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Evaluación de las prácticas de cuidado materno infantil en áreas con pobreza extrema del Perú, 2012
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
José Enrique Velásquez Hurtado , Lucía Solís Alcedo , Walter Eduardo Vigo Valdez , Ángel Martín Rosas Aguirre , Paulina Giusti Hundskopf , Paul Alfaro Fernandez , Henry Cabrera Arredondo
Revista Peruana de Medicina Experimental y Salud Pública
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Objetivos. Evaluar las prácticas de cuidado materno-infantil en áreas con pobreza extrema del Perú. Materiales y métodos. Estudio transversal realizado entre agosto y septiembre de 2012, con muestreo probabilístico, trietápico y estratificado por departamento. Se seleccionaron 540 hogares que tenían al menos un niño menor de 36 meses (475 hogares) y/o mujer gestante (80 hogares) en áreas rurales de Cajamarca, Amazonas, Huánuco, Ayacucho, Huancavelica, Apurímac, Cusco, Puno y Ucayali. Resultados. Con relación al último embarazo, 69,0% de la madres refirió haber tenido su primer control prenatal en el primer trimestre; 65,3% haber cumplido más de seis controles a lo largo del embarazo; 81,1% haber dado a luz en un establecimiento de salud, y solo 31,0% haber elegido un método de planificación familiar dentro de los 42 días posparto. Con relación al último niño menor de 3 años, 64,1% tuvo contacto precoz madre-niño, y 62,8% inició la lactancia materna dentro de la hora de nacido. Además, 89,6% de los niños menores de 6 meses recibía lactancia materna exclusiva, y 89,1% de los niños de 6 a 8 meses ya tenía alimentación complementaria. Fiebre, diarrea, vómitos y dificultad respiratoria fueron las señales de peligro más referidas para la búsqueda de atención en niños. Conclusiones. La evaluación ha permitido establecer una línea de base sobre la cual se diseñará e implementará una estrategia que posibilite una mejora en las prácticas clave de cuidado materno-infantil en la población objetivo del Programa de Apoyo a la Reforma del Sector Salud
Anahtar Kelimeler : Child care, Maternal and child health, Prevention and control, Health evaluation
Cilt: 31
Sayı: 2
Sayfa: 243 - 253
2
Cryptococcus Neoformans en excretas de palomas, suelo y aire de los palomares del perímetro Urbano de Ica, 2002
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Maria Curo , Marianella Salinas F , José Casquero C
Yıl :
2005
Revista Peruana de Medicina Experimental y Salud Pública
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Objetivos: Aislar e identificar las variedades de Cryptococcus neoformans que existen en excretas de palomas, suelo y ambientes aéreos del perímetro urbano de la ciudad de Ica, Perú. Materiales y métodos: Se colectaron muestras de excretas de palomas, suelo contaminado y aire de palomares entre mayo y julio del año 2002. Para el aislamiento primario se usó agar Sabouraud dextrosa con cloramfenicol. Para la identificación por especie se usaron pruebas convencionales y la determinación de la variedad se evaluó sobre el medio de cultivo agar canavanina glicina azul de bromotimol sódico. Resultados: Se obtuvieron 124 muestras procedentes de palomares de la Facultad de Medicina de la Universidad Nacional San Luis Gonzaga de Ica, capilla del Hospital Socorro, Los viñedos de Santa María, La Victoria y San Joaquín. Se aislaron 26 cepas del género Cryptococcus de las cuales nueve cepas correspondieron a C. neoformans var. neoformans y 17 a Cryptococcus spp. La mayor frecuencia se encontró en la zona del palomar de la Facultad de Medicina. Conclusión: C. neoformans var. neoformans se encuentra en excreta y suelo de las áreas protegidas de los palomares estudiados.
Anahtar Kelimeler : Excreta, Palomas, Cryptococcus neoformans var, neoformans
Cilt: 22
Sayı: 4
Sayfa: 262 - 266
3
Reporte de cuatro casos clínicos de filariasis en Alto Nanay, Loreto
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Javier Vargas-Herrera , Nancy Arróspide-Velasco , Sonia Gutierrez-González , Juan C. Celis-Salinas , Daniel Huamaní-Solano , Luis Loza-Hermenegildo , Julio Elgegren-Lao , José Armas-Montes , Juan Baca-Pérez , César Cabezas
Revista Peruana de Medicina Experimental y Salud Pública
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El presente estudio describe los hallazgos clínicos, parasitológicos y de laboratorio de cuatro pacientes residentes en el distrito de Alto Nanay, Maynas, Loreto, Perú; infectados con microfilarias de Mansonella ozzardi. La evaluación clínica incluyó las especialidades de oftalmología, cardiología y nefrología. En el caso 1, destaca la presencia de dos tumoraciones subcutáneas, una a nivel dorsal y la otra en el tercio inferior de la pierna izquierda; en el caso 2, la sensación de “hormigueo o frío en las piernas”; en el caso 3 se encontró asociada una infección crónica por hepatitis B y en el caso 4 una tumoración de gran tamaño en región lumbar izquierda. En los cuatro pacientes se encontró Mansonella ozzardi y eosinofilia, tres presentaron valores mayores a 20%. La tumoración en el caso 4 correspondió a una hernia de contenido intestinal. Es necesario ejecutar más estudios clínicos y evaluar su verdadero efecto patógeno, es también pertinente estudiar la diversidad genética de filarias de la Amazonia peruana.
