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https://purl.org/pe-repo/ocde/ford#3.02.00
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Rendimiento académico
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Depresión
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Violencia doméstica
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http://purl.org/pe-repo/ocde/ford#3.03.04
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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 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.
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artículo
Objective: To report the results of pulse oximetry screening for congenital heart diseases in healthy newborns during the transitional period between birth and discharge. Those with positive screening results were referred for echocardiographic evaluation aimed at a specific diagnosis. Materials and methods: A retrospective, descriptive, observational and cross-sectional study. Data were obtained from screening 4,897 newborns who were admitted to the nursery of the Obstetrics and Gynecology Unit at Hospital Universitario de Guayaquil, within the first 24 hours of birth, all diagnosed as healthy newborns. As part of the protocol, cardiac screening was performed on all newborns at admission and discharge. Newborns with saturation levels below 95 % on pulse oximetry underwent consecutive measurements at one-hour intervals, with a total of three readings. Additionally, those with more than a...
3
artículo
Publicado 2022
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Objective: Adaptation to Peruvian population of the Pediatric Symptoms Checklist (PSC-17), a questionnaire that assists in the identification of emotional and behavioral problems in children and adolescents between 6 to 17 years. Method: On the basis of the original texts of PSC-17 in English and Spanish and the Chilean version, a committee of five experts proceeded to the adaptation of the 17 items for parents and caregivers and for adolescents. Results: Some items were kept identical to one of the two revised Spanish versions; others remained similar to the Chilean version, and some had to be slightly modified to match Peruvian Spanish. Conclusions: The final Peruvian version of the PSC-17 would facilitate the detection of mental health problems in children and adolescents in our country, even though it is still necessary to subsequently carry out pertinent studies of its psychometric ...
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tesis de grado
Publicado 2020
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El presente estudio de investigación tuvo como objetivo general adaptar el Woman Abuse Screening Tool en mujeres de Lima Metropolitana. La investigación fue tipo no experimental y diseño instrumental. La muestra final fue de 296 mujeres cuyas edades oscilan entre 18 y 60 años. El instrumento para el recojo de la información fue el Woman Abuse Screening Tool (WAST), los resultados mostraron alta validez en el contenido lingüístico con valores de V de Aiken superiores a .70. Se evidencia validez de estructura interna tras hacer 5 modelos, el quinto modelo presenta índices de ajuste adecuados (X2/gl = 52.076; RMSEA = .074; CFI =.978; SRMR = .052; TLI = .969), consta de 4 dimensiones correlacionadas, lo cual denota que el modelo unidimensional es el que logra ajustarse de mejor manera a la población estudiada evidenciando así el factor general de violencia domestica (WAST). Además...
5
tesis de grado
Publicado 2024
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OBJETIVO: Determinar la validez y fiabilidad de la Woman Abuse Screening Tool (WAST) versión en quechua Collao en mujeres peruanas quechua hablantes. MATERIAL Y MÉTODOS: Estudio psicométrico, que buscó adaptar al contexto cultural de quechua Collao de Puno y Cusco, en una muestra no probabilística de 512 mujeres donde en su mayoría 240 (46.1%) son mujeres entre 18 a 34 años y 217 (41.7%) cuentan con estudios secundarios. Para dicho fin inicialmente se realizó la traducción directa e inversa, en seguida tres jueces expertos validaron la versión en quechua Collao y un grupo focal de mujeres quechua hablantes confirmó la claridad y comprensión de los ítems. Posteriormente se empleó el Análisis Factorial Confirmatorio, análisis de fiabilidad y validez de criterio empleando el Rho de Spearman. RESULTADOS: Un modelo unidimensional del WAST Quechua Collao reportó adecuados valo...
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artículo
Publicado 2023
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The objective of this study was to translate and psychometrically evaluate a Spanish version of the Grief Impairment Scale (GIS) using a sample of bereaved adults from El Salvador (N = 579). The results confirm the unidimensional structure of the GIS, and solid reliability, item characteristics, and criterion-related validity, where the GIS scale significantly and positively predicts depression. However, this instrument only showed evidence of configural and metric invariance between different sex groups. Overall, these results support the Spanish version of the GIS as a psychometrically sound screening tool for health professionals and researchers to use in their clinical work.
7
tesis de grado
Publicado 2020
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El presente estudio tuvo como objetivo clasificar los pacientes con dolor lumbar inespecífico que recibirán terapia física en un hospital de San Juan de Lurigancho que brinda atención temprana y presenta altas demandas de este tipo de pacientes. Para ello elegimos el cuestionario STarT Back Screening Tool que está adaptado en varios idiomas. Sin embargo, no ha sido adaptado al contexto peruano. Por ello traducimos este cuestionario al castellano peruano y lo adaptamos culturalmente para obtener una versión fiable y consistente.
