Revista de la Facultad de Medicina Humana <p><span id="result_box" class="" lang="en" tabindex="-1"><span class=""><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">The "Revista de la Facultad de Medicina Humana" of the Ricardo Palma University (Rev. Fac. Med. Hum.) is the organ of scientific diffusion of the faculty and a publication for the medical community as a whole. This comunity includes students, graduates, academics, researchers and national and international institutions. It covers current issues, with original and unpublished articles, related to the various specialties of the biomedical and Public Health area.</span></span></span></span></p> Universidad Ricardo Palma en-US Revista de la Facultad de Medicina Humana 1814-5469 Proper testing strategies and unambiguous communication is the best strategy to protect oil-spill affected populations <p><strong>Dear Editor,</strong><br>Regarding the unfortunate oil spill occurred last January 15th on our coast, I would like to call the attention of your readership towards the need to formulate a proactive Plan of Action to address Environmental Health concerns and use the best practices to communicate risks for people whose livelihoods are closely intertwined with the affected areas.</p> Fanny L. Casado Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4793 Peruvian experience on the human immunodeficiency virus diagnostic flowchart <p><strong>Mr Editor:</strong><br>The Joint United Nations Program on HIV/AIDS (UNAIDS) proposed as a goal that the countries reach 95-95-95 by the year 2030, in other words, that 95% of people living with HIV (PLH) are diagnosed and of these that 95% receive antiretroviral treatment (ART) and at least 95% have undetectable viral load or viral suppression<span style="font-size: 11.6667px;">.</span></p> Eduardo F. Miranda Ulloa Soledad E. Romero Ruiz Maribel Acuña Barrios Ronal Briceño Espinoza George Obregon Boltan Dilan V. Suárez Agüero Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4401 About the article: Intermittent fasting scheme and reduction of anthropometric measurements, lipid profile, blood pressure and cardiovascular risk <p><strong>Dear Editor:</strong><br>We have read with great interest the article "Intermittent fasting scheme and reduction of anthropometric measurements, lipid profile, blood pressure and cardiovascular risk" published by Dr Javier Wong-Gonzáles et al, in number 1, volume 22 of your magazine; where the purpose of the research focuses on the assessment of the efficacy of intermittent fasting as a strategy for the modification of anthropometric parameters and cardiovascular risk variables; We would like to contribute the importance of defining the times of the day in which the periods of food intake and abstinence are framed during intermittent fasting, since the induced metabolic effects are highly dependent on circadian fluctuations.</p> Jamee Guerra Valencia Geremi A. Gonzales Matta Jenyfer M. Fuentes Mendoza Cielo A. Estela Fernandez Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4794 Promoting Healthy Lifestyle among College Students <p><strong>Mr. Editor</strong><br>The World Health Organization defines health as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”.&nbsp;This definition, first proposed in 1948, has evolved and currently includes more domains than those originally cited by the WHO. In fact, contemporary definitions of health focus on the person’s ability to deal with life’s demands through a balance between the absence of disease and impairment, and their ability to function in their social and physical environments. Regardless of the definition employed, human health does not exist in a vacuum, as it represents the total socioeconomic realities of the person.</p> Miguel A. Perez Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4784 Additional comments to the article written by Eymard Torres-Rodriguez et al: Reduction of cardiovascular risk in obese patients who participated in a lifestyle medicine program <div> <div>Dear Editor</div> <div>Chronic diseases have occupied a leading place in global morbidity and mortality statistics, given the&nbsp;increase in life expectancy and access to new therapeutic technologies and advanced drugs. Cardio-metabolic&nbsp;diseases such as diabetes, high blood pressure, dyslipidemia, and obesity, among others, are clear examples&nbsp;of both the impact and the advent of new therapeutic opportunities. In this study, the effect of a lifestyle&nbsp;program on the cardiovascular risk of enrolled patients was evaluated.</div> </div> John C. Longa López Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-15 2022-03-15 22 2 10.25176/RFMH.v22i2.4805 Current status of general resources and operation of pediatric emergency departments of Latin American public hospitals (Study RFSEPLA) <p><strong>Introduction:</strong>&nbsp;To improve the quality of care in Pediatric Emergency Services (SEP) it is essential to carry out measurements and surveys.&nbsp;</p> <p><strong>Purpose:</strong>&nbsp;Describe the resources and operation of the SEPs of public hospitals in Latin America.