26 results match your criteria: "Departamento de Pediatría del Hospital Nacional Hipólito Unanue.[Affiliation]"

Despite significant progress in understanding the factors influencing cognitive function in Parkinson's disease (PD), there is a notable gap in data representation for the Latinx population. This study aims to evaluate the contributors to and disparities in cognitive performance among Latinx patients with PD. A retrospective analysis was conducted based on cross-sectional data encompassing demographic, environmental, motor, and non-motor disease characteristics from the Latin American Research Consortium on the Genetics of PD (LARGE-PD) and the Parkinson's Progression Markers Initiative (PPMI) cohorts.

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Objective: The aim is to evaluate the association between sleep quality and perinatal depression in pregnant women between the 12th week of gestation and the 36th week of gestation in a maternity and child centre in Lima.

Methods: Analytical cross-sectional study in pregnant women cared for in a primary care centre between August and December 2019. The data were collected through a self-administered survey.

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Introduction: We aimed to identify clinical characteristics, risk factors for diagnosis, and describe outcomes among children with AHT.

Methods: We performed an observational cohort study in tertiary care hospitals from 14 countries across Asia and Ibero-America. We included patients <5 years old who were admitted to participating pediatric intensive care units (PICUs) with moderate to severe traumatic brain injury (TBI).

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Methicillin-Resistant Staphylococcus aureus Bloodstream Infections in Hospitalized Patients in Peru.

Am J Trop Med Hyg

November 2023

Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.

There is a knowledge gap in the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) causing bloodstream infections (BSIs) in Peru. Through a surveillance study in 13 hospitals of 10 Peruvian regions (2017-2019), we assessed the proportion of MRSA among S. aureus BSIs as well as the molecular typing of the isolates.

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Article Synopsis
  • A study was conducted in 15 hospitals across Peru from July 2017 to October 2019 to collect data on antimicrobial resistance in gram-negative bacteria (GNB), as existing data was lacking.
  • Out of 449 collected blood culture isolates, 59.2% showed resistance to third-generation cephalosporins, and 16.5% displayed carbapenem resistance, with significant variations among different bacterial species.
  • The study found that 63.3% of empiric treatments effectively covered the causative GNB, but the in-hospital death rate was high at 33.3%, particularly linked to Pseudomonas aeruginosa and carbapenem-resistant infections.
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Background: Acute intermittent porphyria (AIP) is an uncommon metabolic disease, being the most common of the acute porphyrias. The most frequent symptom is acute abdominal pain, although can be accompanied by seizures, neuro-psychiatric alterations or symmetrical motor neuropathies, which in some patients can progress to respiratory musculature paralysis.

Objective: To describe an atypical presentation of acute porphyria to be considered as differential diagnoses in abdominal pain.

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Adult T-cell leukemia/lymphoma (ATLL) is an aggressive mature T-cell neoplasm caused by infection with the Human T-cell Lymphotropic Virus Type 1 (HTLV-1). Cardiac involvement in patients with ATLL is infrequent, and when it happens it is usually seen in aggressive ATLL subtypes. However, ATLL presenting as isolated cardiac valve involvement is extremely rare.

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Article Synopsis
  • The study evaluates a multi-component intervention aimed at improving hypertension care in low-income communes of Medellin, Colombia, addressing gaps in diagnosis, treatment, and follow-up.
  • The intervention involves redesigning health services, training clinical staff, and engaging patients and community stakeholders, with effectiveness measured through a controlled quasi-experimental study design.
  • The research has received ethical approvals and aims to document the implementation process while ensuring that intervention components are executed as planned.
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The Latin American Society of Nephrology and Hypertension conducted a prospective cohort, multinational registry of Latin American patients with kidney impairment associated to COVID-19 infection with the objective to describe the characteristics of acute kidney disease under these circumstances. The study was carried out through open invitation in order to describe the characteristics of the disease in the region. Eight-hundred and seventy patients from 12 countries were included.

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Relapsing-remitting multiple sclerosis (RRMS) is a subtype of degenerative inflammatory demyelinating disease of multifactorial origin that affects the central nervous system and leads to multifocal neurological impairment. To develop a clinical pathway (CP) for the management of Peruvian patients with RRMS. First, we performed a literature review using Medline, Embase, Cochrane, ProQuest, and Science direct.

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Article Synopsis
  • The study investigated genetic variations in three proteins related to anti-TB drug metabolism among a cohort of 395 TB patients in Peru.
  • Over 70% of participants carried slow metabolizer genotypes for N-acetyltransferase 2 (NAT2), which could lead to increased sensitivity to isoniazid (INH) and a higher risk of liver injury.
  • The research suggests that understanding these genetic factors is crucial for personalizing TB treatment plans in diverse populations like Peru, potentially aiding the national TB control efforts.
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Objective: The aim is to evaluate the association between sleep quality and perinatal depression in pregnant women between the 12th week of gestation and the 36th week of gestation in a maternity and child centre in Lima.

Methods: Analytical cross-sectional study in pregnant women cared for in a primary care centre between August and December 2019. The data were collected through a self-administered survey.

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IntroducciÓn: En la mayoría de los servicios de emergencia del Perú no se cuenta con un cirujano vascular, teniendo que resolver los problemas vasculares el cirujano general. Es necesario que los cirujanos generales estén entrenados en el manejo vascular, sobre todo de aquellas condiciones que pueden comprometer la vida.

