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1
revisión
Stroke is a major cause of death and disability, with most of its burden now affecting low- and middle-income countries (LMIC). People in rural areas of LMIC who have a stroke receive very little acute stroke care and local healthcare workers and family caregivers in these regions lack the necessary knowledge to assist them. Intriguingly, a recent rapid growth in cell-phone use and digital technology in rural areas has not yet been appropriately exploited for health care training and delivery purposes. What should be done in rural areas, at the community setting-level, where access to healthcare is limited remains a challenge. We review the evidence on improving post-stroke outcomes including lowering the risks of functional disability, stroke recurrence, and mortality, and propose some approaches, to target post-stroke care and rehabilitation, noting key challenges in designing suitable...
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artículo
Alzheimer's disease (AD) is made up of a group of memory progression disorders, mainly, but with impairments in other cognitive functions that lead to functional decline that progressively reduces autonomy in people who suffer from it. Since the diagnosis of Alzheimer's in the elderly, care has been explicit, initiating a series of changes in the family, which range from assuming a new role to emotional and economic transitions. The caregiver is hardly cared for, most care strategies are aimed at training the caregiver for care. There are several non-pharmacological techniques such as art therapy, however, they are oriented towards the patient suffering from the disease, not the caregiver. Art therapy can be implemented by nursing staff in order to enhance the communication and expression of emotions of caregivers, therefore the objective is to propose a nursing intervention based on art...
3
artículo
The development of Internet of Things (IoT) applications for creating behavioural and physiological monitoring methods, such as an IoT-based student healthcare monitoring system, has been accelerated by advances in sensor technology. Today, there are an increasing number of students living alone whoare dispersed across large geographic areas, therefore it is important to monitor their health and function. This research propose novel technique in high performance modelling for health monitoring system by 5G network based machine learning analysis. Here the input is collected as EEG brain waves which are monitored and collected through 5G networks. This input EEG waves has been processed and obtained as fragments and noise removal is carried out. The processed EEG wave fragments has been extracted using K-adaptive reinforcement learning. this extracted features has been classified using na...
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artículo
This work has been funded by the 055-2020-FONDECYT GRANT from the Peruvian government and the donations of the enterprises mentioned in our webpage: https://www.proyectomasi.pe/.In addition,the authors would like to thank to all the members of the Masi team, especially to all of the collaborators working at the five institutions involved in this project (BREIN, DIACSA, EAT, PUCP and Zolid). Without all of their effort, professionalism and sacrifice while working steadily during the pandemic; this device would have not existed.
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artículo
This work aims to analyze the characteristics of the functions of members of social networks configured around relatives of patients in palliative care. Articles from the past decade were selected from PsycINFO, Web of Science and Scopus. After considering specific descriptors and the study objective, 30 articles were selected. The results showed: a) predominantly qualitative research, b) ambivalent perceptions of caregivers in relation to care offered by institutional support and family networks, c) presence of feelings of exhaustion, gratification, anxiety and depression, during the care process. Further research on aboutpalliative care is necessary in Brazil and other Latin American countries.
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artículo
Objective: The operationalization and the role of a participatory model of diagnostic and therapeutic formulations called Foster Groups, implemented in a Community Mental Health Center in Lima, Peru, are analyzed. Material and Methods: The research was based on the participanting observation by experts in community mental health, public health, communication and social sciences, of a total of 24 Foster Group sessions held at the Nancy Reyes Community Mental Health Center in Chorrillos, Lima Peru, during the years 2018-2019. Results: The Foster Groups are structured in sequential phases that follow a logical process of diagnostic formulations and management plans, concurrently performed by professionals from different disciplines for a small group of users, thus allowing both, diagnoses as plans, to be more comprehensive. An environment of trust is generated, allowing people to share expe...
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artículo
Introduction: One of the most important functions of municipalities as a public institution is to provide, maintain and promote the health of citizens. To improve the health of the community, we need to understand the function of the municipality in countries that affect the health and well-being of the population. Material and methods: This study is a comparative-descriptive study. After searching for databases and authoritative sources and documents, related research was introduced into the study. Considering the performance of municipalities in the provision of health services, 7 countries were selected as statistical samples. Finally, the comparative attitudes of selected countries based on the role of municipalities in providing health services, macroeconomic indicators and health economics were tabulated, compared and compared. Results: The municipalities of the selected countries ...
