectional, analytic study developed in Lima, Peru in 2010. Participants: Two hundred eightynine recently graduated physicians from Peruvian universities were included. Interventions: An anonymous and auto-administered questionnaire was handed to the study subjects to measure their intention to work abroad. Data was analyzed using the statistical package STATA 11.2, and a log-binomial generalized lineal model was used as regression model for multiple variables. Main outcome measures: Self-reported emigration intention. Results: Prevalence of intended emigration was 42.1%, higher in males (50.0% versus 36.4%...

La medicina tradicional es el conjunto de prácticas, creencias y conocimientos sanitarios basados en el uso de recursos naturales (plantas, animales o minerales), terapias espirituales y técnicas manuales que buscan mantener la salud individual y comunitaria .

Background The shortage in Latin-American Primary Care (PC) workforce may be due to negative perceptions about it. These perceptions might be probably influenced by particular features of health systems and academic environments, thus varying between countries. Methods Observational, analytic and cross-sectional multicountry study that evaluated 9,561 first and fifth-year medical students from 63 medical schools of 11 Latin American countries through a survey. Perceptions on PC work was evaluated through a previously validated scale. Tertiles of the scores were created in order to compare the different countries. Crude and adjusted prevalence ratios were calculated using simple and multiple Poisson regression with robust variance. Results Approximately 53% of subjects were female; mean age was 20.4±2.9 years; 35.5%were fifth-year students. Statistically significant differences were foun...

Objectives. To evaluate the frequency of publication and its associated factors by professors of scientific research in medical schools in Peru. Materials and methods. This was a cross-sectional study. We included all teachers of research courses from the 32 medical schools in Peru in 2011. The publication search was conducted using Google Scholar, Scopus and Medline. Both the crude and adjusted prevalence ratios (aPR) were calculated with confidence intervals at 95% using simple and multiple Poisson regression with robust variance. Results. Of the 201 university teachers, 43.8% had never published an article in a journal, 26.9% had an original article published in a journal indexed in Medline and 16.4% did so in the past two years. Only 3% had been corresponding authors in non-Peruvian, indexed journals Factors associated with having an original article published in Medline in the past ...

Agradecemos a Anny Huillca Briceño y a Melissa Arce Oyola por su gentil colaboración en la recolección de datos.

Agradecimientos: Al Dr. Percy Mayta-Tristán por su asesoramiento durante el desarrollo de la investigación. A la Dra. Rev Peru Med Exp Salud Publica. 2010; 27(4): 520-26. Síntomas depresivos en estudiantes de ciencias de las salud 526 Claudia Mory Arciniega, por el apoyo durante la recolección de datos; al Dr. Luis Alfonso Díaz, por su disposición y orientación en la elección del instrumento y a María Gracia Pereda por su apoyo en la digitación de la base de datos.

OBJECTIVES: To determine the proportion of abstracts presented at the Congreso Peruano de Gastroenterología (the major Peruvian gastroenterological scientific meeting), that had been published in scientific journals, the date of publication and its associated factors. MATERIALS & METHODS: Longitudinal retrospective and analytic study; the publication rate of all the abstracts presented in the biennial Congreso Peruano de Gastroenterología between 1998 and 2008 was assessed. Google Scholar engine was used. The searching strategy performed included: (“Study location” AND “population studied” AND “main outcome”) AND (autor:First OR autor:Second OR autor:Last). Logistic regression was used, considering p<0.05 statistically significant. RESULTS: Publication rate was 8.2% (34/217), statistically significant differences were found among meeting years (p<0.001). There were also dif...

Objective: To evaluate the differences among Primary Care (PC) labor perceptions of medical students from Latin America according to their country. Methods: Observational, analytic and cross-sectional multicountry study that evaluated 9 561 first and fifth-year medical students from 63 medical schools of 11 Latin American countries through a survey. To evaluate the perceptions on the PC work, a previously validated scale was used. Tertiles of the scores were created in order to compare the different countries. Crude and adjusted prevalence ratios were calculated using simple and multiple Poisson regression. A p-value<0.05 was considered statistically significant. Findings: 52.9% of the subjects were female and the mean age was 20.4±2.9 years. 35.5% were fifth-year students. Statistically significant differences were found between the study subjects’ country, using Peru as reference. S...

OBJETIVOS: Determinar la proporción de trabajos presentados en el Congreso Peruano de Gastroenterología (1998-2008) que fueron publicados en revistas científicas y sus factores asociados. MATERIALES Y MÉTODOS: Se revisó todos los resúmenes presentados al Congreso Peruano de Gastroenterología y se evaluó sus características. Luego se buscó si fueron publicados a través de una estrategia de búsqueda usando Google Académico. Se evaluó la asociación entre las características de los resúmenes y su publicación usando regresión logística múltiple. RESULTADOS: Se evaluó 417 resúmenes, la media de autores fue de 4,9 ± 2,6, 17% fueron reportes de caso. Los estudios retrospectivos fueron más frecuentes (66,3%) pero disminuyeron con los años (p<0,001) al igual que los descriptivos (79,1%), solo 2,9% fueron experimentales y 12,2% longitudinales. Tuvieron una me...

