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https://purl.org/pe-repo/ocde/ford#3.02.27
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ODS 3: Salud y bienestar. Garantizar una vida sana y promover el bienestar de todos a todas las edades
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1
artículo
Publicado 2011
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Objective: To determine the prevalence of thyroid nodules in a voluntary population of the city of Arequipa has no personal history of thyroid disease. Material and methods: 214 patients were included in the city of Arequipa adult volunteers without a history of thyroid disease and no evidence of active neoplastic disease, to which was performed thyroid ultrasound, collect epidemiological data, age, sex, BMI , smoking, family history of thyroid disease, history of cardiovascular disease, history of metabolic disease. Results: We identified 48 patients with thyroid nodules, of which 9 were males and 39 females, of these 5 (1 woman and 4 men) had a history of smoking, 10 had a family history of thyroid disease (9 women and 1 man), 5 history of cardiovascular disease (3 women and 2 men) and 4 (women) a history of metabolic diseases. The average age of patients with nodules wa...
2
artículo
Publicado 2021
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Objetives: To identify and to describe the main benefits of the navigation system from the perspective of patients with suspected breast cancer. Identify and describe the barriers at the personal level of the users and those that they face institutionally until the definitive diagnosis is obtained. Material and Methods: A qualitative study was carried out between January and March 2020. Observation and in-depth interviews were the information gathering tools used. The experiences of five patients and three members of the health personnel were collected in one hospital of Lima. Results: The patients who were accompanied by the navigators state that their support allowed them to go through their stage of illness with greater ease, both emotionally and bureaucratically. The main perceived institutional barriers are i) infrastructure and hospital processes ii) inefficient follow-up and m...
3
artículo
Publicado 2020
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Background: In the present study, Tocilizumab(TCZ) was used in patients with COVID-19, who had clinical deterioration and meet the inclusion criteria, previously established by an expert panel (IL-6 >40,, Ferritine >500, PCR >10, Linfopenia <500). Methods: In a single-arm, multicenter (3 private hospital from Lima, Peru), descriptive, retrospective study adult hospitalized COVID-19 patients were included. The clinical and laboratory parameters were collected prior to the administration of TCZ and 24-48 hours after finnishing it. Data was analysed as the mean ± standard deviation for continuous variables and as an absolute value with percentages for categorical variables. The t-student test was used to compare the variables using SPSS, version 23.0. Results: A total of 20 patients (14 men, age 61.9 ± 12.7) with laboratory confirmation (PCR or serological test) for Covid-19 w...
4
artículo
Publicado 2024
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Introduction: endemic pemphigus foliaceus (PFE) has been described at the beginning of the 50s in the peruvian forest. In 2006,Ortega & col. reported the presence of desmoglein 1 antibodies in Pueblo Libre, Ucayali. Nevertheless, immune reports does not exist on patients relatives with PFE in the zone.Objetives: to compare the immunopathologic profiles of healthy subjects from Pueblo Libre (an area in Ucayali, endemic for pemphigus foliaceus), with healthy relatives of patients with endemic pemphigus foliaceus (EPF) and healthy controls from non-endemic areas.Materials and methods: this is a prospective multicentric study performed from June to August 2006. The sample consisted of 41 healthy subjects from the Pueblo Libre community, 11 relatives of EPF patients and 20 healthy subjects from non-endemic areas. Blood samples were obtained for immunopathologic studies (E...
5
artículo
Publicado 2018
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Objective: To determine the quality of service to elderly patients in geriatric outpatient levels of care. Materials and methods: A qualitative study with a group of 45 participants over 60 years of age who attended the geriatric department of the Hospital Guillermo Almenara Irigoyen between January and June 2005. Results: It was determined that 77 % of the participants were satisfied with the quality of care. The categories with the greatest complaints were lack of patient-physician interaction, lack of empathy, and lack of safety during their health care. Aspects that stood out were reliability and information submission. Conclusions: The lack of patient-physician interaction and lack of empathy are the most outstanding problems in the geriatric department.
6
artículo
Publicado 2015
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Introduction: Prenatal diagnosis includes all diagnosis used to detect congenital alterations in the fetus. Amniocentesis and study of chorionic villus sampling are the most common techniques used in prenatal diagnosis in order to detect chromosomal alterations in a fetus at risk because of mother’s age or presence of ultrasound markers. Objectives: To determine frequency of chromosomopathies and culture success in patients attended in a specialized centre. Design: Retrospective study. Setting: Reprogenetics SAC, Lima, Peru. Participants: Pregnant women with age above 35 years or with ultrasound markers of fetal anomalies. Interventions: In 118 patients attended from June 2007 through August 2010 data of frequency of chromosomopathies and culture success were analyzed as well as mean mother age, gestational age and indications of prenatal cytogenetic study. All amniotic fluid samples w...