&nbsp;</p> <p><strong>Methods:</strong>&nbsp;Descriptive, quantitative and retrospective study. Survey conducted in SEP of Latin American hospitals with public funding and with PICU (2019). Data processed by REDcap and InfoStat programs. Continuous variables are presented as medians and ranges; categorical variables as percentages; productivity / resource ratios as a ratio. Univariate analysis was performed.&nbsp;</p> <p><strong>Results:</strong>&nbsp;Of 371 services in 17 countries, 107 (28.8%) answered the survey; 102 (95.3%) have an observation area and 42 (39.3%) have isolation rooms. The medians of annual visits / observation bed and daily visits / clinic were 4830.6 and 24.4, respectively. The number of beds increased by 74.1% in the seasonal peak, 6.1% of the consultations required hospitalization and 2.0% were assisted in the Resuscitation Sector. 37 (34.6%) SEP have&gt; 80% of 27 items considered essential by the International Emergency Federation, 43 (40.2%) lack complete airway equipment and 74 (69.2%) perform triage. The median number of daily consultations is 38.4 / doctor and 35.3 / nurse. In 72 (67.9%) SEP there is a doctor and a nurse coordinator per shift, in 83 (77.6%) computerized data are handled, in 25 (23.4%) they do not perform diagnostic coding and in 16 (15% ) discharge summary is not prepared. 68 (64.1%) SEP use 5 protocols for critical situations, in 10 (9.4%) the medical personnel have teaching / research hours and in 43 (41%) there is a quality improvement plan.&nbsp;</p> <p><strong>Conclusions:</strong>The information obtained regarding resources and operation of public PEDs in Latin America reveals important gaps.</p> <p>&nbsp;</p> Liliana Cáceres Anabella Boto Sandra Cagnasia Laura Galvis Pedro Rino Adriana Yock-Corrales Carlos Luaces Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4787 Knowledge and attitudes towards the covid-19 vaccine <p><strong>Objective:</strong>The objective of this research was to determine the relationship between the level of knowledge and attitudes towards the COVID-19 vaccine in the inhabitants of the province of Trujillo in the year 2021.</p> <div><strong>Materials and methods:</strong>The type of study was applied, non experimental desing, with a quantitative approach, cross-sectional, and correlational level; a questionnaire for knowledge and attitudes was administered to a total of 500 adults in the province of Trujillo.</div> <div>&nbsp;</div> <div><strong>Results:</strong> The results show that 88% of the population has a good level of knowledge about the vaccine, and 91% of them have an adequate attitude to be vaccinated.</div> <div>&nbsp;</div> <div><strong>Conclusions:</strong> In this way, it is concluded that there is a significant relationship between the level of knowledge and attitudes towards the vaccine against COVID-19 (p value&lt;0.05).&nbsp; The level of knowledge is a protective factor (OR: 0.43; CI: 0.2318-0.8053) for an adequate attitude to be vaccinated.</div> Pablo V. Aguilar Chávez Anita E. Becerra Julca Maria E. Valverde Rondo Gladis D. Jesús Ramírez Maria I. Ñique Miranda Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4343 Response to Temozolomide in patients with metastatic melanoma in a third level medical facility <p><strong>Introduction.</strong>Melanoma is a public health problem; it represents 4% of malignant skin tumors and is responsible for 80% of deaths from this type of neoplasm.</p> <p><strong>Objective:</strong> Show the response to Temozolomide in patients with metastatic melanoma.</p> <p><strong>Methods:</strong> Descriptive, cross-sectional study. The clinical response of patients with metastatic melanoma, managed with Temozolomide 200 mg/m2 once a day was analyzed for 5 days every 28 days. The risk factors analyzed were: histological variety, topographic region of the primary lesion, metastasis, ulceration, and Breslow. Descriptive statistics were used for normality Kolmogorov-Smirnoff, Student's t-test, and binary logistic regression.</p> <p><strong>Results:</strong> There were 51 les, 47 met the criteria; 25 men, 22 women, mean age 54.45, minimum 22, maximum 85 years, Complete response was obtained in 3 (6.3%), partial response in 7 (14.8%), stable disease in 10 (21%) and disease progression in 27 (57.44%) patients. The presence of ulceration is associated with a higher Breslow index and, as a result, a higher risk of disease progression.</p> <p><strong>Conclusions:</strong> Temozolomide as monotherapy is a treatment that presents low rates of complete response and partial response, showing better results in patients with lymph node metastases.</p> Selene Mejía-Cabrera Gerardo Marín-Márquez Fernando Silva-Bravo Álvaro J. Montiel- Jarquín Sandra Maldonado-Castañeda Arturo García-Galicia Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4788 Prevalence of Xenopsylla cheopis in Rattus rattus in the Salas district, Lambayeque <p><strong>Objective:</strong> The study of the prevalence of Xenopsylla cheopis in rodents of the Rattus rattus species.The objective of the present investigation is to establish the prevalence of Xenopsylla cheopis in rodents of the Rattus rattus species.</p> <p><strong>Methods:</strong> To obtain the sample, Tomahawk and Sherman traps were used that contained baits previously prepared with oatmeal and vanilla, the traps were placed in three areas: intra-home area, peridomyciliary area and in the open area. Ectoparasites were obtained using the fine comb technique. With an entomological clamp, fleas were collected in a 2ml vial, containing 70% alcohol.