Anahtar Kelimeler : filariasis, patología clínica, enfermedades desatendidas
Cilt: 30
Sayı: 3
Sayfa: 506 - 511
4
El Amauta Pedro Ortiz Cabanillas (1933-2011) The Amauta Pedro Ortiz Cabanillas (1933-2011)
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Pablo Zumaeta
Yıl :
2011
Revista Peruana de Medicina Experimental y Salud Pública
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Cilt: 28
Sayı: 4
Sayfa: 682 - 684
5
Update on tegumentary leishmaniasis and Carrion’s disease vectors in Peru
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Victor Zorrilla , Gissella Vásquez , Liz Espada , Pablo Ramírez
Yıl :
2017
Revista Peruana de Medicina Experimental y Salud Pública
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Among approximately 190 species of Lutzomyia in Peru, only a small number have been identified as vectors of tegumentary leishmaniasis in Western and inter-Andean valleys. These include L. peruensis, L. verrucarum, L. tejadai, L. ayacuchensis, and L. pescei. In the Amazon region, L. yuilli yuilli, L. chagasi, L. davisi, and L. auraensis are naturally infected, among the subgenera Leishmania and Viannia. L. auraensis is newly reported as a potential vector of leishmaniasis in neotropical regions. Among the primary and most widely distributed vectors of human bartonellosis or Carrión’s disease, L. verrucarum and L. peruensis are predominant in the Andean regions of northern, central, and southern Peru. Other potential vectors of Carrion’s disease are L. serrana in the Monzon Valley, Huamalies, and Huanuco; L. pescei in Apurímac and Cusco; and L. robusta and L. maranonensis in Jaén, San Ignacio, and Utcubamba provinces, and the high forests of Peru. Because of the high prevalence of leishmaniasis and bartonellosis outside of known endemic areas in Peru, it is necessary to update data and distribution maps of these disease vectors. This may improve both prevention and control measures. Existing information about sandfly vectors in Peru is also provided in this article.
DOI : 10.17843/rpmesp.2017.343.2398
Anahtar Kelimeler : lutzomyia, leishmaniasis, bartonellosis, vectores, perú
Cilt: 34
Sayı: 3
Sayfa: 485 - 96
Sınıflandırma :
6
Access, use and preferences of information and communication technologies by physicians in a general hospital in Peru
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Luis Vásquez-Silva , Ray Ticse , Luz Alfaro-Carballido , Felix Guerra-Castañon
Yıl :
2015
Revista Peruana de Medicina Experimental y Salud Pública
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We assessed the access, use and preferences of information and communication technology (ICT) by physicians who practice at Cayetano Heredia National Hospital. The questionnaire explored the availability and skills of ICT, time, educational activities, search engines and technological applications most used as well as ICT preferences in education.211 physicians were surveyed; laptop use was 93%, tablet and smartphone use was 66% and 88%.68% have mobile Internet. Differences were evident in the frequency of use of ICT in 25-34 year old age group as well as a higher level of skills (p0.05). 86% use PubMed, Facebook and WhatsApp as a means of exchanging images and data related to health, 50% participated in medical blogs, online courses or videoconferences. The use and access of ICT is common among doctors in this hospital and there is positive interest in its use in education.
DOI : 10.17843/rpmesp.2015.322.1622
Anahtar Kelimeler : tecnología de la información, educación médica, informática médica
Cilt: 32
Sayı: 2
Sayfa: 289 - 293
Sınıflandırma :
7
Titulación por tesis en escuelas de medicina de Lima, 2011: características, motivaciones y percepciones
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Christian R Mejia , Fiorella Inga-Berrospi , Percy Mayta-Tristán
Revista Peruana de Medicina Experimental y Salud Pública
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Se encuestó a los médicos titulados por tesis de las siete escuelas de Medicina de Lima en el 2011 de las siete escuelas de Medicina de Lima para conocer las características del proceso de titulación por tesis, sus motivaciones y sus percepciones sobre dicho proceso. Se incluyó 98 tesistas (87% del total), 99% realizó tesis observacionales y el 35% realizó la tesis de manera individual (solo un tesista) en grupo de tres. La principal motivación fue que era bueno para su currículo (94%). En aquella universidad donde la tesis es obligatoria se empezó antes la elección del tema y el asesor. La percepción de mayor y menor dificultad en el proceso fue la realización de los trámites administrativos (53%) y seleccionar a su asesor (11%), respectivamente. Se deben revisar los procesos y tiempos administrativos para que no dificulten la realización de tesis, puesto que la nueva Ley Universitaria obliga a la elaboración de tesis para titularse.
Anahtar Kelimeler : academic dissertations, education, medical, research, students, medical
Cilt: 31
Sayı: 3
Sayfa: 509 - 514
8
Typification of the staphylococcal chromosome cassette of methicillin-resistant Staphylococcus aureus in the State of Aragua, Venezuela
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Betsi Bastidas , María V. Méndez , Ysvette Vásquez , Dayana Requena
Yıl :
2020
Revista Peruana de Medicina Experimental y Salud Pública
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Objective: Typify the SCCmec cassette in methicillin-resistant strains of Staphylococcus aureus in clinical isolates from health centers in the State of Aragua-Venezuela and compare the presence of SCCmec genotypes among the state health centers and according to the type of infection. Materials and methods: 81 MRSA strains from four health centers of the Aragua-Venezuela State were studied. Methicillin resistance was performed with the Kirby-Bauer method with oxacillin (1 μg) and cefoxitin (30 μg) disks. The mecA gene and SCCmec were analyzed by the multiple PCR technique. Results: Only 55 isolates (67.9%) amplified the mecA gene, and 24 strains (43.6%) amplified SCCmec. SCCmec type I was the most frequency, followed by SCCmec IV and SCCmec III, representing 62.5%, 25% and 12.5%, respectively. SCCmec I was predominant in health center A (80%), while in B and C 60% and 100% respectively were SCCmec IV. At health center D, 50% turned out to be SCCmec I and 50% SCCmec IVd. A relationship was found between the SCCmec and the health center with statistical significance. SCCmec I predominated in skin and soft tissue and respiratory infections with 63.2% and 50%, respectively. There was no association between genotype and type of infection with a p value greater than 0.05. Conclusions: The prevalence of SCCmec I and IV will allow establishing new measures in the use of antibiotics and epidemiological control.
