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artículo
Objective. In low- and middle-income countries, heart failure (HF) is the leading cause of death and disability. Materials and methods. A feasibility study was conducted to assess the fidelity, reach, and adoption of an educational program led by non-medical staff to improve outpatient care for patients hospitalized with HF in the local public health system. Results. Thirty patients were included, with a mean age of 55.3 years (63.3% male). A total of 97.3% of planned home visits and 90% of scheduled phone calls were completed. Counselling modules were delivered during 90.4% of home visits, with no significant challenges reported during implementation. At the end of follow-up, there was a trend towards improved lifestyle habits, a reduction in mean heart rate (78.0 to 68.3 beats per minute; p = 0.016), a decrease in the proportion of patients in NYHA functional class III (20% to 7.4%; p ...
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Introduction: Cardiovascular diseases are the leading cause of death worldwide and are associated with increased morbidity and mortality by COVID-19. Lifestyle Medicine immersion programs consist of a residential internship that performs a multidisciplinary professional follow-up.  Objective: To evaluate the effect of the residential lifestyle medicine program on risk factors for cardiovascular disease: weight, blood pressure and glycemia. Methods: Longitudinal, comparative study, with intervention of a Lifestyle Medicine Program. Retrospective data from 2019-2021 of patients who had completed the intervention for 14 days were used. This consisted of a comprehensive follow-up: medical, nutritional, psychological, physical and spiritual of the patients. Results: Of the 53 patients evaluated, 26 underwent the intervention before the pandemic, who were hospitalized with the main reason...
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As one of the leading causes of preventable death, obesity is a condition of excessive fat that accompanies a constellation of other morbidities that in parallel increases risk of heart disease and/or cancer. The body composition assessment has achieved proven improvement with regular practice of physical activity. This research seeks to answerhow a program of primary intervention can influence body composition and quality of life on overweighted/obeseindividuals, with the main objective to analyze body composition in overweight individuals. This work seeks totailor the use of physical exercise together with seven natural agents. The sample consisted of individuals aged between 18 and 30 years, who underwent anthropometric, functional and quality of life evaluations. The interventionprotocol was conducted during eight weeks, resulting in reduction of body fat percentage, body weight redu...
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tesis de grado
Este estudio fué de tipo explicativo, diseño experimental, pre prueba - post prueba y grupo control. La técnica muestral utilizada fué el muestreo aleatorio enmascarado simple. El sedentarismo aumenta el riesgo de presentar enfermedades cardiovasculares, diabetes mellitus tipo 2, hipertensión y dislipidemia. Las enfermedades cardiovasculares son la principal causa de muerte en el adulto mayor a nivel mundial causando cerca de 17 millones de muertes en el 2011.
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La enterotoxetemia, enfermedad nfecciosa más importante en crías de alpaca, es causante de altas tasas de mortalidad y se caracteriza por ocasionar brotes con muerte súbita sin permitir la aplicación de tratamientos convencionales. El control está supeditado a la aplicación de medidas preventivas de manejo y a la aplicación de inmunoprofilaxis. En e presente trabajo se ensayaron tres programas de vacunación anticlostridial durante las tres campañas de parición ( 2001, 2002 y 2003) en una Unidad de Producción de una Empresa de Propiedad Social del departamento de Puno. Se empleó un anacultivo a base de cepas del Clostridium perfringes predominantemente de origen ovino ( cepas A,B;C y D) más una cepa tipo A aislada de alpaca. El efecto de la vacuna se realizó comparando tasas de mortalidad total y asociada a enterotoxemia ocurrida antes de la introducción de la vacuna(año 2...
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“: Introduction: Rabies is caused by a virus belonging to the genus Lyssavirus and family Rhabdoviridae, which can infect any mammal including humans. Hematophagous, fructivorous, and insectivorous bats have become the main reservoir of sylvatic rabies in Latin America. In the sylvatic cycle, hematophagous bats are usually the main reservoir. In contrast, dogs and cats fulfil this critical role in the urban cycle. However, in rural areas, the most affected animals are bovines. They show clinical signs such as behavioural changes, hypersalivation, muscle tremors, spasms caused by extensive damage to the central nervous system, and death from respiratory paralysis. Objective: To describe the spatiotemporal distribution of bovine rabies in Colombia from 2005 to 2019. Methods: Retrospective cross-sectional descriptive observational study, based on the monthly reports of the Colombian Agric...
