Problems perceived and experienced by health professionals rendering social service in Ancash, Peru. 2015

Problemas percibidos y experimentados por profesionales de salud durante el servicio social en Ancash, Perú. 2015

RESUMEN :

Introducción. En Perú, durante el servicio social en salud se han reportado problemas como condiciones laborales riesgosas, mortalidad asociada a accidentes de tránsito y déficit de cobertura de aseguramiento.Objetivo. Describir los problemas percibidos y experimentados por los profesionales de salud que realizan el Servicio Rural y Urbano Marginal de Salud (SERUMS) en Ancash, Perú, y evaluar su asociación con la práctica de los profesionales y la categoría del establecimiento donde se realiza el SERUMS.Materiales y métodos. Durante abril del 2015, se realizó un estudio transversal analítico con profesionales de salud que realizaban el SERUMS en establecimientos del Ministerio de Salud de Ancash. Se aplicaron encuestas para recolectar datos generales, características y problemas del SERUMS.Resultados. Se analizaron 364 encuestas. El 79.3% de los participantes fue de sexo femenino, la edad promedio fue de 27.4±5.0 años, 80.0% percibió carencia de insumos, 54.4% percibió carga laboral excesiva, y 14.7% sufrió algún accidente de tránsito durante el SERUMS. Ser médico y laborar en establecimientos I-1 fueron factores asociados a haber sufrido accidentes de tránsito y otros imprevistos.Conclusiones. Los encuestados reportan carga laboral excesiva, carencia de insumos y accidentes. Los accidentes son más frecuentes en médicos y en establecimientos de categoría I-1.

AUTOR :

Taype-Rondán, Álvaro; Vidal-Torres, María Isabel; Chung-Delgado, Kocfa; Maticorena-Quevedo, Jesús; Mayta-Tristan, Percy ( 0000-0002-0861-6606 ) 

65 (3):441 Revista de la Facultad de Medicina

EDITORIAL :

Universidad Nacional de Colombia

REVISTA:

Revista de la Facultad de Medicina

URL :

http://hdl.handle.net/10757/622486

FULL TEXT: 

http://hdl.handle.net/10757/622486

Factores asociados a la no utilización de los servicios formales de prestación en salud en la población peruana: análisis de la Encuesta Nacional de Hogares (ENAHO) 2015

Associated factors to non-use of formal health services in the Peruvian population: Analysis of the national household survey (Enaho) 2015

RESUMEN :

El objetivo del estudio fue estimar la prevalencia de la no utilización de los servicios formales de prestación de salud (NUSFPS) y sus factores asociados en Perú. Se realizó un análisis secundario de datos de la Encuesta Nacional de Hogares (ENAHO) del año 2015. Se definió como NUSFPS a aquellos participantes que, pese a haber presentado algún síntoma, malestar, enfermedad, recaída de enfermedad crónica o accidente durante el último mes, no acudieron a los servicios de salud. Se analizaron 35 036 participantes; la prevalencia de NUSFPS fue de 53,9% (IC95%:52,9-54,8). La NUSFPS fue superior en la costa (razón de prevalencia ajustada [RPa] = 1,24;IC95%:1,17-1,31), sierra (RPa = 1,38;IC95%:1,31-1,46) y selva (RP = 1,25;IC95%:1,18-1,33) en comparación a Lima Metropolitana. Hubo mayor prevalencia de NUSFPS en los participantes sin seguro (RPa = 1,59;IC95%:1,52-1,66) y afiliados al seguro integral de salud (RPa = 1,16;IC95%:1,11-1,22) comparados con los afiliados a la Seguridad Social. En conclusión, más de la mitad de los participantes padecieron NUSFPS, lo cual se asoció con condiciones geográficas y de aseguramiento. Se sugieren políticas públicas informadas en la evidencia para mejorar esta situación.

