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

Introduction: Peritonitis is an inflammatory process of multiple etiologies that can compromise the patient's life, so it is necessary to understand the risk factors that are associated with poor clinical evolution. Objectives: To determine the factors associated with poor clinical evolution in adult patients hospitalized for peritonitis in the Emergency Hospital "José Casimiro Ulloa, 2012 - 2016". Methods: Analytical, retrospective study, of type cases and controls. The universe population of the cases will be conformed by all the patients with bad evolution (patients with a hospital stay greater than 9 days). The universe population for the control group consisted of patients with peritonitis with favorable evolution (patients with a hospital stay of less than 9 days) hospitalized for peritonitis. The descriptive and analytical analysis was done with chi square and logistic regression. Results: The sample was 126 patients. 76% of the cases were female. 55% of the cases were older than 60 years. The risk factors were female (OR = 5.7 IC = 2.4 - 13.3), age over 60 years (OR = 7.2 IC = 3.06 - 17.1), malnutrition status (OR = 6.6 IC = 2.7 - 15.6), diabetes mellitus (OR = 12.1 IC = 3.2 - 45.5), sepsis (OR = 11.1 IC = 2.2 - 54 , 5), use of quinolones (OR = 9.7 IC = 4 - 23.4), use of imipenem (OR = 4.3 IC = 1.3 - 13.8), use of metronidazole (OR = 2, 3 CI = 1.07 - 5.2), delay between diagnosis and treatment (Mean of 26 hours p:, 000), and time of illness (Mean of 81 hours p:, 000). Conclusion: The female gender and the age group in which corresponds to patients over 60 years of age presented an association in relation to a poor clinical course in patients diagnosed with peritonitis. Presenting the comorbidity "malnutrition", "diabetes mellitus", "sepsis" is associated with a poor clinical evolution. Receiving hospital antibiotic treatment with quinolones or imipenem was associated with a poor clinical course. The prolonged illness time, the delay between the time of diagnosis and initiation of treatment is associated with a poor clinical evolution. Key words: Poor clinical evolution; Study of cases and controls; Risk factors; comorbidities. (source: MeSH NLM)   DOI: 10.25176/RFMH.v18.n2.1284

Introduction: The diagnosis and timely treatment of congenital muscular torticollis with physiotherapy can avoid their sequence of craniofacial asymmetry, which is difficult to correct once they have been established1. Cases that do not respond to initial medical treatment benefit from surgery. Objectives: To identify the clinical and surgical characteristics of the pediatric population with surgical treatment for congenital torticollis. Methods: Descriptive and retrospective study, carried out in the Pediatric Unit of the Head and Maxillofacial Surgery Service of the Edgardo Rebagliati Martins National Hospital. The sample consisted of 30 pediatric patients, with surgical treatment for congenital muscular torticollis during the last 15 years, who fulfilled the inclusion and exclusion criteria, the patients' clinical histories were reviewed. The statistics used were descriptive. Results: The age range of patients  was from 2 months to 10 years of age, the  sex predominated was male , the most affected side was the right side, the surgical treatment consisted of myotomies of sternocleidomastoid muscle insertions through direct approach by small transverse incisions, the correction amount had no correlation with age or with the severity of the deformity, good results were obtained even in severe deformities. Conclusion: In all cases we achieved substantial improvement, without complications and with acceptable scars; The lateral column of the neck at the site of the sectioned muscle recovered its continuity, without perception of abrupt cut, depression or subsidence. We did not observe a correlation between the improvement achieved and the severity of the deformity, nor with the age of the patient at the time of surgery. Key words: Congenital torticollis; Myogenic torticollis; Myotomy. (source: MeSH NLM)   DOI: 10.25176/RFMH.v18.n2.1281

Objective: To determine the association between knowledge and feeding practices in pregnant women attended in a Hospital in Lima, 2017.  Methods: The study design is observational, quantitative, analytical and transversal. A sample of 279 pregnant women was selected who attended in Hospital Vitarte during the month of September 2017, evaluated by the surveys that measured the study parameters. Later, the data were analyzed by the statistical SPSS version 22. The frequencies of the main variables were obtained, for the degree of association the basis of the calculation of the probabilities and the 95% confidence intervals were applied. In addition, the significant chi square was analyzed with p <0.05. Results: It was demonstrated that knowledge about feeding and feeding practices in pregnant women had no significant participation (p = 0.51, OR = 1.4, 95% CI: 0.63-2.45). In addition, the knowledge of acceptable weight during pregnancy is associated with the consumption of junk food in pregnant women (p=0.023, OR=1.73, IC95%:1.08-2.79). Likewise, feeding practices are associated to the parity in pregnant women (p = 0.001, OR = 3.04, IC95%: 1.56-5.9). Conclusion: Only 25.8% of pregnant women have knowledge about feeding during pregnancy and 18.3% have adequate food practices. No association was found between knowledge and feeding practices in pregnant women and parity increases the likelihood of having adequate feeding practices. Key words: Food knowledge; Food practices; Pregnant. (source: MeSH NLM)

