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1
artículo
Publicado 2021
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Background: Peru was considered the highest fatality rate due to COVID-19 (9.39%); Lambayeque being in July 2020 it presented the highest seroprevalences reported in the world for SARS-CoV-2 with 29.5%. Objective. To describe the experience of the strategy implemented by Rapid Response and Clinical Follow-up Teams of COVID-19 Cases (ERSC) to reduce COVID-19 lethality, during the first wave in 2020. Strategy description. Operational research was conducted in a retrospective cohort. The population studied was made up of suspected and confirmed COVID-19 cases during the April-December 2020 period, treated at the Lambayeque Healthcare Network. The methodology was carried out under the Implementation and operation of the ERSCs that performed Epidemiological Surveillance, tracking and home clinical follow-up of suspected and confirmed COVID-19 cases. The initial patient recruitment and screeni...
2
artículo
Publicado 2020
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Transmission of SARS-Cov-2 in the current pandemic is assumed to be through small heavy droplets that quickly fall to the ground, do not stray far from the emitter, however episodes of super- spreading in closed environments, and current studies that they show that when speaking, a patient can produce a large number of small drops that are suspended for up to a quarter of an hour, which would make air transmission possible, should be taken into account when restarting activities , improving ventilation and avoiding crowds in closed spaces.
3
artículo
COVID-19 is a communicable disease caused by severe acute respiratory syndrome (SARS-COV-2). The oral cavity is a route of entry for SARS-COV-2. Oral epithelial cells, taste buds, and glands play an important role as they express cellular entry factors for SARS-COV-2, such as angiotensin-converting enzyme 2 (ACE2) and type 2 transmembrane serine protease (TMPRSS2).Oropharyngeal manifestations were found in the oral cavity, mainly in the tongue and hard palate. In mild cases, the use of alcohol-free mouthwash Chlorhexidine 0.12%, antibiotic therapy, and in severe cases photobiomodulation therapy was indicated, in other cases the lesions disappeared as the disease subsided.The virus can be detected in saliva, even before symptoms of COVID-19 appear. Reducing oral viral load could lead to a lower risk of transmission mainly through salivary droplets or aerosols. The use of mouthwashes...
4
artículo
Publicado 2022
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Background: Due to the pandemic, the Peruvian State decided to implement quarantine during a period of 2020 which caused changes in behavior, one of those: choosing to self-medicate. Therefore, the objective of this study is to describe the characteristics of self-medication in patients suspected of COVID-19 in Lambayeque during 2020. Materials and methods: cross-sectional analytical observational study in which a telephone survey was applied to 462 patients randomly selected volunteers. Subsequently, a descriptive analysis was performed and associations were searched. Results: the mean age was 42 years (minimun age = 18; maximun age = 90), more than half were women (58%), the majority had higher education (61.7%), they lived in the urban area of Lambayeque (86, 6%) and 64.9% were affiliated with EsSalud. More than half (53.9%) self-medicated during the pandemic, ivermectin (35.7%;...
5
artículo
Publicado 2021
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Introduction: Genomic analysis of samples from documented COVID-19 cases can be used successfully to help track sources of Sars-Cov-2 infection, which can be quarantined to prevent the recurrent spread of the disease around the world. Objective: To describe the SARS-CoV-2 sequences isolated from Peruvian patients. Methods: All genomes published up to March 2021, uploaded in the GISAID and Nextstrain repository, were selected. All data is on the web in a public way; In addition, the information was filtered by continent, country, region, clade, lineage, and sex from March 2020 to February 2021. Results: It was evidenced that the region with the most isolated genomes was Lima, the most frequent clade is GR, the viral lineage B.1.1 is the most frequent and persistent in time and most of the genomes were isolated from people of the female sex.Conclusions:&n...
