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1013361
artículo
Publicado 2020
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Objetivo: La rinosinusitis fúngica (FRS) es una enfermedad causada mayormente por el Aspergillus sp., el cual invade frecuentemente el seno maxilar y se manifiesta con diferentes cuadros clínicos. Se clasifica como invasivo y no invasivo; donde esta última se subdivide en bola fúngica y rinosinusitis fúngica alérgica. Reporte de caso: presentamos un caso de rinosinusitis fúngica no invasiva en una paciente inmunocompetente, donde se observan imágenes endoscópicas y radiológicas de bola fúngica en el seno maxilar. Discusión: Es resaltante debido a la dificultad que representa su diagnóstico en la consulta de atención primaria, no sólo por su baja prevalencia, sino también por la presentación atípica del mismo.
1013362
1013363
1013364
artículo
Carta al editor (sin resumen)
1013365
1013366
artículo
Publicado 2020
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Introduction: In our country, organ donation has one of the lowest rates worldwide, many factors intervene so that this index can be increased, since there is a high demand for patients who require altruistic attitude both for potential donors and for their families. Objective: to determine the factors associated with an unfavorable attitude towards organ donation in students of the medical faculty of the Catholic University of Santo Toribio de Mogrovejo in 2015. Material and methods: cross-sectional analytical observational study executed in 377 students of the USAT faculty of medicine, to whom a validated data collection instrument was applied to measure the unfavorable attitude towards organ donation, with a 0.77 reliability according to Crombach's alpha and 0.5 validity according to the KMO test Results: Only 138 students (36.6%) said they agreed with organ donation and had a favorab...
1013367
artículo
Publicado 2020
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Objetive: Compare the required calories and calories consumed in university students of the Faculty of Medicine of the Catholic University Santo Toribio de Mogrovejo, 2018. The Study. Descriptive, cross-sectional study. A 24-hour reminder was applied to evaluate the amount of kilocalories ingested by students, designed by the National strategy of the Ministry of Health. Findings. 212 students from the schools of Human Medicine, Dentistry, Psychology and Nursing were interviewed; 62.7% were female and 37.3% were male. The average age was: 18.7 years ± 1.55. Of the total students of the Faculty interviewed, in the School of Human Medicine it was found that 31.03% have an excess of calories and 41.37% deficit. In the School of Dentistry, it was found that 77.55% have a calorie deficit, and 10.2% excess. The total average deficit of kilocalories 703,615 Kcal. ± 4.39. Conclusions. The calor...
1013368
artículo
Publicado 2020
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Objetive: Identify factors associated with satisfaction in the first level of care. Material and Methods: Cross-sectional study using the SERVQUAL survey to measure overall satisfaction and dimensions. Prevalence ratios (PR) were estimated using generalized linear models. Results: Of 120 respondents, 27.5% reported satisfaction. Female sex (RPa: 0.57, IC95%: 0.32-0.99), young (RPa: 0.33, IC95%: 0.19-0.60), adult (RPa: 0.33, IC95%: 0.19-0.60), older adult (RPa: 0.46, 95% CI: 0.28-0.76) and having SIS insurance (RPa: 0.68, 95% CI: 0.57-0.81) were negatively associated to satisfaction. Being treated in gynecology-obstetrics (RPa: 2.15, IC95%: 1.06-4.35), general medicine-specialties (RP: 1.58, IC95%: 1.38-1.81), and being a user (PR: 2.11, IC95%: 1.34-3.33) was positively associated with satisfaction. Conclusions: The satisfaction reported by users and / or companions in the first level of ...
1013369
artículo
Publicado 2020
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Objetive: To identify the frequency and factors associated with psycho-emotional disorders in medical students of the Lambayeque region. Material and Methods: We conducted a cross-sectional study, analytic in a sample of 172 students, distributed by stratified random sampling according to university study, who were administered the SCL-90 to determine psychopathological symptoms. Statistical analysis: Data obtained were analyzed by SPSS 17.0 program, using descriptive statistics with absolute frequencies, mean, SD; inferential statistics with chi2 tests for the bivariate analysis and generalized linear models for multivariate analysis. Results: 72.7% was comprised of males, the predominant marital status was single with 87.2%, 11.0% currently working and had family and personal history of psycho-emotional disorders 1.7% and 2 3% of students tested disorders occur most often: obsessions a...
