Objetivos: Determinar la correlación entre los hallazgos endoscópicos sugestivos de metaplasia y su contraparte histológica en nuestro medio, dentro de ellos también determinar algunos factores asociados. a los pacientes con sospecha de metaplasia. Métodos: Estudio observacional analítico, realizado en el Hospital Nacional Hipólito Unanue donde se incluyeron pacientes >= 18 años con sospecha endoscópica de metaplasia intestinal. La evaluación estadística se realizó con el software estadístico SPSS. Resultados: 3398 pacientes sometidos a endoscopia alta se identificaron un total de 176 pacientes con sospecha endoscópica de metaplasia. En 152 de ellos se encontró confirmación histológica MI equivalente a un 86,36% del total de la muestra. Los hallazgos histológicos frecuentes en el grupo fueron 51(29% pacientes) pacientes presentaron gastropatía atrófica en alguna pa...

Introduction: A correct lifestyle is vital in older adults to reduce their risk of diseases and loss of functionality. Objective: To determine the lifestyles of elderly patients in a Health Center in the Peruvian Andes. Method: Observational, descriptive study with elderly patients from a health center. We worked with a previously collected database. Descriptive statistics were used. The study was approved by the institutional ethics committee. Results: Of the 74 patients evaluated, the mean age was 75.4 years and 52% were females. The mean BMI was 24.8 kg / m2 and that of the abdominal circumference was 86.8 cm. 32.7% had a visual acuity of 70 in the right eye and 36.4% of 50 in the left eye. Glucose (mg / dL), hemoglobin (g / dL) and uric acid (mg / dL) had a median of 97, 15.4 and 7; respectively. Triglycerides and cholesterol had a mean of 182.2 mg / dL and 1...

Objetivos: Determinar la correlación entre los hallazgos endoscópicos sugestivos de metaplasia y su contraparte histológica en nuestro medio, dentro de ellos también determinar algunos factores asociados. a los pacientes con sospecha de metaplasia. Métodos: Estudio observacional analítico, realizado en el Hospital Nacional Hipólito Unanue donde se incluyeron pacientes >= 18 años con sospecha endoscópica de metaplasia intestinal. La evaluación estadística se realizó con el software estadístico SPSS. Resultados: 3398 pacientes sometidos a endoscopia alta se identificaron un total de 176 pacientes con sospecha endoscópica de metaplasia. En 152 de ellos se encontró confirmación histológica MI equivalente a un 86,36% del total de la muestra. Los hallazgos histológicos frecuentes en el grupo fueron 51(29% pacientes) pacientes presentaron gastropatía atrófica en alguna pa...

Background: Contraceptive methods are an important tool to achieve the desired family planning. Objective: To determine the factors associated within the use of contraceptive methods in women of childbearing age between 15 to 49 years old according to the ENDES 2018. Material and methods: Descriptive, observational, analytical and retrospective study. The sample, of the National Demographic Survey of Family Health (ENDES) 2018, to Peruvian women between 15 to 49 years old who responded to the contraceptive methods module was analyzed. Results: There is a higher prevalence of women using contraceptive methods in the urban area (PR = 1,046, CI: 1,037 - 1,054), according the marital status there is a high use in married women of contraceptive use (PR = 1,080 CI: 1,071 - 1,090), in the educational level it's obtained that women with higher education have a higher prevalence of contraceptive ...

Objective: To carry out a systematic review of various scientific publications about the risk factors associated with iron deficiency anemia in older adults. Methods: The review was carried out through the electronic search of various scientific articles related to the subject. The PEO question was used: what is the association between risk factors and iron deficiency anemia in older adults? The search source was PubMed. Articles published from January 1, 2016, to 2021 were selected. Results: Of the 223 articles found, 212 were discarded because they did not meet the inclusion and exclusion criteria, therefore, 11 articles remained for this review. Conclusion: Various intrinsic and extrinsic risk factors are associated with the acquisition of iron deficiency anemia or iron deficiency in elderly patients.

This article seeks to describe the main primary prevention measures on the 2019-nCoV or COVID-19 that is recently affecting our country, considering epidemiological aspects and recommendations applied and reported in other countries. The topics covered are the prevention of traveling patients, the importance of hand hygiene, respiratory prevention, policies in educational centers and prevention for health personnel. This is due to the need for a better characterization of this new health problem in our country, to establish public policies based on the prevention of complications from this new virus, taking into account assessments based on scientific, preventive and social evidence.

This article seeks to describe the main primary prevention measures on the 2019-nCoV or COVID-19 that is recently affecting our country, considering epidemiological aspects and recommendations applied and reported in other countries. The topics covered are the prevention of traveling patients, the importance of hand hygiene, respiratory prevention, policies in educational centers and prevention for health personnel. This is due to the need for a better characterization of this new health problem in our country, to establish public policies based on the prevention of complications from this new virus, taking into account assessments based on scientific, preventive and social evidence.