6
artículo
Publicado 2020
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Objetive: To know the profile of the older adult caregiver in a SARS-COV-2 pandemic, Lima-Peru. Materials and methods: observational and cross-sectional study; population made up of 92 caregivers of older adults, non-relatives and who receive remuneration, both sexes, over 18 years of age, voluntary participation; older adults residing in districts of northern Lima, economic stratum C and D. Sociodemographic variables, education / training, vaccines, self-confidence or self-safety, and degree of anxiety or stress were evaluated in the caregiver; the older adult variables included were sociodemographic, vaccines, disabilities and disease. Questionnaire was completed virtually during the last week of March 2020. Results: caregiver profile, mean age 33.48 years, 95.7% female, 77.2% do not have training in hand washing, 96.7% without training in stress management in older adults. Self-confid...
7
artículo
Publicado 2020
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Influenza pandemics are related to the viral flow of wild and migratory birds, passing to pigs and poultry (intermediate hosts), which would end up infecting humans. Process management through Good Farming Practices for animal production and Animal Welfare should be important preventive measures to avoid this contagion. In coronaviruses and Ebola there are ancestral hosts (such as bats) and intermediate hosts (such as Civettictis civetta or Paradoxurus hermaphroditus for SARS-CoV-1, dromedaries for MERS-CoV, and snakes and Manis javanica for SARS-CoV-2). In its natural state the inter-specie jump would take much longer to occur; however, the existence of wet markets, where animals are traded, would have allowed viruses to find a new host in humans. In addition to pneumonia, the invasion of SARS-CoV-2 produces temporary discomfort, such as diarrhea, due to the abundance of the ACE-2 recep...
8
artículo
Publicado 2020
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Influenza pandemics are related to the viral flow of wild and migratory birds, passing to pigs and poultry (intermediate hosts), which would end up infecting humans. Process management through Good Farming Practices for animal production and Animal Welfare should be important preventive measures to avoid this contagion. In coronaviruses and Ebola there are ancestral hosts (such as bats) and intermediate hosts (such as Civettictis civetta or Paradoxurus hermaphroditus for SARS-CoV-1, dromedaries for MERS-CoV, and snakes and Manis javanica for SARS-CoV-2). In its natural state the inter-specie jump would take much longer to occur; however, the existence of wet markets, where animals are traded, would have allowed viruses to find a new host in humans. In addition to pneumonia, the invasion of SARS-CoV-2 produces temporary discomfort, such as diarrhea, due to the abundance of the ACE-2 recep...
9
artículo
Publicado 2020
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The transmission and biosafety risks of aerosols containing SARS-Cov-2 produced by rotating instruments, which are a source of viral load for dentists potentially vulnerable to infection. According to studies carried out at Princeton University, the SARS-CoV-2 coronavirus is detectable in aerosols for up to three hours, during which time dentists would be directly exposed to inhalation of viral particles in aerosols, especially when patients are in the incubation period and are asymptomatic. The WHO states that airborne transmission occurs when there is a presence of microbes within the nuclei of Flügge droplets which can remain in the air for long periods of time and be transmitted at distances greater than a meter, what is known as suspended particles or aerosols. Its nature can predispose transmission of SARS-CoV-2; hence, the importance of knowing the characteristics of the transmis...
10
tesis de grado
Publicado 2021
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Desde diciembre del 2019, que se reportaron los primeros casos de COVID-19 en el mundo, sus números y su expansión a nivel global crecieron de manera alarmante, ocasionando la crisis sanitaria más grande que se haya tenido en los últimos años. Con múltiples estudios detectando su sintomatología pulmonar y extrapulmonar, la recomendación de la Organización Mundial de la Salud para la evaluación de salud mental en respuesta y seguimiento a los enfermos por COVID-19, es de menester identificar las manifestaciones psiquiátricas en los infectados por SARS-coV-2. Es así que se realizó una selección exhaustiva de estudios recientes, buscando determinar qué manifestaciones psiquiátricas se presentan en el paciente con infección por SARS-coV-2, además de detectar las principales comorbilidades y factores de riesgo presentes. Para ello, se utilizaron las siguientes bases de datos...
