ACTA MEDICA PERUANA

Health equity in Peru in light of its social determinants (DSS): past, present and future

2024-03-20T19:10:12-05:00

Sociodemographic and sociocultural factors that influence blood donation in Perú: results of a national survey, 2022

2024-03-20T19:10:10-05:00

Background: Sociodemographic and sociocultural factors influence blood donation in various countries, our objective of study was to determine what are the factors that influence blood donation in Peru. The study: An observational, crosssectional study was conducted in people between 18 and 60 years at the national level, the data were analyzed using SPSS v.20 Findings: The study sample was 739 people, 50.4% men; It was determined that there is good knowledge about blood donation with a percentage greater than 50% of questions answered correctly, likewise there is a positive attitude towards blood donation Conclusions: The sociocultural factors that influence blood donation is ignorance, 40% of the participants do not know the basic requirements to be a blood donor, another factor is the false belief. because they are taking medication, they cannot donate blood (47%).

Clinical comparison in the remote management of bronchial asthma during the COVID-19 pandemic between two controller therapies: Fluticasone and beclomethasone

2024-03-20T19:10:11-05:00

Objective: To compare the level of asthma control using the Asthma Control Test (ACT) and clinical manifestations in two groups of patients treated with different inhaled corticosteroids (ICG).

Materials and methods: Descriptive, observational and prospective study in which the level of asthma control was recorded in 521 children in the asthma programme of Hospital III Yanahuara (Arequipa, Peru), during the period from June 2020 to December 2021, by means of remote consultation using the ACT and the collection of clinical findings (daytime and night-time symptoms, emergency visits and the use of beta-2 agonist bronchodilators), at two points in time during the COVID-19 pandemic.

Results: Both groups had optimal control at baseline and at the end of the study, with a significant improvement in the last control (P < 0.05). In clinical manifestations there was no statistical difference (P > 0.05) in both controls. The mean ACT level of Fluticasone at discharge was significantly superior to Beclomethasone (P = 0.03).

Conclusions: Teleconsultation is an effective tool for monitoring chronic diseases such as asthma. Both Fluticasone and Beclomethasone achieved optimal disease control, highlighting that the true determinant of good control is the continuous use of any ICG. However, a significant statistical difference was found in favour of Fluticasone; nevertheless, due to its lower price, the cost-effectiveness ratio favours Beclomethasone as a cost-effective and efficient option for optimal asthma control.

Quality of care and user satisfaction in an Emergency Service of a Social Security Hospital

2024-03-20T19:10:11-05:00

Introduction: The quality of care and user satisfaction in an emergency service has become a priority concern for patients. Especially since the health system does not supply enough to public establishments to provide quality care and obtain user satisfaction.

Objective: Establish the relationship between the quality of care and user satisfaction in an Emergency Service of a Social Security Hospital.

Methodology: A cross-sectional analytical study was carried out with a sample of 400 patients in a Social Security Emergency Service in the southern region of Peru; The SERVPERF questionnaire and the one elaborated by Feletti G, Firman D and Sansón-Fisher R were used as instruments to measure the variables. The data was presented using tables and graphs.

Results: The dimensions of the quality of care such as reliability, responsiveness, security, empathy, and tangible aspects, it was found that 49.25%, 67%, 72.25%, 54.25% and 55.75% agreed with the care provided, respectively. In the user satisfaction variable, 50.25% of users agreed. On the other hand, the relationship between the variables using Spearman's Rho was 0.8590 with a p<0.05, it is statistically significant.

Conclusions: It was found that there is a moderate and statistically significant positive relationship between the quality of care and user satisfaction.

Keywords: Quality of Health Care, Patient Satisfaction, Emergency Service, Hospital (Source: MeSH NLM).