DOI : 10.17843/rpmesp.2020.372.4652
Anahtar Kelimeler : staphylococcus aureus, sccmec, gen meca, epidemiología molecular, staphylococcus aureus resistentes a meticilina
Cilt: 37
Sayı: 2
Sayfa: 239 - 45
Sınıflandırma :
9
Prevalence of symptomatic respiratory cases in the Peruvian population aged 15 years and above: secondary analysis of the demographic and family health survey, 2013-2015
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
César Gutiérrez , Joel Roque , Franco Romaní , Jorge Zagaceta
Yıl :
2017
Revista Peruana de Medicina Experimental y Salud Pública
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The objective of this study was to estimate the prevalence of symptomatic respiratory (SR) cases in the Peruvian population aged 15 years and over between 2013 and 2015. A secondary analysis of the Demographic and Family Health Survey (ENDES) was carried out. The subjects of the study were people aged 15 years and over who answered these interview questions: Do you currently have a cough with phlegm? How long have you had a cough with phlegm? People who had had a cough and phlegm for 15 days or more were defined as having SR. The prevalence of SR was 3.3% in 2013 (95% confidence interval [95% CI]: 2.8-3.9%), 3.8% in 2014 (95% CI: 3.5-4.1%), and 3.3% in 2015 (95% CI: 3.0-3.6%). The prevalence of SR was greater than 5% in people aged 60 years and over, in people in the poorest quintile, and in residents of rural areas. We conclude that 3-4% of Peruvian people aged 15 years and over report cough with phlegm for ≥15 days. The proportion with SR varies according to the region of the country. It is recommended that the expected number of symptomatic SR cases be assessed and that Peruvian healthcare be adjusted as necessary.
DOI : 10.17843/rpmesp.2017.341.2771
Anahtar Kelimeler : tuberculosis, prevalencia
Cilt: 34
Sayı: 1
Sayfa: 98 - 104
Sınıflandırma :
10
Social health care for older adults in Peru
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Paola Casas-Vasquez , Rossana Apaza-Pino , Juan del Canto y Dorador , Helver Chávez-Jimeno
Yıl :
2016
Revista Peruana de Medicina Experimental y Salud Pública
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Demographic and epidemiological changes have led to restructuring of the local and global health systems, changes that focus on broader coverage in which importance is given to an individual’s physical well-being as well as social welfare in an effort to ensure healthy aging. In this review, the current social health care approach is analyzed from the different institutions that care for older populations and the changes that have resulted from boarding and caring for older adults.
DOI : 10.17843/rpmesp.2016.332.2212
Anahtar Kelimeler : atención médica, envejecimiento
Cilt: 33
Sayı: 2
Sayfa: 351 - 356
Sınıflandırma :
11
Are sugar-free soft drinks less harmful? an analysis of the nutritional information in two peruvian cities
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Diego Azañedo , Lorena Saavedra-Garcia , Juan Carlos Bazo-Alvarez
Yıl :
2018
Revista Peruana de Medicina Experimental y Salud Pública
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DOI : 10.17843/rpmesp.2018.351.3555
Cilt: 35
Sayı: 1
Sayfa: 164 - 6
Sınıflandırma :
12
National registry of electronic health records in Peru
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Leonardo Rojas Mezarina , Carmen Alicia Cedamanos Medina , Javier Vargas Herrera
Yıl :
2015
Revista Peruana de Medicina Experimental y Salud Pública
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DOI : 10.17843/rpmesp.2015.322.1639
Cilt: 32
Sayı: 2
Sayfa: 395 - 396
13
Clinical, functional and older socio-familiar profile of the community in a district of Lima, Peru
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Luis Varela-Pinedo , Helver Chávez-Jimeno , Tania Tello-Rodríguez , Pedro Ortiz-Saavedra , Miguel Gálvez-Cano , Paola Casas-Vasquez , Elizabeth Aliaga-Díaz , Luis Ciudad-Fernandez
Yıl :
2015
Revista Peruana de Medicina Experimental y Salud Pública
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Objectives. To determine the clinical, functional and socio-familiar profile of seniors from a community in a district of Lima, Peru. Materials and methods. Descriptive cross-sectional study of a sample of 501 people aged 60 and over living in the San Martin de Porres district. We used a structured questionnaire in which clinical, functional and sociofamiliar variables were recorded. A physical evaluation was carried out to assess performance based measures and serum samples were taken for hematological and biochemical examination. The data were presented with descriptive statistics such as frequencies and percentages for categorical variables and means and standard deviations for the numeric variables. Results. A total of 501 older adults were evaluated. The mean age was 71.5 years (±8.9 years). The most common chronic disease was arterial hypertension at 40.9%, followed by rheumatic diseases with 36.9%. 27.7% had some degree of partial or total dependence in activities of daily living, 16.2% had cognitive impairment, 8% lived alone, 58.5% had or were at risk of having a social problem.61% self-rated their health as normal, while 16% rated it as bad or very bad. Conclusions. Seniors in the community of San Martin de Porres in Lima have frequent problems of functional dependence, have or are at risk of social problems, chronic illness and a high frequency of geriatric syndromes and problems.
