1
artículo
Publicado 2015
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OBJECTIVE: To describe alert curves in patients in labor at high altitude. DESIGN: Descriptive, prospective transversal study from January through May 1997, PATIENTS: 400 term nulliparous and multiparous with cepbalic presentation attended at Huaraz Víctor Ramos Guardia Hospital, with normal labor and without drugs tvere classified in four groups following PLAC, starting the curve at 4 cm dilation. Statistical analysis, data processing and results were done with EPIINFO 5, using 10th percentile. RESULTS: Alert curve is to the left of PLAC, more so compared to sea level (HAMA), maybe due to nutritional status and pain toleration of high altitude women. CONCLUSION: Alert curves in high altitude patients in labor show short dilation times.
2
artículo
Publicado 2015
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OBJECTIVE: To describe alert curves in patients in labor at high altitude. DESIGN: Descriptive, prospective transversal study from January through May 1997, PATIENTS: 400 term nulliparous and multiparous with cepbalic presentation attended at Huaraz Víctor Ramos Guardia Hospital, with normal labor and without drugs tvere classified in four groups following PLAC, starting the curve at 4 cm dilation. Statistical analysis, data processing and results were done with EPIINFO 5, using 10th percentile. RESULTS: Alert curve is to the left of PLAC, more so compared to sea level (HAMA), maybe due to nutritional status and pain toleration of high altitude women. CONCLUSION: Alert curves in high altitude patients in labor show short dilation times.
3
informe técnico
Publicado 2015
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La brucelosis es una de las más importantes y extendidas zoonosis en el mundo, por sus serias implicaciones en salud pública, especialmente, en el aumento de incidencias en humanos y porque también actúa como una barrera sanitaria, para el comercio internacional de animales y de sus productos. El ganado caprino, ovino, bovino y porcino puede ser infectado por Brucella spp. El control y la prevención de la brucelosis en animales son esenciales para la erradicación de la enfermedad en el hombre.
4
artículo
Publicado 2015
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Postpartum haemorrhage - Pathogenesis, classification and diagnosis, treatment, prevention.
5
artículo
First descriptive study on the 42 maternal deaths registered during the past ten years (1985-1995) at all five Callejón de Huaylas Hospitals and 16 011 live newborns, representing 262,3 deaths per 100 000 live newborns. Death occurred most frequently between 20 and 40 years old and with parity less than 3. Marital status, education and homework were similar to other investigations. Prenatal control was abscent or sufficient in 78,5%. Direct maternal deaths represented 80,9% and death during the puerperium was 73,5%. Direct causes were mainly puerperal infection, toxemia, abortion and hemorrhage. Indirect causes represented 19% and included anesthesia and one case of bartonellosis. Most patients died before 72 hours of hospital stay. Maternal mortality has decreased form 596,8 (1985) to 392,8 (1994). We consider 40,5% (17 cases) of maternal deaths were avoidable and 25 (59,5%) unavoidabl...
6
artículo
Iodine is an essential element for synthesizing thyroid hormones, it is also essential for cell metabolism and tissue development, especially in the brain. Iodine requirements are higher during pregnancy and lactation. Iodine deficiency (ID) is a widespread condition all over the world; it is frequent in Peruvian highlands and rainforest. ID causes damage in all life periods, and vulnerability for this is greater during pregnancy and infancy. Universal salt iodination (USI) for human use is the most cost-effective and sustainable strategy for controlling ID. Peru has achieved the sustained elimination of iodine deficiency disorders (IDD) since 1994. Objective. To determine the effectiveness of the national program for controlling IDDs and the USI strategy for complying with the increased iodine requirement and to assure optimal iodine nutrition in pregnant women from the Peruvian highlan...
7
artículo
Iodine is an essential element for synthesizing thyroid hormones, it is also essential for cell metabolism and tissue development, especially in the brain. Iodine requirements are higher during pregnancy and lactation. Iodine deficiency (ID) is a widespread condition all over the world; it is frequent in Peruvian highlands and rainforest. ID causes damage in all life periods, and vulnerability for this is greater during pregnancy and infancy. Universal salt iodination (USI) for human use is the most cost-effective and sustainable strategy for controlling ID. Peru has achieved the sustained elimination of iodine deficiency disorders (IDD) since 1994. Objective. To determine the effectiveness of the national program for controlling IDDs and the USI strategy for complying with the increased iodine requirement and to assure optimal iodine nutrition in pregnant women from the Peruvian highlan...
8
artículo
Publicado 2015
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The authors present a collaborative study that prospectively has engaged 14 maternity hospitals in the public sector, 10 from the Ministry of Health (MOH) and 4 of the Peruvian Institute of Social Security (IPSS); Likewise 9 corresponded to Lima and 5 establishments were in other regions. Between March and July 1993 he managed to gather a total of 4205 cases of cesarean births attended between 21797 during the same period, representing a rate of 19.3%. There was no major difference in the rate between hospitals in Lima and provinces, but if a higher frequency was found in IPSS when compared with the MOH. The six most important causes of cesarean in Peru are: previous cesareada, acute fetal distress, breech birth, narrow pelvis, fetopelvic disproportion and toxemia, which remain more or less the same distribution between the MOH and IPSS. Some other epidemiological characteristics differ ...