La medicina tradicional es el conjunto de prácticas, creencias y conocimientos sanitarios basados en el uso de recursos naturales (plantas, animales o minerales), terapias espirituales y técnicas manuales que buscan mantener la salud individual y comunitaria .

Introducción. Los problemas de salud mental son un problema de salud global. La evidencia es controversial acerca de si el estado nutricional en la niñez podría impactar en la presencia de síntomas emocionales en la adolescencia. No hay estudios que hayan evaluado esta relación en países en desarrollo. Objetivo. Evaluar la asociación entre el estado nutricional en la niñez y el puntaje de síntomas emocionales en la adolescencia, según sexo, en niños de Perú, India, Etiopía y Vietnam. Métodos. Realizamos un análisis secundario de los datos de la cohorte Young Lives compuesta por niños de 7-8 años de nivel socioeconómico bajo/medio que fueron evaluados en el 2002 y seguidos durante ocho años. El estado nutricional se evaluó con el Z-score del índice de masa corporal (Kg/m2) para la edad según lo propuesto por la Organización Mundial de la Salud. Fue categorizado en d...

Cartas al editor

Although often viewed as an action of last resort, going on strike remains a legal and often effective option for physicians seeking labor improvements and better working conditions. Indeed, in some countries, there have been reports of strikes by physicians 1 2, followed by ensuing discussions of potential ethical implications 3–5. However, little has been said about the consequences of such a mass labor stoppage on undergraduate medical education – and those students who aspire to the profession. In Peru, physicians from the Peruvian National Social Insurance (EsSalud) went on a 33-day strike (August 7 to September 8), effectively limiting medical services to only emergency and critical care units. Furthermore, per EsSalud's labor guidelines (prepared for purposes of the strike), all academic activity within affiliated teaching hospitals was explicitly forbidden during the strike.

Cartas al editor

Breast cancer (BC) screening could reduce its mortality; however, its access is influenced by societal forces. Our objective is to identify the social determinants associated with mammography screening (MS) in women aged 50 to 59 in Peru. In this cross-sectional analysis of the Peruvian Demographic Health Survey, 2015, MS within the past two years was evaluated through self-report. Prevalence for MS was 21.9% [95% CI: 18.9 to 25.1]. The average age was 54 years (s.d.: 2.5). The higher the socioeconomic status, the higher the prevalence of screening (3.2% vs 41.4% in extreme quintiles, p <.001). In the adjusted models, higher socioeconomic status (PR: 5.81, 95% CI: 2.28 to 14.79), higher education level (PR: 2.03, 95% CI: 1.30 a 3,15) and having health insurance from the Ministry of Health (PR: 2.21, 95% CI: 1.28 to 3.82) and EsSalud (PR: 4.37, 95% CI: 2.67 to 7.15), were positively assoc...

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.

Background: Exclusive breastfeeding (EBF) has proven to be highly beneficial for children’s health. Identifying the associated factors with its cessation is useful in order to target specific groups for preventive interventions. Objective: To evaluate the associated factors with EBF cessation before six months of age in women with infants, living in a district in Lima. Methods: A cross-sectional analytic study was performed. It evaluated mothers with infants aged 6-24 months, in a periurban district in Lima, Peru, 2013. The study outcome was cessation in EBF before six months of age. Sociodemographic variables, factors related to gestation and delivery, and factors properly related to breastfeeding were assessed. Crude and adjusted prevalence ratios and their respective 95% confidence intervals (95%CI) were calculated through simple and multiple Poisson regression. Results: From the 10...

Objetives. The aim of this study is to evaluate the association between the time of outsourced work and the development of pneumoconiosis in Peruvian miners who attended the "Centro Nacional de Salud Ocupacional y Protección al Ambiente para la Salud" between 2008 and 2011. Materials and methods. Retrospective case-control study. Cases were defined as workers diagnosed of pneumoconiosis under standardized criteria. Outsourced work was defined as the time (in months) of work in a company that does not own the primary mining project. The project owner company was registered in the Mining Companies Directory (Ministerio de Energía y Minas). We used multiple logistic regression with crude and adjusted ORs. Results. The study comprised 391 cases and 1519 controls. In both groups, most of the study subjects had a level of education lower than complete high school and were born and currently ...

Introduction: Health professionals performing their social health service (SHS) in rural communities could be at risk of developing depression. Moreover, those who migrate from farther places to perform their SHS could have an increased risk. The objective of this study was to evaluate the association between place of origin and the presence of depressive symptoms, in health professionals performing rural social health service (SHS) in Ancash, Peru. Methods: This was a cross-sectional study. During April 2015, a survey was applied to health professionals performing SHS in the Peruvian Ministry of Health (MINSA) facilities in Ancash. The main outcome was the presence of depressive symptoms, defined as a score ≥2 points in the Patient Health Questionnaire-2. The main exposure was the place of origin, defined as the place where the subjects completed their undergraduate professional studi...