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1
artículo
Publicado 2019
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patient care. There have been many efforts to achieve this goal over the last couple of decades. Since the publication of the book “To err is human”, there have been multiple endeavors to avoid adverse events in the patient. In this sense, the challenge is how to achieve this goal, given that delivery care is one of the processes with the most adverse events reported. Based on recommendations of WHO, we consider an approach consisting of: a) Health systems: safety culture, a milestone in this process, requires changes in the organization and is a critical issue to be solved; (b) Health professionals: not only involves physicians but also the health organization system from a medical perspective; people must not only have medical training but should also be specialized and constantly updating; challenges are different if it is a trainee or a medical specialist. There are ways to achie...
2
artículo
Publicado 2021
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Hacer salud pública hoy, exige muchos cambios en la visión que hemos tenido sobre los enfoques en la salud. Estos hacen necesario que tengamos una visión y un enfoque transformado para actuar diferente.
3
artículo
Publicado 2022
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Cancer is a disease that affects one child for every 200 adults. It is the second leading cause of death in children aged 0-14 years after accidents. 80% of children diagnosed with cancer are cured of their disease in our country. However, approximately 20% eventually die from the disease or the side effects of treatment. Once the severity of the disease is known and therefore its consequences, it is essential to try to integrate the disease into the normal life of the child, the family, and the surrounding environment. The aim is to turn the child into a physically, psychologically, socially, and spiritually healthy adult. To achieve this, the child must be the center of our work and should be attended to by a multidisciplinary team. Palliative Care should be started from the time of diagnosis for children with poor or no possibility of cure. For the rest of the children, it shoul...
4
artículo
Older adults are the most vulnerable population group in the COVID-19 pandemic. Not only do they have the highest mortality, multimorbidity, and various problems during the pandemic, but they will have the greatest number of needs after it. To guarantee human rights, optimize the healthy aging process and center attention in person, the state and society in general will require a series of extraordinary measures.
5
artículo
Publicado 2023
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The objective of this essay is to reflect on nursing care with an intercultural approach to pregnant women, in primary care health centers. An exploratory documentary study was carried out for the development of this essay. Women who live in rural areas are very vulnerable, especially during pregnancy, a topic of interest in public health due to the records of mortality, obstetric violence and human rights, among other particularities. These women have access to primary care services where nursing with a humanistic profile must adapt their care to interculturality, so that they can comply with their prenatal check-ups. However, there is evidence that demonstrates the problems within the gestational stage that can worsen depending on certain factors such as age, customs, beliefs, access to the health system and the absence of prenatal control. That is why interculturality in nursing is re...
6
artículo
Publicado 2019
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Introduction: Prenatal care is the main tool for prevention of complications of pregnancy, childbirth and the puerperium. Nevertheless, rates of deaths and diseases related to gestation remain unacceptably high, especially in developing countries. Objective: To describe the conditions of access to prenatal care in a primary care center in the city of Pasto, Nariño, Colombia. Methods: We conducted a descriptive, cross-sectional study. We interviewed twenty-four women with gestational age between 36 and 40 weeks, attending prenatal care at the Pandiaco Health Center, level I of care in Pasto City, Colombia, during the year 2015. The data obtained were analyzed with the statistical software SPSS 16.0 for Windows. Results: Approximately 50% of pregnant women had less than four prenatal care visits during pregnancy. Labor, home, children care, and economic burden were referred as the main ba...
7
artículo
Publicado 2024
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The main objective of this article is to substantiate the importance of the non-psychiatrist physicians' role in theintegrating process of physical and mental health care as a unit in which both exhibit a reciprocal impact. On the basis of aglobalized context in the understanding of health, conceptual bases of health care are examined from a multidimensionalperspective that incorporates the challenges of wellbeing, identifying the current critical knots whose improvement wouldfacilitate a rout to the integral care postulated by the person-centered medicine. This renewed paradigm requires to startwith detection and diagnosis linking both physical and mental health as a dynamic unit. To reach such purpose,information about mental health and its management within the health services is presented to, finally, suggest a careframe adequate to postulates of the person-centered medicine.