11
artículo
Publicado 2021
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Introducción: El Perú fue considerado la mayor tasa de letalidad por COVID-19 (9.39%); siendo Lambayeque en julio del 2020 presentó seroprevalencias más altas reportadas en el mundo para SARS-CoV-2 con 29,5%. Objetivo. Describir la experiencia de la estrategia implementada por Equipos de Respuesta Rápida y Seguimiento Clínico de Casos de COVID-19 (ERSC) para reducir la letalidad por COVID-19 durante la primera ola en el 2020. Descripción de la estrategia. Se realizó una investigación operativa en una cohorte retrospectiva. La población estudiada estuvo conformada por los casos COVID-19 sospechosos y confirmados durante el periodo abril-diciembre 2020, atendidos en la Red Asistencial de Lambayeque. La metodología se llevó a cabo bajo la Implementación y funcionamiento de los ERSC que realizaban la Vigilancia Epidemiológica, rastreo y seguimiento clínico domiciliario de los ...
12
tesis de maestría
Publicado 2024
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Comparar los enjuagues bucales de povidona yodada (PVP-I), cloruro de cetilpiridinio (CPC) y clorhexidina (CHX) en la reducción de carga viral de SARS- COV2 en saliva de adultos con diagnóstico de COVID-19. Métodos: Se realizó una revisión sistemática de los ensayos clínicos publicados en cinco bases de datos electrónicas hasta junio de 2023. Se evaluó la reducción de carga viral de los diferentes enjuagues bucales mediante la diferencia de medias estandarizada (SMD) con sus correspondientes intervalos de confianza (IC) del 95%. Resultados: Se encontró un SMD global de 0.51 (IC del 95%: -0.29 a 1.32), con heterogeneidad moderada (I² = 46.0%; p = 0.047). Para CPC el efecto combinado de los estudios no fue significativo (SMD = -0.07; IC del 95%: -0.42 a 0.28; I² = 0.0%; p = 0.373), al igual que para CHX (SMD = 0.50; IC del 95%: -43.32 a 44.32; I² = 0.0%; p = 1.000). Sin embar...
13
artículo
Publicado 2021
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El SARS-CoV-2 es un virus ARN monocatenario de la familia de los coronavirus, causante de la COVID-19 (Coronavirus Disease 2019). Este virus es responsable de la pandemia actual que, desde su aparición a finales de 2019, ha provocado la muerte de millones de personas y ha tenido un impacto global no solo a nivel sanitario sino también económico y social. Por ello, el presente artículo tiene como objetivo revisar la información más actualizada sobre el SARS-CoV-2, empezando por describir los mecanismos de transmisión del virus, su fisiopatología y filogenética. Asimismo, presentará a las variantes emergentes del SARS-CoV-2, su relevancia para la salud pública local y global, su epidemiología en Perú, y finalmente, el rol y la importancia de las vacunas en este contexto.
14
artículo
Publicado 2021
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Crisis situations that affect care provision such as that caused by the SARS-CoV-2 pandemic invite us to reflect on how responsibilities are distributed among the different actors. The multiple changes in everyday lives caused by the pandemic were accompanied by state actions and community initiatives. This context involved various ways of identifying and interpreting care and responding to the needs detected. This article describes and reflects on significant experiences of community organization among vulnerable populations in the cities of Madrid and Buenos Aires to provide the necessary care during the pandemic. The study relied on secondary sources: specialized bibliography, newspaper articles, technical reports, legislation and official government websites. In addition, key informants were consulted.
15
artículo
Publicado 2021
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The coronavirus disease 2019 (COVID-19) affects more adults than children. Later, the Pediatric Multisystemic Inflammatory Syndrome (SIMS) associated with SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) was described, whose peak incidence was 4 weeks after the maximum peak of infections, so it is postulated that it is a post-infectious entity, and is characterized by affecting several organs and systems. In response to this new need, the Pediatric Intensive Care Unit (PICU) of the Edgardo Rebagliati Martins National Hospital set up a differentiated environment with two beds for the care of children with SARS-CoV-2 infection, to reduce the risk of in-hospital infections.