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Prostate, breast, colorectal, cervical, and lung cancers are the leading cause of cancer in Latin America and the Caribbean (LAC) accounting for nearly 50% of cancer cases and cancer deaths in the region. Following the IARC Code Against Cancer methodology, a group of Latin American experts evaluated the evidence on several medical interventions to reduce cancer incidence and mortality considering the cancer burden in the region. A recommendation to limit the use of HRT was issued based on the risk associated to develop breast, endometrial, and ovarian cancer and on growing concerns related to the over-the-counter and without prescription sales, which in turn bias estimations on current use in LAC. In alignment with WHO breast and cervical cancer initiatives, biennial screening by clinical breast examination (performed by trained health professionals) from the age of 40 years and biennial...
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Extremely severe maternal morbidity is the condition used to refer to any woman who has a serious complication during pregnancy, childbirth or the puerperium that puts her life at risk and requires immediate attention in order to avoid death. An information search was carried out in the Pubmed, Scopus, Dialnet and Lilacs databases. A search strategy was applied using the terms: perinatal care, postpartum hemorrhage, Near miss, maternal mortality. Of the 33 articles initially obtained, 30 met the inclusion criteria. Objective: To describe aspects related to extremely severe maternal morbidity that allow establishing health actions aimed at reducing maternal-perinatal complications and consequently maternal mortality.Postpartum hemorrhage and hypertensive disease of pregnancy continue to be the main causes of extremely severe maternal morbidity today, which varies according to the criteria...
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Extremely severe maternal morbidity is the condition used to refer to any woman who has a serious complication during pregnancy, childbirth or the puerperium that puts her life at risk and requires immediate attention in order to avoid death. An information search was carried out in the Pubmed, Scopus, Dialnet and Lilacs databases. A search strategy was applied using the terms: perinatal care, postpartum hemorrhage, Near miss, maternal mortality. Of the 33 articles initially obtained, 30 met the inclusion criteria. Objective: To describe aspects related to extremely severe maternal morbidity that allow establishing health actions aimed at reducing maternal-perinatal complications and consequently maternal mortality.Postpartum hemorrhage and hypertensive disease of pregnancy continue to be the main causes of extremely severe maternal morbidity today, which varies according to the criteria...
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artículo
Background: Adverse events (AE) are unintentional injuries or harm that occur during medical care. These represent a public health problem, and they are one of the main causes of death in the world. Objective: The objective of the study was to determine AEs derived from nursing care in hospitalized patients, as well as to estimate their frequency according to severity, follow-up, and type of care service. Methods: We undertook a retrospective study in hospitalized patients. EA by severity (no damage, irreversible damage, disability, and death), types (pressure ulcers (PUs), falls, phlebitis, and blood transfusion), and demographic data (age and gender) were taken into account. Damage severity was determined according to the guidelines of the Peruvian Ministry of Health. Results: We obtained 127 reports (55.9% women, mean age of 28+8 years). The main EA were PUs (57.5%), followed by phleb...
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INTRODUCCIÓN: El adulto mayor es quien tiene más riesgo de enfermar gravemente de Covid -19. MINSA incorporó la vacuna antineumocócica encaminado al adulto mayor; pues las bacterias causantes de la neumonía provocan numerosas muertes. OBJETIVO: Determinar la efectividad de la vacunación antineumocócica en la reducción de la morbimortalidad por COVID-19 en el adulto mayor en Ancash durante el 2021. MATERIAL Y MÉTODO: El estudio es observacional, analítico, cohorte retrospectivo. La muestra fue el total de adultos de 60 años a más, cuyo diagnóstico fue COVID-19 fallecidos y no fallecidos; con vacuna antineumocócica, notificados en los sistemas HIS MINSA y NOTICOVID reportados en datos abiertos del MINSA. Para el procesamiento de los datos se empleó tablas dinámicas en Excel. Para comprobar la asociación de variables se utilizó la prueba Chi-Cuadrado en el programa SPSS ve...
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tesis de maestría
This study carries out an analysis of the Tuberculosis Budget Program in health facilities at the first level of care in the jurisdiction of Lima Center (2020-2023), considered a primary concern in public health due to its complexity and social inequalities in our country. country, thus the program aligned with the Millennium Development Goals (SDG) for 2030, develops various strategies and interventions to control them through the Prevention and Tuberculosis Prevention Directorate (DPCTB) within the Framework of the National Prevention Strategy and Tuberculosis Control (ESNPCT); The purpose of which is to gradually and sustainably reduce the incidence of tuberculosis in the various treatment schemes such as sensitive and multi-resistant. In this way, being the first level of care affected by the vulnerability of the health, social, and economic sector in the last three years, different ...