</p> <p><strong>Results:</strong> Its prevalence in Rattus rattus rodents were evaluated, with the highest prevalence rate being the one registered in the locality of Banco in August 2016 (4.08) and the lowest index was 1.3 registered in the locality of the Ramada in November 2015. They were captured 169 rodents Rattus rattus, of which 399 fleas could be collected, 299 belonged to the Xenopsylla cheopis species.</p> <p><strong>Conclusion: </strong>it was found that the prevalence of Xenopsylla cheopis in Rattus rattus rodents in the locations of Sauce, Banco, Kerguer, Algarrobo, and Ramada in the Salas district, in the period July - November 2015 and August 2016 was high.</p> Jarling F. Ortiz-Cusma Kattya M. Martínez-Bravo Sebastian Iglesias-Osores Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4396 Prevalence of sarcopenia in older adults in two retirement homes in Pereira, Colombia <p><strong>Introduction:</strong> Is a risk factor for morbidity, mortality and disability in older adults, so its management is a priority in geriatrics. The aim of this article is to characterize a population of older adults from two geriatric homes and to establish the prevalence of sarcopenia and the degree of dependence.</p> <p><strong>Methods:</strong> Cross-sectional study developed in the city of Pereira-Colombia. A population of 72 adults from 65 to 98 years of age was included, using probability sampling. Sarcopenia was determined by means of the Criteria of the European Consensus on Definition and Diagnosis of Sarcopenia, evaluating grip strength, skeletal muscle mass index, in case of sarcopenia, the severity of sarcopenia together with walking speed, and the degree of dependence according to the Barthel scale.&nbsp;</p> <p><strong>Results:</strong> 57 people participated. A total of 68.4% (n=39) were women. The median age was 83 years. Two percent had no sarcopenia, 9% had suspected sarcopenia, 28% had confirmed sarcopenia and 61% had severe sarcopenia. According to the Barthel scale, 31.5% were independent, 45.6% had mild, 15.8% moderate, 5.3% severe and 1.8% total dependence.</p> <p><strong>Conclusions:</strong> The prevalence of sarcopenia in nursing homes in Pereira is higher compared to that reported in the literature. Similarly, being in a private nursing home does not guarantee a better physical condition and/or quality of life</p> María M. Rodríguez Gutiérrez Ivan D. Lozada Martinez Natalia Moreno López Diego A. Vargas Arboleda Carlos E. Nieto García Yelson A. Picón Jaimes Amileth Suarez Causado Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-05-20 2022-05-20 22 2 10.25176/RFMH.v22i2.4358 Content validity by expert judgment of an instrument to measure knowledge, attitudes and practices about salt consumption in the peruvian population <p><strong>Introduction:</strong>&nbsp;Given the high consumption of salt in the population, the need arises to have a validated tool that measures the knowledge, attitudes and practices of salt consumption (CAP-salt).&nbsp;</p> <p><strong>Objective:</strong>&nbsp;To validate the questionnaire on CAP-salt.&nbsp;</p> <p><strong>Methods:</strong>&nbsp;Psychometric study of content validity through expert judgment. A total of 5 physicians from different specialties were counted. To calculate the degree of agreement between the expert judges, Aiken's V was used. As a decision criterion to keep an item, a value ≥ 0.7 was considered.&nbsp;</p> <p><strong>Results:</strong>&nbsp;In relation to clarity, V values greater than 0.80 were presented, in addition to a variation coefficient of less than 25%, therefore, none of the items was eliminated. Regarding coherence, they presented a coefficient of variation above 20% and V values greater than 0.71, confirming the decision not to exclude any of them. Regarding the relevance of the items, V values higher than 0.90 were also evidenced and neither did any of them present a value below the critical one.&nbsp;</p> <p><strong>Conclusions:</strong>&nbsp;The questionnaire has presented sufficient evidence of content validity in terms of clarity, coherence and relevance of the items through the aforementioned analyses. For this reason, it should be used to quantify the KAP of different population groups in the country.</p> Jenny R. Torres-Malca Víctor J. Vera-Ponce Fiorella E. Zuzunaga-Montoya Jesús E. Talavera Jhony A. De La Cruz-Vargas Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4768 Hospital management of a public-private partnership model and a traditional model in two hospitals in Callao <p><strong>Introduction:</strong> The Peruvian health system usually has deciencies, This is how, since 2008, we have worked on the model of Public-Private Partnerships in Health (PPP), which seeks the best performance of the health system before being applied in the rest of similar hospital centers of the Peruvian health system.</p> <p><strong>Objective:</strong> To compare the hospital management of a PPP model and a traditional model in two Essalud level II-2 hospitals.