7
artículo
Publicado 2015
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Introduction: Prenatal diagnosis includes all diagnosis used to detect congenital alterations in the fetus. Amniocentesis and study of chorionic villus sampling are the most common techniques used in prenatal diagnosis in order to detect chromosomal alterations in a fetus at risk because of mother’s age or presence of ultrasound markers. Objectives: To determine frequency of chromosomopathies and culture success in patients attended in a specialized centre. Design: Retrospective study. Setting: Reprogenetics SAC, Lima, Peru. Participants: Pregnant women with age above 35 years or with ultrasound markers of fetal anomalies. Interventions: In 118 patients attended from June 2007 through August 2010 data of frequency of chromosomopathies and culture success were analyzed as well as mean mother age, gestational age and indications of prenatal cytogenetic study. All amniotic fluid samples w...
8
artículo
Publicado 2025
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Objective: To analyze and explore beliefs, myths, and fears about the care of diabetic foot (DF) in a hospital in northern Peru. Methods: A qualitative and analytic study was carried out using semi-structural interviews applied to patients recruited through a convenient sample limited by thematic saturation among individuals attending the Diabetic Foot Unit of Hospital Regional Lambayeque. The results were registered, transcribed, coded, and categorized manually with thematic analysis. Results: Ten individuals were interviewed. Three categories were obtained: a. myths and beliefs about the genesis of DF; unknown and spontaneous origin, the religion imposes the belief that DF are the results of divine punishment, magico-religious causes (witchcraft), or inadvertent lesions. B. myths and beliefs around management: avoid food that exacerbates DF, use of anti-inflammatory herbs, and request ...
9
artículo
Pharmacogenetics studies the association between the pharmacological phenotype of an individual with his/her genetic constitution. Case-control studies is a commonly used methodology when performing pharmacogenetics research. This design analyses the frequency of genetic variants in cases; that is, of those patients who have a particular phenotype (outcomes or results) compared with controls. For obtaining adequate methodological quality in pharmacogenetic case-control studies, it is important to work with precise phenotypes, have adequate case and control selection and appropriate sample size; select an adequate methodology for the identification of genetic variants, analyze the results using Hardy-Weinberg Equilibrium (HWE); and interpret the results considering the possibility of a phenoconversion phenomenon.
10
artículo
Pharmacogenetics studies the association between the pharmacological phenotype of an individual with his/her genetic constitution. Case-control studies is a commonly used methodology when performing pharmacogenetics research. This design analyses the frequency of genetic variants in cases; that is, of those patients who have a particular phenotype (outcomes or results) compared with controls. For obtaining adequate methodological quality in pharmacogenetic case-control studies, it is important to work with precise phenotypes, have adequate case and control selection and appropriate sample size; select an adequate methodology for the identification of genetic variants, analyze the results using Hardy-Weinberg Equilibrium (HWE); and interpret the results considering the possibility of a phenoconversion phenomenon.
11
artículo
Publicado 2024
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Objective: To estimate the role of age as a predictor of COVID-19 severity in pediatric patients hospitalized with a COVID-19 diagnosis at a reference hospital in Peru. Materials and methods: A retrospective cohort study was conducted, including pediatric patients from one month old to less than 14 years of age, hospitalized between May 2020 and December 31, 2021, at the Edgardo Rebagliati-Martins National Hospital. The exposure variable was age, categorized in six-month intervals. The outcome variable was the severity of COVID-19, determined according to the severity criteria established in the EsSalud Clinical Practice Guidelines for the management of COVID-19 in pediatrics. Crude and adjusted relative risks (RR) were estimated, with their respective 95% confidence intervals (95% CI). Results: Three-hundred and thirty-one patients were analyzed, their median age was 94 months (7,8 year...
12
artículo
Publicado 2023
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Objective: To evaluate the validity and reliability of an instrument that measures the satisfaction of nutritional services in renal patients. Material and Methods: The study had 7 phases within which an instrument was developed that measures the satisfaction of the patients of the Renal Health Unit, attended in nutrition workshops by telemedicine, which was applied to 31 patients. Results: The global content validity had a Lawshe index equal to 0.95. The construct validity of the satisfaction questionnaire through exploratory factor analysis found 2 factors that correspond to 87.5% of the total. The reliability of the questionnaire had a Cronbach's Alpha of 0.9. Conclusions: The questionnaire that measures the satisfaction of renal patients attended by telemedicine had high content, construct, and reliability validity.
13
tesis de grado
Publicado 2018
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The main objective of this research work is to demonstrate the technical, economic and social feasibility of installing a hemodialysis center without reuse of dialyzers for patients with stage 5 chronic kidney disease in the city of Lima, with the aim of increasing the offer of the service, improve and prolong the quality of life of the patients, as well as improve their employability. The methodology used corresponds to the preparation of a pre-feasibility study, which fundamentally demonstrated the existence of an objective market, it was identified that the optimal location for the installation of the center, the social impact of the project was determined and its economic and financial profitability.