El presente artículo busca describir las principales medidas de prevención primaria sobre el COVID-19 que recientemente está afectando a nuestro país, considerando aspectos epidemiológicos y recomendaciones aplicadas y reportadas en otros países. Los temas abordados son la prevención de los pacientes viajeros, la importancia de la higiene de manos, prevención por vía respiratoria, políticas en centros educacionales y prevención para el personal de salud. Ello obedece a la necesidad de una mejor caracterización de este nuevo problema de salud en nuestro país, para establecer políticas públicas en base a la prevención de las complicaciones de este nuevo virus, teniendo en cuenta las valoraciones basadas en evidencia científica, preventiva y social.

Sepsis occurs in the presence of an infectious focus; in this case by Escherichia coli (E. coli), that toxins  can cause severe damage to the organism's functionality and morphology, being worsened in patients with diseases that affect the immune system; as is this case in the presence of hematological malignancy. A 42-year-old female patient with a diagnosis of T-NK non-Hodgkin lymphoma presented with a necrotic plaque on the palate, temperature above 38 ° C, respiratory rate exceeding 20 breaths per minute, and heart rate exceeding 90 beats per minute. , on examination of a positive pharyngeal culture for E. coli, negative urine culture, confirming a pharyngeal infectious starting point; Treat with amikacin endovenously for 7 days with good response to antibiotic therapy. An infrequent case is reported for this type of bacteria in the oral area and a review of the subject.

Sepsis occurs in the presence of an infectious focus; in this case by Escherichia coli (E. coli), that toxins  can cause severe damage to the organism's functionality and morphology, being worsened in patients with diseases that affect the immune system; as is this case in the presence of hematological malignancy. A 42-year-old female patient with a diagnosis of T-NK non-Hodgkin lymphoma presented with a necrotic plaque on the palate, temperature above 38 ° C, respiratory rate exceeding 20 breaths per minute, and heart rate exceeding 90 beats per minute. , on examination of a positive pharyngeal culture for E. coli, negative urine culture, confirming a pharyngeal infectious starting point; Treat with amikacin endovenously for 7 days with good response to antibiotic therapy. An infrequent case is reported for this type of bacteria in the oral area and a review of the subject.

Introduction: Cancer, a chronic disease that has a high incidence with 14.1 million people and more than 8.1 million deaths, generating a large access gap according to the user's perception. Objectives: To determine the gaps in access to cancer treatment in a Hospital in Peru in 2019, due to predisposing, enabling and necessary factors. Method: observational, descriptive, cross-sectional study with 185 patients diagnosed with cancer who were treated at the oncology department of the Hospital María Auxiliadora between March and December 2019, applying a random survey. Results: The predisposing factors for the gap in access to cancer care were: primary education or none (p= 0.000), female gender (p=0.043), being afraid of a cancer diagnosis (p=0.000), being afraid of interventions (p=0.043) and being over 65 years old (p=0.000), having feelings of helplessness (p=0.000). Within the enabli...

Objective: To carry out a systematic review of various publications on the current situation of violence against women, as well as its evolution and impact in Peru. Methods: It was carried out through the electronic search of various scientific articles related to the subject. The search sources were PubMed, Scielo, and Google Scholar. The keywords were: «violence against women», «impact», «self-esteem» and «Peru». Results: Of the 99 articles found, 69 were discarded because they did not meet the inclusion criteria, leaving 30 articles for this review. Conclusion: Violence is present in most moments of our lives, manifesting itself in different ways, among them is violence against women, which is exercised in different ways, either by physical abuse or verbal abuse.

Introduction: Anemia is a serious public health. Several studies indicate that anemia status is a factor that might influence survival and response to cancer treatment in patients. Objective: To determine the relationship between anemia and 5-year survival in cancer patients. Methods: Observational, analytical, and retrospective cohort study. The sample population consisted of novel diagnosed cancer patients registered for hospital care with their respective follow up from 2014 until 2019. Time to death, presence of anemia, and other variables were evaluated. Survival was determined using Kaplan Meier curves and analyzed using the log-rank test. Hazard ratio and risk were determined in turn using the Cox regression model. Results: 72 patients were included in the study, 79.2% of which correspond to solid neoplasms. Anemia was present at the time of diag...

Introduction: Anemia is a serious public health. Several studies indicate that anemia status is a factor that might influence survival and response to cancer treatment in patients. Objective: To determine the relationship between anemia and 5-year survival in cancer patients. Methods: Observational, analytical, and retrospective cohort study. The sample population consisted of novel diagnosed cancer patients registered for hospital care with their respective follow up from 2014 until 2019. Time to death, presence of anemia, and other variables were evaluated. Survival was determined using Kaplan Meier curves and analyzed using the log-rank test. Hazard ratio and risk were determined in turn using the Cox regression model. Results: 72 patients were included in the study, 79.2% of which correspond to solid neoplasms. Anemia was present at the time of diag...

