Objective. Estimate the prevalence and determine the factors associated with access to modern family planning methods (MPFM) in women of childbearing age Venezuelan immigrants in Peru. Materials and methods. Observational, cross-sectional and analytical study of the Survey Directed to the Venezuelan Population Residing in the Country (ENPOVE) 2018. The proportion of women of fertile age Venezuelan immigrants with access to MPFM was calculated. Crude and adjusted prevalence ratios (RP) of MPFM access were estimated, using generalized linear models. Results. 3,378 Venezuelan immigrant women of childbearing age were included. 78.45% did not have access to MMPF. Being in the young stage of life (RPa: 1.07; IC: 1.05-1.14), being married (RPa: 1.09; IC: 1.03-1.14), living together (RPc: 1.11; IC: 1.06-1.16), residing in the city de Trujillo (RPa: 1.21; CI: 1.13-1.29) were associated with a hig...

Objective. Estimate the prevalence and determine the factors associated with access to modern family planning methods (MPFM) in women of childbearing age Venezuelan immigrants in Peru. Materials and methods. Observational, cross-sectional and analytical study of the Survey Directed to the Venezuelan Population Residing in the Country (ENPOVE) 2018. The proportion of women of fertile age Venezuelan immigrants with access to MPFM was calculated. Crude and adjusted prevalence ratios (RP) of MPFM access were estimated, using generalized linear models. Results. 3,378 Venezuelan immigrant women of childbearing age were included. 78.45% did not have access to MMPF. Being in the young stage of life (RPa: 1.07; IC: 1.05-1.14), being married (RPa: 1.09; IC: 1.03-1.14), living together (RPc: 1.11; IC: 1.06-1.16), residing in the city de Trujillo (RPa: 1.21; CI: 1.13-1.29) were associated with a hig...

Objective. Determine the knowledge, attitudes and practices in Evidence Based Medicine (EBM) in attending physicians of a public hospital. Materials and methods. Analytical observational cross-sectional design, a validated instrument with a Kuder and Richarson index (KR 20) of 0,79 was used. Results. The knowledge of MBE is low intermediate in 60% of the participants. In addition, there is a statistical association between the number of hours dedicated to the search for information and the level of knowledge of MBE. Conclusions. It is necessary to generate methodological strategies of medical education to improve the knowledge of the MBE to optimize the attitudes and practices of this medical activity.

La cultura de seguridad del paciente es considerada un pilar fundamental de las organizaciones de alta confiabilidad (industria nuclear, aviación, automotriz, etc), por la naturaleza compleja de sus procesos internos. En la industria de aviación comercial, por el ejemplo, el riesgo de muerte es de 1 de cada 10’000,000 vuelos aéreos, mientras que, en las organizaciones de salud, el riesgo de muerte, a nivel global, es de 1 de cada 300 hospitalizaciones. 1 Las principales limitantes son el bajo nivel de madurez de la cultura de seguridad en las organizaciones de salud, que distan y tienen mucho que aprender de la cultura de seguridad de organizaciones de alta confiabilidad. Éstas organizaciones tienen características comunes en su cultura, tales como: creen siempre que algo puede salir errado, tienen su foco en la confiabilidad del sistema, poseen humildad para buscar, entender y ap...

Objective. Determine the knowledge, attitudes and practices in Evidence Based Medicine (EBM) in attending physicians of a public hospital. Materials and methods. Analytical observational cross-sectional design, a validated instrument with a Kuder and Richarson index (KR 20) of 0,79 was used. Results. The knowledge of MBE is low intermediate in 60% of the participants. In addition, there is a statistical association between the number of hours dedicated to the search for information and the level of knowledge of MBE. Conclusions. It is necessary to generate methodological strategies of medical education to improve the knowledge of the MBE to optimize the attitudes and practices of this medical activity.

Congenital pulmonary airway malformation (MCVAP), formerly known as congenital cystic adenomatoid pulmonary malformation (MAQP), belongs to the group of congenital pulmonary malformations, representing 95% of these. It is characterized by varying degrees of respiratory distress according to the level of the airway that compromises the injury and may be incompatible with life until it goes unnoticed until early adulthood. Advances in molecular biology have discovered that there is an imbalance between proliferating and apoptotic genes within these lesions, disrupting the segmentation of the bronchial tree, triggering the formation of these lesions. On the other hand, advances in fetal ultrasound have allowed 50% of cases to be detected from fetal life, causing these children to have their lesions removed during the first weeks of life and their improved life prognosis. This literary ...