DOI : 10.17843/rpmesp.2015.324.1762
Anahtar Kelimeler : adulto mayor, estado de salud, evaluación geriátrica, comunidad
Cilt: 32
Sayı: 4
Sayfa: 709 - 716
Sınıflandırma :
14
Prevalencia de la infección por el virus de hepatitis B en niños menores de 5 años de comunidades indígenas de la Amazonía peruana posterior a intervenciones mediante inmunización
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Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
César Cabezas-Sánchez , Omar Trujillo-Villarroel , Carol Zavaleta-Cortijo , Dante Culqui-Lévano , Magna Suarez-Jara , Neptalí Cueva-Maza , Shirley Monzon
Revista Peruana de Medicina Experimental y Salud Pública
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Objetivos. Determinar la prevalencia de infección y de sobreprotección para virus hepatitis B (HVB) en niños indígenas residentes en tres cuencas de la Amazonía peruana. Materiales y métodos. Se realizó un estudio transversal analítico en tres cuencas hidrográficas (ríos Pastaza, Morona y Bajo Urubamba), donde habitan seis pueblos indígenas: shapra, candoshi, machiguengas, yine, ashaninka y nanti. Se incluyeron niños menores de 5 años. Se aplicó una encuesta y revisión del carné de vacunación, y se obtuvo una muestra de suero que se procesó con la técnica de ELISA para detectar HBsAg, anti-HBc total y anti-HBs, definiendo “niños seroprotegidos” si fueron reactivos al anti-HBs y no reactivos al anti-HBc. Resultados. Se incluyó un total de 742 niños menores de 5 años residentes en seis comunidades indígenas, donde 380 (51,2%) eran varones y 169 (22,9%) de un año a menos. Sobre la vacunación contra HVB registrado por carné, solo 434 (58,5%) había recibido tres dosis; 208 (38,8%) recibieron la primera dosis en las primeras 24 h. No se detectaron casos con HBsAg. El 88,8% de los niños había seroconvertido, con variaciones según la población indígena entre 67 a 100% de seroconversión. Conclusiones. No se detectaron casos de infección crónica para HVB en la población evaluada. La cobertura de la vacunación mediante revisión del carné es baja en contraste el promedio de seroconversión que es alto.
Anahtar Kelimeler : Hepatitis B, Immunization, Child, Indigenous population, Seroprevalence, Indigenous population
Cilt: 31
Sayı: 2
Sayfa: 204 - 210
15
Interpretation systems, therapeutic itineraries and repertoires of leprosy patients in a low prevalence country
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Carmen Osorio-Mejía , Eduardo Falconí-Rosadio , Joshi Acosta
Yıl :
2020
Revista Peruana de Medicina Experimental y Salud Pública
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Objectives: In Peru, despite the small number of cases, there is evidence of late diagnosis and hidden prevalence of leprosy. In this context the objective of the study was to know the interpretation systems on leprosy, itineraries and therapeutic repertoires of patients diagnosed with leprosy who are in treatment or who have finished treatment. Materials and methods: A qualitative study was carried out, applying semi- structured interviews to patients diagnosed with leprosy from the Loreto and Ucayali regions. Results: 30 patients were interviewed. Most did not know the mechanism of leprosy transmission. In relation to therapeutic itineraries, patients generally went to health facilities on the recommendation of third parties who knew the disease. In some cases, health personnel made a bad diagnosis. The importance of the treatment indicated by the “Ministerio de Salud” (Ministry of Health) is recognized; however, economic factors and the distance to health facilities negatively affect adherence to treatment. In addition, it was evidenced that stigma persists towards the disease. Conclusions: Patients recognize the importance of treatment; however, they express misconceptions about the pathogenesis of leprosy, and weaknesses in the health system are also identified. These problems would lead to delay in diagnosis and treatment. It is recommended to strengthen control strategies and decentralize the care of leprosy with the participation of the community, patients, health personnel and healers, considering the identified barriers and a probable underdiagnosis in women.