1013370
artículo
Introduction: In Peru, the number of nurses has increased fourfold, and is the biggest professional group in the health sector; however, there would be factors that contribute with wage discrimination in the labor market. Objective: identify factors for labor discrimination in Peruvian nurses. Material and methods: A secondary analysis of the "National Survey of University Graduates and Universities 2014" was conducted. Probabilistic, stratified, single-stage and independent sample in each selected university included 548 nurses. Multivariate analysis was performed using logistic regression and the adjusted odds ratio (aOR) was obtained with its 95% confidence interval (95% CI) and Hosmer-Lemeshow goodness of fit test. Results: Women had a higher risk of unemployment (aOR: 3,401; 95%CI: 2.447-4.725) and total compensation of less than S/.1000 (aOR: 1.496; 95%CI: 1.229-1.821). Graduates o...
1013371
artículo
Publicado 2020
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Objetive: to determine the relationship between limited joint mobility (LJM) of the hand and the presence of atheroma plaques in the carotid arteries of patients with type 2 diabetes mellitus (DM2). Material and methods: 80 patients with DM2, in two groups (40 with LJM and 40 without LJM), between 40 and 80 years. LJM was diagnosed with a positive prayer maneuver. Using B-mode ultrasonography of the carotid arteries, atheromatous plaques were classified according to the Gray-Weale Scale. Results: There was no significant difference in age and sex between both groups. The LJM group had longer illness time. The values of VLDL cholesterol, urea and creatinine were significantly higher in the LJM group. Both groups of patients had the same type of treatment for diabetes, high blood pressure and anti-dyslipidemic. LJM was associated with a greater number of atheromas. Type I, II and III...
1013372
artículo
Publicado 2020
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Objetive: Identify the factors associated to the external consultation reservoir in the Physical Therapy and Rehabilitation Service of the Lambayeque Regional Hospital 2018. Material and methods: Quantitative and qualitative study, analytical cross-sectional design; The Epidat 3.1 program was used, with a population of 2214 and a sample of 328 patients. Results: the most commonly used care procedure was 50.6% therapy and the least used external consultation 49.4%, waiting time for the consultation of 2-25 minutes 20.7% and more than 25 minutes 79.3%, time in consultation of 2-25 minutes 52.4% and more than 25 minutes 47.6%, doctors' age level is 2.74% older, middle age 53.35 and young 43.90%; Good medical treatment 99.7%, the level of aspects in the facilities in the waiting room are: lighting 53.7%, ventilation 51.2%, cleaning 47.0% and comfort 47.9%, 68% They were over 35 years old and...
1013373
artículo
Introduction: Having mental health is necessary for the growth and prosperity of humans and as a result of the growth of societies.Objectives: The purpose of this study was to design a mental health management model in Iran.Methods: In this exploratory study, a review study was first performed to analyze the current state of mental health services in Iran and the world. Countries were selected to compare mental health management with Iran in 6 domains. 311 faculty members with mental health were completed by completing a questionnaire with 50 items in the study. Using the factor analysis, the final model was explained. Results: The effective domains in Iranian mental health services management were named in 8 areas: Mental Health in Particular, Key Centers and Task-Shifting, Human Resources and Specialists Training, Psychological Services for Children and Adolescents, Financial Resources...
1013374
artículo
Objetive: To describe the characteristics and timing of the process of care for patients treated at the outpatient area during 2014 in the Hospital Base Almanzor Aguinaga Asenjo. Material and Methods: A cross-sectional study was conducted with a sample of 379 new patients in outpatient services. The web application System of Referral and Counter-referrals and the Hospital Management System were used to obtain the sample and data. Results: The actual reference time and effective referral time had a median of 36 days and 39 calendar days respectively; the time of diagnosis had a median of 0 days, the actual treatment time and the effective treatment time had a median of 0 days, the real laboratory time and the effective laboratory time, with medians of 45 and 48 days; and finally, radiological waiting time has a median of 73 days and the waiting time for radiological outcome has a median 0...
