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1
artículo
Publicado 2017
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The investigation’s fundamental purpose, it was focused to determine the Valor Predictivo of tamizaje’s spot tests in order to VIH;Descriptive investigation epidemiologic, retrospective and transverse; The basic procedures, 2009, 2010 and 2011 came true with the epidemiologic statistics in the sensibility and specificity tests of the years; The more important findings went than: This procedure had great acceptance for part of los/las users, since they surpassed them 33,000 you show in solidum group poblacional and tendency was maintained during the three years, referring to the sensibility average he was equivalent to the 100; Finally we come to an end than tamizaje’s spot tests in order to VIH, they have Value Predictivo Positivo, applied to the population that he proceeded to Salud’s Establishments in the Region Huánuco.
2
objeto de conferencia
Publicado 2019
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Introducción: Muchas decisiones acerca de la salud involucran informaciones numéricas complejas acerca de riesgos y beneficios. Estudios recientes demuestran que la inexperiencia del médico para entender las evidencias estadísticas respecto a la efectividad de los screening puedan llevar a una inadecuada comunicación con los pacientes. Asimismo, estas recomendaciones pueden ser influenciadas por factores tales como creencias acerca del screening y demandas del paciente. El presente estudio propuso investigar factores que puedan dificultar o facilitar la comprensión de los médicos para tomar la decisión de recomendar un test de screening. Metodología: Los participantes fueron médicos en entrenamiento (residentes, alumnos de 6to y 7mo año) de la Universidad Peruana Cayetano Heredia.Se presentó un caso hipotético de un paciente quien consultaba por un screening de cáncer. Mani...
3
tesis doctoral
Publicado 2024
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El presente trabajo da a conocer los resultados de Validez y Confiabilidad del Cuestionario Salamanca para el Screening de trastornos de Personalidad, aplicados a la población universitaria peruana del contexto local con edades comprendidas entre 16 a 40 años, dando por resultado que el Alfa de Cronbach es 0.841 considerada como alta. Así mismo es significativo e importante el instrumento, ya que se logró adaptarlo a nuestro medio local. Es importante precisar que, en nuestra sociedad peruana, los test de evaluación con enfoque clínico son de larga duración solo para medir personalidad, las bondades de este instrumento es que cuenta con 22 ítems normalizados, apropiados a nuestra terminología y que mide los cuadros clínicos basándose en los enfoques teóricos del DSM-IV y DSM-5 (Manuel estadístico de trastornos mentales) y CIE-11 (International Classification of Diseases) res...
4
artículo
Publicado 2018
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Introduction. The combined first-trimester screening test is the international recommendation for prenatal screening of trisomy 21. The combined plus screening test adds one or more ultrasound markers (ductus venosus, tricuspid flow, nasal bone). The contingent test is a two-step protocol of risk assessment that considers all markers only as a contingency in the group with an inconclusive result. Objective: Assessment of the performance of the Kagan biochemical contingent protocol in our population. Methods. All pregnant women between 11 and 13 weeks attended in our unit were assessed with the first-trimester combined plus screening test. We followed the Fetal Medicine Foundation published quality criteria and the International Society of Ultrasound in Obstetrics and Gynaecology guidelines. Results 2 578 single pregnancies were assessed; the foetuses were classified by an initial ultraso...
5
artículo
Publicado 2018
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ABSTRACT Introduction: We are currently experiencing the diabetes pandemic, in 2017 the "International Diabetes Federation" reported that 425 million adults have diabetes. Within the prevention and screening we have FINDRISC (Finnish Diabetes Risk Score), a test that is being widely used, so we must review the available evidence, if it has sufficient predictive capacity to be recommended and used, if there is personalization according to sociodemographic patterns, and if it has relationships. Methods: In this systematic review article, the information was compiled from PubMed, Elsevier library, ScienceDirect, BMJ Journals and “Revista de la facultad de Medicina Humana de la URP. Results: Of 30 articles found, 23 were selected: 12 were analytical, 7 descriptive, 2 cases and control, 2 clinical trials. Conclusion: The average AUC is 77.81%, so it has sufficient positive predictive capaci...
