Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Introduction. The metabolic syndrome is made up of a group of clinical entities that increase the risk of cardiovascular disease and diabetes mellitus. 2; which have increased in recent years. Objective. To compare the diagnostic concordance of the metabolic syndrome, according to the diagnostic criteria of the International Diabetes Federation (FID) and the National Cholesterol Education Program (PNEC-ATP III) in an adult population living at 3,270 m.a.s.l. Methods. An observational, cross-sectional and analytical study was designed. The sample was determined with inclusion and exclusion criteria, in a simple random way. Laboratory tests were performed on an empty stomach. The kappa coefficient (k) was used to determine the degree of agreement. Results. 43 (100 %) people were included. 58.1 % were over 60 years old. The frequency of the Metabolic Syndrome was 27.9 % (12), according to the criteria of the FID and 20.9 % (9), according to the criteria of the PNEC-ATP III. The frequency of metabolic syndrome increases with increasing age, especially after the age of 50 and is more common in overweight women. Between both diagnostic criteria an assessment of the kappa coefficient of 0.812 was found. Conclusion. There is a high concordance between the diagnostic criteria used by the FID and PNEC-ATP III guidelines to make the diagnosis of metabolic syndrome in residents living at height.

Objective. To identify the relationship between nutritional status and academic performance of students from the School of Business Sciences of Universidad de Huanuco, 2017-2018. Methods. It is a cross-sectional study, with a quantitative approach. Population comprised of 612 students, sample comprised of 235 students, selected probabilistically and all of them belonging to the first semester. Instruments used were made up of a socio-demographic survey, internal records for the identification of averages for mathematics and language courses, and an anthropometry card was used to measure nutritional status. Pearson's r correlation test was used in inferential analysis. Ethical considerations were taken into account at all times. Results. It was evident that 35.4 % (84) of the students had malnutrition, 5.9 % (14) for nutritional deficit and 29.5 % (70) for excess. 64.6 % (153) had a normal nutritional state. 60.8 % (144) obtained a regular academic performance, 30.8% (73) a poor performance and 8.4 % (20) a good performance. Conclusion. Nutritional status is significantly related to the academic performance of students from first semester of the School of Business Sciences, 2017 - 2018, of Universidad de Huanuco.

Objective. To determine the relationship between the approach to Health Promotion applied in curriculum and quality of competitive professional training. Methods. A correlational study was carried out. It comprised of 63 graduates from Professional Academic School of Nurs-ing, Universidad de Huanuco, 2015-2016. A health promotion approach questionnaire ap-plied in the curriculum and a check format on competitive professional quality were used. Spearman's Rho correlation coefficient was used in the inferential analysis of the results. Results. 74.6 % (47 graduates) had a moderately favorable perception of health promotion ap-proach applied in the curriculum. On the other hand, in the quality of competitive professional training, 58.7 % (37 graduates) showed a poor quality of training. Furthermore, there is a sig-nificant relationship between health promotion approach and quality of competitive profes-sional training (rs = 0.58; p = 0.000), and also between quality of competitive professional training and health promotion approach in primary care (rs = 0.49; p <= 0.000), state, society and public policies (rs = 0.49; p <= 0.000) and community nursing (rs = 0.39; p <= 0.002). Conclusion. There is a positive and significant relationship between the health promotion ap-proach applied in the curriculum plan and the quality of competitive professional training in health promotion.

Objective. To determine the sociodemographic factors and lifestyles of students from Professional Academic School of Obstetrics at Universidad de Huánuco, Leoncio Prado branch. Methods. A non-experimental, cross-sectional design study was carried out with a sample of 168 students. They were selected and chosen in a non-random, non-probabilistic manner. A questionnaire and a scale were used to measure the variables under study. Chi-square test of independence was used in inferential analysis with a statistical significance of p <= 0.05. Results. 60.3 % (101) of the students have unhealthy lifestyles, and 39.7 % (67) presented healthy lifestyles. Statistical significance was found in the sociodemographic factors at the age of 20 to 24 years 43.7 % (73), female gender 94.6 % (159), and single marital status 85.1 % (143). Conclusion. Sociodemographic factors are related to lifestyles in the students of Professional Academic School of Obstetrics at Universidad de Huánuco, Leoncio Prado branch

Objective. To determine the sociodemographic and clinical factors of recurrent abortion at the Hospital Materno Infantil Showing Ferrari, Huánuco, 2018-2020. Methods. An observational, retrospective and relational study was conducted in a cohort. The sample population was 572 women with a diagnosis of abortion attended at the Hospital, between October 2018 and December 2020. Women with ectopic pregnancy and complete abortions on admission to the hospital were excluded. The data collection technique was by documentary analysis through the Perinatal Information System. Results.A total of 572 (100%) women were included, 45.3 % (259) of cases were in the 18-29 years age group, 56.5% (323) were housewives and 64.9 % (371) were cohabiting women. Regarding clinical characteristics, 45.8% had more than three pregnancies, 21% and 22.4 % had post-procedural anemia and previous urinary tract infection, respectively, and 92.3% had curettage. The frequency of recurrent abortion was 32 %. Factors associated with a higher frequency for recurrent abortion were: being an adolescent p=0.000, housewife p=0.000, single p=0.000, two or more gestations p=0.000, blood transfusion p=0.001, preprocedural anemia p=0.010 and postprocedural anemia p=0.034. Conclusion. Recurrent abortion has a significant association with being an adolescent, housewife, single, having two or more pregnancies, blood transfusion, pre- and post- procedural anemia.