1013375
artículo
Publicado 2020
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Objetive: Describe the clinical-epidemiological characteristics and the microbiological profile of the IAAS of the Base Hospital Almanzor Aguinaga Asenjo. Material and methods: observational, descriptive study. Information was obtained from the data sheets of patients included in the point prevalence studies in the 2014 II, 2015 I-IV and 2016 I-II periods, obtained from the Office of Sanitary Intelligence. In addition, the results of the crops were reviewed through the VITEK automated system. A descriptive analysis was carried out by measures of central tendency and percentages. Results: 1617 patients were evaluated, 144 patients were identified with IAAS. The overall prevalence was 9% (9.7%, 10.1%, 8.5%, 6.3% and 10.4% in the 2014, 2015-I, 2015-IV, 2016-I, 2016-II periods). 54.2% were men, the prevalent age group was older adults, the attributable mortality was 12.5%. The most common IA...
1013376
artículo
Publicado 2020
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Objetive: Identify the effect of concomitant use of four wavelengths; red, 645-700nm; blue, 439-440nm; yellow, 586 nm, and green 509-510nm, at 35.8mW and 62.81mW of light power over cell viability at 10, 20 and 30 minutes of exposure. Material and Methods: A lamp was designed using light emitting diodes, which had a microcontroller that allowed time and power control of the light energy emitted to the cells. Peripheral blood lymphocytes were separated using ficoll hypaque, then exposed to light for 10, 20 and 30 minutes and evaluating their viability by combining them with ethidium bromide and acridine orange at the end of each time for which an immunofluorescence microscope was used. Results: viability of the leukocytes after irradiation by the light emitting diode lamp at an electrical power of 1028.8 mW was 93%, 70% and 51% at 10, 20 and 30 minutes, respectively, while their respectiv...
1013377
artículo
Publicado 2020
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Objetive: Describe the main epidemiological characteristics of malaria transmission in indigenous communities in the department of Amazonas, 2009 - 2019 ( SE. 21) and recurrence by type of plasmodium in the same period. Material and Methodo: Observational, descriptive, cross-sectional retrospective study of malaria cases reported in the department of Amazonas from 2009 to SE 21 of 2019. 3,191 records of cases reported with malaria were included. For the data processing, the bases were loaded in an electronic spreadsheet of Microsoft Office Excel 2013. For the analysis, Excel and the STATA 14 statistical program were used. The data is expressed in descriptive statistics (measure of central tendency and dispersion), frequency tables, proportions and incidence rates. Results: In the study population it was found that 95.82% were infected by P. vivax; the median age was 11 years with a range...
1013378
artículo
Publicado 2020
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Introduction: Acute lymphoblastic leukemia (ALL) of B cells, is the most common subtype of ALL in children.(1,2) ALL that presents as hypereosinophilia in peripheral blood, is very rare and the incidence is <1%.(3) Case Report: In this case, is presented a girl, 25 year old girl, initially diagnosed as community acquired pneumonia and leukemoid reaction with hypereosinophilia. Wich subsequently re-enters with respiratory distress, also finding double moderate mitral injury, moderate tricuspid insufficiency, mild pulmonary hypertension and mild pericardium effusion; finally, a definitive diagnosis of acute lymphoblastic leukemia B with the help of auxiliary examinations.
1013379
artículo
Publicado 2020
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Introduction: The lesions of the ampulla of Vater represents around 0,5 % of gastrointestinal neoplasms. Case report: Symptoms are not specific, so its diagnostic is incidental. The biopsy of the ampulla of Vater has a false - negative of 60 % for adenocarcinoma, for that reason all adenomas ones the diagnosticated must be resected, because of the high risk of malignancy; having a survival of 67 % at five years. Conclusion: We report the case of a patient with an adenoma in the ampulla of Vater who underwent endoscopic papilectomy.
1013380
artículo
Publicado 2020
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Introduction: Intraosseous lipomas are primary bone tumors described as rare or infrequent that may occur in different ways depending on the degree of evolution, which makes it difficult to be diagnosed when confused with other lesions such as cysts or bone infarctions. Objective: to report the case as a rare pathology and to review the literature. Case Report: The case of a 29-year-old male diagnosed at the Almanzor Aguinaga Asenjo National Hospital –EsSalud – Chiclayo – Peru with an intraosseous lipoma located in the calcaneus is presented, according to the evidence obtained in the imaging studies; subsequently treated by curettage and bone grafting. Together the histopathological study was carried out that supports the diagnosis made. Conclusion: The intraosseous lipoma is a rare benign tumor, however, in the calcaneus bone it is where it occurs most, they are asymptomatic, the ...