16
artículo
Publicado 2021
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The coronavirus disease 2019 (COVID-19) affects more adults than children. Later, the Pediatric Multisystemic Inflammatory Syndrome (SIMS) associated with SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) was described, whose peak incidence was 4 weeks after the maximum peak of infections, so it is postulated that it is a post-infectious entity, and is characterized by affecting several organs and systems. In response to this new need, the Pediatric Intensive Care Unit (PICU) of the Edgardo Rebagliati Martins National Hospital set up a differentiated environment with two beds for the care of children with SARS-CoV-2 infection, to reduce the risk of in-hospital infections.
17
tesis de grado
Publicado 2020
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El presente trabajo de investigación denominado: “Posicionamiento de la Empresa Etec Ingenieros S.A.C. en Tiempos de SARS-CoV-2, Cusco 2020.” Tiene como objetivo desarrollar estrategias para el correcto posicionamiento de la empresa Etec Ingenieros. Siendo esta una empresa que se dedica recientemente a la importación de productos de seguridad industrial o equipos de protección personal bajo su propia marca denominada Eseg para su venta al por mayor o sector wholesale, esta empresa cuenta con un capital nada despreciable, la naturaleza de la misma junto al rubro al cual se dedicará, hacen que sea muy importante buscar maneras efectivas de penetración en el mercado y la disputa por cuota en el mismo, teniendo como competencia empresas con más años de experiencia, almacenes más grandes, clientes fidelizados y con marcas consolidadas. Siendo más difícil aún tener como punto de...
18
artículo
Publicado 2024
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Los deslizamientos de tierra en el Perú ocurren frecuentemente debido principalmente a factores condicionantes, tales como la pendiente y el tipo de suelo, así como factores desencadenantes, tales como las precipitaciones pluviales, terremotos e incluso la actividad humana. En este trabajo se emplearon técnicas geodésicas para caracterizar la deformación superficial de un deslizamiento localizado en Cuenca, Huancavelica, en la región central del Perú. Este deslizamiento viene afectando desde hace más de una década, no solamente a la infraestructura de dicha localidad, sino también vías de comunicación, campos de cultivo, entre otros, tal y como se observó en 2014 cuando un deslizamiento produjo el embalse del río Mantaro. Con ese propósito, se procesaron dos diferentes fuentes de datos de radar; la primera consiste en datos de imágenes de radar de apertura sintética (SAR...
19
artículo
Introduction. We live in a globalized world that is kept connected through the internet. Determining the veracity of the information we receive is difficult, even more so in that related to health. The internet is one of the most popular sources for the search for health-related information and this behavior increases in the context of epidemiological outbreaks. In the context of the current pandemic, an increase in anxiety about health issues has been found, the main concern being being infected by SARS-CoV-2. Search strategy: A search was carried out in the PubMed database of all articles published up to June 30, 2020. The search for terms included the keywords suggested by the controlled vocabulary Medical Subjects Headings (MeSH) and connectors. Cyberchondria, COVID-19 and Mental Health: The role of the media is crucial, because it could induce anxiety in the population. Cyberchondri...
20
tesis de grado
Publicado 2024
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Introducción: La j pandemia de j COVIDj -19 ha dejado una marca profunda dentro la j salud de millonesj de personasj en todoj el planeta. Con el final de esta pandemia, es crucial comprender las secuelas que produce el virus, especialmentej en aquellos pacientesj que experimentaron síntomas pulmonares j graves. Objetivo: Evaluarj el j impactoj de las secuelas pulmonares por SARSj -COVj -2 en la calidadj de j vida, de los pacientes delj Hospital j Antonio j Lorena del Cusco en el periodo 2022. Métodos: Se siguió un tipo observacional, con enfoque cuantitativo, estudio transversal, retrospectivo y un método analítico, se tomó una muestra conformada por 110 pacientes del Hospitalj Antonioj Lorenaj del j Cusco, dividida en 2 grupos un grupo caso con 36 pacientes y un grupo control con 74 pacientes. Resultados: Se aplico 110 encuestas, de los cuales se dividió en dos grupos a razón 1...