8
artículo
At the end of 2019, the communicable disease COVID-19 was first detected in the city of Wuhan, China. It affected every country in the world. The Peruvian government announced quarantine and social distancing measures to prevent the spread of the virus. As a result of the measures implemented eco-nomic and social well-being of people were affected causing an increase in stress, depression and anxiety, which are emotional disorders that affect mental health. Added to this is the lack of access to mental health services. The objective is to develop a telemedicine mobile application prototype for mental health ser-vices based on android. The methodology applied was Rational Unified Process (RUP) methodology because it allows documenting, ordering and structuring software development. The result obtained was a prototype of a telemedicine mobile application with a design and functionalities t...
9
artículo
Since the end of 2019, the contagious disease COVID-19, which originated in the city of Wuhan, China; It affected every country in the world. As a measure to prevent the spread of the virus, the Peruvian government ordered quarantine and social distancing; As a consequence, people's economy and social life were affected, increasing stress, depression and anxiety, which are emotional disorders that affect mental health. Added to this is the lack of access to mental health services. The objective is to develop a prototype mobile telemedicine application for mental health services, based on Android. The methodology that was applied was the Rational Unified Process (RUP) methodology, because this methodology allows documenting, ordering and structuring software development. The result obtained was a telemedicine mobile application prototype with a design and functionalities that facilitate t...
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objeto de conferencia
A predictive model is a good technique for prognosticating the life cycle of medical care services (LCMCS) related to its growth, stability, and decline to support information processes and decision-making based on intelligent forecasts. Medical care services require organization, scheduling, and programming attention to prevent the capacity of medical personnel. Otherwise, it could be chaotic. This research aims to evaluate three predictive models to find the best one to fit information about the LC-MCS and understand medical care services' behavior in healthcare entities. The proposed model applied to Ricardo Palma Clinic (RPC) in Lima Perú analyzes the LC-MCS information based on 4950 clinical health records. Three predictive models were trained and compared to evaluate the accuracy of backpropagation neural networks, decision trees, and multiple linear regression models. After train...
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artículo
Objective: To identify the associated factors and assess the inequalities of full vaccination coverage (FVC) among Peruvian infants aged 12–23 months during the COVID-19 pandemic in a nationally representative sample. Methods: We carried out a population-based cross-sectional study based on a secondary data analysis using the 2021 Peruvian Demographic Health Survey (DHS) in infants aged 12 to 23 months. The sampling design was probabilistic, multistage, stratified, and independent at both departmental and area of residence levels. FVC was defined according to the WHO definition. We performed generalized linear models (GLM) Poisson family log link function to estimate crude (aPR) and adjusted prevalence ratios (aPR). Also, for inequality assessment, we calculated the concentration curve (CC), concentration index (CI), and Erreygers normalized concentration index (ECI). Results: We inclu...
12
artículo
Programs aimed at improving the mental health of users require records to improve the actions of the personnel who coordinate them. The purpose of the study was to systematize the experiences in the improvement of the Continuity of Care Program of the Community Mental Health Center La Victoria, Peru. The research was configured within a qualitative approach, with a participant action research design, complying with the phases of diagnosis, planning, execution, systematization and evaluation. Eight health professionals and five users with mental health problems participated. Information was obtained through focus group interviews and documentary review, where three categories emerged as a result of the triangulation of the information provided by the informants. The findings were that the experiences focused on the improvement of the Continuity of Care Program of the Mental Health Center ...
13
revisión
Depression associated with stroke affects roughly one-third of stroke survivors. Post-stroke depression (PSD) is thought to adversely influence functional outcome by limiting participation in rehabilitation, decreasing physical, social, and cognitive function, and affecting neuroplasticity thereby placing stroke survivors at high risk for future vascular events. PSD has also been associated with higher mortality rates after stroke. In Peru, a country where there is no national stroke program and mental health disorders are largely underdiagnosed and untreated, people with PSD are likely to be further challenged by dependency and impoverished conditions that will limit their use of ambulatory services, leading to inadequate clinical follow-up. In this scenario, mobile health (mHealth) technology offers a promising approach to extend access to high-quality and culturally tailored evidence-...
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artículo
During the COVID-19 pandemic, older people have been the group with the highest mortality rate, especially those who require long-term care for having lost their functional ability. These people are living at home with their family or in a nursing home. It has been described that older people may develop an oligosymptomatic SARS-CoV-2 infection or particular symptoms of the disease. Therefore, symptom-based screening is not the most recommended strategy in this scenario. Since it is necessary to detect early cases in the elderly population, this research work analyzes and proposes the best available alternatives for attaining such goal.
