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

The Tambo Inga Archaeological Site, during a long process has endured the changes demanded by the urban development of the district of Puente Piedra, these changes have generated a reduction of the archaeological area due to the demand of new uses and spaces, so the main objective of this research is to determine which are the most predominant patrimonial values about Tambo Inga perceived by the patrimonial subjects and to understand what is the vision for this archaeological site in conjunction with its surroundings. The method used is to conduct surveys and interviews with heritage subjects, which include the views of public administration institutions, professionals related to the research topic, and society, including local residents who have daily contact with the site and cultural groups that work to disseminate information about the monument, as well as visits to the area. The aim is to know the current state, obtaining as results the cultural appropriation of Tambo Inga and the perspective of achieving the value enhancement to turn the huaca into a cultural tourist attraction in northern Lima.

This article describes the state of conservation of La Quinta building from the pathological opinion and the risk assessment, with the purpose of creating a preventive conservation plan, according to international methodologies. Risk, threat and vulnerability analysis is carried out using the Leopold Matrix. At the pathological level, there are; (a) 2 % damage to the ceiling, (b) 7 % to masonry, (c) 1.5 % damage to floors and, (d) 2.06 % to the roof. Although the condition associated with the presence of water predominates, there are other deterioration factors such as parasitic vegetation, anthropic action and disuse, which lead to 4 emergent actions, 26 corrective actions and 21 maintenance actions.

Lima is a city where the area of archaeological sites exceeds the green and public areas, this represents an enormous challenge to preserve and reclaim our monuments, so it’s necessary to evaluate the theory with which we face this challenge; This Research reviews conceptual presents a literatura review based in different contributions on the pre-Hispanic territorial model and its evolution over time, it also seeks to contrast the approaches of value enhancement and social use to assess its relevance to the contemporary context of archaeological sites in Lima, its relevance for the city and their value enhancement process, and finally, it analyzes the case of urban dynamics in Garagay to understand its relevance in the urban environment and related concepts of enhancement.

The municipal theater of Trujillo is considered a historical monument of Peru under the R.S. N° 290072-ED, since December 28, 1972. The present investigation analyzes the monument from its beginnings at the end of the 19th century to the present. The article describes the physical space of the theater, as well as the cultural life that was generated in this important cultural site. Within the historical development, it analyzes its beginnings until its destruction in 1910 after a voracious fire that completely destroyed the structure of the theater. The study has considered its subsequent reopening as part of the celebrations of the centenary of Peru's independence until its present day.

Introduction: sepsis is one of the main causes of morbidity and mortality in pediatric age that requires adequate management for its treatment.Objective: to determine the prognostic factors for mortality in pediatric patients with sepsis treated in the Pediatric Intensive Care Unit of the José Luis Miranda University Pediatric Hospital in the period between January 2018 and February 2019.Methods: analytical observational study of cases and controls. Population: pediatric patient with sepsis, treated in the Pediatric Intensive Care Unit of the José Luis Miranda University Pediatric Hospital during the study period (n=142). Two groups were established for each variable, one with the prognostic factor present (case group) (n=30) and another without it (control group) (n=60).Results: the multivariate analysis identified as prognostic factors of mortality the presence of comorbidities (p=0.006), the need for ventilation (p=0.000), albumin levels (p=0.002), sepsis status (p=0.008), for multi-organ dysfunction syndrome (p=0.000), hospital stay (p=0.006); which were significantly higher in the case group.Conclusions: the presence of comorbidities, the need for ventilation, albumin levels, sepsis status, multi-organ dysfunction syndrome, and hospital stay are independent predictors of mortality in pediatric patients diagnosed with sepsis.

Introduction: advances in perinatal care have allowed greater survival of very low birth weight newborns (less than 1 500 grams) susceptible to diseases that impair their growth and development.Objective: to describe some variables related to growth and development at one year of corrected age of very low birth weight newborns attended at the Neonatal Care Service in Villa Clara between July 2018 and July 2019 who survived.Methods: a prospective longitudinal descriptive study was conducted at the “Mariana Grajales” Hospital in Santa Clara City. The sample consisted of 45 patients who attended uninterruptedly to the follow-up consultation of at-risk infants performed at the institution. A form was prepared for the collection of primary data which included qualitative and quantitative variables that were tabulated; tables and graphs were prepared.Results: it was found that at one year of age corrected according to the reference tables, almost half of the children did not have adequate weight compared to non-risk patients and others had low height and head circumference lower (or both) than the corresponding height. More than one third of the total had some degree of malnutrition, less than one percent of the children had delayed psychomotor development and the majority had delayed tooth eruption.Conclusions: at one year of corrected age, most of the very low birth weight newborns had some degree of growth and developmental delay.