SUMMARY:

The aim of the study was to estimate the prevalence of non-use of health services (NUHS) and its associated factors using the National Household Survey (ENAHO 2015). The participants were defined as NUHS if they have presented any symptoms, discomfort, illness, relapse of chronic illness or accident during the last month and did not go to the health services. 35036 participants were analyzed; the prevalence of NUHS was 53,9%. NUHS was higher in the coastal region (adjusted Prevalence Ratio [aPR]=1.24;95%CI:1.17-1.31), highlands (aPR=1.38;95%CI:1.31-1.46) and jungle (aPR=1.25,95%CI:1.18-1.33) compared to Lima. Likewise, there were a higher prevalence of NUHS in participants without health insurance (aPR=1.59;95%CI:1.52-1.66) and those affiliated to Ministry of Health insurance (aPR=1.16;95%CI:1.11-1.22) compared to those affiliated to Social Security. More than half of the participants suffered from NUHS, which was associated with geographical and health system conditions. It is required evidenced-informed public policies to improve this situation.

AUTOR :

Benites Zapata, Vicente A. ( 0000-0002-9158-1108 )  ; Lozada-Urbano, Michelle; Diego Urrunaga-Pastor; Márquez-Bobadilla, Edith; Moncada-Mapelli, Enrique; Mezones Holguín, Edward ( 0000-0001-7168-8613 ) 

EDITORIAL :

Instituto Nacional de Salud (INS)

REVISTA:

Revista Peruana de Medicina Experimental y Salud Pública

URL :

http://hdl.handle.net/10757/622485

full text:

http://repositorioacademico.upc.edu.pe/upc/bitstream/10757/622485/2/2864-12496-2-PB.pdf

PALABRAS CLAVE :

Accesibilidad a los Servicios de Salud; Sistemas de salud; Servicio Ambulatorio en Hospital; Administración de los Servicios de Salud; Seguro; Perú

Etiology, epidemiology and clinical characteristics of acute diarrhea in hospitalized children in rural Peru

RESUMEN :

Introduction: Diarrhea remains one of the main causes of morbidity and mortality in children under five years of age especially in low-income countries. In Peru, epidemiological reports about enteropathogens related to acute diarrhea are scarce in rural areas. The aim of this study was to describe the etiology, epidemiology, and clinical characteristics of the principal causes of acute infectious diarrhea in in a northern rural region of Peru. Methodology: A prospective study was conducted from January 2011 to December 2012 to describe the main pathogens causing acute diarrhea using PCR assay. Results: A total of 117 children diagnosed with acute diarrhea were included in the study. A single etiological agent was identified in 41.03% of samples, being rotavirus followed by norovirus and Shigella. Co-infections containing virus and bacteria were found in 22.22% of samples. Vomiting was most commonly found symptoms in 58.97% cases followed by fever (54.70%). Malnutrition was detected in 14.53% of the children. Conclusions: High prevalence of rotavirus, as well as adenovirus and norovirus, was observed in the present study. Shigella was the most common bacteria found in acute diarrhea in the area. The implementation of a better surveillance system is mandatory in order to identify the principal etiologies of gastroenteritis in the rural areas of Peru and to develop of better prevention strategies and reduce diarrhea-associated mortalities.

AUTOR :Cornejo-Tapia, Angela; Orellana- Peralta, Fiorella; Weilg, Pablo; Bazan-Mayra, Jorge; Cornejo-Pacherres, Hernán; Ulloa-Urizar, Gabriela; Aguilar-Luis, Miguel Angel; Pons, Maria Jesus; del Valle-Mendoza, Juana ( 0000-0002-6011-5040 ) 

REVISTA:The Journal of Infection in Developing Countries

URL :http://hdl.handle.net/10757/622483

Bacteria; Children; Diarrhea; Low-income countries; Rural area; Virus

Molecular etiological profile of atypical bacterial pathogens, viruses and coinfections among infants and children with community acquired pneumonia admitted to a national hospital in Lima, Peru