8
artículo
Publicado 2022
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Objective. To evidence the relationship between the degree of health literacy and adherence to the treatment of chronic diseases in a primary care center. Methods. Cross-sectional-analytic-observational study; 326 patients with a diagnosis of arterial hypertension or diabetes mellitus were taken between December 1, 2020 and March 27, 2021. Questionnaires were applied to measure the level of health literacy, as well as adherence to pharmacological and nonpharmacological treatment. The results were statistically compared with the Chi-square test to evaluate the association between the degree of health literacy and adherence to treatment in patients with arterial hypertension (AHT) and diabetes mellitus (DM). Results. 51.84 % had only AHT, 19.02 % had DM and 29.14 % had both AHT and DM. 69.3 % had sufcient health literacy, while 30.7 % had inadequate health literacy. 25.2 % of patients are ...
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10
artículo
Publicado 2020
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Objectives. To determine the clinical and personal characteristics of the metabolic syndrome (MS) in insured patients attached to the ESSALUD Assistance Network (Social Health Insurance) in Tambo, Huancayo. Methods. Descriptive, observational and retrospective study, conducted from January to October 2015. 101 patients participated using inclusion criteria: age between 18 and 60 years, meeting 3 of the 5 criteria of MS according to the International Diabetes Federation(IDF) 2009 and Association Latinoamericana de Diabetes (ALAD), complete medical records and surveys, and exclusion criteria: having a previous disease such as diabetes and high blood pressure. Results. The frequency of SM was 14.98 %. 62.4 % were women and the mean age was 47 y 51 years. 66.4 % comes from the urban area. 54.5% were classified as overweight and 23.6 % with grade I obesity. The mean abdominal circumference in...
11
artículo
Publicado 2020
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Objective. To determine the clinical and personal characteristics of the metabolic syndrome (MS) in insured patients attached to the ESSALUD Assistance Network (Social Health Insurance) in Tambo, Huancayo. Methods. Descriptive, observational and retrospective study, conducted from January to October 2015. 101 patients participated using inclusion criteria: age between 18 and 60 years, meeting 3 of the 5 criteria of MS according to the International Diabetes Federation (IDF) 2009 and Association Latinoamericana de Diabetes (ALAD), complete medical records and surveys, and exclusion criteria: having a previous disease such as diabetes and high blood pressure. Results. The frequency of SM was 14.98 %. 62.4 % were women and the mean age was 47 y 51 years. 66.4 % comes from the urban area. 54.5 % were classifed as overweight and 23.6 % with grade I obesity. The mean abdominal circumference in...
12
artículo
Publicado 2023
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Objective: To identify the factors associated with the categories of loneliness among the elderly population attendingday care centers in Bogotá, Colombia.Materials and methods: An analytical, cross-sectional and quantitative study was carried out to measure the lonelinessamong older people attending a day care center in the city of Bogotá between November 2020 and June 2021 usingthe ESTE scale. To meet the objective, a univariate descriptive statistical analysis was performed, such that, for thequantitative variables, the mean with standard deviation or median with interquartile ranges were used, in accordance with the Shapiro-Wilk test for normality, and for the categorical variables, absolute frequencies and proportions wereused. The bivariate analysis was conducted using Student’s t-test and chi-square test (p < 0.05), which contributed tobuild a logistic regression model with...
13
artículo
Publicado 2024
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The new model of bringing mental health services, the community model, started in 2012, focuses on the demands of the people in their social context, recovering the illness as well as promoting the wellbeing. The Community Mental Health Centers (CMHC) were born with the new model and are the liaison axis of all the mental health services in the catchment area. In this context, a high vulnerability group are the teenagers without parental care living in Residential Care Facilities (RCF), they have a high risk for development of mental disorders. Research bonding health and welfare public systems is scarce. In this qualitative research the points of view of the CMHC staff ofrepresentative regions of the country are taken, considering the difficulties in the work with the RCF and the lack of specific intervention programs even though the legislation exists. Finally, the opinion of the teen ...
14
artículo
Publicado 2020
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The purpose of the investigation is to demonstrate the influence of the regulatory framework on the omission of pecuniary sanctions in the seizure of money by cross-border transport. To this end, a basic, mixed investigation was carried out, at the explanatory level, having selected as sample 163 cases of interventions in the Santa Rosa border attention center and documentary analysis cards were applied to collect the information. The qualitative results on the regulatory framework show that Law 28306 has undergone modifications and substantial variations between 2004 and 2016; the D.L. 1249 that regulates the transfer of cross-border money, does not contemplate the cases in which the seizure of money corresponds, precautionary measure ordered by the prosecutor. There is no objective criterion to choose between the figure of retention (customs) or seizure (prosecutor's office). Case 265-...