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artículo
Publicado 2021
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Objetivo: determinar la clasificación de los pacientes que padecen dolor lumbar inespecífico a través del cuestionario Start Back Screening Tool en Hospital de San Juan de Lurigancho.Métodos: Fue un estudio de tipo descriptivo, de corte transversal, la muestra requerida fue de 145 pacientes entre las edades de 18 a 45 años de ambos sexos, con diagnóstico médico de dolor lumbar inespecífico, se empleó el cuestionario Start Back Screening Tool (SBST) adaptado al castellano, validado por 6 jueces expertos con un grado de concordancia de los jueces fue significativa con un valor de 0,91y cuya confiabilidad alfa de crombach fue de 0,714, desarrollado en el Servicio de Terapia Física del Hospital de San Juan de LuriganchoResultados: De los 145 pacientes, el 41,4% (60) pacientes pertenecen al grupo de riesgo Bajo, el 38,6% (56) pacientes pertenecen al grupo de riesgo medio y el 20,0% ...
9
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...
10
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...
11
tesis de grado
Publicado 2023
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El transportador de resistencia a múltiples medicamentos ACBG2 es una proteína transmembrana que cumple funciones de eliminación de xenobióteicos en una amplia gama de mamíferos. Dado que esta proteína es importante para el desarrollo de resistencia a antineoplásicos y Perú cuenta con diversidad de recursos naturales con potencial actividad terapéutica, el objetivo de nuestro trabajo fue determinar compuestos vegetales oriundos del país con la capacidad de inhibir el transportador ABCG2 por métodos in-silico. Para ello, se usó un pool de 300 compuestos naturales los cuales fueron filtrados a través de un virtual screening en AutoDock tools y Vina, los compuestos de mayor afinidad fueron analizados con PLIP para determinar los residuos de unión y tipo de enlace. Los resultados indican que procyanidin B4 (kd=6.82), procyanidin B5 (Kd=9.58) y rutin (Kd=13.44) mostraron ser com...
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artículo
Publicado 2020
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The objective of this research is to propose a procedure that allows the evaluation of occupational risk factors and their impact on the work performance of DDS users. The research considered exploratory, descriptive, fieldwork and synthesis analysis methods. The procedure consisted of four stages: diagnosis of the current situation, risk assessment, incidence of risks in work performance, and risk control. Its main contribution lies in the compilation, selection, proposal and explanation of the tools that allow studying different workers whose activities are focused on the use of DDS.
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artículo
Publicado 2020
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The objective of this research is to propose a procedure that allows the evaluation of occupational risk factors and their impact on the work performance of DDS users. The research considered exploratory, descriptive, fieldwork and synthesis analysis methods. The procedure consisted of four stages: diagnosis of the current situation, risk assessment, incidence of risks in work performance, and risk control. Its main contribution lies in the compilation, selection, proposal and explanation of the tools that allow studying different workers whose activities are focused on the use of DDS.
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tesis de grado
Publicado 2021
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Antecedentes: La sarcopenia es la pérdida progresiva y generalizada de masa y función muscular asociada a mayor riesgo de dependencia funcional, hospitalizaciones y mortalidad en adultos mayores. Se ha recomendado emplear el cuestionario SARC-F para realizar el screening e intervenir oportunamente. Objetivo: Determinar la frecuencia de sarcopenia mediante el cuestionario SARCF y los factores relacionados en adultos mayores que acuden a un hospital general. Materiales y métodos: Estudio observacional, transversal y descriptivo a partir de una base de datos primaria de adultos mayores que asistieron a consultorio de Geriatría del Hospital Cayetano Heredia de agosto del 2019 a febrero del 2020. Se empleó la herramienta SARC-F para el screening de sarcopenia. Se describieron las características sociodemográficas y clínicas relacionadas al screening positivo. Resultados: Un 31.16% de ...
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artículo
OBJETIVE: To compare the diagnostic ability of abdominal ultrasounito detect fetal nuchal cord. DESIGN: Clinical analytical study. MATERIAL AND METHODS: Fifty-seven term pregnant patients in labor had abdominal ultrasound (US) on admission in order to identify fetal nuchal cord and compare such finding with outcome at delivery or cesarean-section (gold standard). RESULTS: Nuchal cord prevalence diagnosed by ultrasound was 21,1%, with 80% sensitivity (CI 95% 72,7 to 87,3), 96% specificity (CI 95% 92,9 to 99,1), and positive and negative predictive values of 87% and 94%, respectively. Test accuracy was 92%.McNemar's discordance analysis between obstetric US and gold standard was not significant (p=0,7236) and the likelihood ratios for positive and a negative results were 20 and 0,20, respectively. CONCLUSIONS: US study during labor for diagnosis of fetal nuchal cord had high specificity (...