6
artículo
Publicado 2015
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There is much expectation on the introduction of prophylactic vaccines against human papilloma virus specifically against 16 and 18 oncogenic type, as theoretically would permit to prevent approximatelly 70% of uterine cervical cancer in the world. The vaccine has been approved in some countries and there is the intention to introduce it in the national programs of immunizations. For example, some states of the United States of North America are considering vaccination obligatory in girls in school age. The objective of this chapter is to determine the effect vaccination would have in uterine cervical cancer screening. For such we need to review the natural history of HPV infection by cervical neoplasia.
7
artículo
Publicado 2015
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There is much expectation on the introduction of prophylactic vaccines against human papilloma virus specifically against 16 and 18 oncogenic type, as theoretically would permit to prevent approximatelly 70% of uterine cervical cancer in the world. The vaccine has been approved in some countries and there is the intention to introduce it in the national programs of immunizations. For example, some states of the United States of North America are considering vaccination obligatory in girls in school age. The objective of this chapter is to determine the effect vaccination would have in uterine cervical cancer screening. For such we need to review the natural history of HPV infection by cervical neoplasia.
8
artículo
Publicado 2024
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Securing access to quality healthcare services, particularly for essential screening tests like mammograms, presents a significant challenge in developing nations. Women often encounter extensive waiting periods, sometimes extending for several months, to undergo a mammogram. This crucial test plays a pivotal role in the early detection of breast cancer, where timely diagnosis is crucial for effective treatment and enhanced survival prospects. Delays in obtaining a diagnosis can significantly impact the health of patients and their well-being, underscoring the importance of early detection. Compounding these challenges is the scarcity of resources and healthcare professionals, which hinders swift and efficient access to preventive care. Such constraints underscore the pressing need for improvements in the interpretation of radiological studies and a reduction in the workload of imaging s...
9
El cáncer de mama es una de las primeras causas de mortalidad a nivel mundial, la detección temprana esta en relación directa con la disminución de la morbimortalidad, por ello se pone en disyuntiva si se debe realizar el Screening a la población en general o realizar la valoración individual del riesgo. Es importante hacerse una mamografía anual a partir de los 40 años.
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11
artículo
Publicado 2015
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Breast cancer is the second most frequent malignant neoplasm in the world and the fifth cause of death from cancer in women. In Peru, breast cancer is second in incidence and the third cause of death from cancer in women. Mammography screening began in 1960 with the goal of detecting cancer at its smallest size before clinically evident in order to have better prognosis and survival. Several trials have been done since to determine mammography importance as a screening method and to establish age to begin, frequency and when to stop screening. In this article the role of mammography as screening tool is reviewed, as well as controversies on use, side effects, and recommendations on its use in Peru.
12
artículo
Publicado 2023
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Congenital sensorineural hearing loss is one of the most frequent pathologies of the newborn. To carry out the diagnosis and early detection of this pathology in the pediatric population, specialized audiological tests are required, such as otoacoustic emissions and auditory evoked potentials. Therefore, it is important to have a guide to identify and detect those patients with suspected congenital sensorineural hearing loss.
13
artículo
Publicado 2023
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Congenital sensorineural hearing loss is one of the most frequent pathologies of the newborn. To carry out the diagnosis and early detection of this pathology in the pediatric population, specialized audiological tests are required, such as otoacoustic emissions and auditory evoked potentials. Therefore, it is important to have a guide to identify and detect those patients with suspected congenital sensorineural hearing loss.
14
artículo
Publicado 2018
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Currently, ovarian reserve (OR) tests are mainly used in the evaluation of subfertile patients. In this paper, we discuss the use of anti-Müllerian hormone (AMH) levels, which have been associated in some cases with antral follicle count (AFC) and FSH levels in young women, and we propose an algorithm to identify the risk of reduced ovarian reserve. Using her full autonomy and after counseling, the woman would decide whether or not to do the tests, according to her priorities in life. If these tests were altered, the woman could modify her plans in regard to motherhood.
15
artículo
Publicado 2004
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OBJETIVE: To determine the value of the clock drawing test as a assessment tool for Alzheimer’s disease in elderly patients. MATERIAL AND METHODS: The clock drawing test was applied to patients with and without Alzheimer’s disease attended at the Almenara Hospital Geriatrics Department, Lima Perú. The sample consisted in 31 outpatients (10 males, 21 women) with Alzheimer’s disease and 31 outpatients without this disease (21 males, 10 women). They were requested to draw a clock, using standardized instructions (tenpoint clock drawing test ). Patient with Alzheimer’s disease were graded according to the Hughes’ Clinical Dementia Rating (mild in 10, moderate in 12 and severe in 9). RESULTS: Using a 6-point score as cut off the ten-point clock drawing test had a sensitivity of 83,9%, specificity of 93,5, positive predictive value of 92,9% and negative predictive value 83,5%. CONCL...