DOI : 10.17843/rpmesp.2020.371.4820
Anahtar Kelimeler : lepra, servicios de salud, percepción, tratamiento, investigación cualitativa, discapacidad, factores sociodemográficos, estigma
Cilt: 37
Sayı: 1
Sayfa: 25 - 31
Sınıflandırma :
16
Rapid responses to the COVID-19 through science and global collaboration: the solidarity clinical trial
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Alonso Soto , Dante M. Quiñones-Laveriano , Patricia J. García , Eduardo Gotuzzo , Ana María Henao-Restrepo
Yıl :
2020
Revista Peruana de Medicina Experimental y Salud Pública
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COVID-19 represents a global crisis. Rapidly conducting a clinical trial with the rigor necessary to obtain reliable results requires the collaboration of various participants involved in the development, evaluation and authorization of clinical trials (CT) such as the trial sponsor, researchers, regulatory authority and the ethics committee (EC). Carrying out these studies is not only scientifically appropriate, but an ethical and moral obligation to guarantee our patients effective treatment. SOLIDARITY is a mega clinical trial that recruited thousands of subjects with moderate to severe disease, who were randomly assigned to one of the treatment groups under evaluation, including hydroxychloroquine, lopinavir/ritonavir associated or not with interferon; or remdesivir compared to standard therapy. Peru has joined the list of countries where the trial will be reproduced, through which it will be possible to quickly identify if any of these drugs offers a real benefit to patients
DOI : 10.17843/rpmesp.2020.372.5546
Anahtar Kelimeler : covid-19, sars-cov-2, ensayos clínicos, hidroxicloroquina, remdesivir
Cilt: 37
Sayı: 2
Sayfa: 356 - 60
Sınıflandırma :
17
Rapid progression of chronic kidney disease in the peruvian population
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Percy Velasquez-Castillo , Luis Arellán-Bravo , Percy Herrera-Añazco
Yıl :
2017
Revista Peruana de Medicina Experimental y Salud Pública
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DOI : 10.17843/rpmesp.2017.343.3021
Cilt: 34
Sayı: 3
18
Effect of Solanum tuberosum peel or pulp on organ weight and hepatic oxidative stress in obese rats
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Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Viviana J. Ortiz-Rojas , Nataly D. Bernuy-Osorio , Otto A. Zea-Mendoza , Carlos Vílchez-Perales
Yıl :
2019
Revista Peruana de Medicina Experimental y Salud Pública
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This study aimed to determine the effect of the consumption of peel flour or pulp flour from two varieties of Solanum tuberosum (Yungay potato and Canchán potato) on the accumulation of adipose tissue, organ weight, and oxidative stress in the liver of rats. We carried out an experimental study in 24 obese Holtzman rats, divided into four groups and subjected to diets containing 10% flour from both varieties of potato. The groups were T1: Yungay peel; T2: Yungay pulp; T3: Canchán peel; and T4: Canchán pulp. When the study was completed, all the animals were slaughtered to record the weights of organs and adipose tissue and to extract samples to determine the enzyme activity of superoxide dismutase and catalase in the liver. The group of obese rats that consumed the pulp of the Yungay variety had less oxidative stress in the liver. Also, regardless of the tuber part consumed, this variety reduced the weight of the kidneys.
DOI : 10.17843/rpmesp.2019.360.4238
Anahtar Kelimeler : solanum tuberosum, estrés oxidativo, obesidad, polifenoles
Cilt: 36
Sayı: 4
Sayfa: 681 - 6
Sınıflandırma :
Biyotıp %78
19
Demand for training and availability of health science professionals in Peru
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Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
M. Michelle Jiménez , Eduardo Mantilla , Carlos A. Huayanay-Espinoza , Karina Gil , Hernán García , J. Jaime Miranda
Yıl :
2015
Revista Peruana de Medicina Experimental y Salud Pública
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Objectives. To describe the availability and demand of professional training programs for eight health science professions in Peru. Study the profiles of the physicians, nurses and midwives that these programs train and their competencies to work at the primary health care level. Materials and methods. Cross-sectional study using data on the volume of applicants, students and graduates of these eight professional training programs during the period 2007 - 2011. In addition, the curricula of professional training programs for physicians, nurses and midwives from public and private universities were analyzed, along with competency profiles developed by Professional Colleges and the Ministry of Health. Results. Admission rates in public and private universities vary by program: 4% and 28% respectively for medical schools, and 18% and 90% for nursing. Graduation rates were estimated at approximately 43% and 53% of students entering medicine and nursing training programs respectively. Contrasting the profiles of recently graduated professionals in medicine, nursing and midwifery, with the skills required by the Ministry of Health for professionals working in primary care the first level of care, indicate that these recently graduated professionals are not necessarily or specifically trained to work in primary care. Conclusions. Demand for professional training in health sciences exists and its supply is met predominantly by private universities. Competency profiles developed by the MOH for the basic professional health team in primary care shows a clear disconnect regarding the current supply of trained professionals.
DOI : 10.17843/rpmesp.2015.321.1573
Anahtar Kelimeler : capacitación, creación de capacidad, prestación de atención de salud, países en desarrollo, recursos humanos en salud
Cilt: 32
Sayı: 1
Sayfa: 41 - 50
Sınıflandırma :
20
Presence of microorganisms in mobile phones of intensive care staff at a hospital in Spain
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Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Yeray Gabriel Santana-Padilla , Luciano Santana-Cabrera , María Elena Dorta-Hung , Manuel Jesús Molina-Cabrillana
Yıl :
2019
Revista Peruana de Medicina Experimental y Salud Pública
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In order to identify the presence of microorganisms in mobile phones of the staff from the intensive care unit (ICU) at a hospital in Spain, a cross-sectional descriptive study was carried out among healthcare and non-healthcare professionals who had mobile phones during their working day. Samples were collected by swabbing and sowing on a culture plate with analysis and identification of microorganisms. One hundred eleven (111) mobile phones were analyzed, of which 56 were contaminated: 41.5% and 41.1% of those belonging to nurses and physicians, respectively, and 60.6% found in nursing assistants. The growth of Pseudomonas aeruginosa (12.5%), methicillin-resistant Staphylococcus aureus (10.9%), and Stenotrophomonas maltophila (4.7%) stand out. In conclusion, mobile phones presented the presence of clinically relevant microorganisms.