Objective: To identify the level of satisfaction of the external users hospitalized in the general surgery and internal medicine services of a National Police Hospital. Methods: Observational, descriptive, comparative cross-sectional study. Independent variables: dimensions of quality, dependent variable: level of satisfaction and intervening variables: sex, age, level of education, hospitalization services (internal medicine and general surgery). Out of 377 hospitalized patients, 363 met the selection criteria, the modified SERVQUAL survey was applied. Inferential statistics and measures of descriptive frequency were used. Results: The external users that predominated were: adults and older adults, with educational level between secondary and higher; a minimum percentage were illiterate and young adults. The female sex predominated in the internal medicine service and the male sex in the general surgery service. The perception of satisfaction was higher in female patients, older adults and higher university level of education. The dimensions with greater satisfaction in both services were reliability, responsiveness, security and empathy. The level of satisfaction of external users was greater than 70% in the general surgery service and greater than 90% in the internal medicine service. Conclusion: The external users of both hospitalization services were satisfied, covering their needs and demands, exceeding their expectations. Key words: Quality; Satisfaction; External user; Hospitalization. (source: MeSH NLM)   DOI: 10.25176/RFMH.v18.n2.1285

Biomedical research is fundamental for the development and advancement of the people and society as a whole. There is a need and responsibility of universities to produce new knowledge and tools for the resolution of current health problems, as well as the need for a better distribution of health benefits resulting from research, since a large number of people in the least developed countries have little or no benefit with the tools created in the richest countries to meet the health needs of populations in those same countries 1.The Institute of Research in Biomedical Sciences: INICIB of the Universidad Ricardo Palma opened a new stage of scientific research in the Faculty of Human Medicine in 2017, deepening the formative research and promoting scientific research. A fundamental step was taken when winning and obtain financing from CONCYTEC-CIENCIA ACTIVA, to carry out the research project entitled: MOLECULAR PANELS FOR CANCER OF PULMON, MELANOMA AND COLON. This project is the result of the strategic collaboration established between Universidad Ricardo Palma with  ESSALUD-IETSI, on the one hand, and with the productive sector represented by the ARC-PER organization on the other.• The relevance of this research project, for the period 2018-2019, is multiple:• Addresses a priority issue in public health in Peru and in the world: Cancer.• Incorporates advanced molecular and genomic technology platforms at an international level.• It is an original work that explores the molecular profile of cancer and the genomic profile of thePeruvian population with these three types of cancers.• Establishes collaborations with prestigious Research Centers in Europe and the United States.• Generates Technology Transfer and Research Methodologies for the participating centers.• Integrates the participation of human resources in health research training, both undergraduateand postgraduate.• Produces the participation of multidisciplinary research teams, linking university teachers,government institutions, the productive sector and international centers.• The most important: It will provide knowledge and innovation for the diagnosis in Peru of cancerpatients, as well as their potential prognostic and therapeutic applications.  DOI: 10.25176/RFMH.v18.n2.1278

The sequencing of the human genome back in 2001 generated the greatest health knowledgerevolution of the 21st century, thanks to this event today we can clearly know how biologicalsystems work. On the other hand, the implementation of diagnostic platforms increasinglysophisticated and sensitive that added to the development of the pharmaceutical industry, in thelast 18 years, have generated a paradigm shift called: Precision Medicine, a situation that makes itincreasingly distant to think in a medicine such as the one practiced today, based on trial anderror, where the objective is a diagnosis and treatment directed against the symptomatology.In that order of ideas, imagine that at this moment a medical colleague, is treating one of hispatients and to diagnose it has requested a series of support tools such as images or clinicalanalysis, complying with a Clinical Practice Guide that joins his experience will take you (ifnecessary) to design and prescribe a symptomatic and modifying treatment, seeking that thedrugs interact with a specific objective in the biological network underlying the disease, directly orindirectly impacting the progression of the disease and the person; up there all right, to this wecall "conventional therapy", a practice accepted and validated by our health system.   DOI: 10.25176/RFMH.v18.n2.1279

Yellow fever is one of the oldest recognizedinfectious diseases, both in the old world(Africa) and in the new world (the Americas).It is an acute febrile illness of short duration,transmitted by mosquitoes and caused by theyellow fever virus. It is enzootic and does nothave specific treatment, but it can beprevented by vaccination. The clinicalmanifestations varies from asymptomaticforms or moderate febrile disease (90%) offavorable evolution to severe forms withmassive bleeding with a lethality up to 50% ofhepatic, renal and cardiac involvement.1 The yellow fever virus exists in nature in twocycles of transmission: a wild one in whichthe Haemagogus mosquito and non-humanprimates intervene and another urban oneinvolving man and the Aedes aegyptimosquito. The jungle form is that it isfrequently reported.2 However,periurbanization risk is being observed inurban areas of cities.   DOI: 10.25176/RFMH.v18.n2.1280