Objective. To determine the risk factors for the first episode of cerebral cerebrovascular accident (CVA) in people living at different levels of altitude. Methods. An observational, cross-sectional and analytical study was carried out in two hospitals located at 150 meters above sea level and 3250 meters above sea level, between 2012 and 2018, the sample was selected according to inclusion and exclusion criteria. The diagnosis of stroke was determined by tomography and / or brain resonance. Results. 72 (100 %) patients were included, 40 (55.5 %) lived at 150 meters above sea level and 32 (44.5 %) at 3250 meters above sea level; the averages of ages were 64.3 + -13.9 and 71.6 + - 14,0 years respectively (p = 0.033). The most affected age group was between 70 and 79 years, the highest percentage in height (43.7 % vs 27.5 %). The most frequent risk factors for stroke at sea level were arterial hypertension (95.0 % vs 62.5 %), diabetes mellitus (47.5 % vs 3.1 %) and atrial fibrillation (15.0 % vs 0.0 %) compared to altitude. The low socioeconomic level (81.2 % vs 27.5 %), the female gender (75.0 % vs 42.5 %), having valve disease (6.2 % vs 2.5 %) and polycythemia (9.3 % vs 0.0 %) were more frequently associated with stroke in height. Conclusions. It is concluded that arterial hypertension is an important risk factor for the first episode of brain stroke both at sea level and at altitude. Diabetes and atrial fibrillation were at sea level and in altitude, the low socioeconomic level, polycythemia, and suffering from valve disease.

Objective. To determine if emotional dependence is a risk factor for family violence of women treated in the Integrated Judicial Module on Family Violence of Huancayo. Methods. Quantitative, analytical, observational study of cases and controls. The sample consisted of 2 groups; the first of 83 women victims of family violence (case), the second of 21 women who did not report family violence (control). The questionnaire of emotional dependence was applied, for the test of hypothesis crossed tables were used, in order to analyze the odds ratio (OR). Results. It was determined that the average age was 32.5 years, the marital status was mostly cohabiting with 42,2%, the level of primary education, secondary, with 44.6%, the majority occupation, housewife in 63.9% and the type of violence they reported was physical and psychological in 41.3% of cases. The levels of dependence on the six factors of the scale reported high levels of emotional dependence; according to the results, it was OR 13.361, 95% CI 4.359-40.950. Conclusions.Sociodemographic characteristics are a risk factor for continuing in the cycle of violence, that, in a higher percentage, is associated with physical and psychological aggression. The high level of emotional dependence would explain the behaviors that the woman maintains in order to retain her partner; an attitude that invalidates her, humiliates her and keeps her immersed in a violent relationship. It is assumed that women with emotional dependence are 13 times more likely to be victims of family violence than those who did not present emotional dependence.

Objective. To analyze the involvement of Local Community Health Administration Associations (ACLAS) of Regional Government of Huánuco. Methods. Descriptive study with the application of questionnaires (quantitative method). Research population comprised members involved in the co-administration (General Assembly, Board of Directors and Management) of the 60 ACLAS in force, jurisdictionally belonging to the Huánuco Executing Unit, 2017 and the sample comprised 132 members belonging to 22 current ACLAS. Results. A positive relationship was found between co-administration and management of health services, with human resources (0.53) and the exercise of administrative functions (0.43) having the greatest relationship with management. In the same way, the lack of commitment of the local authorities of the Board of Directors for planning of the work of the ACLAS or to facilitate the processes of programming activities of the Local Health Plan (PSL) are highlighted in the study. Conclusion. The research identifies the factors of human resource management, such as the insufficient number of health personnel to care for users. In addition, the lack of training and technical assistance for them in direct relation to the health management of health facilities.

Objective. To determine the relationship between the patient safety culture in managers and patient safety. Methods. A correlation design study has been carried out with 55 managers and Health Services Provider Institutions (IPRESS) of the Huanuco Health Network, during the years 2019 and 2020. A patient safety culture scale and a patient safety checklist were used. Pearson's r correlation test was used in the inferential analysis. Results. 90.9 % (50) of the IPRESS showed low-level patient safety and 49.1% (27) of the IPRESS managers showed a negative patient safety culture. On the other hand, the culture of patient safety in managers is significantly related to the patient safety of IPRESS. In addition, patient safety is significantly related to the dimensions of the patient safety culture in managers: organizational commitment, strategic planning, information management, professional involvement, patient and family involvement; all with a p <= 0.05. Conclusions. Low patient safety culture values predominated in managers associated with low patient safety compliance of the IPRESS of the Huanuco Health Network.

At this moment, the world begins a new era in mass immunization; for this reason, it is important to ask ourselves some questions about vaccines, these powerful tools available today, and for this, we must remember some historical episodes that can help us understand the whole process.