Evaluation of the second stage of labor is still subjective. Translabial intrapartum ultrasound is an objective evaluation tool of progression of the various stages of childbirth. Objectives: To determine the usefulness of translabial intrapartum ultrasound study in determining duration of the second stage of labor. Design: Observational, prospective and relationship study. Setting: Honorio Delgado Regional Hospital, Arequipa, Peru. Participants: Women in the second stage of labor. Interventions: From April through July 2012 53 patients in second stage of labor and who delivered vaginally underwent translabial ultrasound assessment of variety of position, direction, and angle of progression of the cephalic descent and its relation with duration of the second stage. Main outcome measures: Relation of cephalic descent and duration of the second stage. Results: There was a significant stati...

Evaluation of the second stage of labor is still subjective. Translabial intrapartum ultrasound is an objective evaluation tool of progression of the various stages of childbirth. Objectives: To determine the usefulness of translabial intrapartum ultrasound study in determining duration of the second stage of labor. Design: Observational, prospective and relationship study. Setting: Honorio Delgado Regional Hospital, Arequipa, Peru. Participants: Women in the second stage of labor. Interventions: From April through July 2012 53 patients in second stage of labor and who delivered vaginally underwent translabial ultrasound assessment of variety of position, direction, and angle of progression of the cephalic descent and its relation with duration of the second stage. Main outcome measures: Relation of cephalic descent and duration of the second stage. Results: There was a significant stati...

El presente estudio se ha realizado con el propósito de demostrar la evolución y el impacto de la morosidad en la rentabilidad de las Cajas Municipales de Ahorro y Crédito del sistema financiero nacional en los periodos comprendidos entre el año 2010 y el año 2019. El problema planteado fue ¿Qué impacto tiene el incrementó de la morosidad en la rentabilidad en el sistema de Cajas Municipales de Ahorro y Crédito durante el periodo 2010 - 2019? La hipótesis nula es: El incremento de la morosidad en el Sistema de Cajas Municipales de Ahorro y Crédito no impacta negativamente en los resultados y rentabilidad de las mismas. Se realizó una investigación con enfoque cuantitativo, el diseño de la investigación fue no experimental- longitudinal, el tipo de investigación es básica, el nivel de investigación es descriptivo, correlacional y retrospectivo, se utiliza el análisis de...

El presente trabajo de investigación tiene por objeto determinar qué relación tienen los microempresarios del distrito del cercado en la provincia de Arequipa, en la región Arequipa con el concepto de crédito y su utilización para poder desarrollar sus negocios, a través del financiamiento que el microempresario les podría otorgar a sus clientes de una forma masiva.

The objective of the study was to determine the frequency of positive serology for canine erlichiosis (E. canis and E. ewingii) and anaplasmosis (A. phagocitophylum and A. platys) diseases in patients with presence or history of ticks during the period 2017-2018. The sample was composed of dogs who came to consultation to a private veterinary service in the city of Piura-Peru. These patients must have had presence or history of ticks, according to the owners. The information of the clinical signs that were presented at the time of the consultation and that could be compatible with the disease under study were collected in a medical card. Samples of 71 dogs were collected to be analyzed by blood count and a commercial test for the detection of these diseases (SNAP 4Dx- Idexx). It was determined that 55% (39 patients) presented antibodies against Erlichia spp. and 4% (3 patients) Anaplasma...

  The objective of the study was to determine the frequency of infectious diseases confirmed by laboratory analysis at the Clínica Veterinaria Docente Cayetano Heredia (CVDCH) in the period 2014 to 2017. The medical records were chosen considering that they are legible, with complete information and diagnosis laboratory confirmation of infectious disease (s). The variables considered in the study were grouped into patient information (origin, age group, sex, breed, and seasonality of care) and the definitive diagnosis of infectious disease (s) according to their etiology. 307 medical records were obtained from patients with confirmatory diagnosis (es) for the study period. The cases were more frequent in 2014 and 2015 and came from districts of North Lima. Most patients were race- defined adult males. In autumn the highest frequency of cases of infectious diseases was reported. The...

Peru is a megadiverse country and ranks third in amphibian diversity. Nevertheless, 21% of its amphibian species are threatened. Telmatobius is one of the most endangered genera of this class of vertebrates, with the main threats being habitat loss and degradation, illegal trafficking, climate change, and infectious diseases. This study aimed to determine the presence of hemoparasites in seized specimens. Blood samples were collected from the ventral abdominal vein of 50 confiscated Telmatobius frogs in Lima, and blood smears were prepared and stained using Wright’s stain. Hemogregarines of the Dactylosoma genus (Dactylosomatidae family) were identified in 14% (n = 7/50) of the samples analyzed. This study represents the first report of a hemoparasite in Telmatobius.

Introducción: No se cuenta con estudios de las modificaciones de la onda de velocidad de flujodel tronco de la arteria pulmonar por el uso de corticoides. Objetivos: Evaluar el efecto del usode corticoides prenatales sobre la medida del índice Doppler tiempo de aceleración/tiempode eyección sistólico (TA/TE) en el flujo del tronco de la arteria pulmonar fetal en el embarazopretérmino, y correlacionar una posible variación en el índice TA/TE con la inducción de madurezpulmonar fetal. Diseño: Estudio descriptivo, prospectivo y longitudinal. Institución: HospitalRegional Honorio Delgado, Arequipa, Perú. Participantes: Fetos pretérmino. Intervenciones:Evaluación ultrasonográfica obstétrica con biometría fetal y medición del flujo sanguíneoen el tronco de la arteria pulmonar fetal, usando el Doppler pulsado, antes y después de laadministración de corticoides para maduraci...

Introducción: No se cuenta con estudios de las modificaciones de la onda de velocidad de flujodel tronco de la arteria pulmonar por el uso de corticoides. Objetivos: Evaluar el efecto del usode corticoides prenatales sobre la medida del índice Doppler tiempo de aceleración/tiempode eyección sistólico (TA/TE) en el flujo del tronco de la arteria pulmonar fetal en el embarazopretérmino, y correlacionar una posible variación en el índice TA/TE con la inducción de madurezpulmonar fetal. Diseño: Estudio descriptivo, prospectivo y longitudinal. Institución: HospitalRegional Honorio Delgado, Arequipa, Perú. Participantes: Fetos pretérmino. Intervenciones:Evaluación ultrasonográfica obstétrica con biometría fetal y medición del flujo sanguíneoen el tronco de la arteria pulmonar fetal, usando el Doppler pulsado, antes y después de laadministración de corticoides para maduraci...