16
artículo
Publicado 2018
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ABSTRACT Introduction: We are currently experiencing the diabetes pandemic, in 2017 the "International Diabetes Federation" reported that 425 million adults have diabetes. Within the prevention and screening we have FINDRISC (Finnish Diabetes Risk Score), a test that is being widely used, so we must review the available evidence, if it has sufficient predictive capacity to be recommended and used, if there is personalization according to sociodemographic patterns, and if it has relationships. Methods: In this systematic review article, the information was compiled from PubMed, Elsevier library, ScienceDirect, BMJ Journals and “Revista de la facultad de Medicina Humana de la URP. Results: Of 30 articles found, 23 were selected: 12 were analytical, 7 descriptive, 2 cases and control, 2 clinical trials. Conclusion: The average AUC is 77.81%, so it has sufficient positive predictive capaci...
17
artículo
Publicado 2013
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Objectives: To measure the conventional cervical cytology coverage screening in the Region La Libertad, to establish the frequency of confirmatory biopsy in patients with high grade cytology and the fulfillment of the cervical screening guidelines. Material and method: The 2010 cervical cytology reports of the Laboratories were compiled. The frequency of confirmatory biopsy, one year after the high grade cytology report, was recorded. The heads of the Pathology Laboratories were interviewed about the accomplishments of the screening guidelines. Results: The regional screening coverage was 9,0 %. Only 36,3 % of patients with high grade cytology had confirmatory biopsy. The cytology screening guidelines were not fulfilled. Conclusión: The cervical screening Program for cervical cancer and precursors require fundamental changes to achieve the control of the disease.
18
artículo
Publicado 2013
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Objectives: To measure the conventional cervical cytology coverage screening in the Region La Libertad, to establish the frequency of confirmatory biopsy in patients with high grade cytology and the fulfillment of the cervical screening guidelines. Material and method: The 2010 cervical cytology reports of the Laboratories were compiled. The frequency of confirmatory biopsy, one year after the high grade cytology report, was recorded. The heads of the Pathology Laboratories were interviewed about the accomplishments of the screening guidelines. Results: The regional screening coverage was 9,0 %. Only 36,3 % of patients with high grade cytology had confirmatory biopsy. The cytology screening guidelines were not fulfilled. Conclusión: The cervical screening Program for cervical cancer and precursors require fundamental changes to achieve the control of the disease.
19
artículo
Objectives. The study aims to implement a test for the detection ande treatment of chlamydia during antenatal care, determining the acceptability and feasibility of universal screening and to measure adherence of the patient and her family and also to estimate the prevalence of chlamydia in pregnant women. Material and methods. A prospective study was conducted in pregnant women > 16 years, in 2 large hospitals in Lima (Instituto Nacional Materno Perinatal y Hospital Arzobispo Loayza) during 2013. Chlamydia screening is offered to pregnant women during their first prenatal care using self-administered vaginal swabs (Aptima Combo 2 assay®, Hologic Gen-Probe). We contacted patients positive for Chlamydia within 14 days, they were given free counseling and directly observed treatment with azithrommycin 1 gram oral route to her and her partner. The pregnant women attending alone, we...
20
artículo
Objectives. The study aims to implement a test for the detection ande treatment of chlamydia during antenatal care, determining the acceptability and feasibility of universal screening and to measure adherence of the patient and her family and also to estimate the prevalence of chlamydia in pregnant women. Material and methods. A prospective study was conducted in pregnant women > 16 years, in 2 large hospitals in Lima (Instituto Nacional Materno Perinatal y Hospital Arzobispo Loayza) during 2013. Chlamydia screening is offered to pregnant women during their first prenatal care using self-administered vaginal swabs (Aptima Combo 2 assay®, Hologic Gen-Probe). We contacted patients positive for Chlamydia within 14 days, they were given free counseling and directly observed treatment with azithrommycin 1 gram oral route to her and her partner. The pregnant women attending alone, we...
