El objetivo del estudio fue determinar el efecto de un entrenamiento de simulación de “Primera Respuesta en Trauma” (PRT) sobre la sensación de preparación técnica, preparación emocional, tranquilidad-relajación y estrés en bomberos voluntarios de la UBO-119 San Jerónimo, Cusco. Estudio de diseño preexperimental, muestreo por conveniencia en el curso PRT. Participaron 17 bomberos en el curso. La variable independiente fue el entrenamiento de simulación de PRT y las variables dependientes fueron la sensación de preparación técnica, preparación emocional, tranquilidad-relajación y estrés. En la muestra, el 70,6% fue de sexo masculino, con una media de edad de 29,47 años. No se observaron diferencias significativas entre las variables dependientes antes y después de la simulación, más si en las notas de la evaluación del módulo ESBAS de atención prehospitalaria (M...

Objective: To compare the levels of sedation, pain and satisfaction among patients who received oral vs. intravenous midazolam for gastroscopy. Materials and methods: A quantitative, correlational, observational, analytical and cross-sectional study was conducted. The population consisted of patients from Cusco (3,400 m a.s.l.) treated at Hospital Regional del Cusco. The study analyzed the type of sedation (oral vs. intravenous) and midazolam dosage, as well as the level of sedation using the Ramsay Sedation Scale, perceived pain and patient satisfaction. Student’s t test and Mann-Whitney U test were used to assess differences according to the route of administration. Results: A total of 150 patients participated in the study, 71 % of whom were male, with a mean age 55.5 years. Midazolam was administered orally (55 %) and intravenously (45 %), with a mean dose of 5.47 mg. Forty-four pe...

Objective: To determine the correlation between hemoglobin (Hb) and hematocrit (Hct) levelsof women in the third trimester of pregnancy and Hb and Hct levels of their newborns at EsSaludCusco. Materials and methods: A cross-sectional observational study conducted in mothers andtheir newborns at EsSalud Cusco. The study included pregnant women in the third trimester ofpregnancy with no history of anemia and who had attended at least six prenatal visits, as well asfull-term newborns without marked fluctuations in birth weight. The sample comprised 484 individuals(242 mother-newborn dyads). Data were analyzed using IBM SPSS Statistics and JASP, applyingcorrelation tests and multivariate analyses. Results: The analysis included 242 mother-newborn dyads. Study variables consisted of maternal age (median: 30 years), gestational age (40 weeks), number of prenatal visits (8) and neonatal measure...

Fasciolosis (liver fluke disease) is a zoonosis of significant public health relevance, caused by parasites of the genus Fasciola, specifically of the species Fasciola hepatica, a helminth of the class Trematoda, which exhibits a lanceolate morphology and is involved in the zoonotic cycle through contamination of bodies of water and aquatic vegetation, including watercress, by means of metacercariae, its infective form. Their biological cycle includes a migration phase from the host’s intestine to the liver, where they mature and settle in the bile ducts, causing pathological changes such as direct hepatic lesions, bile duct obstruction and a systemic inflammatory response. Clinically, these events manifest through predominantly hepatic and gastrointestinal symptoms secondary to hepatic involvement, which can escalate to severe complications such as cirrhosis and hepatic abscesses in t...

Giant hiatal hernia is a condition in which more than 30 % of the stomach is displaced upward toward the thorax, thusproducing an abnormal protrusion above the diaphragmatic clamp. This can occur by various mechanisms such as alterationsat the gastroesophageal junction or diaphragmatic atrophy that can take place due to a number of reasons, includinginvolutional changes, extensive trauma or damage to the phrenic nerve.Most cases are usually asymptomatic; however, when clinical manifestations occur, they vary depending on the size of theherniation and range from chest pain (also epigastric pain), nausea, vomiting to abdominal distension. In case of presentingcomplications such as gastric volvulus or Cameron lesions, the symptoms include Borchardt’s triad, which consists ofabdominal pain and distension, violent vomiting and difficulty passing a nasogastric tube.We present the case of an ...