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1
artículo
An important review on breast cancer treatment, artificial intelligence in human reproduction techniques, use of surgical mesh products for the transvaginal repair of pelvic organ prolapse, abrupt hormonal changes with bilateral salpingo-oophorectomy in women before age 50, association of high risk HPV infection with cardiovascular disease, meager results with treatments to prevent osteoporosis and other consequences of estrogen deprivation, are some of the Editor´s choice considered in this section on women’s health.
2
artículo
Publicado 2020
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This paper raises the need of strengthen the Peruvian regulation related to guaranteeing the right to mental health, as one of the components of the right to health, taking into consideration the social and legal implications of the pandemic COVID 19. To aim this objective, the authors identify the most important features of this right at the international, constitutional level and good regional practices for its protection.
3
artículo
Publicado 2020
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This paper raises the need of strengthen the Peruvian regulation related to guaranteeing the right to mental health, as one of the components of the right to health, taking into consideration the social and legal implications of the pandemic COVID 19. To aim this objective, the authors identify the most important features of this right at the international, constitutional level and good regional practices for its protection.
4
artículo
Publicado 2025
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Objective. To evaluate the effectiveness of an ocular health education program on healthy behaviors related to myopia progression in fifth- and sixth-grade primary school children in 2023. Methods: An analytical, quasi-experimental, longitudinal, and prospective study was conducted. The independent variable was the educational program, while the dependent variable was healthy behaviors regarding myopia progression. The sample consisted of 116 primary school students, divided into an intervention group and a control group. Descriptive statistical analysis was performed using Excel, and inferential analysis was conducted using SPSS v.25, employing McNemar's test and the chi-square test. Results: A statistically significant association was found between the dependent variable and the dimensions of knowledge, attitudes, and practices in the intervention group (p < 0.05; 95% CI). Before th...
5
artículo
Publicado 2023
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Multiple Sclerosis is a chronic, demyelinating, autoimmune, neuroinflammatory disease. Known as the most common cause of non-traumatic neurological disability in young adults. Ten per cent of patients with Multiple Sclerosis are diagnosed with the Primary Progressive form (PPMS) which, until the emergence of the anti-CD20 monoclonalantibody Ocrelizumab, had no specific therapy. The first case treated with Ocrelizumab in the Peruvian publichealthcare system is reported. The patient presented an acceptable tolerability and an adequate clinical response, as measured by the EDSS scale. Of note, under Peruvian legislation, Multiple Sclerosis is considered a rare diseaseand, therefore, requires an ad hoc evaluation for the authorization of public funding for specific therapies.
6
artículo
Publicado 2025
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This study carries out an analysis of progress and improvements in investment in projects in the public sector of Peru between the years 2001 and 2022. To do this, descriptive statistics were carried out on the main characteristics of investment in the public sector and interviews with the sectorists of the General Directorate of Multiannual Investment Programming (DGPMI) of the Ministry of Economy and Finance (MEF). The research methodology is qualitative, since a brief account is made of some research concerning the topic of investment in the public sector in the Formulation and Evaluation (M&E), and Execution stage; Likewise, semi-structured interviews were carried out with the Transportation, Agriculture, Sanitation, Education and Health sectors of the DGPMI of the MEF. The main results of this research are the following: the viability time of the projects was reduced through the...
7
artículo
Publicado 2024
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Introduction. In Peru, public budget laws define the level and initial distribution of the health budget. Objective. To analyze the evolution of the level and initial distribution of the health budget in Peru in the period 2019-2024. Methods. Descriptive study. The budget of the Health function was analyzed by budget categories, budget programs, levels of government and departments, from 2019 to 2024, according to data from the Ministry of Economy and Finance. Results. Between 2019 and 2024, the budget for the Health function increased by 35%; while its share in the budget of the General Government increased from 10.8% to 12.2%, respectively. Also, the participation of budgetary programs in the budget decreased; while participation of Regional Governments increased. Between 2019 and 2024, budget programs related to mental health, cancer and emergency and emergency medical care saw a prog...
