OBJECTIVES.- To establish the tendency of perinatal mortality rate and its components, late fetal and precocious neonatal deaths determine the maternal-perinate risk factors and causes associated with this mortality LOCATION: Tacna Hipolito Unanue Hospital. METHOD Review of the Perinatal Informatic System database (CLAP-OPS/OMS). RESULTS: From 15850 births during the period 1992-1997, 322 perinatal deaths were found corresponding to 228 late fetal deaths and 102 precocious neonatal deaths. Perinatal mortality rate was 20,5%, with a 14,4% late fetal and a 6,1% precocious neonatal. The main risk factors are Apgar at 1 and 5 minutes < 3 neonatal pathology (hyaline membrane, congenital alterations, infections), birth weight < 1500 g an gestational age < 37 weeks. The main causes of late fetal death were complications of the placenta, umbilical cord, and membranes; other disorders and the not...

OBJETIVE: To determine the influence of fetal sex, parity and maternal height on intrauterine growth curve. MATERIALS AND METHODS: Prospective enrollment of newborns (RN) successive live without factors of intrauterine growth, anthropometric techniques controlled. RESULTS: Of the 8735 selected RN living in the six years studied (1995-2000), 3240 were children of primiparous, multiparous 4150, 4167 female, 4568 male. The men had average birth weight of 113-150 g higher than girls and children of multiparous exceeded 192-238 ga those of primipara, significant differences. The 5833 mothers had an average size of 155 ± 6.1 cm and were divided into three groups: 720 with larger size of 161 cm, 4411 with size between 149 and 161cm and 702 with equal or smaller size of 148 cm. The three groups had RN with directly proportional to weight and maternal height (p <0.01) size. CONCLUSIONS: Fetal se...

OBJECTIVE: To obtain curve itself, representative of the population of Tacna and compared with standard curves Lubchenco intrauterine growth. MATERIALS AND METHODS: Prospective enrollment of successive live newborns, weighing, diagnosis of gestational age by last menstrual period, excluding maternal and fetal pathology; discarding smoking and maternal malnutrition; the Perinatal Information System (CLAP-PAHO / WHO) and statistics required tests was used. RESULTS: 8,735 living RN selected in six years (1995-2000); 40 weeks gestation was the most representative (36.7% of RN), with an average weight of 3514g. ± 403 g (percentile 10, 50 and 90 were 2983, 3503 and 4062 g. Respectively). These data were significantly different from Lubchenco. CONCLUSIONS: intrauterine growth curves (CCIU), according to weight, height, head circumference and weight index tacneña a well-selected population sho...

OBJECTIVE: To obtain curve itself, representative of the population of Tacna and compared with standard curves Lubchenco intrauterine growth. MATERIALS AND METHODS: Prospective enrollment of successive live newborns, weighing, diagnosis of gestational age by last menstrual period, excluding maternal and fetal pathology; discarding smoking and maternal malnutrition; the Perinatal Information System (CLAP-PAHO / WHO) and statistics required tests was used. RESULTS: 8,735 living RN selected in six years (1995-2000); 40 weeks gestation was the most representative (36.7% of RN), with an average weight of 3514g. ± 403 g (percentile 10, 50 and 90 were 2983, 3503 and 4062 g. Respectively). These data were significantly different from Lubchenco. CONCLUSIONS: intrauterine growth curves (CCIU), according to weight, height, head circumference and weight index tacneña a well-selected population sho...

OBJETIVE: To determine the influence of fetal sex, parity and maternal height on intrauterine growth curve. MATERIALS AND METHODS: Prospective enrollment of newborns (RN) successive live without factors of intrauterine growth, anthropometric techniques controlled. RESULTS: Of the 8735 selected RN living in the six years studied (1995-2000), 3240 were children of primiparous, multiparous 4150, 4167 female, 4568 male. The men had average birth weight of 113-150 g higher than girls and children of multiparous exceeded 192-238 ga those of primipara, significant differences. The 5833 mothers had an average size of 155 ± 6.1 cm and were divided into three groups: 720 with larger size of 161 cm, 4411 with size between 149 and 161cm and 702 with equal or smaller size of 148 cm. The three groups had RN with directly proportional to weight and maternal height (p <0.01) size. CONCLUSIONS: Fetal...