</p> <p><strong>Methods:</strong> Mixed, non-experimental, and cross-sectional research carried out in two establishments, Hospital Alberto Barton Thompson (HABT) as PPP model and Hospital Luis Negreiros Vega (HLNV) as the traditional model, during the hospital management period from 2016 to 2018, six public officials and 150 external users. Hospital management was evaluated through hospital efficiency, nancial management, and user satisfaction.</p> <p><strong>Results:&nbsp;</strong>In-hospital efficiency, the HABT presented below-standard medical-hour performance (3.31 in 2018), and lower compared to the HLNV (4.74in2018).Innancialmanagement,forbothmodelsofpublic-privatemanagement,itisagreedthat procurement plans must be carried out in advance, with common problems: ignorance of operational plans, poor epidemiological surveillance, and insufficient strengthening of skills and competencies; likewise, the APP modality spends three times more compared to the traditional modality.</p> <p><strong>Conclusion:</strong> A PPP modality health facility, such as the HABT, does not seem to present better results than a traditional format facility such as the HLNV.</p> Humberto D. Zanelli Reyes Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-08 2022-03-08 22 2 10.25176/RFMH.v22i2.4796 Factors associated with the non-compliance of the child vaccination of diphtheria, pertussis and tetanus in Peru, year 2019 <p><strong>Introduction:</strong>Pertussis tetanus and diphtheria, (DPT) are highly contagious diseases in children; worldwide vaccination schemes have been established for the prevention of these pathologies. However, different factors can lead to non-compliance with them.</p> <p><strong>Objective:</strong> To determine the factors associated with non-compliance with the vaccination schedule against diphtheria,pertussis and tetanus(DPT) in Peru in2019.</p> <p><strong>Methods:</strong>Analytical, retrospective study of secondary source based on data from 7 187 mothers between 15 and 49 years old regarding the vaccination schedule of their children older than six months of age obtained in the Demographic and Family Health Survey (ENDES) Peru 2019.The vaccination schedule of children over six months of age and the sociodemographic variables of the mothers were analyzed. A bivariate and multivariate analysis was performed using the chi square test for independence (p&lt;0,050).</p> <p><strong>Results:</strong>The sample included in the study was 7 187 mothers surveyed regarding the vaccination schedule for their children older than six months of age. The variables associated with the incomplete scheme by multivariate analysis were: low educational level (RPa: 1,19; 95% CI: 1,02-1,40), not having health insurance (RPa: 1,41; 95% CI: 1,23-1,60), wealth index poor (RPa:1,19; CI95%: 1,02-1,40), age of the mother under 20 years (PR:2,63; CI95%:2,06-3,35) and having two or more children (PRa:1,36; CI95%:1,19 -1,57).</p> <p><strong>Conclusion:</strong> The index factors of wealth, mother's age, low educational level, not having health insurance and having more than two children are associated with non-compliance with the DPT vaccination schedule.</p> Bryan A. Aquino-Sosa Lucy Correa-Lopez Maria Loo-Valverde Norka R. Guillén-Ponce María del Socorro Alatrista Gutiérrez Vda. de Bambarén Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-05-10 2022-05-10 22 2 10.25176/RFMH.v22i2.4775 Factors associated with inadequate Hospitalizations of older adults in the Emergency Department of the Hospital Edgardo Rebagliati Martins 2017 <p><strong>Introduction:</strong>Inadequate hospitalizations (IH) alter hospital management and much more when they are carried out in the elderly population; therefore, identifying the factors is relevant at the national and local levels.</p> <p><strong>Objective:</strong> To determine the factors associated with IH in older adults in the Emergency Service (ES) of the Edgardo Rebagliati Martins National Hospital (HNERM) during 2017.</p> <p><strong>Methods:</strong> Observational, analytical, cross-sectional study. A sample of 414 patients randomly selected from 18 250 patients admitted during the study period was selected. Collection forms were used, and medical records were reviewed. With the help of the SPSS 25 program, the Chi-square test was performed, and the simple Prevalence Ratio (PR) and adjusted (Rpa) were calculated. The level of signicance was 5%.</p> <p><strong>Results:</strong> The frequency of IH was 11,8%. The epidemiological factors associated with IH were ages from 75 to 84 years RPa=5,80 (2,20-15,27) and from 85 to more years RPa=8,22 (2,76-24,44), the female sex RPa=2,20 (1,11-3,10), the occupation as a housewife RPa=3,39 (1,13-10,17) and the accompaniment of the spouse RPa= 9,16 (2,59-32,38), child RPa= 3,72 (1,14-12,14), parents RPa= 8,50 (1,88-38,44) and siblings RPa=22,42 (5,78-86,97). The organizational factors associated with IH were internist treating physician RPa=2,90 (1,38-6,07) and admisiion morning shift RPa=4,84 (1,67-14,06).</p> <p><strong>Conclusions:</strong> There are factors associated with IH in older adults in the SE of HNERM.</p> Lulio E. Capcha Serna Sara C. Zamora-Chavez Rolando Vasquez-Alva Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-15 2022-03-15 22 2 10.25176/RFMH.v22i2.4804 Couple relationship quality scale in the Covid-19 Context <p><strong>Introduction:</strong> The pandemic caused by COVID-19 has affected people's way of life, and particularly, couple relationships. The main of this study was to evaluate the psychometric properties of the Couple Relationship Quality Scale (CRP-ASO) within the context of the lockdown due to COVID-19, in Peru.