ABSTRACT Introduction: The aims of this study were to assess Sleep disorders (SDs) in a group of university students in Perú and to examine the relationship between SDs and anxiety. Methods: An observational cross-sectional, analitic and observational study was conducted at Ricardo Palma University, Peru, during the academic year 2017. Two questionnaires were face-to-face administered to 132 students after obtaining their written consent: The Beck Anxiety Inventory (BAI), and the Oviedo dream sleep-wake patient questionnaire for DS. Results: The average age found was 24.07 + - 2.14 (20-34). According to marital status, 67.42% were single. The prevalence of insomnia according to ICD10 was 31.8% (95% CI: 7.8-13.4%) more frequent in female students (61.9%) than in men (38.9%); and according to DSM IV it was 3.8% (95% CI: 7.8-13.4%) more frequent in female students (80%) than in men (20%). The prevalence of clinically significant anxiety (moderate and severe) was 9.1%, more frequent in female students (66.6%) than in men (33.3%). A statistically significant association was found between anxiety and insomnia DSM IV with an OR: 7.8 IC95% 1.16-52.26 p: 0.01. Conclusion: The magnitude of insomnia in university students of Ricardo Palma university demonstrate the importance of examining sleep health in this population. The association between anxiety and insomnia is significant, highlighting the importance of detecting and treating anxiety promptly and not just insomnia. Key words: Anxiety; Sleep Initiation and Maintenance Disorders; Students; Universities; Cross-Sectional-Studie; Lifestyle medicine. (source: MeSH NLM) DOI:  10.25176/RFMH.v18.n3.1587

Objective: To analyze the impact of the capital on the health of pregnant women and children under 5 years ofage affiliated to comprehensive health insurance in 3 pilot regions between 2011 and 2014. Methods: Study ofcounterfactual analysis of difference in differences. The pilot regions are Apurímac, Ayacucho and Huancavelica,while Amazonas, Cajamarca and Huánuco are controls. Indicators of acute diarrheal disease, acute respiratoryinfection and anemia in children, and of maternal death avoided in pregnant women were measured, andproduction indicators that include coverage of control of growth and development of the child and prenatalcontrol. Results: A negative impact was observed in acute diarrheal disease (-330) and maternal death prevented(-213), and positive in acute respiratory infections (1540), anemia (736) and the child's control and developmentrates and prenatal control - constant (9.5% and 7.8%). Only maternal death avoided was not significant (p =0.21). Conclusion: The expected impact of the capita agreement on acute diarrheal diseases is observed, but noton the other indicators because the capitated increased the opportunity of access and detection of morbidity,increasing the latter.Key words: Capitated; Payment mechanisms; Impact; Difference in differences; Health outcomes; Intermediaryoutcomes; Public insurance system. (source: MeSH NLM) DOI:  10.25176/RFMH.v18.n3.1583  

ABSTRACT Objective: To determine the factors associated with complications in inguinal hernioplasty in a hospital of the armed forces of Peru, 2013-2017. Methods: Observational, quantitative, retrospective, analytical type case and control study. There were 52 cases and 104 controls, obtained under the spreadsheet and chosen by simple probabilistic sampling. We analyzed the association measures through the Odds Ratio (OR). A 95% confidence interval (95% CI) was used and the chi-squared statistic was applied with a statistical significance level of less than 0.05. Results: It was found that seroma was the most frequent complication. With regard to sex, an OR was observed: 1.41; 95% CI: 0.655 - 3.05; p 0.375, for age, an OR was obtained: 4.56; 95% CI: 2.24 - 9.28; p 0.00. For obesity, an OR was found: 28.52; 95% CI: 10.9-74.60; 0.00. In the diameter of the hernial ring, OR was obtained: 1.83; 95% CI: 0.76 - 4.39; p 0.17. With respect to the surgical technique, the analysis showed an OR: 2.52; 95% CI: 1.13 - 5.58. Finally, with respect to surgical time, an OR was found: 12.37; 95% CI: 5.23-29.26; p 0.00. Conclusion: It is concluded that there are risk factors associated with complications after inguinal hernioplasty such as age greater than or equal to 65 years, obesity, conventional type surgical technique and operative time equal to or greater than 90 minutes. Key words: Associated factors; Complications; Inguinal hernioplasty. (source: MeSH NLM) DOI:  10.25176/RFMH.v18.n3.1588