Association between Facebook Dependence and Poor Sleep Quality: A Study in a Sample of Undergraduate Students in Peru

Objectives: Internet can accelerate information exchange. Social networks are the most accessed especially Facebook. This kind of networks might create dependency with several negative consequences in people’s life. The aim of this study was to assess potential association between Facebook dependence and poor sleep quality. Methodology/Principal Findings: A cross sectional study was performed enrolling undergraduate students of the Universidad Peruana de Ciencias Aplicadas, Lima, Peru. The Internet Addiction Questionnaire, adapted to the Facebook case, and the Pittsburgh Sleep Quality Index, were used. A global score of 6 or greater was defined as the cutoff to determine poor sleep quality. Generalized linear model were used to determine prevalence ratios (PR) and 95% confidence intervals (95%CI). A total of 418 students were analyzed; of them, 322 (77.0%) were women, with a mean age of 20.1 (SD: 2.5) years. Facebook dependence was found in 8.6% (95% CI: 5.9%–11.3%), whereas poor sleep quality was present in 55.0% (95% CI: 50.2%–59.8%). A significant association between Facebook dependence and poor sleep quality mainly explained by daytime dysfunction was found (PR = 1.31; IC95%: 1.04–1.67) after adjusting for age, sex and years in the faculty. Conclusions: There is a relationship between Facebook dependence and poor quality of sleep. More than half of students reported poor sleep quality. Strategies to moderate the use of this social network and to improve sleep quality in this population are needed.
Authors: Wolniczak, Isabella; Caceres-Del Aguila, José Alonso; Palma-Ardiles, Gabriela; Arroyo, Karen J.; Solés-Visscher, Rodrigo; Paredes-Yauri, Stephania; Mego-Aquije, Karina; Bernabe Ortiz, Antonio
Source: PLoS ONE 

URL: http://hdl.handle.net/10757/313712

Psychiatric symptoms and insulinoma: a case report

Introduction:Insulinomas are pancreatic endocrine neoplasms with a low incidence between 1-4 cases per million per year. Case description: A female 49 years-old with neurological and psychiatric symptoms were treated for two years as a psychiatric patient. Presented a glucose value, which reflects hypoglycemia. The patient was operated with resolution of symptoms. Conclusion: Assess all patients with psychiatric symptoms and perform a complete medical history and laboratory findings, being the most opportune glucose. Key words: Insulinoma; hypoglycemia; psychiatry. Palabras clave: Insulinoma; hipoglicemia; psiquiátrico.
Authors: Colán T, Cristina; Gálvez G. , Andrea; Zevallos D., Carolina
Source: REV CHIL NEURO-PSIQUIAT
URL: http://hdl.handle.net/10757/311275

Contrast profiles of bullying in Peru and Spain

Dear editor: We read with greatinterestthe article Bullying among schoolchildren: differences between victims and aggressors, recently published in Gaceta Sanitaria.1 Motivated by this study, we would like to share information about the characteristics of victims and aggressors of bullying in Peru after an extensive literature search about this underexplored topic in our country and attempt some comparisons versus Spain as well as some concluding remarks and recomendations. Bullying in Peru, as very likely in Spain, is a hidden and yet latent phenomenon. Moreover, it varies across regions in our country and profiles might be different than what is found in Spain. In a study conducted in an urban Lima school in 2007, victims usually had fewer friends, spent more time alone at recess and exhibited decreased self-confidence than non-victims.2 Similarly, another study conducted in in 2009 found that adolescents with any physical defects are more prone to being bullied, being excluded by aggressors and experience discriminative behaviors that cause impaired social image of the victim and generate rivalries with peers.3 In Peruvian rural areas adolescent victims tend to be picked on by peers, be very quiet, fearful and considered small and weak and not to respond to attacks.
Authors: Leiva Montejo, Angela; León Amenero, Gustavo; Lister del Pino, Patricia; Segura, Eddy R
Source: Gaceta Sanit.aria
URL: http://hdl.handle.net/10757/311272

Public health and primary health care training in medical students: an experience in Peru

Sr. Editor. La formación en salud pública y atención primaria de la salud (APS) en las universidades del Perú, es un tema de vital importancia frente al gran reto del siglo XXI: subsanar las desigualdades en una generación, y alcanzar la equidad sanitaria (1). Para afrontar este reto, muchos de los gobiernos de países desarrollados y en vías de desarrollo han impulsado reformas en sus sistemas de salud, basados en la estrategia de atención primaria de la salud. En el Perú, el modelo integral de salud basado en familia y comunidad está siendo implementado por el Ministerio de Salud (MINSA) (2). Para llevar a cabo estas reformas, es indispensable contar con un número suficiente de profesionales de la salud formados en los principios y estrategias de la APS. Surge, entonces, otro gran reto del siglo XXI: transformar la educación en salud para que contribuya a reforzar los sistemas de salud (3).
Authors: Champin, Denisse; Risco de Domínguez, Graciela
Source: Rev Peru Med Exp Salud Publica
URL: http://hdl.handle.net/10757/311271

Design and validation of a scale to assess latin american medical students’ perception on the labour of the first level of health care

Objectives. To design and validate a scale to assess Latin American medical students’ perception on first level of health care (FLHC). Materials and methods. An observational, analytic and multicentre study was carried out in two phases: i) A self-administered questionnaire regarding perceptions on FLHClabor was designed. ii) This questionnaire was applied to to medical students from 18 universities of eight Spanish-speaking Latin American countries. An exploratory factor analysis (EFA) was performed through a principal components analysis with orthogonal varimax rotation. Sample adequacy was evaluated. Factor extraction was based on Kaiser’s criteria, Cattell’s Scree test and the explained variance (>5%). Internal consistency was measured with Cronbach’s alpha. Results. 423 students were included in the analysis; 53.4% were from Peruvian universities. After the EFA, the questionnaire conserved 11 items, which were distributed in three domains, that explaining together 55.47% of the total variance: i) Perceptions concerning the FLHC physician; ii) Perceptions concerning the FiLC labor and iii) Perceptions about the economic consequences of working in FLHC. Conclusion. The scale is composed by three domains and can be used to assess the perceptions of the medical work on first level of health care of Spanish-speaking Latin American medical students.
Authors: Mayta Tristán, Percy; Mezones Holguin, Edward; Pereyra Elías, Reneé; Montenegro Idrogo, Juan J.; R. Mejia, Christian; Dulanto-Pizzorni, Andrés; R. Muñoz, Sergio
Source: Rev Peru Med Exp Salud Publica
URL: http://hdl.handle.net/10757/311258