Objective: The main objective of this study was to detect the presence of 14 respiratory viruses and atypical bacteria (Mycoplasma pneumoniae, Chlamydia pneumoniae), via polymerase chain reaction in patients under 18 years old hospitalized due to community-acquired pneumonia (CAP) from Lima, Peru. Results: Atypical pathogens were detected in 40% (58/146); viral etiologies in 36% (52/146) and coinfections in 19% (27/146). The most common etiological agent was M. pneumoniae (n = 47), followed by C. pneumoniae (n = 11). The most frequent respiratory viruses detected were: respiratory syncytial virus A (n = 35), influenza virus C (n = 21) and parainfluenza virus (n = 10). Viral-bacterial and bacterium-bacterium coinfections were found in 27 cases. In our study population, atypical bacteria (40%) were detected as frequently as respiratory viruses (36%). The presence of M. pneumoniae and C. pneumoniae should not be underestimated as they can be commonly isolated in Peruvian children with CAP.

AUTOR : del Valle-Mendoza, Juana ( 0000-0002-6011-5040 )  ; Silva-Caso, Wilmer; Cornejo-Tapia, Angela; Orellana-Peralta, Fiorella; Verne, Eduardo; Ugarte, Claudia; Aguilar-Luis, Miguel Angel; De Lama-Odría, María del Carmen; Nazario-Fuertes, Ronald; Esquivel-Vizcarra, Mónica; Casabona-Ore, Verónica; Weilg, Pablo; del Valle, Luis J.

REVISTA: BMC Research Notes

URL: http://hdl.handle.net/10757/622481

FULL TEXT: https://goo.gl/6rcY9L

Inclusion of persons with disabilities in systems of social protection: a population-based survey and case–control study in Peru

AUTOR : Bernabe-Ortiz, Antonio ( 0000-0002-6834-1376 )  ; Diez-Canseco, Francisco; Vasquez, Alberto; Kuper, Hannah; Walsham, Matthew; Blanchet, Karl

EDITORIAL: British Medical Journal

REVISTA: BMJ Open

URL: http://hdl.handle.net/10757/622480

Full text: https://goo.gl/vRyysx

OBJECTIVE: This study aims to assess the needs of people with disabilities and their level of inclusion in social protection programmes. DESIGN: Population based-survey with a nested case-control study. SETTING: Morropon, a semiurban district located in Piura, northern Peru. PARTICIPANTS: For the population survey, a two-stage sampling method was undertaken using data from the most updated census available and information of each household member aged ≥5 years was collected. In the nested case-control study, only one participant, case or control, per household was included in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: Disability was screened using the Washington Group short questionnaire. A case, defined as an individual aged ≥5 years with disabilities, was matched with one control without disabilities by sex and age (±5 years). Information was collected on socioeconomic status, education, health and rehabilitation and social protection participation. RESULTS: The survey included 3684 participants, 1848 (50.1%) females, mean age: 36.4 (SD: 21.7). A total of 290 participants (7.9%; 95% CI 7.0% to 8.7%) were classified as having disability. Adults with disabilities were more likely to be single (OR=3.40; 95% CI 1.54 to 7.51) and not to be working (OR=4.36; 95% CI 2.26 to 8.40), while those who did work were less likely to receive the national minimum wage (ie, 750 PEN or about US$265; p=0.007). People with disabilities were more likely to experience health problems. There was no difference between those enrolled in any social protection programme among participants with and without disabilities. CONCLUSIONS: People with disabilities were found to have higher needs for social protection, but were not more likely to be enrolled in social protection programmes. The Peruvian social protection system should consider adding disability status to selection criteria in their cash transfer programmes as well as implementing disability-specific interventions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Seropositividad a Helicobacter pylori y su relación con náusea y vómitos durante las primeras 20 semanas del embarazo

AUTOR : Castillo Contreras, Ofelia; Maguiña Quispe, Jorge; Medina Morales, Bryan; Malaverry Lozano, Héctor