8
artículo
Publicado 2020
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Countries do plenty of effort in order to implement the objectives for sustainable development, aiming to achieve universal health coverage. However, access or chances for having high quality Clinical Pathology services are both necessary for supporting medical care systems if such objectives are to be achieved. This access is much more difficult to achieve in low- and medium- income countries. This paper presents an analysis of both the global and local situation in this respect. Four key barriers for delivering high quality and optimal services were identified: insufficient human resources or limited capability of the working force, inadequate education and training, inadequate infrastructure and equipment, and insufficient quality, regulations, and accreditation strategies.
9
artículo
Publicado 2020
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Countries do plenty of effort in order to implement the objectives for sustainable development, aiming to achieve universal health coverage. However, access or chances for having high quality Clinical Pathology services are both necessary for supporting medical care systems if such objectives are to be achieved. This access is much more difficult to achieve in low- and medium- income countries. This paper presents an analysis of both the global and local situation in this respect. Four key barriers for delivering high quality and optimal services were identified: insufficient human resources or limited capability of the working force, inadequate education and training, inadequate infrastructure and equipment, and insufficient quality, regulations, and accreditation strategies.
10
artículo
Publicado 2024
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The impact of the global COVID-19 pandemic on health systems has created a chaotic scenario, severely hindering the ability to meet health needs and negatively affecting the provision of health services to the population. This prolonged health crisis has exposed the collapse of health systems and their lack of institutional capacity to effectively address health emergencies. This situation is largely attributable to the segmentation and fragmentation rooted in the regional structure of these systems. Meanwhile, limited progress has been made in evaluating their performance. One of the primary objectives of health systems is universal health coverage. Nevertheless, achieving this goal requires the implementation of strategies aimed at strengthening these systems through the evaluation of their performance and the promotion of international health security. In this context, essential publi...
11
artículo
Publicado 2015
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Cardiovascular risk is poorly managed in women, especially during the menopausal transition when susceptibility to cardiovascular events increases. Clear gender differences exist in epidemiology, symptoms, diagnosis, progression, and management of cardiovascular risk. Key risk factors to be controlled in the peri-menopausal woman are hypertension, dyslipidemia, obesity, and other components of the metabolic syndrome, with the avoidance and careful control of diabetes. Hypertension is a particularly powerful risk factor and lowering of blood pressure is pivotal. There are some scores for risk stratification and Reynolds’ is of relevant significance. Team work is of extreme importance in the optimal risk cardiovascular stratification in women, moreover in the perimenopausal period.
12
artículo
Publicado 2015
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Cardiovascular risk is poorly managed in women, especially during the menopausal transition when susceptibility to cardiovascular events increases. Clear gender differences exist in epidemiology, symptoms, diagnosis, progression, and management of cardiovascular risk. Key risk factors to be controlled in the peri-menopausal woman are hypertension, dyslipidemia, obesity, and other components of the metabolic syndrome, with the avoidance and careful control of diabetes. Hypertension is a particularly powerful risk factor and lowering of blood pressure is pivotal. There are some scores for risk stratification and Reynolds’ is of relevant significance. Team work is of extreme importance in the optimal risk cardiovascular stratification in women, moreover in the perimenopausal period.
13
artículo
Publicado 2024
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Research stands as a fundamental pillar that recognizes the university as an entity of institutional and social relevance. This statement is particularly true in the field of health sciences, where educational institutions are expected not only to generate knowledge for the benefit of society but also to shape individuals capable of immersing themselves in research and strengthening this vital premise. In this context, intricate concepts that outline the nature and purpose of research in the academia emerge. Scientific research, on the one hand, arises as the driving force behind the advancement of knowledge, emphasizing rigorous and systematic methods to unravel the mysteries of reality. On the other hand, research training stands as a pivotal educational vehicle for nurturing analytical and curious minds, providing future professionals with the necessary tools to inquire and contribute...
