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

Objective: To describe the prevalence of comorbidities in patients with endometriosis of childbearing age in the María Auxiliadora Hospital between 2008-2017.Objective: To describe the prevalence of comorbidities in patients with endometriosis of childbearing age in the María Auxiliadora Hospital between 2008-2017. Methods: A quantitative, observational and descriptive study was carried out. We worked from the database of patients who were diagnosed with endometriosis at the María Auxiliadora Hospital. Results: We found 66 clinical histories that had the definitive diagnosis of endometriosis, of which 60 were of childbearing age, which was divided into 3 age groups, 20 to 40 years with 34 patients and 41 to 50 years with 26 patients. . No patients were found in the group of 11 to 19 years. Comorbidity, in the fertile age group, with the highest prevalence was anemia, with 81.7% (n = 49), followed by pelvic inflammatory disease with 56.7% (n = 34) and myomatosis with 30% (n = 18). ). Infertility was presented in 18.3% (n = 11), obesity 10% (n = 7) and comorbidities with a prevalence lower than 10%, were anxiety with 6.7% (n = 4), depression, arterial hypertension and coronary disease with 5% (n = 3), diarrhea, irritable bowel and constipation occurred in less than 5% of patients and there were no cases of ovarian cancer, myocardial infarction, or lymphoma not Hodking, but in the group of people over 50, who presented 1 case of ovarian cancer. The age group with the highest number of comorbidities was 41 to 50 years with 51.9% (n = 70). Conclusion: We found a large number of cases of comorbidities studied, despite being a small group of patients, being the group of 41 to 50 years the most affected. The high prevalence of anemia in our country may be the reason for the high number in our patients, unlike the pelvic inflammatory disease that has a prevalence similar to that of other studies. DOI 10.25176/RFMH.v18.n4.1731  

Objective: To evaluate the validity and reliability of an instrument adapted from the SERVPERF scale for measure the level of satisfaction of patients with respect to the Nutrition Service during their hospitalization in a Health Institution in Lima, Peru. Methods: Cross-sectional, descriptive study with analytical components of validation of the SERVPERF questionnaire adapted for hospitalized patients receiving the Nutrition Service. A pilot test was carried out with subsequent analysis of psychometric properties of validity and reliability by means of exploratory factorial analysis of main components and calculation of Cronbach's alpha. Results: A sample of 100 patients, seen at the Good Hope Clinic, was reported from January to May of the year 2018. The Kaiser-Meyer Olkin adequacy test was 0.778 and the Barlett's sphericity test was 607.4 ( p <0.000). The cumulative variance explained by the 5 factors was 69,712%. The reliability showed a Cronbach's alpha of 0.848. Three factors were classified with 15 items, redefining a factor such as "Gastronomic experience". Conclusion: The adapted and validated instrument SERVNUT has enough psychometric properties to be considered a useful and reliable tool to measure the satisfaction of hospitalized patients who receive the Nutrition Service in private health institutions and with potential user application in the different health sectors of the Peru. DOI 10.25176/RFMH.v18.n4.1733

Objectives: To evaluate the level of knowledge and practices in health workers of a Public Hospital III-1on policies and strategies for the reduction of mercury added in thermometers and tensiometers. Methods: Two approaches were used. The first used a database with surveys applied to focus groups and interviews to evaluate policies and practices. The second approach, I use the inventory technique through Direct observation of medical material with mercury. Results: 95% of the respondents report that they aree xposed to materials with mercury. Only 10% know to whom the final disposition is delivered when they are cleaned the spills. This same percentage does not know about the existence of the mercury cleaning kit. Also, with Chi square test x2 (p: 0.02) was determined that there is an association between the low level of knowledge in the existence of a mercury cleaning kit and the risk of exposure to it. It was also determined that this risk has an OR 3.2 IC 95% (1.4-3.5) p: 0.01. Through the ANOVA test (95% significance level p: 0.03). And it was determined that there is a statistically significant difference between the averages of the mercury levels in the areas of emergency, hospitalization and observation. The estimated average being numerically greater in the area of medicine, General Surgery, Oncology and Obstetrics. Conclusion: There is a level of ignorance in the reduction of added mercury and the occupational risk in health workers is considered high. DOI 10.25176/RFMH.v18.n4.1729 