EDITORIAL : Sociedad Argentina de Gastroenterologia

REVISTA: Acta Gastroenterologica Latinoamericana

Existen estudios que encontraron mayor prevalencia de anticuerpos contra Helicobacter pylori (Hp) en gestantes con hiperémesis gravídica, en comparación con mujeres embarazadas asintomáticas. Objetivos. Determinar la relación entre la seropositividad a Hp y la presencia de náusea y vómitos durante las primeras 20 semanas del embarazo en gestantes de una red hospitalaria, entre marzo y diciembre de 2015. Material y métodos. Estudio de casos y controles no pareado en gestantes hasta las 20 semanas de embarazo. El índice de Rhodes para náusea y vómitos clasificó a las gestantes en casos (9-40 puntos) y en controles (8 puntos). La seropositividad a Hp fue definida como IgG ≥ 1,1 U/mL. La asociación entre Hp y náusea y vómitos del embarazo se determinó con el análisis de regresión logística, controlando por edad, paridad, edad gestacional y nivel socioeconómico. Resultados. Un total de 108 pacientes fueron incluidas, 21 controles y 87 casos. No hubo diferencias significativas en edad (p = 0,916), paridad (p = 0,18) y nivel socioeconómico (p = 0,36). La seropositividad a Hp en los casos fue 78,2% (68/87) y en los controles 61,9% (13/21). En el análisis de regresión logística, los casos presentaron mayor riesgo de seropositividad a Hp que los controles (OR = 3,05; IC 95%: 0,92-10,1; p = 0,068), pero no fue significativa. Conclusiones. Las pacientes con náusea y vómitos en las primeras 20 semanas de gestación tuvieron un mayor riesgo de haber estado expuestas a Hp, aunque esta relación no fue significativa debido al pequeño tamaño de muestra.

Comments on “Risk of mortality of node-negative, ER/PR/HER2 breast cancer subtypes in T1, T2, and T3 tumors” by Parise CA and Caggiano V, Breast Cancer Res Treat, 2017.

Authors: Pichilingue-Febres, Alejandra F.; Arias-Linares, Miguel A.; Araujo-Castillo, Roger V.
Journal: Breast Cancer Research and Treatment

We would like to express our opinion regarding a Parise and Caggiano paper recently published in your journal. We certainly believe this is a great contribution, since it found that node-negative HER2 (+) breast cancer patients have better survival contrary to the common knowledge. This finding could reflect the consequences of targeted therapies that are changing the natural history of the disease. However, we think that such an interesting analysis could also have been done with stage III and IV patients, since this group of people could benefit greatly from these findings. In fact, new guidelines now recommend the use of HER2-specific therapy for stage IV patients with positive markers, even for life if they do not show signs of progression. Additionally, we would like to discuss the value of adding the Ki-67 marker to the classification proposed by the authors, because several papers consider it an important prognostic factor. © 2017 Springer Science+Business Media, LLC, part of Springer Nature

http://hdl.handle.net/10757/622478

Full text / Texto completo:
http://repositorioacademico.upc.edu.pe/upc/retrieve/3570937/10.1007s10549-017-4620-y.pdf.jpg

Manías: un trastorno más común de lo que se piensa

El objetivo del presente trabajo es hacer una revisión bibliográfica de la literatura publicada sobre las manías. En tal sentido, se procedió a analizar diversas publicaciones resumiendo los aspectos más relevantes de este tema. Las manías son mucho más comunes y recién uno se percata de ellas cuando las padecen personas del entorno familiar, social o laboral. Entre las manías más frecuentes se puede mencionar las relacionadas a limpieza, salud, orden, seguridad física o psicológica y de acumulación de objetos. Las personas que sufren este trastorno no son conscientes que están enfermos por lo que buscan ni aceptan el tratamiento.

The aim of this study is to make a literature review of the published articles on manias. In this regard, we proceeded to analyze various publications summarizing the most relevant aspects of this issue. Manias are much more common and just one realizes it when we suffer or others have them. Among the most common manias, one can mention those related to cleanliness, health, order, physical or psychological accumulation of objects and security. People with this disorder are unaware that they are sick so they do not look for or accept the treatment.

Balarezo López, Gunther; Balarezo Galarreta, José Manuel

Universidad Científica del Sur

Revista Científica, Universidad Científica del Sur

Jul-2016

Full text/Texto completo:

http://repositorioacademico.upc.edu.pe/upc/bitstream/10757/621302/6/ManiasTrastorno.pdf

URL: http://hdl.handle.net/10757/621302