El objetivo principal de este estudio fue determinar la asociación entre la capacidad intrínseca (CI) y dinapenia en adultos mayores en consulta ambulatoria en el Centro Médico Naval. Los materiales y métodos: El diseño del estudio fue observacional analítico retrospectivo. No obstante, el estudio de donde provienen los datos recolectados fue de tipo observacional analítico de tipo cohorte, cuyo objetivo principal fue describir los factores asociados a fragilidad en adultos mayores. La población proviene del Centro Médico Naval del Perú. Resultados: Indican la prevalencia de dinapenia en personas con capacidad intrínseca alterada es de 39.8% (n=40) calculado por chi2 con valor p=0,001. En conclusión, si existe asociación entre Capacidad intrínseca y Dinapenia.

Sleep is vital for all mammals including humans, its distortion implies different health risks and pathologies such as depression, and cardiovascular diseases, and in the end, it can lead to death. In this sense, it is important to find the molecular bases of sleep, among them the genes and their proteins that play a key role in the homeostasis of the living being. Information was collected using the PubMed/Scopus databases in English with a 10-year history using the PICO methodology to determine the words P=Genes, I=Molecular basis, C=Not applicable, O=Sleep. Original articles were determined into two large groups, among these are the "Clock Genes" and other "Genes and Proteins" related to sleep. Among the important clock genes identified are those linked to dopamine (DRD 2) and (DAT 1) and other genes such as pdm3 that participate in the genesis of the innervation of the dopaminergic s...

Objective: To describe the assistance provided by the teleconsultation service in the San Pablo Clinic Network (RCSP) during the COVID-19 pandemic, with an emphasis on the specialty of gastroenterology. The study: Descriptive study. Data from the Electronic Medical Records System and the RCSP administrative system were reviewed. Results: The RCSP includes 8 locations (5 in Lima). Between April 2020 and December 2021, 1,156,253 visits were made (6.6% of these by teleconsultation). The specialties with the most teleconsultations were internal medicine and endocrinology, and the specialties with the most face-to-face consultations were gynecology-obstetrics and traumatology. Gastroenterology was the ninth most frequent specialty in teleconsultation and the fifth in face-to-face consultation. The most frequent diagnoses of this specialty, both for face-to-face consultation and teleconsultati...