Facebook Use by Peruvian Physicians:Exposing Private Life to Patients

Facebook, a social networking service with over 100 million unique users, is widely established in many contexts around the world. A significant number of physicians have opened Facebook accounts [1, 2] , which is resulting in major ramifications for the medical profession.
Authors: Pereyra Elías, Reneé; Nizama-Vía, Ayar; Mayta Tristán, Percy
Source: Med Princ Pract 

URL: http://hdl.handle.net/10757/313796

Does physicians’ right to strike outweigh students’ right to an education? The on-going ethical dilemma in Peru

Although often viewed as an action of last resort, going on strike remains a legal and often effective option for physicians seeking labor improvements and better working conditions. Indeed, in some countries, there have been reports of strikes by physicians (1, 2), followed by ensuing discussions of potential ethical implications (3 5). However, little has been said about the consequences of such a mass labor stoppage on undergraduate medical education and those students who aspire to the profession.
Authors: Carrillo-Larco, Rodrigo M.; Taype-Rondan, Alvaro; Pereyra Elías, Reneé
Source: Med Educ Online
URL: http://hdl.handle.net/10757/313754

Patient safety: A component of health policies to be strengthened in Latin America

Editor: La identificación de eventos adversos es un componente de alta relevancia en salud. En América Latina y el Caribe, tal medición no siempre es tenida en cuenta pese a la considerable frecuencia con que tales eventos son reportados — esto sin contar la proporción de casos que no se consignan en los registros. Se estima que 10 de cada 100 pacientes hospitalizados han presentado efectos adversos alguna vez durante la hospitalización y se espera que la tasa aumente a 20 si se duplica el número de días hospitalizados. En el Estudio Iberoamericano de Efectos Adversos (IBEAS), el primer trabajo a gran escala en la región sobre incidentes que causan daño en la asistencia sanitaria, realizado en 58 hospitales de cinco países, la prevalencia estimada de efectos adversos fue de 10%, hallándose además que más de 28% de los efectos adversos desencadenaron discapacidad y 6%, muerte.
Authors: Mondragón Cardona, Álvaro; Rojas Mirquez, Johana Carolina; Gómez Ossa, Ricardo; Rodríguez Morales, Alfonso J.; Mezones Holguin, Edward
Source: Rev Panam Salud Publica
URL: http://hdl.handle.net/10757/313742

Bad sleeping quality in patients receiving HAART

Sr. Editor: El manejo de un paciente infectado por el virus de inmunodefi ciencia humana (VIH) implica un enfoque multidisciplinario que incluya diversas esferas de la salud de la persona1 . Sin embargo, en muchas oportunidades la evaluación se centra en marcadores meramente biológicos descuidando aspectos de índole psicológico y social que tendrían importante repercusión en la calidad de vida de estos pacientes. Dentro de ellos, las alteraciones del sueño (AS), son un factor a considerar, más aún cuando han demostrado tener un impacto negativo en la calidad de vida de las personas2 , asimismo, un incremento de la probabilidad de desarrollo de diabetes mellitus, enfermedad cardiovascular y dolencias respiratorias3 .
Authors: Díaz-Llanes, Bruno E.; Tello-Velásquez, Jorge R.; Mezones Holguin, Edward; Arévalo, Jorge; Rodríguez-Morales, Alfonso J.
Source: Revista Chilena Infectolología 
URL: http://hdl.handle.net/10757/313753

Medical students at risk: prevalence and incidence of tuberculin skin test conversion

Introduction: One third of the world population is affected by latent tuberculosis, with 9.4 million new cases; medical students have 2 to 50 times the probability of acquiring the infection. Objectives: Establish the baseline prevalence of positive tuberculin skin test (TST) at the beginning of medical studies and determine the incidence and variables associated with TST conversion in medical students. Materials and Methods: Secondary analysis of a historical cohort (2007-2010) of medical students in a private Peruvian university. The TST conversion was evaluated. A binomial regression analysis was applied for each associated variable. Results: 707 medical students were included, of whom 219 (31%) were male. The basal prevalence of reactive TST was 14.4%. Signifi cant associations were found with the year of university entry of 2007-08 (p = 0.007) and a history of tuberculosis (p = 0.02). With a total of 822 person-years, the incidence of conversion was 2.92 cases per 100 person-years (CI95%: 1.96-4.36). The TST conversion was associated with the year of university entry (RR = 2,55; IC95%: 1,06-6,30) and a body mass index ≥ 25 kg/m2 (RR = 0,16; IC95%: 0,01-0,97). No association was detected with gender, tobacco or alcohol use. Conclusions: There is evidence of a high basal prevalence of latent tuberculosis infection in medical students. The incidence rate is within expected values and high in comparison with the general population. People with BMI ≥ 25 kg/m2 have protection against a latent infection. In medical students, more attention should be paid to biosecurity.; Introducción: Un tercio de la población mundial presenta una infección tuberculosa latente, con 9,4 millones de casos nuevos reportados en el 2009; los estudiantes de medicina tienen de 2 a 50 veces más probabilidad de adquirir la infección. 
Authors: Chung Delgado, Kocfa; Guillén Bravo, Sonia; Navarro Huamán, Laura; Quiroz Portella, Rafael; Revilla Montag, Alejandro; Ruíz Alejos, Andrea; Zapata Pachas, Mariana; Bernabe Ortiz, Antonio
Source: Revista Chilena Infectolología
URL: http://hdl.handle.net/10757/313713