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tesis de grado
El camu camu (Myrciaria dubia) es considerada una de las más de 500 frutas oriundas del Perú, que crece de manera silvestre en las riberas de ríos como también en los terrenos inundables. Esta fruta oriunda de la Amazonía contiene 40 veces más vitamina C que el limón y 10 veces más que la naranja. Esta vitamina es primordial para el cuidado de la piel, pues es un eficaz antioxidante que ayuda a prevenir los signos evidentes del envejecimiento, y estimula la producción de colágeno, que se responsabiliza de aportar firmeza y elasticidad a la piel. Por lo que, ayuda también a disminuir arrugas y líneas de expresión. De igual manera, el camu camu evita los daños que pueden producirse por la radiación solar como la contaminación. Como respuesta a este contexto, se presenta una alternativa de negocio mediante el aprovechamiento sostenible de las propiedades del ácido ascórbic...
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artículo
Introduction: Obesity is a chronic disease, which is considered as a public health problem. It affects a large number of people and requires governmental policies that encourage this situation. Objective: To determine the variations in the frequencies of non-morbid obesity (NMO) and morbid obesity (MO) according with different national surveys, and in function of socio-demographic variables. Methods: A descriptive study with data of five national surveys: Nutritional Evaluation of the Peruvian Population (ENPPE 1975), National Survey of Nutritional, Biochemical, Socio-economic and Cultural Indicators (CENAN 2005), National Household Survey (ENAHO 2009-2010) and National Household Survey (ENAHO 2012-2013). NMO was identified by a BMI of 30 to 39.99 kg/m2 and MO was defined by a BMI equal to or greater than 40 kg/m2. Results: The frequency of NMO has...
17
artículo
Introduction: A negative disposition influences the attitudes of health care professionals, since this is often based on erroneous assumptions about the usefulness of chronological age as a functional marker or with respect to elderly persons' ability to contribute to society. Material and Method: This is a study for validating an instrument, the Kogan's attitudes towards older people, and to determine attitudes towards the elderly in primary health care personnel in Tumbes. Results: A language validation was performed, the instrument was assessed by specifically appointed raters, and its reliability was also determined. Finally, the validated survey was administered to primary health care workers in Tumbes Health Direction. A 0,81 concordance coefficient (kappa) between translators and re-translators was found. The validity of the instrument was estimated on the basis of the assessment ...
18
artículo
Introduction: A negative disposition influences the attitudes of health care professionals, since this is often based on erroneous assumptions about the usefulness of chronological age as a functional marker or with respect to elderly persons' ability to contribute to society. Material and Method: This is a study for validating an instrument, the Kogan's attitudes towards older people, and to determine attitudes towards the elderly in primary health care personnel in Tumbes. Results: A language validation was performed, the instrument was assessed by specifically appointed raters, and its reliability was also determined. Finally, the validated survey was administered to primary health care workers in Tumbes Health Direction. A 0,81 concordance coefficient (kappa) between translators and re-translators was found. The validity of the instrument was estimated on the basis of the assessment ...
19
tesis de grado
Materiales y métodos: el estudio cuenta con una investigación de enfoque cuantitativo, enfoque no experimental, corte transversal y nivel descriptivo. La población consta de una paciente pertenece al diagnóstico clínico de enfermedad renal crónica. Para esta evaluación, se realizó la entrevista al paciente, así como la evaluación utilizando la herramienta evaluativa fundamentada en los once patrones funcionales de Gordon. Resultados: de acuerdo a la priorización de diagnósticos, 90% de las acciones emprendidas se realizaron con precisión, lo que condujo a la recuperación del paciente; sin embargo, el 10% restante de las intervenciones todavía está en fase de trabajo porque el paciente continúa experimentando ligeras molestias. Los datos que aquí se presentan se han recopilado a partir de los procedimientos de análisis clínico que se han instaurado en la unidad de sala...
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artículo
Depression is regarded as a widespread mental condition that affects people of all ages. It has a negative impact on a variety of aspects of life, including mood, vigor, and interests in enjoying activities. In the most severe cases, depression can also result in suicide. creating the chance for collaboration between mental health professionals and the use of technical tools to enhance the assessment of the severity of depression to offer the patient with an ideal clinical diagnosis and an appropriate referral to begin treatment. The COVID-19 epidemic in Peru has decreased face-to-face interaction and quick access to medical professionals, making it more difficult for patients’ mental health to be identified or treated effectively, which results in the disease becoming chronic, psychological suffering, and high costs associated with specialized care. The implementation of a technology ...