Construction and validation of an instrument for the evaluation of family crises

2024-03-20T19:10:11-05:00

Introduction: Today, there has been evidence of an increase in family crises, which is why it is important to design a new documentary instrument for the evaluation of family crises. Objective: To build and validate an instrument for the evaluation of family crises. Materials and methods: In the qualitative evaluation, the content validity was estimated through the selection of 10 experts, who through an observation guide evaluated the sufficiency, relevance and clarity of the written items. The experts made observations that were taken into account, leading to a second round. Subsequently, the pilot test was applied to 260 beneficiaries over 18 years of age, both sexes, where the participants made suggestions about the instrument, for which a second pilot test was carried out. In the quantitative evaluation, internal and external validity was estimated through construct validity, reliability, stability and criterion validity. Finally, an instrument of 9 domains (marriage, expansion, dispersion, independence, withdrawal, dismemberment, increase, demoralization and disorganization) with 52 items was constructed. Results: An instrument was validated to evaluate normative and paranormative crises with discriminatory capacity, yielding different variances and a positive Pearson correlation. Reliability was 0.965 through Cronbach's alpha coefficient and Cohen's Kappa index 0.843 for reproducibility. The linear regression model confirmed its efficacy in predicting normative and paranormative crises. Conclusions: An instrument was built and validated, which will allow the evaluation of normative and paranormative crises.

Randomized Controlled Clinical Trial of Two Surgical Techniques for Primary Pterygium in Jungle Patients: Cauterization versus Suturing.

2024-03-20T19:10:12-05:00

Objective: To compare two surgical techniques for excising pterygium, by evaluating postoperative symptoms and the incidence of recurrence. Methods: Randomized controlled clinical trial with two parallel groups and a single-blind design involving eighty patients with primary pterygium from the Ophthalmological Clinic of the Jungle. The first group considered the autograft fixation technique with bipolar cautery (n=40), and the second group considered the conventional autograft fixation technique with sutures (n=40). Symptoms were assessed at 72 hours postoperatively, and recurrence was evaluated at six months. Results: At 72 hours post-surgery, 6% of patients operated with the electrocautery technique exhibited symptoms, compared to 41% of those operated with sutures (p < 0.05). Recurrence was observed in 1 case in the electrocautery group and 4 in the suture group (2.5% vs. 10%, p < 0.05). Conclusions: The cautery technique demonstrated a more favorable recovery, with fewer symptoms and recurrence compared to the conventional technique. These findings suggest that the cautery technique may be more effective and better tolerated in patients in this study.

Candida parapsilosis endocarditis without vegetations at Echocardiography: a case report

2024-03-20T19:10:10-05:00

Candida endocarditis is a very serious manifestation of candida infections, and it has increased in incidence over the past years. Of these, C. parapsilosis has been described as a cause of endocarditis in native valves of intravenous drug users and prosthetic valves. We report the case of a female that developed a cerebrovascular accident secondary to emboli from aortic prosthetic valve C. parapsilosis endocarditis, despite apparently normal echocardiography. She received antifungal therapy without surgical intervention.

Unusual case of diffuse B lymphoma of large cells (NOS) primary cerebral associated with hydrocephaly and neurosurgical management

2024-03-20T19:10:11-05:00

Primary brain lymphoma is a type of aggressive non-Hodgkin lymphoma that originates in the central nervous system and is diagnosed when there is no evidence of lymphoma anywhere else in the body. Although systemic lymphomas are better known and studied, primary brain lymphoma has been less understood due to its low frequency until a few decades ago. The treatment of this disease continues to be debated. On this occasion, the unusual case of large B cell lymphoma NOS associated with hydrocephalus and its management is reported.

Neurosurgical management of epidural abscess after traumatic brain injury: a case report

2024-03-20T19:10:11-05:00

Cranioencephalic trauma is an event caused by force on the container that holds the brain content, which causes inertia to cause acceleration and deceleration injuries, producing hemorrhages and/or fractures; These can generate a series of complications such as epidural abscess which, being very close to the brain, constitutes an emergency for its management and follow-up15. On this occasion we show the case of a patient with epidural abscess caused by cranioencephalic trauma and neurosurgical management.

War wounds in nineteenth century Peru: the eye injury of Andrés Avelino Cáceres

2024-03-20T19:10:11-05:00

Health survey of young doctors using the EQ-5D-3L

2024-03-20T19:10:11-05:00

Findings in Acoustic Analysis and High Speed Laryngoscopy (HSL) in workers from a national hospital in Lima, Perú – 2019.

2024-03-20T19:10:12-05:00

Recursos financieros públicos para la política de protección a las personas con diabetes mellitus en el Perú

2024-03-20T19:10:10-05:00

List of peer reviewers 2023

2024-03-21T02:07:28-05:00