Objective: To determine the usefulness of lactate as a prognostic factor of death in severe sepsis. Setting: Hospital Regional Docente de Trujillo. La Libertad. Perú. Material and Methods: A case control study nested in a cohort. We studied a total of 82 adult patients with severe sepsis during the period from June 2012 to April 2013 in whom we determined the usefulness of the lactate level by calculating the Positive and Negative Likelihood Ratio, Relative Risk, Positive and Negative Predictive Value, Sensibility and Specificity. The exposed cohort was constituted by those patients who presented a lactate > 2 mmol/l and the unexposed cohort by those with lactate < 2 mmol/l. Results: Overall mortality was of 54.9 % of the patients, being 92.7% in the group of cases and 17.1% in the group of controls respectively. We found a Sensitivity of 84.4% (CI: 72.7 - 96.1), a Specificity of ...

Galería Fotográfica (sin resumen)

Galería Fotográfica (sin resumen)

Objective: To demonstrate that the PANC 3 score is useful as a predictor of severity in patients with acute pancreatitis. Materials and methods: Retrospective, observational study of diagnostic test type carried out in the Gastroenterology service in the Hospital Regional Docente de Trujillo which included a total of 160 patients with acute pancreatitis. Sensitivity, specificity, PPV and NPV of the PANC 3 score were calculated. Results: The PANC 3 score showed a sensitivity of 73.08%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 95.04%. Pleural effusion proved to be the best parameter predicting severity in patients with acute pancreatitis, with a sensitivity of 88.46% and a specificity of 89.55%. The male genre is associated with severe acute pancreatitis. Conclusions: The PANC 3 score can be used as a predictor of severity in pati...

Introduction. We live in a globalized world that is kept connected through the internet. Determining the veracity of the information we receive is difficult, even more so in that related to health. The internet is one of the most popular sources for the search for health-related information and this behavior increases in the context of epidemiological outbreaks. In the context of the current pandemic, an increase in anxiety about health issues has been found, the main concern being being infected by SARS-CoV-2. Search strategy: A search was carried out in the PubMed database of all articles published up to June 30, 2020. The search for terms included the keywords suggested by the controlled vocabulary Medical Subjects Headings (MeSH) and connectors. Cyberchondria, COVID-19 and Mental Health: The role of the media is crucial, because it could induce anxiety in the population. Cyberchondri...