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

Objective: To carry out a systematic review of various publications on the current situation of violence against women, as well as its evolution and impact in Peru. Methods: It was carried out through the electronic search of various scientific articles related to the subject. The search sources were PubMed, Scielo, and Google Scholar. The keywords were: «violence against women», «impact», «self-esteem» and «Peru». Results: Of the 99 articles found, 69 were discarded because they did not meet the inclusion criteria, leaving 30 articles for this review. Conclusion: Violence is present in most moments of our lives, manifesting itself in different ways, among them is violence against women, which is exercised in different ways, either by physical abuse or verbal abuse.

Objective: To determine the factors in adherence to physiotherapy treatment in a Peruvian rehabilitation institute. Material and methods: The cross-sectional descriptive-correlational study was carried out on a sample of 110 patients treated at the Department of the Motor Unit and Pain of the National Institute of Rehabilitation. A probabilistic sampling and a survey were applied, with an instrument made up of 20 questions to determine intrinsic and extrinsic factors to treatment adherence, whose reliability was 0.814, according to Cronbach's alpha. Results: 49.1 % are female and are adherent to physiotherapy treatment. Likewise, the intrinsic and extrinsic factors are related to physiotherapy adherence in treated patients. Conclusion: Adherence to treatment does not have to do only with the physiotherapist, but also with any other professional; understanding the real, sincere and honest commitment of the patient, and considering the advice of the physiotherapist.

Medicina de regulación fisiológicaEn el cuerpo humano, el estado fisiológico es aquel que cumple sus funciones con normalidad, es decir, está sano. En el lado opuesto, el estado patológico sería el funcionamiento anómalo del cuerpo humano, estar enfermo. Podemos concluir que la medicina de regulación fisiológica sería aquella que busca modular el cuerpo de forma tal que regrese, o se mantenga, en su estado fisiológico, es decir, que funcione normalmente, o sea sano.La medicina de regulación fisiológica (MRF) ha sido desarrollada por el laboratorio italiano GUNA, con sede en Milán. Con antecedentes de la homeopatía, homotoxicología y la PNEI (psico-neuro-endocrino-inmunología). Un método que ha tomado lo que considera útil de diferentes disciplinas médicas, sin perder de vista la visión integral del ser humano y su predilección por los productos de origen natural en combinación de hormonas neurotransmisores e interleucinas y otras en concentraciones semejantes a la fisiología en presentación de bajas dosis.

Objective: To carry out a systematic review of various scientific publications about the risk factors associated with iron deficiency anemia in older adults. Methods: The review was carried out through the electronic search of various scientific articles related to the subject. The PEO question was used: what is the association between risk factors and iron deficiency anemia in older adults? The search source was PubMed. Articles published from January 1, 2016, to 2021 were selected. Results: Of the 223 articles found, 212 were discarded because they did not meet the inclusion and exclusion criteria, therefore, 11 articles remained for this review. Conclusion: Various intrinsic and extrinsic risk factors are associated with the acquisition of iron deficiency anemia or iron deficiency in elderly patients.

Sigmund Freud, the father of psychoanalysis, is one of the most controversial and influential characters of the twentieth century. Therefore, the impact of their controversial and revolutionary ideas transcends to this day, not just in the various professional schools of Psychology in Peru and the world, but in everyday life. His theoretical contributions expanded the knowledge of the psychological problems of man and transcended each of the spheres of human knowledge and work. Therefore, terms such as unconscious, repression, transfer, defense mechanism, etc., are found in the popular vocabulary. Even many people are convinced that psychoanalysis is synonymous with psychology. Psychoanalysis in addition to a psychotherapeutic current, for many people, has become a form and philosophy of life. However, the origin of psychotherapy is unknown, a problem that in this article intends to analyze.

With a higher prevalence rate reported in males and a diagnosis occurring during the fifth decade of life, hepatocellular carcinoma is the highest mortality and most common liver malignancy. Hepatitis B and C virus infections, alcohol consumption, and metabolic diseases have been associated with an increased risk of developing hepatocarcinoma. The aim of this study is to describe the incidence rate of the disease, the seroprevalence of Hepatitis, hepatic impairment at diagnosis, and the overall survival rate in the main reference hospitals of the Social Security Healthcare System. A total of 518 patients were identified during the study period, 52 new diagnoses per year on average, and an incidence of 1. 21 cases per 100, 000 inhabitants. Diagnostic confirmation was carried out mainly by hepatic biopsy and patients had a mean age of 64. 2 years at the time of diagnosis. This tumor presented a predominant distribution in males, and a prevalence of Hepatitis B and C of 15. 4% and 5. 3% respectively, without sex association. In 55. 9% of the cases, a Child-Pugh stage A was recorded at the time of the initial evaluation and the overall survival rate at 5 years was    19. 5%. Overall, the population analyzed in this study shows similar characteristics to data reported worldwide. The difference described regarding the age of confirmation with respect to other western countries could be related to an earlier diagnosis in these populations. Likewise, the low prevalence reported for Hepatitis infections would suggest a non-endemic geographical area, and the implementation of accessible vaccination programs for Hepatitis B.   Key words: Carcinoma Hepatocelullar, Hepatitis Antibodies, Survival Analysis, Social Security, Costa Rica.  Source:DeCS/MeSH.