DOI : 10.17843/rpmesp.2019.364.4421
Anahtar Kelimeler : contaminación de equipos, prevención de enfermedades, teléfono celular, personal de salud, transmisión
Cilt: 36
Sayı: 4
Sayfa: 676 - 80
Sınıflandırma :
21
Lifetime prevalence and age of onset of mental disorders in Peru: results of the world mental health study, 2005
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Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Fabián Fiestas , Marina Piazza
Yıl :
2014
Revista Peruana de Medicina Experimental y Salud Pública
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Objectives. To determine the lifetime prevalence of 18 mental disorders and to establish the pattern that those disorders have with the age of onset in five cities of Peru. Materials and methods. As part of the World Mental Health Survey, the study in Peru followed a probabilistic multistage sample of people between 18 and 65 years old in Lima, Chiclayo, Arequipa, Huancayo and Iquitos. The desktop version of the Composite International Diagnostic Interview (CIDI) was administered. Results. The lifetime prevalence of at least one mental disorder was 29% (SE 1.2), and the prevalence of at least two or three was 10.5% (SE 0.7) and 4% (SE 0.4), respectively. Anxiety disorders were more common with 14.9% (SE 0.9) prevalence, followed by mood disorders with 8.2% (SE 0.5), impulse control disorders with 8.1% (SE 0.8), and substance use disorders (5.8%; SE 0.3). The age of onset was earlier for anxiety disorders (15 years old) and for impulse control disorders (20 years old). Younger respondents were more likely to have a mental disorder. Conclusions. Almost a third of the adult population of five cities in Peru has had some psychiatric disorder at a given time in their lives, and comorbidity is common. Most disorders begin before age 30.
DOI : 10.17843/rpmesp.2014.311.6
Anahtar Kelimeler : prevalencia, epidemiología, salud mental, trastornos mentales
Cilt: 31
Sayı: 1
Sınıflandırma :
22
Amebiasis of the central nervous system: report of six cases in Peru
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Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Enrique Orrego-Puelles , Sandro Casavilca , Fausto J. Rodríguez , Bobbi S. Pritt , Miluska Castillo , Carlos A. Castañeda
Yıl :
2015
Revista Peruana de Medicina Experimental y Salud Pública
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Six cases of amoebic encephalitis admitted to the National Institute of Neoplastic Diseases between the years 1994-2010 in Peru are reported. These cases were admitted for clinical suspicion of malignant primary brain tumor and one orbital-nasal sarcoma. All cases came from coastal regions; three were less than 24 years of age and four were male. The most common symptoms were headache and seizures. Three cases had more than one brain lesion. Stereotactic biopsy was performed in three patients and the differential pathological diagnosis in two cases was glioma of high and low grade. It was possible to confirm the diagnosis using molecular techniques in paraffin-embedded samples in three cases. All patients died within 15 days of admission to the institution. Amoebic encephalitis may be erroneously interpreted as a cerebral neoplasm, causing delay in the management of the infection.
DOI : 10.17843/rpmesp.2015.323.1697
Anahtar Kelimeler : meningoencefalitis, balamuthia mandrillaris, acanthamoeba, amebiasis
Cilt: 32
Sayı: 3
Sayfa: 591 - 597
Sınıflandırma :
23
Socio-demographic factors and early life events associated with happiness in adults of Metropolitan Lima
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Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Javier E. Saavedra
Yıl :
2020
Revista Peruana de Medicina Experimental y Salud Pública
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Kaydet Alıntıla
Objectives: To estimate socio-demographic factors and early life events associated with happiness in adults in metropolitan Lima. Materials and methods: A secondary analysis was carried out on the Epidemiological Study of Mental Health of Metropolitan Lima 2012. The instruments used were the Quality of Life Index; a brief and modified version of the EMBU; a questionnaire of early adverse events; a Happiness Index built from Andrews’ single item of Happiness and the Life Satisfaction Scale. Adjusted multivariate analyses were performed. Results: Happiness was significantly associated with gender, marital status, poverty, and level of education. Parenting styles associated significantly with less happiness were: behaviors of rejection and sexist attitudes; and with higher happiness: emotional warmth. No association was found with overprotection or favoritism breeding practices. Early adverse events significantly associated with lower happiness were discussions within the family, father with problems of alcohol, parental absence, behaviors of emotional blackmail or threats. Conclusions: This study highlights the importance of developing intensive programs in the first years of life that promote parenting styles and healthy development environments.
DOI : 10.17843/rpmesp.2020.371.4580
Anahtar Kelimeler : felicidad, adultos sobrevivientes de eventos adversos infantiles, crianza del niño
Cilt: 37
Sayı: 1
Sayfa: 42 - 50
Sınıflandırma :
24
Dengue in peru: a quarter century after its reemergence
Dergi Makalesi

Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
César Cabezas , Victor Fiestas , María García-Mendoza , Miriam Palomino , Enrique Mamani , Fernando Donaires
Yıl :
2015
Revista Peruana de Medicina Experimental y Salud Pública
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Kaydet Alıntıla
A health problem each time more frequent and dispersed in tropical and subtropical areas of the world, including Peru where it entered in 1990, is dengue. It is produced by the dengue virus with four serotypes and transmitted by Aedes aegypti, a vector that coexists with humans and whose presence is favored by deficient sanitary, social and economic conditions. Manifestations of severe forms of the disease such as shock and bleeding, are related to the frequent co-circulation of the four serotypes and the emergence of new genotypes such as American / Asian serotype 2. The new classification of the disease by WHO as dengue with or without warning signs and severe dengue, is contributing to more timely diagnosis and treatment, enabling reductions in mortality. Of note is the need to highlight the surveillance of acute febrile illness and Aedes indices that contribute to a timely diagnosis and guide vector control measures through sanitary education and environmental management with community and intersectoral participation, in a creative manner according to ecological niches. An alternative for complementary prevention would be vaccination using tetravalent vaccines whose safety and efficacy must be guaranteed before its use in the population under the framework of comprehensive strategies.
