Neurobrucellosis, caused by Brucella species, is a zoonotic infection that may involve the central nervous system. Although uncommon, it can manifest as a solitary intracranial mass. We report a case of neurobrucellosis in a 25-year-old woman from Peru who presented with headache, weight loss, and right-side hemiparesis and paresthesia. A contrast-enhanced magnetic resonance imaging scan revealed an intracerebral mass in the left temporal lobe. Serum testing subsequently were positive. Brain biopsy demonstrated non-necrotizing granulomas without malignant cells. Neurobrucellosis should be considered in the differential diagnosis of brain space occupying lesions in endemic countries. Copyright

Identifica los factores laborales que inciden en el sentido de pertenencia de la plana docente de una institución educativa; la elección del tema parte del análisis del clima laboral actual de los docentes, consecuencia de la falta del área de recursos humanos en los centros educativos. Las herramientas utilizadas para el estudio fueron la entrevista y la encuesta. Consiguientemente, los resultados informaron que los docentes del centro educativo cuentan con las herramientas y/o materiales necesarios y suficientes para realizar su trabajo sin dificultad, asimismo, son invitados continuamente a participar de charlas, cursos, talleres, entre otros eventos para conocer o actualizar sus conocimientos.

La presente investigación busco determinar la relación entre el Mix de Marketing de Servicios y el Proceso de Decisión de Compra del cliente en HC DOJEYA S.A.C, San Martin de Porres 2019; basándonos en la teoría de la motivación y las 4ps, entre otras. El enfoque de la investigación es cuantitativo, el nivel es descriptivo - correlacional de tipo aplicada. El diseño es no experimental de corte transversal. La población está compuesta por una muestra de 50 clientes corporativos, los cuales fueron seleccionados a través del registro de ventas de la empresa, del periodo de Enero 2018 a Abril 2019. La técnica utilizada para la recolección de datos fue la encuesta y el instrumento utilizado fue el cuestionario compuesto por 22 ítems que fueron medidos a través de la escala de Likert. Para la contrastación de las hipótesis se utilizó el estadístico Rho de Spearman, Los resul...

Background: Antibiotic resistance is considered to be the next worldwide epidemic. Urinary tract infections (UTI) are the second most common cause of infection, which also has the highest resistance frequency. Nevertheless, in high Andean regions, little is known about the antibiotic resistance. Objectives : Determine the antimicrobial resistance patterns of the enterobacteriaceae family isolated from urinary tract infections of a Peruvian Andean region. Material and Methods: A retrospective cross-sectional review of 1717 records from the microbiology service of a private health institution from Puno - Peru, was done between the years 2014 and 2017. Antibiotic resistance by uropathogens was studied among different age groups. Statistical analysis included Chi2 test with a p<0.05. Poisson regression was used to calculate the prevalence ratio (PR) with a 95% confidence interval. Finding...

Background: The growing threat from pre-extensively drug-resistant tuberculosis (pre-XDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) poses a major public health concern in Latin America and the Caribbean (LAC). Therefore, this study aimed to summarize the available evidence on the prevalence of pre-XDR-TB and XDR-TB among patients with multidrug-resistant tuberculosis in LAC. Methods: A systematic review was conducted in the following databases on June 3, 2023: PubMed, Scopus, Ovid Medline, Web of Science, Scielo and LILACS. We estimated pooled proportions using a random effects model (Dersimonian and Laird). The 95% confidence intervals (95% CI) were calculated using the binomial exact method (Clopper-Pearson Method). Subgroup (by time period and country) and sensitivity analyses were performed. Results: Twenty-nine studies were eligible for qualitative synthesis and 27 for...

Objective: This scoping review aimed to describe studies that evaluate the management of cryptococcal meningitis (CM) using cerebrospinal fluid (CSF) shunts, types of shunts used, and clinically relevant patient outcomes. Methods: We searched in the following databases: PubMed, Web of Science/Core collection, Embase, the Cochrane Library, and clinicaltrials.gov on 1 April 2022. We included two-arm and one-arm cohort studies that evaluated clinically relevant patient outcomes. Case reports were used to describe the type of CSF shunts used and the rationale behind its selection. The selection and extraction processes were independently performed by two authors. Results: This study included 20 cohort studies and 26 case reports. Only seven cohort studies compared two groups. Ventriculoperitoneal shunt was the most commonly used type of shunt (82.1%). The main indications for placing a shunt...