14
tesis de grado
Publicado 2020
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Este estudio fue realizado en el Centro Especializado de Radiología Odontológica E.I.R.L (CERO), consistió en desarrollar un instrumento que nos permitió observar y describir la prevalencia de dientes supernumerarios. El objetivo de la presente investigación es determinar la prevalencia de dientes supernumerarios identificados mediante Radiografías panorámicas en pacientes de 6 a 18 años del Centro Especializado de Radiología Odontológica E.I.R.L (CERO) de la ciudad de Huancayo durante el año 2019. Por lo tanto, se aplicó el método científico, cuyo tipo de investigación es básico y el nivel de investigación es descriptivo. Como resultado de la presente investigación se obtuvo que la prevalencia de dientes supernumerarios fue del 6,1% es decir en 50 radiografías.
15
artículo
Publicado 2020
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Es un estudio descriptivo, observacional, transversal y retrospectivo, EUM tipo prescripción – indicación, cuyo objetivo fue evaluar la utilización de antimicrobianos de uso restringido (ATMR) en pacientes internados en el Hospital Nacional Edgardo Rebagliati Martins (HNERM) en los servicios: Medicina interna, UCI, pediatría UCI y pediatría general en el año 2017, a través de la determinación de la prevalencia de prescripción de ATMR, el promedio de ATMR prescritos y porcentaje de prescripción en combinación por paciente, el porcentaje de prescripción con base clínica o de laboratorio no específicos y con base microbiológica, y los ATMR y diagnósticos presentados en mayor frecuencia. Para la recolección de datos se aplicaron 2 fichas: ATMR-S (ATMR por servicio) y ATMR-P (ATMR por paciente) a un total de 418 pacientes hospitalizados considerando 27 ATMR. Se obtuvo una p...
16
tesis de grado
Publicado 2018
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The present project consists on the pre-feasibility study to implement a remote monitoring service for the early detection of arrhythmias and acute coronary events in real time, in Metropolitan Lima, covering 7th zone of the same. The income obtained from the aforementioned service, will be directed to private health centers that have the Cardiology area. The calculations of this demand made in the research, based on statistics, will be 108 services for the first year and 120 services for the fifth year. Given the demand, it is estimated that the investment needed to carry out the project is S/ 104 855, which includes infrastructure, equipment and materials (medical and systems); as well as the investment of working capital. To obtain investment support, a loan equivalent to 40% of the total amount will be requested. As a result of the economic and financial analysis, this project is fea...
17
artículo
Publicado 2015
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Antecedentes y propósito del estudio: la hemorragia digestiva alta es una causa importante de ingreso hospitalario y constituye la principal emergencia gastroenterológica, con una tasa de mortalidad de hasta el 14%. En el Perú no existen estudios sobre el uso de la escala de Glasgow-Blatchford para predecir mortalidad por hemorragia digestiva alta. El objetivo de este estudio es realizar la validación externa de la escala de Glasgow-Blatchford y establecer su mejor punto de corte para predecir mortalidad por hemorragia digestiva alta en un hospital de Lima, Perú. Métodos: estudio de validación diagnóstica, analítico, longitudinal, de tipo retrospectivo, con datos de pacientes con diagnóstico clínico y endoscópico de hemorragia digestiva alta atendidos en la Unidad de Hemorragia Digestiva del Hospital Nacional Edgardo Rebagliati Martins, entre junio de 2012 y diciembre de 2013...
18
artículo
Publicado 1964
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Of a total of 20 patients we selected to constitute a homogeneous group , 12 adults who remained under control for a period of two years after perpetrating , suicidal deliberation , ingestion of corrosive substances of high capacity . A. roentgenológicamente proceeded to examine patients with acute erosive esophagitis within the first week. The intention for diagnostic esophagoscopy was performed under local anesthesia in 5 patients between the 10th and the 15th days , and before the 2nd month in 2 other subjects. No injuries in 3 patients who had drunk from 100 to 200 cubic centimeters of bleach or muriatic acid with definite suicidal intent was found : on with next are not subjected to dilations. On the other hand , was remarkable discrepancy between the directly visible injuries and apparent radiological normality . The total number of esophagoscopy , diagnostic and therapeutic , rea...
19
artículo
It has been studied by right heart catheterization, 18 natives and residents of height ductus arteriosus. The hemodynamic data were obtained breathing room air and oxygen, being compared with those obtained in 15 patients sea level with the same anomaly, and with data reported for the native healthy height.
20
artículo
Publicado 2015
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2150 hysterectomies performed during the years 1984-1986 of which 547 had a diagnosis of uterine adenomyosis by pathologic examination were reviewed, 452 cases it was possible to assess clinical and epidemiological characteristics were selected. Predominantly in the corresponding age group 41-50 years with a preferential distribution in premenopausal age (p <0.05) it is demonstrated. The background of parity and (p <0.05) obstetric and gynecological surgery, particularly the presence of uterine curettage is associated with increased frequency of disease (p <0.05). No statistically significant association was found for the submission of adenomyosis as: age of onset of menarche, age at first intercourse, number of pregnancies per patient and surgical history of previous cesarean. Clinical symptoms for which patients attended were: abnormal uterine bleeding and abdominal and pelvic pain. AI...