DOI : 10.17843/rpmesp.2015.321.1587
Anahtar Kelimeler : dengue, aedes aegypti, enfermedades transmisibles emergentes
Cilt: 32
Sayı: 1
Sayfa: 146 - 156
Sınıflandırma :
25
Cloning alphavirus and flavivirus sequences for use as positive controls in molecular diagnostics
Dergi Makalesi

Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Daría Camacho , Jesús Reyes , Leticia Franco , Guillermo Comach , Elizabeth Ferrer
Yıl :
2016
Revista Peruana de Medicina Experimental y Salud Pública
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Kaydet Alıntıla
The purpose of the study was to obtain a positive control to validate molecular techniques (reverse transcription– polymerase chain reaction [RT-PCR]) used in the diagnosis and research of viral infections. From strains of Chikungunya virus (CHIKV), Zika virus, and Dengue virus (DENV-1, DENV-2, DENV- 3, and DENV-4) viral RNAs were extracted to obtain complementary DNA using RT-PCR from the nsP4 (CHIKV), NS5 (Zika virus), C/prM-M, and 5′UTR-C (DENV-1, DENV-2, DENV-3, DENV-4) sequences, which were cloned into pGEM®-T Easy. Cloning was confirmed through colony PCR, from which plasmid DNA was extracted for fragment cloning verification. Cloning of cDNA corresponding to nsP4, NS5, C/prM-M, and 5′UTR-C of the different viral agents was achieved. In conclusion, recombinant plasmids were obtained with each of the sequences specified for further assessment as positive controls in molecular techniques in an effort to avoid the use of cell cultures, which can be costly, time-consuming, and potentially dangerous.
DOI : 10.17843/rpmesp.2016.332.2101
Anahtar Kelimeler : alphavirus, flavivirus, clonación, molecular, diagnóstico
Cilt: 33
Sayı: 2
Sayfa: 269 - 273
Sınıflandırma :
Viroloji %100
26
Natural Killer/T cell primary extranasal ileum lymphoma
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Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Rita López-Cabanillas , Cristian Espinoza-Escudero , Ademir Janampa-Apaza , Rolig Aliaga-Chávez
Yıl :
2020
Revista Peruana de Medicina Experimental y Salud Pública
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Primary extranodal Natural Killer / T cell lymphoma (NKTL) on gastrointestinal tract is an uncommon and aggressive neoplasm. We present the case of a 51-year-old immunocompetent patient with a 2-month history of abdominal pain. Colonoscopy findings showed ileal ulcerations, so studies were carried out to rule out Crohn’s disease and intestinal tuberculosis. Later, he developed intestinal obstruction. Exploratory laparotomy found a nodal conglomerate in the mesentery. Anatomical pathology confirmed the diagnosis of primary NKTL on the ileum. Chemotherapy was initiated but the patient asked for voluntary discharge because of his precarious condition. Two months after discharge the patient died. This lymphoma has been reported mainly in Asia and is possibly the first case in Peru. It has a dismal prognosis with overall survival of 8 months. Therefore, it is necessary to get an early diagnosis and begin therapy in a timely manner.
DOI : 10.17843/rpmesp.2020.371.4331
Anahtar Kelimeler : linfoma extranodal de células nk-t, infecciones por virus de epstein-barr, tuberculosis gastrointestinal, enfermedad de crohn, inmunohistoquímica
Cilt: 37
Sayı: 1
Sayfa: 160 - 3
Sınıflandırma :
27
Publication of research projects for certification as medical specialists at a peruvian university, 2007-2010
Dergi Makalesi

Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Ray Ticse , Patricia Ygreda , Frine Samalvides
Yıl :
2014
Revista Peruana de Medicina Experimental y Salud Pública
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 Piri Tam Metin Bulucu
Kaydet Alıntıla
In order to determine the frequency of publication in a scientific journal of the research projects done for medical specialty certification, a search was conducted in Google Scholar, Pubmed, biomedical databases and Peruvian medical society journals. These publications were research projects carried out by medical residents graduated from the Faculty of Medicine at the Universidad Peruana Cayetano Heredia, to obtain the certification of medical specialist. Of 351 medical residents graduated between the years 2007-2010, 199 (65.5%) completed their research project and 47 (23.6%) published it in a scientific journal. The “medicine” (non-surgical) specialty area had the highest frequency of publications. All publications were in Spanish journals, the majority in indexed journals in regional databases. We conclude that 23.6% of the research projects for certification as medical specialists are published, most often in low visibility journals.
