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

Objective: To determine the maternal factors associated to fetal macrosomia in a Public Hospital of Lima - Peru, from January to October of 2018. Methods: Analytical, observational, retrospective study, of type cases and controls. A data collection form was used and for the statistical analysis the SPSS v25.0 program was used. Results: Of the 401 newborns, it was found that the weight gain during pregnancy 27.2% the mothers studied had an inadequate weight gain (OR=6.96, 95% CI4.22-11.48, p=0.00), regarding the prepregnancy weight category, and parity was 73 (73.7%). Also, maternal age was less than 35 years in 278 (92.1%), being statistically significant (p=0.004). Conclusion: It is concluded that there is a relationship of maternal factors such as inadequate weight gain during pregnancy, maternal pre-gestational weight, parity, maternal age associated with fetal macrosomia. DOI:10.25176/RFMH.v19.n2.2066

Objective: To establish the prevalence, epidemiology and clinical, biochemical characteristics and images of overweight and obesity in children from 5 to 10 years of age attended in outpatient pediatrics of the Moquegua Regional Hospital between the months of August to December 2017. Methods: A descriptive, observational, cross-sectional study was carried out; a database was created in the SPSS version 23 program, descriptive statistics were used to determine if there were significant differences between the variables Chi square was used. Results: Of a total of 170 children from 5 to 10 years of age attended in the outpatient clinic of pediatrics of the Moquegua Regional Hospital, 88 children (51.8%) were found with overweight and obesity according to the WHO 2007 Diagnostic criteria; 36 children (21.2%) with overweight and 52 children (30.6%) with obesity. Conclusion: The present study shows an increase in the prevalence of overweight and obesity in children from 5 to 10 years old, with epidemiological, clinical, biochemical, ultrasound and radiographic images very important to develop non communicable diseases such as diabetes, hypertension, dyslipidemias, cancer, metabolic syndrome, among others, causing an inadequate quality of life, resulting in a public health problem and therefore an increase in morbidity and mortality in our Moquegua Region. DOI:10.25176/RFMH.v19.n2.2069

Objective: To determine the association between maternal - fetal clinical - epidemiological indicators and the presence of uterine atony in post - caesarean primary puerperae at the Good Hope clinic during the period of August 2017 - August 2018. Methods: An observational, analytical, retrospective and quantitative study, type of cases and controls was carried out. The dependent variable was uterine atony, and the independent variables were maternal age, multiple gestation, polyhydramnios, pregnancy, parity, maternal anemia, concomitant diseases, fetal weight, fetal presentation and indication of cesarean section. The population consisted of 106 cases and 212 controls (ratio 2: 1). For the inferential statistics, the bivariate analysis was used to find the Odds Ratio, 95% confidence intervals. The values p <0.05 were considered statistically significant. Results: Of the 318 patients in the study, the mean age was 30.87 ± 0.298 years. Associated variables to uterine atony in the bivariate analysis were age over 30 years, multiple gestation, polyhydramnios, low birth weight and macrosomia. In multivariate analysis were polyhydramnios (ORa: 5,973, 95% CI: 2,443-14,603) and macrosomia (ORa: 6.280, 95% CI: 2.307-17.095). Conclusion: It is concluded that, association of uterine atony with polyhydramnios indicators and fetal macrosomia was found. DOI:10.25176/RFMH.v19.n2.2072

Addictionology as a component of the health sciences is rapidly becoming recognized as a medical discipline, specifically as a subspecialty of psychiatry. The problem of addictions is a subject that extends and worsens in postmodern society, due to its multidimensionality and multifactoriality. The health conditions of the countries have improved in terms of reducing mortality and the incidence of some communicable diseases. However, there is a greater incidence of chronic noncommunicable diseases related to lifestyles, as well as the emergence of health problems derived from violence, drug consumption, social, recreational addictions and digital addiction (connectivity). Family factors, including rejection by parents and family conflicts, due to substance abuse and mental health problems, are among the strongest and most consistent predictors of adolescent behavior problems. Therefore, in the Holistic Family Centered Model, Nizama proposes integral human development through multidimensional organization as an axis of life that comprises eleven dimensions of human life: body, genetic potential, personality, human essence, cognition, imagination, lifestyles, assets, image, futurity and posterity. In conclusion, addictionology is the medical specialty indicated for the successful and hopeful management of this volitional disease in all age groups, with committed and sustainable family adherence. DOI:10.25176/RFMH.v19.n2.2078