Introduction: Anemia in children is a public health problem in Peru and in the world. Children are particularly vulnerable to anemia, because of their high growth rate and high iron requirements, presence of parasites, low birth weight and frequent episodes of diarrheal infections. The objective of the present investigation was to evaluate the factors associated with gastrointestinal parasitosis, anemia and school performance in children of the primary level of two schools in Pamplona Alta.Introduction: Anemia in children is a public health problem in Peru and in the world. Children are particularly vulnerable to anemia, because of their high growth rate and high iron requirements, presence of parasites, low birth weight and frequent episodes of diarrheal infections. The objective of the present investigation was to evaluate the factors associated with gastrointestinal parasitosis, anemia and school performance in children of the primary level of two schools in Pamplona Alta. Methods: A quantitative, analytical and cross-sectional study was carried out, with a simple random probabilistic sampling of 1st-6th grade students from two schools in Pamplona Alta, Lima, Peru. A survey was applied after informed consent of the parents, anthropometric measurements of the children were taken, capillary blood samples, as well as direct coproparasitological samples and Graham's test. The general average of the last trimester was chosen as well as the final math average of the last quarter as indicators of school performance. Results: A total of 109 children were included. By direct examination of stool samples and the Graham test, three types of enteroparasitic pathogens were diagnosed: Entamoeba coli (6.54%), Giardia lamblia (10.28%) and Enterobius vermicularis (7.62%). This corresponds to a global prevalence of 24.44%. A 25.93% anemia was also observed in the study population. We found a significant association between anemia <12 g / dl and overall performance (OR: 4.09 p = 0.047 IC95% = 1.01-20.591), anemia <11.5 and overall performance (OR: 5.60 IC95%: 1.19 - 27.14 p: 0.01) , and having a pet and approval in mathematics (OR: 2.55 p = 0.041 IC 95% = 1.026 - 6.374). Conclusion: One in every 4 children presented anemia and parasitosis, the anemia wassignificantly associated with poor school performance. Having a pet was significantly associated with passing in math. Future studies are necessary to confirm and extend our results.     DOI 10.25176/RFMH.v18.n4.1728

Objetive: To determine the relationship between the quality of life and malnutrition of the elderly in the province of Ica in the year 2015. Methods: An observational, descriptive and prospective study was conducted in a population of 29 937 senior citizens of the province of Ica. The sample consisted of 138 older adults (60 to more years of age) who agreed to participate in the study by consent informed or informed consent of the relative. They were used; the WHOQOL-OLD survey and the Mini Nutritional Assessment to assess quality of life and nutritional status, respectively. Results: The unweighted total score obtained through the WHOQOL-OLD instrument was 87.0 or less in 50% of older adults. When older adults presented malnutrition, the score was 68.63 ± 3.40, when there was a risk of malnutrition it was 82.15 ± 1.34 and 90.08 ± 1.32 in the presence of satisfactory nutrition (p = 0.000). Conclusion: The quality of life of the elderly is related to the nutritional status. In the presence of malnutrition there is a lower overall quality of life and in its domains: functioning of the sensory, autonomy, past, present and future activities, social participation, privacy. DOI 10.25176/RFMH.v18.n4.1734

Objetive: To determine the prevalence of overweight and obesity in children and adolescents of the Central Peruvian Sierra, in order to prevent the risk of cardiovascular diseases. Methods: 156 natives and residents between 06 and 16 years of age were studied from the rural population centers of La Victoria (4,097 masl) and Bellavista, (3,778 masl), from the province of Paurcartambo of the Department of Cerro de Pasco, of both sexes , coming from state schools. The nutritional status was evaluated using the Body Mass Index BMI or Quetelet index (Weight / height2). The obesity degrees of overweight, obese, severe obese and morbidly obese of the population in both genders were evaluated; Obesity was related to age, grouping children between 6 to 9 years of age, 10 to 12 and 13 to 16 years respectively. Similarly, sex was compared with the degree of obesity at different altitudes. Results: It was found that 81.4% (127/156) of the students presented a normal weight, 34.6% (54/156) in women and 46.8% (73/156) in men; 6.4% (10/156) of overweight, 3.8% in women and 2.6% in men, and 0.6% (1/156) obesity, corresponding to 0.0% in women and 0.6% in men. The age group 6 to 9 years old presented 32.1% (50/156) of normal weight, 1.9% (3/156) of overweight and 0.0% of obesity. Similarly, the age group of 10 to 12 years, presented 18.6% (29/156) 1.3% (2/156) and 0.6%, (1/166), respectively. The group of 13 to 16 years old, 30.8% (48/156) of normal weight, 3.2% (5/156) of overweight and 0.0% of obesity. The female gender that lives at 3778 and at 4.097 masl presented 12.2% (6/49) and 0.0% of overweight, respectively, with no cases of obesity. The male gender at 3778 and at 4.097 meters above sea level, presented 3.8% (2/52) and 6.1% (2/33) of overweight and 1.9% (1/52) and 0.0% of obesity, respectively. Conclusion: Overweight and obesity is not prevalent in children and adolescents of the Sierra Central Peruana, and research is still open to study the influence of factors typical of the region.   DOI 10.25176/RFMH.v18.n4.1735