Introduction: cardioembolic stroke is caused by the occlusion of a cerebral artery by embolic material coming from the heart with a maximum neurological deficit in the first hours of the disease.Objective: to describe the clinical and epidemiological characteristics and forms of treatment of patients admitted with cardioembolic stroke at the "Arnaldo Milián Castro" Hospital.Methods: a cross-sectional descriptive observational study was conducted at the “Arnaldo Milián Castro” Hospital from January to December 2019. The study population consisted of all patients diagnosed with cardioembolic stroke treated during the study period and who met the inclusion criteria.Results: the most frequent personal pathological history was arterial hypertension (81.82%), bronchopneumonia (36%) predominated as the most frequent complication, while only 29% had no complications. The greatest number of patients with cerebral infarction presented rapid ventricular rates, followed by adequate ventricular response.Conclusions: this disease occurred mostly in patients between 70 and 79 years old of male sex, arterial hypertension was the most frequent personal pathological history, deficiencies in the treatment of oral anticoagulation were evidenced, and bronchopneumonia was the most frequent complication.

Introducción: la pandemia de COVID-19 inició en Wuhan, China, en el año 2019, trajo graves complicaciones tanto físicas como psicológicas y llegó a ocasionar hasta la muerte. Es importante realizar un estudio en los estudiantes de Enfermería de la Pontificia Universidad Católica del Ecuador, Sede Santo Domingo, sobre el manejo de esta enfermedad en cuanto a su perfil farmacológico.Objetivo: se pretende determinar la infradosificación de fármacos utilizados durante la pandemia de COVID-19 en alumnos de la Pontificia Universidad Católica de Santo Domingo a fin de tener una visión de los diferentes tratamientos farmacológicos.Métodos: se realizó un estudio transversal, de tipo descriptivo, en una población de estudio de 615 alumnos pertenecientes a la Escuela de Enfermería de la Pontificia Universidad Católica de Santo Domingo evaluados por medio de una encuesta digital mediante un muestreo estratificado.Resultados: se trabajó con una muestra de 238 alumnos, con la mayor participación del género femenino, entre 21 y 25 años de edad. Las pruebas de diagnósticos para comprobar el contagio fueron la reacción en cadena de la polimerasa y otras medidas adoptadas. Los participantes manifestaron síntomas como la pérdida del olfato (12,16%), fiebre (11,81%) y cansancio (11,70%). Los fármacos que consumieron con mayor frecuencia fueron el paracetamol (32,79%) y la azitromicina (15,78) administrados según la eficacia de la prescripción médica (69,79%).Conclusiones: los fármacos más empleados fueron el paracetamol y la azitromicina, no existió abuso en la toma de medicamentos cumpliendo en su mayoría las indicaciones del médico.

Introducción: las caídas son la principal manifestación de accidente en el adulto mayor; existen varios clasificadores del riesgo de caer.Objetivo: comparar las escalas de Downton y de Tinetti en la clasificación del riesgo de caída en el adulto mayor.Métodos: se realizó una investigación analítica, transversal en el Consultorio 16-6 del Policlínico “Santa Clara”, de la Provincia Villa Clara, en el año 2017. Se seleccionaron por muestreo aleatorio simple 61 individuos del total adultos mayores dispensarizados. Se recolectaron los datos procedentes de las historias clínicas en una guía elaborada con fines investigativos. En el análisis estadístico se emplearon las pruebas de independencia de Chi cuadrado y la V de Cramer; se modificó la escala de Tinetti mediante punto de corte óptimo por curva ROC y se comparó con la escala de Downton y con la prueba de Mc Nemar y el índice de Kappa.Resultados: el riesgo a caer aumenta con la edad y es mayor en el sexo femenino. Son factores de riesgo a caer la caída previa, la deambulación dificultosa, el uso de medicamentos y el déficit sensorial. Hubo relación significativa de la edad y el sexo respecto a la clasificación a caer en ambas pruebas. La caída previa y la deambulación no normal mostraron una correlación fuerte. Ambas pruebas resultaron ser significativamente iguales, con buena concordancia e índice de Kappa de 0,704.Conclusiones: las escalas de Downton y de Tinetti son similares en la clasificación de riesgo al caer, por lo que pueden ser útiles en la atención primaria de salud.