ACTA MEDICA PERUANA
http://54.39.98.165/index.php/AMP
Acta Médica Peruana es la revista científica oficial del Colegio Médico del Perú; tiene como finalidad difundir el conocimiento médico a la comunidad médica y científica a nivel nacional e internacional.Colegio Médico del Perúen-USACTA MEDICA PERUANA1018-8800Health equity in Peru in light of its social determinants (DSS): past, present and future
http://54.39.98.165/index.php/AMP/article/view/2782
Eugenio Villar Montesinos
Copyright (c) 2024 ACTA MEDICA PERUANA
2024-01-092024-01-0940410.35663/amp.2023.404.2782Sociodemographic and sociocultural factors that influence blood donation in Perú: results of a national survey, 2022
http://54.39.98.165/index.php/AMP/article/view/2716
<p><strong>Background:</strong> 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. <strong>The study:</strong> 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 <strong>Findings:</strong> 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 <strong>Conclusions:</strong> 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%).</p>Juan Antonio Almeyda AlcántaraTeófilo José Fuentes Rivera SalcedoJacklyn Karen Torres LopezJoselyn Pamela Riveros SalazarLiliana Estefania Nicho MachadoLuis Pampa EspinozaAlex Celada PadillaJosé Carlos Bustamante GuevaraSegundo Jackier Gendrau AchoRosemary Fernández FuentesMirian Paola Ramírez AylasJenifer Huarcaya DamianoLiz Esther Quispicondor ArteagaIrvin Adrian Barbeyto ToribioKatherine Maydana AguilarPaola Vílchez EnríquezMaría del Carmen Gladys Cerón Castañeda
Copyright (c) 2024 ACTA MEDICA PERUANA
2024-03-032024-03-0340410.35663/amp.2023.404.2716Clinical comparison in the remote management of bronchial asthma during the COVID-19 pandemic between two controller therapies: Fluticasone and beclomethasone
http://54.39.98.165/index.php/AMP/article/view/2692
<p><strong>Objective:</strong> 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).</p> <p><strong>Materials and methods: </strong>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.</p> <p><strong>Results:</strong> 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).</p> <p><strong>Conclusions:</strong> 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.</p>Arturo Felipe Recabarren LozadaMarcos Gustavo Llanos RosasGustavo Joel Llave Pinto
Copyright (c) 2024 ACTA MEDICA PERUANA
2024-02-132024-02-1340410.35663/amp.2023.404.2692Quality of care and user satisfaction in an Emergency Service of a Social Security Hospital
http://54.39.98.165/index.php/AMP/article/view/2722
<p><strong>Introduction: </strong>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.</p> <p><strong>Objective: </strong>Establish the relationship between the quality of care and user satisfaction in an Emergency Service of a Social Security Hospital.</p> <p><strong>Methodology: </strong>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.</p> <p><strong>Results: </strong>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.</p> <p><strong>Conclusions: </strong>It was found that there is a moderate and statistically significant positive relationship between the quality of care and user satisfaction.</p> <p><strong>Keywords: </strong>Quality of Health Care, Patient Satisfaction, Emergency Service, Hospital (Source: MeSH NLM).</p>Miguel Angel Arce HuamaniRicardo Alberto Aliaga-Gastelumendi
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2024-03-012024-03-0140410.35663/amp.2023.404.2722Construction and validation of an instrument for the evaluation of family crises
http://54.39.98.165/index.php/AMP/article/view/2696
<p><strong>Introduction:</strong> 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. <strong>Objective: </strong>To build and validate an instrument for the evaluation of family crises. <strong>Materials and methods:</strong> 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. <strong>Results:</strong> 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. <strong>Conclusions:</strong> An instrument was built and validated, which will allow the evaluation of normative and paranormative crises.</p> <p> </p>Gloria Díaz VegaLuz Dalid Terrazas Rodríguez
Copyright (c) 2024 ACTA MEDICA PERUANA
2024-02-132024-02-1340410.35663/amp.2023.404.2696Randomized Controlled Clinical Trial of Two Surgical Techniques for Primary Pterygium in Jungle Patients: Cauterization versus Suturing.
http://54.39.98.165/index.php/AMP/article/view/2658
<p><strong>Objective:</strong> To compare two surgical techniques for excising pterygium, by evaluating postoperative symptoms and the incidence of recurrence. <strong>Methods:</strong> 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. <strong>Results:</strong> 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). <strong>Conclusions:</strong> 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.</p>Gioconda Armas HerreraLuis Felipe Arévalo Arévalo
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2024-02-082024-02-0840410.35663/amp.2023.404.2658Candida parapsilosis endocarditis without vegetations at Echocardiography: a case report
http://54.39.98.165/index.php/AMP/article/view/2662
<p>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.</p>Natalia Vargas-HerreraJose M. Estrada-GrossmannMarcos Saavedra-VelascoGian Marco Arango-RojasJohn Cabrera-Enríquez
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2024-03-052024-03-0540410.35663/amp.2023.404.2662Unusual case of diffuse B lymphoma of large cells (NOS) primary cerebral associated with hydrocephaly and neurosurgical management
http://54.39.98.165/index.php/AMP/article/view/2724
<p>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.</p>Héctor Mijail Lizarraga ValderramaFernando Fernández ChafloqueLuis Antonio Michilot Ramos
Copyright (c) 2024 ACTA MEDICA PERUANA
2024-03-032024-03-0340410.35663/amp.2023.404.2724Neurosurgical management of epidural abscess after traumatic brain injury: a case report
http://54.39.98.165/index.php/AMP/article/view/2679
<p>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.</p>Héctor Mijail Lizarraga ValderramaFernando Fernández ChafloqueLuis Michilot Ramos
Copyright (c) 2024 ACTA MEDICA PERUANA
2024-03-022024-03-0240410.35663/amp.2023.404.2679War wounds in nineteenth century Peru: the eye injury of Andrés Avelino Cáceres
http://54.39.98.165/index.php/AMP/article/view/2774
Rocio ArditoRaquel Castro
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2024-02-262024-02-2640410.35663/amp.2023.404.2774Health survey of young doctors using the EQ-5D-3L
http://54.39.98.165/index.php/AMP/article/view/2725
Cecilia Sogi UematsuManuel IzaguirreAurora Villar
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2024-02-092024-02-0940410.35663/amp.2023.404.2725Findings in Acoustic Analysis and High Speed Laryngoscopy (HSL) in workers from a national hospital in Lima, Perú – 2019.
http://54.39.98.165/index.php/AMP/article/view/2749
Alexandra Ximena Banda BaltodanoVíctor Hugo Gonzales DiazLuis Guillermo Huasasquiche MorónMario Yvan Salerno CorderoJosé Luis de Vinatea VelardeRoberto Shimooka ShiguemotoNorka Mariella Aurelia Vasquez Zeballos
Copyright (c) 2023 ACTA MEDICA PERUANA
2023-12-182023-12-1840410.35663/amp.2023.404.2749Recursos financieros públicos para la política de protección a las personas con diabetes mellitus en el Perú
http://54.39.98.165/index.php/AMP/article/view/2794
Miguel Armando Zuñiga Olivares
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2024-03-152024-03-1540410.35663/amp.2023.404.2794List of peer reviewers 2023
http://54.39.98.165/index.php/AMP/article/view/2941
Arturo Villena Pacheco
Copyright (c) 2023 ACTA MEDICA PERUANA
2024-03-202024-03-20404