15
artículo
Publicado 2020
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The purpose of the investigation is to demonstrate the influence of the regulatory framework on the omission of pecuniary sanctions in the seizure of money by cross-border transport. To this end, a basic, mixed investigation was carried out, at the explanatory level, having selected as sample 163 cases of interventions in the Santa Rosa border attention center and documentary analysis cards were applied to collect the information. The qualitative results on the regulatory framework show that Law 28306 has undergone modifications and substantial variations between 2004 and 2016; the D.L. 1249 that regulates the transfer of cross-border money, does not contemplate the cases in which the seizure of money corresponds, precautionary measure ordered by the prosecutor. There is no objective criterion to choose between the figure of retention (customs) or seizure (prosecutor's office). Case 265-...
16
artículo
Publicado 2020
Enlace
Enlace
The purpose of the investigation is to demonstrate the influence of the regulatory framework on the omission of pecuniary sanctions in the seizure of money by cross-border transport. To this end, a basic, mixed investigation was carried out, at the explanatory level, having selected as sample 163 cases of interventions in the Santa Rosa border attention center and documentary analysis cards were applied to collect the information. The qualitative results on the regulatory framework show that Law 28306 has undergone modifications and substantial variations between 2004 and 2016; the D.L. 1249 that regulates the transfer of cross-border money, does not contemplate the cases in which the seizure of money corresponds, precautionary measure ordered by the prosecutor. There is no objective criterion to choose between the figure of retention (customs) or seizure (prosecutor's office). Case 265-...
17
artículo
Publicado 2021
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Objective: The objective of this study was to determine, describe and identify the prevalence of radiopaque images compatible with idiopathic osteosclerosis in digital panoramic radiographs taken in patients between the ages of 18 and 50. Materials and methods: The study design was descriptive, cross-sectional and retrospective. The sample consisted of 500 digital panoramic radiographs taken between January 1, 2016 and December 31, 2018, in the target population aged between 18 and 50 years from Ayacucho - Peru, attended at a private radiological center. The radiographs obtained were analyzed using the Romexis viewer version 5.3 program, and the results were recorded on a data collection sheet. The Chi-square test was used to establish associations among the variables evaluated. A P <0.05 was considered significant. Results: 500 digital panoramic radiographs were analyzed, showing a p...
18
artículo
Publicado 2018
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Objective: To determine the effectiveness of the program “Sweet and healthy life” in the knowledge and practices of self-care in adult patients with Diabetes Mellitus at the Primary Care Center III - Huaycán. Materials and Methods: Quasi experimental design, longitudinal section. The sample consisted of two groups, 27 in the control group and 27 in the experimental group, selected by non-probabilistic sampling, the program lasted 2 months and a pre and post test was applied. The instruments used for data collection were adapted by the researchers, a questionnaire was used for the level of knowledge validated with a KR-20 of 0.80 and to measure the practices it was an observation guide that reached a KR20 of 0.81. Results: It shows that the educational program was effective in the knowledge and practices of self -care in adult patients with Diabetes Mellitus with a p-value of 0....
19
artículo
Publicado 2019
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Objective: To determine the effectiveness of the program “Sweet and healthy life” in the knowledge andpractices of self-care in adult patients with Diabetes Mellitus at the Primary Care Center III - Huaycán.Materials and Methods: Quasi experimental design, longitudinal section. The sample consisted of twogroups, 27 in the control group and 27 in the experimental group, selected by non-probabilistic sampling,the program lasted 2 months and a pre and post test was applied. The instruments used for data collectionwere adapted by the researchers, a questionnaire was used for the level of knowledge validated with aKR-20 of 0.80 and to measure the practices it was an observation guide that reached a KR20 of 0.81.Results: It shows that the educational program was effective in the knowledge and practices of self -carein adult patients with Diabetes Mellitus with a p-value of 0.00, through t...
20
artículo
Publicado 2025
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Objetive: To identify the relationship between satisfaction and quality of care in prenatal care at a state health center in Lima. Methods: The sample consisted of 100 pregnant women who attended prenatal care at a state health center in Lima over a 4-month period. This study was observational, descriptive, and cross-sectional, with a quantitative and correlational approach. It was a relational level study, as its objective was to determine the relationship between the independent and dependent variables and identify whether there is an association between them. To this end, two questionnaires were used: one to measure the satisfaction variable and another to evaluate the quality of care variable. Results: The results showed a statistically significant relationship between satisfaction and quality of care in prenatal care at a state health center in Lima. The contingency coefficient C = ...