La malformación congénita de la vía aérea pulmonar (MCVAP), antiguamente conocida como malformación adenomatoide quística congénita del pulmon (MAQP), pertenece al grupo de las malformaciones congénitas pulmonares, representando al 95% de estas. Se caracteriza por distintos grados de distress respiratorio según el nivel de la vía aérea que comprometa la lesión pudiendo ser desde incompatible con la vida hasta pasar inadvertida hasta adultez temprana. Los adelantos de la biología molecular han descubierto que existe un disbalance entre los genes proliferadores y apoptoticos dentro de estas lesiones interrumpiendo la segmentación del árbol bronquial desencadenando la formación de estas lesiones. Por su lado los avances en la ecografía fetal han permitido que se detecten el 50% de los casos desde la vida fetal, logrando que a estos niños se les extirpe la lesión durante l...

ABSTRACT Introduction: The evolution of the COVID-19 pandemic varies in each population; it has been complicating health systems worldwide. Objective: to analyze the evolution of the Covid-19 pandemic, estimating the effect of the containment measures practiced in Peru. Material and Method: The SIR epidemiological mathematical modeling was applied, estimating the COVID-19 evolution in our population. Data analysis was performed following the SIR mathematical model with defined ordinary differential equations to simulate epidemiological behavior; and it was executed in the RStudio programming language. Results: Containment measures decreased the propagation rate, reducing 30% of infected cases until the peak day of infection; however, it is still above the effective reproductive number to control the epidemic and it shows an erratic trend, the result of government actions being 61% in the...

Introduction: The evolution of the COVID-19 pandemic varies in each population; it has been complicating health systems worldwide. Objective: to analyze the evolution of the Covid-19 pandemic, estimating the effect of the containment measures practiced in Peru. Material and Method: The SIR epidemiological mathematical modeling was applied, estimating the COVID-19 evolution in our population. Data analysis was performed following the SIR mathematical model with defined ordinary differential equations to simulate epidemiological behavior; and it was executed in the RStudio programming language. Results: Containment measures decreased the propagation rate, reducing 30% of infected cases until the peak day of infection; however, it is still above the effective reproductive number to control the epidemic and it shows an erratic trend, the result of government actions being 61% in the practice...

Introduction: COVID-19 disease spreads rapidly. Seroprevalence in pregnant women entering for hospitalization and clinical characteristics in this type of population in Peru is not known. Objective: To determine the prevalence and clinical-epidemiological characteristics of pregnant women with anti-SARS-CoV-2 antibodies at a level III hospital in Peru. Methods: Observational and cross-sectional study performed at the National Maternal Perinatal Institute of Peru. Pregnant women admitted for hospitalization were screened for COVID-19 infection. Results of anti-SARSCoV-2 serological tests and information on maternal and perinatal characteristics were obtained. Data analysis was performed using descriptive statistics and 95% confidence intervals. Results: In 2 419 pregnant women screened we identified a prevalence of 7.0% of anti-SARS-CoV-2 antibodies (95% IC: 6.1% to 8.1%), including IgM i...

Introducción. La enfermedad de COVID-19 se propaga rápidamente. Se desconoce la seroprevalencia en mujeres embarazadas que ingresan a hospitalización y sus características propias en este tipo de población en Perú. Objetivo. Determinar la prevalencia y características clínico-epidemiológicas de gestantes con anticuerpos anti-SARS-CoV-2 en un hospital nivel III de Perú. Métodos. Estudio observacional de tipo transversal, realizado en el Instituto Nacional Materno Perinatal de Perú, entre el 15 de abril y 15 de mayo de 2020. Participaron todas las gestantes que ingresaron a hospitalización y fueron tamizadas para la infección por SARS-CoV-2 mediante pruebas serológicas, cuyos resultados fueron analizados conjuntamente con sus características clínicas y epidemiológicas, utilizando estadígrafos descriptivos e intervalos de confianza al 95%, y mediante la prueba de independ...