</p> <p><strong>Methods:</strong> The CRP-ASO scale was applied to 499 adults (60 % women; <em>M<sub>age</sub></em> = 41.54 years, <em>S<sub>age</sub></em> = 13.48). The internal structure of the instrument was evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was also estimated by calculating Cronbach's alpha (α) and McDonald's omega (ꞷ).</p> <p><strong>Results:</strong> The results indicated a four factors structure: consensus, complicity-intimacy, satisfaction in the relationship and stability in the relationship, with high indicators of internal consistency.</p> <p><strong>Conclusion:</strong> It is concluded that the instrument has satisfactory psychometric properties and can be used in similar samples.</p> Gissel Arteta-Sandoval Denis Frank Cunza-Aranzábal Jazmin Madrid-Valdiviezo July Vanessa Huamán-Pérez Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4763 Eating habits and lifestyles of medical students at the beginning of the Covid-19 pandemic eating <div> <div>The mortality rate from COVID-19 in Peru continues to increase, considered by January 24, 2022, as the third country with the most cases and deaths in all of South America. Connement favors an extremely sedentary lifestyle, physical inactivity, and poor eating practices causing serious health risks.</div> <div>&nbsp;</div> <div><strong>Objectives:</strong> Describe the eating habits and lifestyles of medical students during the CoVID-19 quarantine.</div> <div>&nbsp;</div> <div><strong>Materials and Methods:</strong> Multicenter Descriptive Cross-sectional Study.</div> <div>&nbsp;</div> <div><strong>Results:</strong> A total of 886 medical students participated. The female gender prevailed with 81.49% (n = 722) compared to the male gender with 18.51% (n = 164). Regarding the perception of health, only 4.51% (n= 40) rated it as low and the remaining 95.49% rated it as satisfactory (n= 111), good (n= 495), very good (n= =200) and excellent (n=40). The predominant healthy habits were not smoking 91.08% (n= 807) and doing physical activity 78.78% (n= 698); During the pandemic, physical activity was reduced, reaching 53.95% of students.</div> <div>&nbsp;</div> <div><strong>Conclusions:</strong> Medical students during the COVID-19 connement stage, medical students opted for regular healthy eating habits and preventive behaviors. However, daily physical activity was predominantly low.</div> </div> Geraldine A. Espinoza-Gutierrez Gabriela Yance-Cacñahuaray Fernando M. Runzer-Colmenares Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4381 Predisposing factors associated with chronic subdural hematoma in adults and elderly adults served in the neuro surgery and geriatrics service at the María Auxiliadora hospital in 2016-2020 <p><strong>Introduction:</strong> A common pathology in the Neurosurgery Service is chronic subdural hematoma (CSDH), affecting elderly male patients. It is an accumulation of blood that is located in the subdural space that can occur spontaneously or be the result of a head injury or other pathologies such as high blood pressure (HBP), type 2 diabetes mellitus (DM2), alcoholism, or external factors such as head trauma (CT) and consumption of platelet antiaggregants.</p> <p><strong>Objective:</strong> To determine how predisposing factors are associated with CSDH in adults and older adults treated at the Neurosurgery and Geriatrics Service at the María Auxiliadora Hospital (HMA) in 2016-2020. Methods:An analytical, observational, retrospective study of cases and controls was carried out through data collection from medical records.</p> <p><strong>Results:</strong> Association was found with age 60 to 96 years (adjusted OR = 2,52; 95% CI: 1,43 - 4,80), male gender (adjusted OR = 4,10; 95% CI: 2,30 - 7,60), alcohol consumption (adjusted OR = 3,06; 95% CI: 1,06– 8,83), hypertension (adjusted OR = 2,51; 95% CI: 1,16– 5,43), DM2 ( Adjusted OR = 2,49; 95% CI: 1,03–6,01) and CT (adjusted OR = 3,35; 95% CI: 1,87– 6,03).</p> <p><strong>Conclusions:</strong> The sociodemographic factors age and sex are associated with HSDC. Alcohol consumption, hypertension, DM2, and history of TC are associated with HSDC.</p> Marjhory J. Martinez Palomino Marco A. Melgarejo Mostajo Willer Chanduví Puicon Rocío Guillen Ponce Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4617 Microbiological profile of isolated microorganisms from patients in intensive care units of a Hospital in Lambayeque, Peru, 2019-2020 <p><strong>Objective:</strong> To describe the microbiological profile of microorganisms isolated from patients in critical care units of a hospital in the Lambayeque region in 2019-2020.</p> <p><strong>Materials and methods:</strong> Descriptive, retrospective, cross-sectional study with a quantitative approach. A census study was carried out on 332 patients from critical care units with a positive microbiological culture registered in the file of the microbiology laboratory of the Lambayeque Regional Hospital in 2019-2020. The statistical software Info stat v8 was used for statistical analysis.