Dear Editor, Digital health applications have demonstrated benefits in several healthcare outcomes therefore it has become a serious alternative to getting Sustainable Development Goals 2030 related to health (1). In recent years, Latin America is creating policies and strategies for digital health. Peru is one of the earliest countries in Latin America that establish policies for eHealth and digital health but its implementation in the real world is limited (2). It is well known that some medical schools have courses related to informatics, Health Informatics (HI), or even medical informatics but there is no evidence about how many of peruvian medical schools teach HI within their curricula or what content or topics are provided.

Objetivos: Identificar factores asociados al delirio de emergencia en niños de la Unidad de Recuperación Postanestésica de un Instituto Especializado en Salud Pediátrica del Perú. Métodos: Se realizó un estudio transversal en niños de 2 a 6 años, estado físico clasificación I y II, en procedimientos electivos bajo anestesia. La variable principal fue la presencia de delirio de emergencia evaluado con la escala Pediatric Anesthesia Emergence Delirium mayor o igual a 10 puntos. Para identificar los factores asociados al delirio se aplicó el modelo de regresión de Poisson y se consideró significativo un valor de p < 0,05. Resultados:De los 150 niños, se encontró que la incidencia de delirio de emergencia ocurrió en el 10,6%. De estos, el 81,4% eran menores de 5 años, el dolor se asoció significativamente en el 37,5% con RP = 3,63, IC95% [1,20, 10,1] y se observó que e...

Introduction: Under normal physiological normal conditions, high altitude inhabitants have lower blood sugar levels compared with persons living at sea level. These lower blood sugar values in high altitude are probably due to insulin. The explanation for the major glucose uptake in high altitude is not known yet. Objective: To evaluate the response to oral glucose tolerance test in healthy inhabitants of extremely high altitude areas compared to that of healthy persons living in high altitude places. To compare sensitivity to insulin using the oral glucose tolerance test in health persons living in extremely high altitude areas compared to that of healthy persons living in high altitude places. Materials and methods: This is a longitudinal, prospective and analytical study. The study group consisted in 40 healthy males living in a high altitude city (Puno, 3826 meters abo...

Introducción: En condiciones fisiológicas normales el habitante de la altura tiene una glicemia más baja en comparación con el habitante del nivel del mar. Esta menor glicemia basal en la altura probablemente sea debida a la insulina. La explicación para la mayor captación de glucosa en la altura aun se desconoce. Objetivos: Evaluar la respuesta al test de tolerancia oral a la glucosa en habitantes sanos de extrema altura en comparación a personas sanas residentes de gran altura. Comparar la sensibilidad a la insulina mediante el test de tolerancia oral a la glucosa de habitantes sanos de extrema altura y de gran altura. Materiales y métodos: El presente es un estudio longitudinal, prospectivo y analítico. El estudio incluyó a un grupo de estudio conformado por 40 varones sanos voluntarios residentes a gran altura (Puno, 3826 m.s.n.m.) y un grupo control conforma...

“The birth of conjoined twins is one of the rarest neonatal conditions worldwide, with an incidence of 1 in 100,000 live births. Twins joined by the pelvis, known as ischiopagus, represent 6–11% of all conjoined twins. This clinical condition increases the degree of complexity in separation surgeries. Each case poses unique anatomical challenges, and clinical outcomes may vary according to the health facility where the infants are born or can access. This case report describes a successful separation surgery of ischiopagus conjoined twins in Peru. 3D printing and neurophysiological monitoring were used for surgical planning and intervention, allowing a fullscale anatomical model and preserving the mobility of the lower limbs of conjoined twins after surgery. This article demonstrates that established procedures and novel technologies can be valuable platforms for preoperative plannin...

“The birth of conjoined twins is one of the rarest neonatal conditions worldwide, with an incidence of 1 in 100,000 live births. Twins joined by the pelvis, known as ischiopagus, represent 6–11% of all conjoined twins. This clinical condition increases the degree of complexity in separation surgeries. Each case poses unique anatomical challenges, and clinical outcomes may vary according to the health facility where the infants are born or can access. This case report describes a successful separation surgery of ischiopagus conjoined twins in Peru. 3D printing and neurophysiological monitoring were used for surgical planning and intervention, allowing a fullscale anatomical model and preserving the mobility of the lower limbs of conjoined twins after surgery. This article demonstrates that established procedures and novel technologies can be valuable platforms for preoperative plannin...