Nephrology: is a medical specialty unattractive to Peruvian doctors?

Although the National Committee of Medical Residency (CONAREME) has increased the number of nephrology residency positions in Peru, the increase has not been proportional to the number of applicants. This is worrisome in an environment lacking of nephrologists, like our country. The Peruvian Society of Nephrology (SPN) should take the measures to make this specialty more attractive to Peruvian physicians.

Author(s): Herrera Añazco, Percy; Mezones Holguin, Edward; Hernandez, Adrian V.
Source:  Jornal Brasileiro de Nefrologia (J. Bras. Nefrol)

URL: http://hdl.handle.net/10757/554221

Factors associated with poor sleep quality among patients with chronic kidney diseases in hemodialysis

Introduction and objectives Sleep disorders are one of the most common comorbidities among patients on hemodialysis. The aims of this study were to determine the prevalence of poor sleep quality as well as to establish potential factors associated with poor sleep quality. Materials and methods A cross-sectional study was performed enrolling patients with chronic kidney disease on hemodialysis. The outcome was sleep quality evaluated using the Pittsburgh Scale, whereas the exposure variables were time on hemodialysis, history of type-2 diabetes and hypertension, depressive symptoms, anemia, and uremia. We used Poisson regression model to determine the association of interest, reporting prevalence ratios (PR) and 95% confidence intervals (95%CI). Results A total of 450 patients were enrolled, 259 (57.5%) were male, aged from 18 to 97 years. The prevalence of poor sleep quality was 79.3% (95%CI: 75.6%–83.1%). Poor sleep quality was associated with depressive symptoms (PR = 1.28; 95%CI: 1.17-1.39), anemia (PR = 1.18; 95%CI: 1.04-1.34) and uremia (PR = 1.26; 95%CI: 1.17-1.36) after controlling for potential confounders. Conclusions The presence of depressive symptoms, anemia and uremia were positively associated with poor sleep quality among patients with chronic kidney disease on hemodialysis. A great proportion of this population had poor sleep quality. Strategies are needed to improve sleep quality in these patients.

Author(s): Peña Martínez, Bruce; Navarro, Veronica; Oshiro, Harumi; Bernabe Ortiz, Antonio
Source:  Elsevier B.V.

URL: Dialisis y Traspante (Dial Traspl)

Prevalence of filariasis by Mansonella ozzardi and associated factors among 2 suburban communities of Iquitos, 2009

Introduction Three cases of M. ozzardi infection from 2 suburban communities in Iquitos, Peru, led to a suspicion of local transmission. The objective of the study was to determine the prevalence of filariasis by M. ozzardi and its associated factors among these communities. Materials and methods A cross-sectional study was performed, as well as an epidemiological survey and a thick smear blood test. Larvae and mosquitoes were collected. The adjusted OR (aOR) using multiple logistic regression was calculated. Results A total of 433 participants were enrolled; 58% were women. The prevalence of M. ozzardi was 1.4% and the associated factors included being a fisherman (aOR: 8.7; 95%CI: 1.1–76.0) and being on the Alto Nanay river (aOR: 11.2; 95%CI: 1.2–112.5). No significant evidence of simulidos or culicoides was found. Conclusion The low prevalence of M. ozzardi found suggests a foreign infection, probably derived from the Alto Nanay river

Author(s): Arróspide, Nancy; Reyna, Óscar; Montenegro Drogob, Juan José; Palominoa, Miriam; Lucero, Jorge; Villaseca, Pablo; León, Walter; Valenciaa, Pedro; Mayta Tristán, Percy
Source: Asociación Colombiana de Infectología (ACIN) (Infectio)

URL: http://hdl.handle.net/10757/552949

Dengue complicado y miocarditis: comunicación de un caso

Hemorragic dengue fever is a prevalent infection in many countries around the world. Myocarditis is a severe manifestation of dengue virus infection. With prompt intervention and an early diagnosis, the outcome of this condition can be improve. We report a adult patient with complicated dengue, myocarditis, cardiac and respiratory insufficiency with acute renal injury.

Autor(s): Pereda, María Gracia; López, Marianelly; Mariluz, Melissa
Fuente: Revista Chilena de Infectología (Rev Chilena Infectol.)

URL:  http://hdl.handle.net/10757/552889

Un auto blanco de lunas polarizadas

No había forma de evitar las columnatas de autos estacionados en cada semáforo en rojo. Cuanto más le pedíamos al chofer, este con su gesto imperturbable, como una estatua detrás del timón, apenas si nos pedía calma. Moría la tarde en nuestros ojos y casi sentíamos su agonía con el réquiem de los cláxones, cual orquesta contratada para un sepelio. A cada minuto, sin embargo, surgían también las carcajadas repletas de mil ocurrencias que solo así, sentados en línea de cuatro, huían de las rejas de los dientes para aligerar el bochorno de la cabina trasera del taxi.

Autor(s):  Juan Pablo Castel (Seudónimo)
Fuente: Universidad Peruana de Ciencias Aplicadas - UPC
URL: http://hdl.handle.net/10757/581478