</p> <p><strong>Results:</strong> The median age was 50 years, predominantly male (55.1%). The most frequent culture sample was bronchial secretion (35.8%). The most frequently isolated microorganisms were <em>A. baumannii complex</em> (27.7%) resistant to meropenem and imipenem with 90.7% and 89.3% respectively, <em>P. aeruginosa</em> (13.9%) resistant to cefepime with 55.8% and 61.1% for Piperacillin / tazobactam, E. coli (11.1%) resistant to ampicillin with 94.7%; and <em>K. pneumoniae</em> (9.9%) resistant to ampicillin / sulbactam by 79.2%.</p> <p><strong>Conclusion:</strong> The most frequent microorganisms isolated from the study population were the <em>A. baumannii complex</em>, <em>P. aeruginosa</em>, <em>E. coli</em> and <em>K. pneumoniae</em>; isolated mainly from respiratory secretions, of which the first two showed high resistance to carbapenems and aminoglycosides, and in the next two, half were ESBL.</p> Marco Antonio Chilon-Chavez Jery Giankarlo Muñoz-Inga Heber Silva-Díaz Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4275 Factors Associated with the lack of use of Contraceptive Methods in Female Adolescent in Peru Endes 2018-2020 <p><strong>Introduction:</strong> In Peru, adolescents tend to use contraceptive methods (CM) less frequently, constituting a subgroup at risk of unwanted pregnancies and sexually transmitted diseases.</p> <p><strong>Methods:</strong> Quantitative, observational, analytical-cross-sectional study corresponding to a secondary analysis of data from women aged 15 to 19 from the ENDES 2018-2020. To quantify the association, Poisson regression was used for robust variances, calculating the Prevalence Ratio (PR) in its crude (PRc) and adjusted (PRa) forms, with a 95% confidence interval.</p> <p><strong>Results:</strong> 28.4% did not use MC, there was a significant association for the variables without a partner (Rpa: 2.49 CI: 1.99-3.11) and zero children (Rpa: 2.73 CI: 2.22-3 .35).</p> <p><strong>Conclusions:</strong> The factors associated with the lack of CM in female adolescents were without a partner and zero children, with a higher prevalence of the lack of CM.</p> Yolanda B. Dulanto-Ramos Consuelo Luna-Muñoz Luis Roldan-Arbieto Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4789 Clinical-epidemiological profile of patients with Covid-19 treated at a peruvian jungle hospital 2020 <p><strong>Introduction:</strong> The epidemic that had its beginning in the city of Wuhan in December 2019, has become a public health problem that is advancing at dizzying steps.</p> <p><strong>Objective:</strong> To determine the clinical and epidemiological profile in Covid-19 patients attended at the Hospital Apoyo I Santiago Apóstol - Utcubamba, 2020.&nbsp;</p> <p><strong>Method:</strong> The type of research was observational, descriptive and retrospective cross-sectional. The population consisted of 312 patients from which a sample of 173 patients was extracted that met the conditions of being representative and adequate. All data processing and statistical calculations were performed using Microsoft Excel 2019 software.</p> <p><strong>Results:</strong> Regarding the results, it was determined that the epidemiological profile: male gender a total of 102 and female gender 71, representing 59.0% and 41.0% respectively; average age of 45 years; most affected place of origin, the city of Bagua Grande, with a frequency of 162, which represents 93.6%. Regarding the clinical profile: diabetes mellitus presented a total of 7 cases, representing 4.1%; cardiovascular diseases with a frequency of 6, representing 3.5%; general malaise with a total of 75 cases, representing 43.4%; fever with a frequency of 66 cases, representing 38.2%; cough with a frequency of 56 cases, representing 32.4%; headaches with a frequency of 50 cases, representing 28.9%; and dyspnea with a frequency of 34, representing 19.7%.</p> <p><strong>Conclusion:</strong> The male gender was predominant with comorbidities such as diabetes mellitus, general malaise and elevated CRP.</p> Geyner Y. Becerra Uriarte Hector E. Pardo Lizana Enrique G. Llontop Ynga Elmer Lopez-Lopez Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4330 Body mass index in medicine students: Relationship with stress, eating habits and physical activity <p><strong>Introduction: </strong>The Changes in lifestyles predispose university students to face constant stressful situations and to modify their eating habits and physical activity, with possible alterations in the body mass index.</p> <p><strong>Objective:</strong> To evaluate the relationship between body mass index and stress, physical activity and eating habits in medical students.</p> <p><strong>Methods: </strong>Cross-sectional descriptive observational study. 306 medical students participated from first to sixth year: 153 with normal weight, 121 with overweight and 32 with obesity, average age 21,95 years. The body mass index was considered and the questionnaires were applied: Global Perception of Stress Scale for University Students (Adapted in Peruvian university students), International Physical Activity Questionnaire and the modified Reyes Food Frequency Questionnaire, using Google software Forms.