Introduction: Surgical treatment of esophageal cancer remains a challenge despite advances in surgical technique, pre-operative care, postoperative care and postoperative complications. Objective: diagnosis and updated management in the surgical treatment of cancer in the national hospital Edgardo Rebagliati Martins - EsSalud. Methods: Patients diagnosed with esophageal cancer who were admitted to the surgery service at the Edgardo Rebagliati Martins - EsSalud national hospital during 2017 were selected. Patients of both sexes were included, starting at 20 years of age. . For the selection of the sample, it was stratified by age and sex according to the diagnosis of esophageal cancer. Results: Fourteen patients with esophageal cancer were diagnosed by means of the clinical history, laboratory exams, endoscopy with biopsy, cervical abdominal thoracic tomography, and contrasted duodenum stomach esophagus radiography. No patient was found less than 40 years old, predominantly male, in the age group between 61 and 80 years of age, all showed dysphagia, odynophagia and weight loss, the most frequent post-operative complication was the fistula of the cervical anastomosis. Conclusion: Fourteen patients with esophageal cancer, esophagectomy and the restoration of gastrointestinal tract continuity were diagnosed. Anastomotic leaks and pulmonary complications are the main causes of morbidity and mortality after an esophagectomy. DOI 10.25176/RFMH.v18.n4.1732

Introducción:Fournier gangrene is a necrotizing fasciitis that affects the perineal, perianal, genital and lower third of the abdomen that leads to necrosis and gangrene of the underlying tissue and compromises in a fulminating and progressive way the life of the patient. It is considered that there are various factors that favor its appearance. The objective of this article is to carry out an in-depth review of risk factors and predisposing conditions of Fournier's gangrene during the last years. Methods: A systematic review of scientific articles, clinical reviews and case reports; both in Spanish and English, related to the subject. The search sources used were: Google Scholar, ScienceDirect - Elsevier library, PubMed, Scielo. For this review, the published articles that had investigative and theoretical-conceptual experiences from 2008 to the present. Results: Based only on 21 of the reviewed articles, it was evidenced that the great majority of patients were male because they were a group of risk, and had an important underlying organic condition; highlighting diabetes mellitus, chronic alcoholism, immunosuppression and other comorbidities. Conclusion: Fournier's gangrene is an entity that can be lethal, which is favored by different risk factors, whose triggering cause is a disease debilitating as well as perirectal or urogenital conditions that have not been treated correctly. Due to its severe prognosis, an early diagnosis with a good management of the risk factors and a Appropriate, early and aggressive multidisciplinary intervention are essential for a good evolution.     DOI 10.25176/RFMH.v18.n4.1736

In order to make visible the probable occurrence of lack of respect and / or mistreatment during access to childbirth care, the search was made for news related to delivery care, denial of delivery care or care not timely birth during 2017 in the search engines Google®, Yahoo®, Altavista®, ProMED® and others. Eight cases were found: 75% in adolescents or young people and three out of four cases occurred in Lima and Callao that would show deficiencies in access to quality birth care and could be the tip of the iceberg of inadequate and dehumanized comprehensive care maternal health   DOI 10.25176/RFMH.v18.n4.1730

Objectives: The aim was to determine the association between tacrolimus levels and early renal graft function, acute rejection and infections in the first month after early kidney transplantation. Methods: Retrospective, observational and analytical study. Review of records of kidney transplant patients over 18 years of age during 2016, who met the inclusion criteria (n = 36). The descriptive and analytical statistics were with STATA 15, significance p <0.05. Results: Age 41.6 ± 15.3, males 52.78%, deceased donor 77.78%, 86.11% had ≤ 3 incompatibilities HLA and PRA 0%. They received induction 97.22%. Tacrolimus dose (TAC C) on the seventh day was 8.7 ± 3.4 ng / ml. The 16.66% were donors of expanded criteria, 22.22% with delayed graft function, acute tubular necrosis (6/36), anticalcineurin toxicity (10/36) and acute cellular rejection IA (1/36). The overall TAC C / D ratio <1.05 was calculated. The frequency of infections was 19.45%, the most frequent urinary infection being 13.85% with 20% E.coli BLEE. There is a relationship between the level of tacrolimus> 12 ng / ml on the seventh day and the presence of infections at the first month post-renal transplantation (p <0.05). There was no relationship between tacrolimus levels with renal function, acute rejection, HLA incompatibilities and induction (p> 0.05). Conclusion: The level of Tacrolimus on the seventh day post-transplant> 12ng / ml was associated with early infections a month after renal transplantation. Key words: Tacrolimus; Early graft function; Kidney transplantation; Infections; Acute rejection. (source: MeSH NLM)   DOI: 10.25176/RFMH.v18.n2.1282