14
artículo
Publicado 2018
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The Primary Health Care strategy introduced concepts which sought to revolutionize the way how to achieve Health for All at the global level. The Declaration of Alma Ata was a prelude to initiatives and global plans that sought compromise to States and society in achieving access to health equity. The Summit of Action for Children and the Meeting of the Millennium, which agreed health targets to achieve by year 2015 were inspired by the concepts included in Primary Health Care. While it is true that the purposes lying below the postulates in Alma Ata were not reached, there was remarkable progress in aspects related to the Mother and Child Health. The Selective Primary Healthcare inspired the so-called “Revolution for the Child Survival”, which identified the main causes of the 15 million deaths in children recorded at the global level at the beginning of the Decade of the eighties o...
15
artículo
Publicado 2023
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Parents or the child's caregiver must have the required knowledge to prevent or limit the progression of pathologies that affect their children, including those related to oral health. Objective: To determine the association between mother's access to health information and children under 12 years of age's access to oral health information in Peru, 2018. Material and methods: The study was cross-sectional. The population consisted of 42 950 records of children under 12 years of age from the Demographic and Family Health Survey (ENDES) database, conducted in 2018, a single period. The final sample consisted of 27 910 records. The independent variable was the mother's access to health information, and the dependent variable was the access of children under 12 years of age in Peru to oral health information. Covariates included the area of residence, natural region, place of residence, heal...
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Costa Rica has presented progress in oral health indicators in the last 10 years due to its National Health System structure. Health care services are divided into public, private and mixed services. The Costa Rican Social Security Fund is the entity that dominates the public sector and is the main one, divided into three tiered levels of care. This article seeks to expose the structure of the institutions that make up the surveillance and care of the most prevalent oral diseases in the Costa Rican population. In the same way, it presents the progress of these conditions through the last years. It is concluded that, despite the progress made, inter-institutional strengthening is necessary to face the challenges in the current oral health situation.
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This research analyzes the importance of the construction of Dos de Mayo Hospital in the mid-nineteenth century in the progress and improvement of health in Lima. The need to build it arose as a result of the increase in the population in the city, the growth in the number of patients, the arrival of yellow fever at the beginning of 1868 and the lack of comfort in the hospitals in operation. Dos de Mayo represented the strengthening of the professional and scientific sense of institutions of this type. Through the review of hemerographic sources of the time, the concern to reform the hospital service and improve patient care is observed; in other words, to guarantee one of the fundamental rights of every human being, the right to life.
18
artículo
Publicado 1998
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In the United States traditionally many children have gone unserved. This has been partly due to barriers in accessing services and the result of a fragmented and disorganized system of care. However, in the last two decades substantial progress has been made in adressing these problems. This article reviews the need for children's mental health services in the United States, and describes recent attempts to improve coordination and access to the children's mental health service system. The introduction of systems of care, the expansion of school-based services, and innovations in the provision of community services are discussed.
19
artículo
Publicado 2022
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The concept of entrustable professional activities emerged as an attempt to overcome some of the criticisms to the competency-based medical education approach; it has had a broad impact in practice and health professions education research. It has been disseminated internationally with its English acronym: EPA. This approach proposes to orient assessment and teaching to specific activities in the profession, which allows the integration of several competencies, and to determine which responsibilities can be entrusted to the trainee, in a gradual and explicit manner. The model assumes the definition of levels of supervision that allow progressive autonomy for each EPA, in students or residents, once they demonstrate the required competencies. Practice, supervision and feedback in real clinical scenarios are key to the development of autonomy in EPA performance. The dissemination of the EP...
20
artículo
Publicado 2011
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The policies on children´s health in Peru began as the Peruvian State assumed it function as the main actor of the health system. This implied not only public but also private actions, in which women contributions where of significant meaning. They dialogued and interacted with the medical and pedagogic scientific discourses regarding the importance of childcare, considered as a cornerstone of the progress of the nation