</p> <p><strong>Results: </strong>The proportion of normal weight was 50%, overweight 39,50% and obese 10,50%. According to eating habits, people with body mass index significantly increased their consumption of soft drinks (p = 0,030), meat (p = 0,017) and alcohol (p = 0,005), more frequent breakfast (p = 0,037) and less consumption of legumes (p = 0,049). The levels of distress were lower in the obese (p = 0,055); there was no significant difference in physical activity.</p> <p><strong>Conclusions: </strong>The elevation of the body mass index in medical students was associated with inadequate eating habits. Low levels of distress and physical activity were more frequent in obese people, although without significant difference.</p> Claudia Aguilar-Ydiáquez Leily Campos-Flores Juan J. Huamán-Saavedra Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-05-27 2022-05-27 22 2 10.25176/RFMH.v22i2.4791 Factors associated with anxiety in medical interns at a private university in the context of the Covid-19 pandemic <p><strong>OBJECTIVE:</strong> To determine the factors associated with anxiety in medical interns at a private university in the context of the covid-19 pandemic.</p> <p><strong>METHODS:</strong> The study design is quantitative, observational, analytical, retrospective, cross-sectional. The sample was comprised of 343 human medicine interns, who were selected by a non-probabilistic snowball type sampling. The Coronavirus Anxiety Scale instrument was used for the diagnosis of anxiety. A Poisson regression model with robust bivariate and multiple variances was used to calculate the prevalence ratio and their respective 95% confidence intervals.</p> <p><strong>RESULTS:</strong> The prevalence of anxiety and severe depressive symptoms of 22.74% and 6.71% respectively was found. Depressive symptoms RPa 3.274 (95% CI 1.06 - 10.09), having children RPa 2.61 (95% CI 1.26 - 5.38), and the diagnosis of COVID-19 in the last 12 months RPa 2.20 (95% CI 1.25 - 3.87) were associated with the presence of anxiety in the multiple regression model.</p> <p><strong>CONCLUSIONS:</strong> The presence of severe depressive symptoms, having children, the diagnosis of covid-19 in the last 12 months are associated with the diagnosis of anxiety in medical interns at a private university in Lima, 2021.</p> Efrain A. Cehua Alvarez Joseph Alburqueque Melgarejo Horus M. Viru Flores Juan C. Roque-Quezada Catherine A. Suárez Egoávil Israrel A. Guerra Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-05-27 2022-05-27 22 2 10.25176/RFMH.v22i2.4409 Tuberculoso orchiepididymitus in insulinodependent Type 2 diabetes Mellitus: Case report <p><strong>Introduction:</strong>&nbsp;There is little information in Peru on the association of tuberculous orchiepididymitis in relation to immunosuppressed patients, being an endemic country of tuberculosis and there is an increase in the prevalence of chronic noncommunicable diseases such as diabetes, producing wrong diagnoses.&nbsp;</p> <p><strong>Clinical Case:</strong>&nbsp;We present the case of a 70-year-old man with a history of type 2 diabetes mellitus who was admitted to the outpatient clinic due to dysuria and frequency. On physical examination, a hard, non-painful right testicle, the ultrasound showed signs of epididymal abscess in the scrotal wall of the Right testicle, which is why an infected neoplasm is suspected, and a right orchiectomy is performed, later in the histological study, multinucleated Langhans-type giant cells with granulomatous areas suggestive of tuberculosis are shown, which is why it is proposed that in the presence of urological symptoms in immunosuppressed patients, it is ruled out tuberculosis.</p> Gonzalo Carrillo-Sanabria Brayan Dávila-Aranda Rodolfo Cairo-Huaringa Richard Maita-Hinostroza Jorge Chumbes-Pérez Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4792 Incidental Ectopic pancreas in gallbladder: a case report <p>Ectopic pancreas is an unusual finding, with an incidence below 0.5% of all reports worldwide. We report a 26 years old woman who went to emergency room with abdominal pain and underwent laparoscopic cholecystectomy. The pathology report described pancreatic ectopic tissue in the wall of the gallbladder. This finding must be thoroughly evaluated because this tissue can suffer diseases like pancreatitis, cystic tumours and malign degeneration, and should be considerated in the context of gallbladder polips with digestive sintomatology.</p> Pedro L. Zamora Gonzales Carmen E. Yagui Uku José Somocurcio Peralta Ronald A. Goicochea Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4397 Congenital Mesoblastic Nephroma: Case Report <p>Congenital mesoblastic nephroma (CMN) is the most frequent renal tumor in newborns and infants. under 3 months. The clinical case of a patient younger than 3 months, with prenatal diagnosis, referred in a timely manner for evaluation and management by the Institution is presented. CMN is a low incidence tumor. Early diagnosis as well as complete excision of the tumor are predictors of good prognosis, as in the case of our patient.