On March 11, 2020, the World Health Organization (WHO) declared it a pandemic by the COVID-19 disease caused by the SARS-CoV-2 microorganism. The lack of treatments against this disease has led to the use of complementary therapies not approved by the Costa Rican population, to face it, which is a problem for public health. The objective of this study was to establish the opinion of the Costa Rican adult population on the use of complementary therapies not approved for the treatment of the COVID-19 disease, for which, an investigation with a two-way approach was developed. It was determined that 64 % of the population knows the existence of unauthorized complementary therapies against COVID-19, the best-known being chlorine dioxide. In addition, 78% of the people surveyed would not be willing to use them, and the main reason for this is that they do not consider them effective. In addition, after an interview with a person who has used chlorine dioxide as a prevention against COVID-19, it was possible to know the motivations he had for doing so and his experience in its use, revealing a deep root of the interviewee with the supposed effectiveness of the therapy. As a conclusion, it was possible to establish that the Costa Rican adult population has a mostly unfavorable opinion about the use of non-approved therapies for the treatment of this disease, however there are still people who trust them and use them despite not being approved.   Key words: Complementary therapies, coronavirus infections, chlorine dioxide. Source: MeSH.

COVID-19 is a disease caused by the SARS-CoV-2 virus. With the explosive increase in confirmed cases, the World Health Organization declared this outbreak as a public health emergency of international concern on January 30, 2020, and as a pandemic on March 11 of that same year. Since then, research has been conducted to find valuable drugs against this pathogen. An example is monoclonal antibodies, a powerful tool for treating various conditions like cancer, cancer, autoimmune, neuronal, infectious, and metabolic diseases. In a short time, some showed encouraging results in improving patients' clinical symptoms with this pathology. Various act directly against the virus and others through pharmacological mechanisms associated with its pathophysiology. Its use represents an alternative to reduce hospitalizations and deaths from the infection. There is currently one fully approved (casirivimab and imdevimab, administered together) and three approved for emergency use (bamlanivimab plus etesevimab, administered together; sotrovimab, and tocilizumab) by the US Food and Drug Administration. However, the development of more clinical studies is essential to demonstrate its efficacy and safety in various populations and the study of new molecules.   Key words: COVID-19, World Health Organization, pharmacotherapy, monoclonal antibodies, clinical trials. Source: DeCS, BIREME.

Costa Rica es un país pequeño con una economía emergente con un gobierno democrático que no tiene ejército. Su sistema de salud es uno de los más eficientes del mundo y es el país latinoamericano con mayor esperanza de vida. Sin embargo, los factores de riesgo cardiovascular afectan cada vez más a esta población. El objetivo de este estudio fue revisar la prestación de atención médica, así como los principales factores de riesgo cardiovascular en la población costarricense y su relación con la hemorragia cerebral espontánea. Estos factores de riesgo se relacionan con el desarrollo de hemorragia intracerebral espontánea y, además, cabe mencionar que hay poca información científica en este país que relacione estas dos condiciones. De esta manera, se realizó una búsqueda actualizada en la base de datos PubMed (MeSH y DeCS) y se seleccionaron 79 artículos científicos. Se buscaron referencias adicionales en la base de datos del autor. Se concluye que la población costarricense posee una mayor exposición y vulnerabilidad a la hemorragia intracerebral espontánea, esto debido a la alta prevalencia de factores de riesgo cardiovascular en este grupo y a una mayor esperanza de vida.   Palabras clave: prestación de atención médica, hipertensión, fumado, obesidad, hemorragia cerebral. Fuente: DeCS, BIREME.

Low back pain is characterized by signs and symptoms such as pain, muscle weakness or contracture, stiffness of the nearby biomechanical area and, sometimes, it can cause irradiation of discomfort to other structures. This multiplicity of annoyances usually generates a difficulty for the clinical diagnosis and therefore for the clinical process since there are discrepancies in the care. Taking the foregoing into consideration, the objective of this research was to compare the diagnostic process of the population with non-specific low back pain treated at the Assistance Teaching Center of the Department of Physical Therapy (CeDAFi) of the School of Health Technologies of the University of Costa Rica. Taking as a reference the criteria established by the Dutch Association for Physical Therapy. The results obtained indicate that there is a significant gap between the information collected and the guidelines established by the Association. Particularly, the diagnostic phase is oriented to the collection of data related to the disease and has little relationship with the functionality paradigm, which leaves aside information about movement, limited activities and the person's psychosocial context. Therefore, despite the fact that an adequate filling of the files was observed, there were key aspects of the clinical history and the examination that were absent, which constitutes an important opportunity for improvement for the entire process of physiotherapeutic care as such.   Key words: Physical Therapy Specialty, Diagnosis, Evidence-Based Practice, Low Back Pain. Source: DeCS/MeSH.