Abstract   Microbiological mapping is a tool and base for good antibiotic management. It guides the empirical treatments in the hospital services as well as in the updating of care protocols. Objective: To determine the situation of the microbiological mapping of urine cultures in referential hospital. Methods: A cross-sectional descriptive study of urine cultures of the different hospital services from the first semester of 2013 to 2015 was carried out. The situation was defined as the determination of the microbiological profile and the most frequent pathogens isolated. The percentage of resistance by extended-spectrum beta-lactamase (ESBL) for 3 consecutive years was determined. The data were collected and added to a database coded in double back up. Results: The most frequently isolated pathogens were E. coli (56.60%), K. pneumoniae (10.12%) and P. mirabilis (4.22%). The frequen...

In the past decade, levels of coverage on children vaccination had been decreasing nationwide, even more in the Peruvian jungle, reason why is an important public health’s subject to attend. The purpose of this investigation was to analyze maternal and social factors that are associated with incomplete vaccination schedules on children under 5 years old on the Peruvian jungle. It is an observational, analytic investigation, using a secondary source from the Demographic and Family survey (ENDES) from 2019, where is found the information of all the under 5 years old with the healthcare card of oral information given by the mother. Then after selecting the chosen variables, we used the SPSS statistic program for the posterior analysis. Of the 4373 surveys studied; it was shown that 57.5% of children under 5 years have the incomplete vaccination schedule. The multivariate analysis found th...

Abstract   Microbiological mapping is a tool and base for good antibiotic management. It guides the empirical treatments in the hospital services as well as in the updating of care protocols. Objective: To determine the situation of the microbiological mapping of urine cultures in referential hospital. Methods: A cross-sectional descriptive study of urine cultures of the different hospital services from the first semester of 2013 to 2015 was carried out. The situation was defined as the determination of the microbiological profile and the most frequent pathogens isolated. The percentage of resistance by extended-spectrum beta-lactamase (ESBL) for 3 consecutive years was determined. The data were collected and added to a database coded in double back up. Results: The most frequently isolated pathogens were E. coli (56.60%), K. pneumoniae (10.12%) and P. mirabilis (4.22%). The frequen...

El mapeo microbiológico es una herramienta y pilar para un buen manejo de antibióticos; es una guía los tratamientos empíricos en los servicios hospitalarios así como en la actualización de protocolos de atención. En el presente estudio se determina la situación actual del mapeo microbiológico de urocultivos en el Hospital Alberto Sabogal Sologuren. Se realizó un estudio descriptivo trasversal de urocultivos de los diferentes servicios del hospital desde el primer semestre del 2013 al 2015. La situación fue definida como la determinación de patógenos más frecuentes y porcentaje de resistencia por Betalactamasa de espectro extendido (BLEE) durante 3 años consecutivos más el perfil microbiológico del Servicio de Urología de la institución. Los datos fueron recolectados y agregados a una base de datos codificada en doble back up. El agente aislado con mayor frecuencia fue...

Introducción: Se ha visto un decaimiento de la cobertura de vacunas en niños residentes de Perú, menores de cinco años; siendo la región selva la más afectada. Objetivo: Analizar los factores sociales y maternos asociados al no cumplimiento del esquema nacional de vacunación en menores de cinco años en la selva peruana, año 2019. Métodos: Estudio observacional, analítico y retrospectivo. Se utilizó la base de la Encuesta Demográca y de Salud Familiar (ENDES) Perú, 2019. Se seleccionaron las variables de estudio y se utilizó el programa SPSS 26,0 para el análisis. De 4 373 encuestas seleccionadas se evidenció que el 57,5% de niños menores de cinco años de la selva peruana no cumplieron con el esquema nacional de vacunación (ENV); los factores asociados fueron pobreza (RPa=1,18, p<0,001, IC95% 1,08-1,29), lengua materna nativa (RPa=1,17, p<0,001. IC95% 1,07-1,30), probl...

Objetivo: El objetivo del presente estudio fue realizar una revisión bibliográfica para precisar los avances en la implementación de intervención relacionadas con la seguridad del paciente del primer nivel de atención. Métodos: Se realizó una revisión bibliográfica de la literatura; la búsqueda de artículos se realizó en las bases de datos: PubMed y Google Scholar. Se aplicaron los Descriptores en Ciencias de la Salud (DeCS) y la combinación de los operadores booleanos OR y AND. Se consideraron textos completos en español e inglés, entre los años 2019-2024. Resultados: En la revisión de los artículos, 25 fueron seleccionados según el objetivo del estudio y la elección de los autores. Luego se revisaron los artículos completos para incluirlos según los criterios de inclusión y exclusión. Conclusión: La seguridad del paciente en el primer nivel de atención es impo...