Objective: Identify the challenges to face in order to improve the low consumption of fruits and vegetables in Colombia. Methods: Documentary, descriptive and exploratory research carried out in 2016 and 2017, based on the search, selection and revision of bibliographic references to analyze and reflect on the indicators of consumption and production of fruit and vegetable consumption and to identify the challenges to reach WHO recommendations based on scientific evidence. Results: the nutritional contribution of fruits and vegetables and their benefits for human health is reaffirmed, followed by production and consumption indicators as a topic of public health interest; the rules and guidelines of public policy that promote the consumption of healthy eating as a lifestyle are reviewed and the main challenges that sectors such as the food industry, gastronomy, government, public social and sectorial policies in health, education, agriculture, social promotion, communication, as well as the academy; to define effective strategies to increase the consumption indicators of fruits and vegetables and to achieve the goals of a minimum percapita consumption of 5 servings or 400 g per day proposed by the World Health Organization (WHO). Conclusion: Several countries, have been providing technical guidelines to encourage the consumption of fruits and vegetables; however, it is advisable to carry out periodic monitoring of the indicators, perform outcome and impact evaluations and research aimed at identifying the causes of low consumption and designing effective strategies appropriate to the context of the populations. DOI:10.25176/RFMH.v19.n2.2077

The global burden of diabetes, a major cause of death, morbidity, and health care expenditures, now represents one of the greatest threats to global health and development. The main behavioral and biological determinants of diabetes are diets of processed sugars and fats, low physical activity levels, and overweight and obesity (Birn, Pillay, & Holtz, 2017). As one of the four major non-communicable diseases (NCDs), Diabetes Mellitus (DM) has attracted a great deal of attention from global health authorities. In fact, the World Health Organization has developed a strategy to address increasing rates of DM including prevention, management, access to essential medicines, and surveillance. A comprehensive approach integrating health care policy, health promotion, and health education is necessary for the prevention and subsequent treatment of diabetes around the world. DOI:10.25176/RFMH.v19.n2.2079

A 86-year old female patient with hypertension was admitted to emergency due to chest pain, dyspnea, hypotension and bradycardia with confusional symptoms. The electrocardiogram and the laboratory are compatible with acute non-Q myocardial infarction, with a left ventricular ejection fraction of 20% in the ultrasound, with pericardial effusion and hyperechoic mass compatible with a clot. The diagnosis was a low cardiac output due to an evolutive non-Q myocardial infarction with myocardial rupture. The patient required endotracheal intubation and mechanical ventilation, evolved with cardiac arrest and was resuscitated without success. The diagnosis and timely management of cardiac rupture is discussed as a mechanical complication of acute myocardial infarction. DOI:10.25176/RFMH.v19.n2.2076

Gallbladder cancer is one of the most common pathologies of the digestive tract, it is more frequent in women than in men predominantly in the 6th and 7th decade of life; in white populations This is a type of neoplasia that ranks fifth worldwide. DOI:10.25176/RFMH.v19.n2.2074

Community-acquired pneumonia (NAC) continues to be an issue in vogue, being defined as a acute inflammatory disorder of the lung parenchyma in patients who have acquired the infection in the community and have not been hospitalized during the last 3 weeks. DOI:10.25176/RFMH.v19.n2.2073

The Faculty of Human Medicine and the Research Institute in Biomedical Sciences of the University Ricardo Palma, has been participating as Headquarters of the Student Mobility Program of the Peruvian Network of Student Teaching Mobility in REPEMIDE Medicine, constituted by the Peruvian Association of Faculties of Medicine ASPEFAM. We were pilot center in 2017-2018, receiving medical students from various universities of the country, with the "Health Research Internship", and in the 2018-2019 call we received 4 medical students selected from Peruvian universities. DOI:10.25176/RFMH.v19.n2.2081