DOI : 10.17843/rpmesp.2014.312.49
Anahtar Kelimeler : residencia médica, publicaciones científicas y técnicas, proyectos de investigación
Cilt: 31
Sayı: 2
Sınıflandırma :
28
Myths about organ donation on health personnel, potential recipients and families of potential donors in a peruvian hospital: qualitative study
Dergi Makalesi

Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Katherine Gómez-Rázuri , José Ballena-López , Franco León-Jiménez
Yıl :
2016
Revista Peruana de Medicina Experimental y Salud Pública
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Kaydet Alıntıla
Objectives. To explore the myths about organ donation in a national hospital in Lambayeque, Peru, in 2014. Materials and methods. A qualitative-phenomenological study was conducted with twenty-four depth unstructured interviews to: health personnel, receptor potential and families of potential donors. Sampling was intentional opinion-based, completed by theoretical saturation of each establishment. An interview guide was used, which was evaluated by five experts. Triangulation of data was performed. Results. Twenty-three respondents (95,8%) showed a favorable toward organ donation attitude. In the National Identity, thirteen (54,2%) expressing “no” to donation. The myths were: age or diseases are contraindications to donation; the recipient of an organ undergoes attitudes and feelings of their donor and lives in it; brain death is immobility of the body and a reversible state; religions do not accept organ donation, it affects physical integrity and resurrection; and there are preferences in the waiting list and exist organ trafficking. Conclusions. Myths explored in this study show religious, socio-cultural, psychological and ethical perspectives. The apparent lack of knowledge of the actual diagnosis of brain death is the starting point to mark the donation process. The existence of a hospital coordinator, the role of spiritual guides and the correct information provided by media would be key parts to break down these myths.
DOI : 10.17843/rpmesp.2016.331.2011
Anahtar Kelimeler : folclore, obtención de tejidos y órganos, trasplante de órganos, muerte encefálica, tráfico de órganos, análisis cualitativo
Cilt: 33
Sayı: 1
Sayfa: 83 - 91
Sınıflandırma :
29
Performance of cognitive brief test in elderly patients with dementia in advanced stage living in an urban community of Lima, Peru
Dergi Makalesi

Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Nilton Custodio , Carlos Alva-Diaz , Yahaira Becerra-Becerra , Rosa Montesinos , David Lira , Eder Herrera-Pérez , Sheila Castro-Suárez , José Cuenca-Alfaro , Elizabeth Valeriano-Lorenzo
Yıl :
2016
Revista Peruana de Medicina Experimental y Salud Pública
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Objectives. Evaluate the performance of clock drawing test- Manos versión (PDR-M) and Mini Mental State Examination - Peruvian version (MMSE) to detect dementia in a sample based on urban community of Lima, Peru. Materials and methods. This study is a secondary analysis database, observational, analytical and cross-sectional, the gold standard was the clinical and the neuropsychological evaluations together. Performance testing individually and in combination were evaluated.. Data were obtained from prevalence study conducted in 2008 in Cercado de Lima. Results. MMSE performance for evaluation of patients with dementia of any kind showed sensitivity of 64,1%, specificity of 84,1%, PPV of 24.4%, NPV of 96.7%, PLR of 4,03 and NLR of 0,43. PDR-M showed sensitivity of 89,3%, specificity of 98,1%, PPV of 79.3%, NPV of 99.1%, PLR of 47,79 and NLR of 0,11. When both tests were applied, and at least one of them was positive, they showed sensitivity 98.1%, specificity 84.1%, PPV of 33.1%, NPV of 99.8%, PLR of 6,17 and NLR of 0,02. When performing separate analysis of Alzheimer-type dementia and non- Alzheimer dementia, the values of the parameters do not differ substantially from those obtained for dementia of any kind. Conclussions. The combination of MMSE and PDR-M show good discriminative ability to detect moderate and severe dementia in population living in urban community in Lima.
DOI : 10.17843/rpmesp.2016.334.2549
Anahtar Kelimeler : demencia, diagnóstico diferencial, enfermedad de alzhéimer, sensibilidad y especificidad, técnicas de diagnóstico neurológico
Cilt: 33
Sayı: 4
Sayfa: 662 - 669
Sınıflandırma :
30
Knowledge, attitudes and practices about HIV/AIDS in peruvian women
Dergi Makalesi

Dergi Makalesi
Open Access
Kaynak :
Directory of Open Access Journals (DOAJ)
Dergi:
Revista Peruana de Medicina Experimental y Salud Pública
Yazar(lar) :
Guillermo Pernaz-Linsuy , César Cárcamo-Cavagnaro
Yıl :
2015
Revista Peruana de Medicina Experimental y Salud Pública
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Kaydet Alıntıla
Objectives. To determine the level of knowledge, proper attitudes and safe sex practices regarding the Human Immunodeficiency Virus (HIV) infection in Peruvian women ages 15 to 49 years. Materials and methods. We used the results of the Continuous 2004–2007 Peruvian Demographic and Health survey (DHS). The dependent variable comprised the level of knowledge and attitudes regarding the disease and safe sexual practices. Descriptive statistical analysis and logistic regression was performed to find association between variables. Results: A good level of knowledge about sexually transmitted infection (including HIV infection) was found in 47.8% of women from the population surveyed; 50.7% showed proper attitudes in relation to the disease and the people affected by it, while safe sexual practices were observed in 48.8% of the persons surveyed. Higher educational level, high index of socio-economic welfare, residence in the capital city during childhood, working as professional, technical, business women or clerical position; and frequent media access, were related to greater knowledge, good attitudes and safe practices. Conclusions: The level of knowledge, attitudes and practices shown by 15 to 49 year old Peruvian women regarding sexually transmitted infections is not adequate.
DOI : 10.17843/rpmesp.2015.324.1756
Anahtar Kelimeler : infecciones por vih, síndrome de inmunodeficiencia adquirida, conocimientos, actitudes y prácticas en salud, mujeres
Cilt: 32
Sayı: 4
Sayfa: 667 - 672
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