Objetivo: Compartir los resultados del primer curso de cirugía vascular para el cirujano no vascular y el nivel de satisfacción de los alumnos participantes.

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Aims: The objective of this systematic review and meta-analysis is to estimate the prevalence and incidence of diabetic peripheral neuropathy (DPN) in Latin America and the Caribbean (LAC).

Materials And Methods: We searched MEDLINE, SCOPUS, Web of Science, EMBASE and LILACS databases of published observational studies in LAC up to December 2020. Meta-analyses of proportions were performed using random-effects models using Stata Program 15.

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Objective: To evaluate the burden of diabetic foot complications amongst inpatients in Peru.

Materials And Methods: Cross-sectional multicenter study, performed in public hospitals, in one-day enrollment between October and December 2018.

Results: We included 8346 patients from 39 national hospitals.

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Evaluation of a rapid serological test for detection of IgM and igG antibodies against SARS-CoV-2 under field conditions.

Rev Peru Med Exp Salud Publica

September 2020

Instituto de Investigación en Ciencias Biomédicas, Facultad de Medicina Humana. Universidad Ricardo Palma, Lima, Perú.

Objective: To determine the additional diagnostic performance of a rapid serological test for detection of IgM and IgG antibodies compared to the real-time polymerase chain reaction (RT-PCR) test; for detection of SARS-CoV-2.

Materials And Methods: A cross-sectional study was carried out including patients hospitalized for COVID-19 in 3 hospitals, health workers exposed to the infection and outpatients who met suspicious case criteria, all of which underwent the molecular test (RT-PCR) and the rapid serological test. The additional diagnostic performance of rapid serological test was evaluated in comparison to molecular tests.

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Neurological diseases in Peru: a systematic analysis of the global burden disease study.

Arq Neuropsiquiatr

May 2020

Universidad Nacional Federico Villarreal, Facultad de Medicina Hipólito Unanue, Lima, Perú.

Background: Disease burden indicators assess the impact of disease on a population. They integrate mortality and disability in a single indicator. This allows setting priorities for health services and focusing resources.

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The reference hospitals of the Peruvian Ministry of Health serve patients with complex pathologies. Quality care involves not only good treatment, warmth and humanism in care, but also material resources and real capacity to solve problems. Unfortunately, the reality of the hospitals of the Peruvian Ministry of Health is far from the recommended quality standards, with notable deficiencies in their problem-solving capacity due to the lack of diagnostic aid methods, lack of equipment, and flaws in the acquisition of medications and supplies.

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[Autoimmune encephalitis mediated by antibodies against the N-Nethyl-N-Aspartate receptor: report of four cases in Peru].

Rev Peru Med Exp Salud Publica

December 2019

Centro de Investigación Básica en Demencias y Enfermedades Desmielinizantes del Sistema Nervioso, Instituto Nacional de Ciencias Neurológicas. Lima, Perú.

Autoimmune encephalitis with antibodies against the N-methyl-D-aspartate receptor (anti-NMDAR) is a disorder mediated by antibodies against neural surface antigens, whose early diagnosis and timely treatment improve the prognosis of the disease. Four cases with the definitive diagnosis of autoimmune encephalitis by anti-NMDAR are presented, treated at the National Institute of Neurological Sciences in Lima-Peru. All patients had epileptic seizures and three cases developed a refractory epileptic state.

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[Knowledge translation: the basics for public health professionals].

Rev Peru Med Exp Salud Publica

March 2018

Escuela de Medicina. Universidad Peruana de Ciencias Aplicadas. Lima, Perú.

Knowledge translation (KT) in Public Health involves the use of scientific evidence by decision makers when generating health policies directed to accelerate the benefits resulting from research and innovation in health system and ultimately people´s health. In this paper we review the definitions and conceptual frameworks related to systematization of KT processes. The different approaches to KT share the concept that KT is composed by two main elements: a product (information) developed through scientific method with a friendly format for the target public and an action devoted to support or promote a health related practice using the aforementioned product.

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Introduction: Chronic kidney disease (CKD) affects 50 million people globally. Several studies show the importance of implementing interventions that enhance patients’ knowledge about their disease. In 2011 the Kidney Disease Knowledge Survey (KiKS) was developed: a questionnaire that assesses the specific knowledge about chronic kidney disease in pre-dialysis patients.

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Background: Human immunodeficiency virus (HIV)-associated tuberculosis deaths have decreased worldwide over the past decade. We sought to evaluate the effect of HIV status on tuberculosis mortality among patients undergoing treatment for tuberculosis in Lima, Peru, a low HIV prevalence setting.

Methods: We conducted a prospective cohort study of patients treated for tuberculosis between 2005 and 2008 in two adjacent health regions in Lima, Peru (Lima Ciudad and Lima Este).

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The clinical profile of hepatotoxicity induced by tuberculosis drugs varies and the re-introduction of therapy for patients who developed this condition is controversial.5 pediatric cases treated throughout a period of 10 years in the Pediatric Department of Hipolito Unanue National Hospital are presented.2 individuals showed an asymptomatic increase of transaminases, 2 individuals had hepatitis, and 1 individual had acute liver failure.

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