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artículo
OBJETIVE: To compare the diagnostic ability of abdominal ultrasounito detect fetal nuchal cord. DESIGN: Clinical analytical study. MATERIAL AND METHODS: Fifty-seven term pregnant patients in labor had abdominal ultrasound (US) on admission in order to identify fetal nuchal cord and compare such finding with outcome at delivery or cesarean-section (gold standard). RESULTS: Nuchal cord prevalence diagnosed by ultrasound was 21,1%, with 80% sensitivity (CI 95% 72,7 to 87,3), 96% specificity (CI 95% 92,9 to 99,1), and positive and negative predictive values of 87% and 94%, respectively. Test accuracy was 92%.McNemar's discordance analysis between obstetric US and gold standard was not significant (p=0,7236) and the likelihood ratios for positive and a negative results were 20 and 0,20, respectively. CONCLUSIONS: US study during labor for diagnosis of fetal nuchal cord had high specificity (...
17
artículo
Publicado 2023
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Objective: to establish the discriminative capacity of the Finnish risk score for dysglycemia in users of a family medicine unit located in the suburbs of the State of Guerrero, Mexico. Material and methods: We conducted a cross-sectional study from March to December 2021 in a Family Medicine Unit. With prior informed consent, we applied the Finnish risk score for the detection of dysglycemia to 200 people between the ages of 20 and 60, we obtained somatometric measurements and fasting plasma glucose figures. We estimated sensitivity, specificity, positive and negative predictive value, positive and negative likelihood ratio, and calculated the area under the curve (AUC) to estimate the discriminative ability of the risk score, where the reference test was fasting glucose. We performed bivariate analysis to identify factors associated with dysglycemia, obtaining Odds Ratio (OR) and 95% c...
18
tesis doctoral
Blood-free risk scores and neuropathy assessment tools to detect undiagnosed type 2 diabetes in Peru
Publicado 2018
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La prevalencia de la diabetes mellitus tipo 2 está aumentando, especialmente en países de ingresos bajos y medios, donde la situación empeora porque aproximadamente la mitad de los casos desconocen la enfermedad. El examen universal que utiliza marcadores de sangre puede ser un desafío en entornos con recursos limitados. La identificación de estos individuos puede abordarse potencialmente utilizando puntajes de riesgo y herramientas de evaluación de neuropatía. Este estudio tuvo como objetivo evaluar la precisión diagnóstica del FINDRISC, un puntaje de riesgo libre de sangre, tres herramientas de evaluación de neuropatía (EZSCAN, pupilómetro y biotesiómetro), solo y en combinación. Se realizó un estudio basado en la población que incluyó una muestra aleatoria estratificada por sexo de participantes de Tumbes, un área semiurbana en el norte de Perú. La DM2 no diagnostic...
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artículo
Publicado 2021
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Objective: To evaluate the validity of the risk test of the American Diabetes Association (ADA Test) as a screening for hyperglycemia in a sample of workers in Lima, Peru. Methods: Cross-sectional study of diagnostic tests. Secondary analysis of the data generated by the electronic health record of an occupational polyclinic, carried out in January and February 2020. The sample was made up of workers from different areas who attended for their occupational medical evaluation. Prediabetes was considered with a fasting glucose ≥ 100 mg / dl but less than 126 mg / dl. Results: 397 subjects were evaluated. The prevalence of hyperglycemia was 29% (115/397). With a cutoff ≥ 3 points, the ADA Test presented an area under the curve of 0.868, a sensitivity of 94.8%, and a specificity of 51.8%. The PPV was 44.5% and the NPV was 96.1%. Finally, the positive likelihood c...
20
artículo
Publicado 2021
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Objectives: A study was carried out to determine the reliability, validity and cut-off points of the Spanish version of Ages & Stages Questionnaires: Social-Emotional, 2nd Edition (ASQ:SE-2). Material and Methods: Questionnaire forms of ASQ:SE-2 between 15 to 48 months were applied to parents of children chosen by convenience sampling. Reliability was determined by the internal consistency through Ordinal alpha coefficient (α), and validity of content through Item-test correlation (r). The cut-off points to establish risk zones were determined using the 65th percentile and ROC curve. Results: Two hundred thirty-six questionnaires were applied. The Ordinal alpha coefficient reached a between acceptable to good level (α = 0.73-0.87) for all 5 age-intervals questionnaires between 18 to 48 months. The Item-test correlation index pointed a good discriminatory power for most i...