OBJECTIVES.- To establish the tendency of perinatal mortality rate and its components, late fetal and precocious neonatal deaths determine the maternal-perinate risk factors and causes associated with this mortality LOCATION: Tacna Hipolito Unanue Hospital. METHOD Review of the Perinatal Informatic System database (CLAP-OPS/OMS). RESULTS: From 15850 births during the period 1992-1997, 322 perinatal deaths were found corresponding to 228 late fetal deaths and 102 precocious neonatal deaths. Perinatal mortality rate was 20,5%, with a 14,4% late fetal and a 6,1% precocious neonatal. The main risk factors are Apgar at 1 and 5 minutes < 3 neonatal pathology (hyaline membrane, congenital alterations, infections), birth weight < 1500 g an gestational age < 37 weeks. The main causes of late fetal death were complications of the placenta, umbilical cord, and membranes; other disorders an...

Introducción: El trasplante de órganos y tejidos es el procedimiento que puede salvar la vida a un gran número de pacientes que tienen insuficiencia aguda o crónica de uno a más órganos o tejidos. Debido a la pequeña cantidad de órganos donados para trasplante, existe un grave problema a nivel mundial que afecta a muchos pacientes. Objetivo: Determinar la relación que existe entre el nivel de conocimientos y las actitud hacia la donación de órganos en internos de medicina del Hospital III Goyeneche Arequipa 2022. Material y métodos: Según Altman es un estudio observacional, prospectivo y transversal. Se entrevistó a internos de medicina que iniciaron su internado en los servicios de Medicina, Pediatría, Gineco-Obstetricia y Cirugía durante el periodo de junio del 2022 en el Hospital III Goyeneche. Se estableció frecuencias absolutas y relativas, se realizó un análisis ...

La realización de mejoras en la automatización e integración de equipos industriales hacia una nueva plataforma SCADA permite desarrollar de manera más efectiva estrategias de control para una operación y mantenimiento eficientes los cuales permitan obtener el mayor rendimiento de los equipos sin paradas por mantenimiento correctivo ,con la finalidad de solo realizar mantenimiento preventivo. En vista de esto el siguiente trabajo de tesis se enfoca en el desarrollo de la automatización e integración SCADA del Silo Nro. 5 el cual por tener una operación manual y por tener extensos tiempos de parada y arranque lo cual dificulta el despacho de materia prima hacia las ensacadoras automáticas, lo cual motivo este trabajo de grado. En este texto recopilamos toda la información referente a la automatización de e integración del Silo 5 así como sus diferentes secuencias de arranque ...

Objetivo: Conocer las características clínicas y endoscópicas de pacientes no pediátricos atendidos por cuerpos extraños en tracto digestivo superior en el hospital regional Honorio delgado Espinoza del año 2014 al 2018. Métodos: Revisión de historias clínicas y reportes endoscópicos de casos que cumplieron criterios de selección. Se muestran resultados mediante estadística descriptiva. Resultados: Un total de 125 casos cumplieron los criterios de selección. El 48% de pacientes fueron varones y 52% mujeres, 44.80% entre los 20 y 39 años y 24.80% fueron adultos mayores. Se encontraron patologías intrínsecas en 19.20%, siendo las más frecuentes las alteraciones psiquiátricas (12%). El tiempo transcurrido desde la ingesta hasta el estudio endoscópico fue menor a 6 horas en 18.40% de casos y entre 6 y 12 horas en 27.20%. El síntoma más frecuente (90.40%) fue la sensació...