</p> Carolina F. Paz Soldán Mesta José L. Apaza León Mariela Tello Pezo Roxana M. Lipa Chancolla Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.3816 Goldenhar syndrome associated with an epibulbar dermoid: Case Report <p>We present the case of a 7-year-old male child with Goldenhar syndrome associated with an epibulbar choristoma. The patient presents a homogeneous tumor, rounded in shape, with well-defined borders, of a soft consistency, vascularized, approximately 9x10 mm, yellowish-white in color, adhered to the sclera and cornea, with hairy formations on its surface, located at the level of the sclerocorneal limbus of the temporal-lower quadrant of his right eye. The histopathology study showed the presence of hair follicles and sebaceous glands, immersed in a stroma of fibrous connective tissue with a superficial squamous-type lining, which defined the diagnosis of limbar epibulbar dermoid. Conjunctivaplasty was performed to cover the scleral defect and use amniotic membrane to cover the corneal and scleral defect. The limbar epibulbar dermoid is the most common type of conjunctival choristoma and should be considered in the differential diagnosis of pediatric epibulbar tumors.</p> Diego J. Mamani Maquera Adriana Palomino Bernal Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4292 Intelligence in health: A critical analysis strategy for decision-making in the health area <p>The last year and a half, it was shown that the lack of use of data and information of origin in the health sector, produced one of the greatest catastrophes that humanity has experienced in the last 100 years. The aforementioned, due to a failure of vision, which unfortunately is seen as a problem not only of national security, but also of human security. Intelligence is the discipline that carries out the planning, collection, analysis and generation of products for the decision-making of the leaders of a country, sector, organization or society. This can be used very well in the health sector, applying the intelligence cycle model used in the security or financial field. That is, generating products from the analysis of raw information, lines of action, strategies and prospective scenarios that guide the decision maker to carry out health policies that comply with the human security strategies recommended by the United Nations Organization (UN) for a sustainable development.</p> Augusto F. Figueroa Uribe Julia Hernández Ramírez Jorge O. Flores del Razo Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-05-17 2022-05-17 22 2 10.25176/RFMH.v22i2.4790 Preoperative magnetic resonance imaging in locoregional breast cancer <p><strong>Introduction</strong>. The use of preoperative magnetic resonance imaging (PMR) in patients with breast cancer is debatable, with little agreement on its usefulness above routine scans. The goal of this study was to assess comparative studies of individuals with non-advanced breast cancer who were treated with or without PMR.</p> <p><strong>Methods.</strong> A search was conducted in MEDLINE/PUBMED, LILACS, and SCIELO for medical literature published between January 1, 2000 and March 31, 2021, and publications that satisfied the inclusion criteria were included.</p> <p><strong>Results.</strong> There were 3,828 publications, 53 of which matched the inclusion requirements; the papers were examined, and the findings were summarized in tables. There were 46 single or multicenter retrospective and comparative investigations, three prospective, randomized, controlled trials, and four meta-analyses including patients with infiltrating ductal or lobular carcinoma or ductal carcinoma in situ. The comparative results were antagonistic and debatable; however, in the most relevant studies, it was demonstrated that PMR delays surgery; increases mastectomies and additional biopsies; increases detection of ipsilateral/contralateral disease that is not necessarily malignant; and no significant difference in the rate of loco-regional or distant recurrence was established.</p> <p><strong>Conclusion.</strong> Conclusions. PMR in non-advanced breast cancer has debatable outcomes in terms of surgery type, reoperations, and progression-free survival, and it is still being studied.</p> Franklin Aldecoa Bedoya Maritza Placencia Medina Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-03 2022-03-03 22 2 10.25176/RFMH.v22i2.4730 Pregnancy in times of Pandemic: A look at Mental Health before and during the pandemic <p><strong>Introduction: </strong>Pregnancy is a time of physiological, psychological, personal and social changes for women. The role of the emotional and psychological aspect encompasses the entire period because as fetal development advances, the mother-baby relationship strengthens, making the mother vulnerable.</p> <p><strong>Objectives: </strong>To collect, describe and analyze relevant information on mental health in pregnant women, both at different stages of gestation and before and during the COVID-19 pandemic.</p> <p><strong>Methods: </strong>A literature search was conducted through PubMed, Google Scholar and Scielo using terminology compiled from MeSH and DeCs.</p> <p><strong>Results:</strong> Pregnancy due to hormonal changes causes the presence of anxiety and depression that worsen as the stages of fetal development progress. These psychological disorders have greatly increased during the COVID-19 pandemic due to several reasons such as the relationship with the couple, uncertainty, fear, anguish and increasing phobia about contagion.</p> <p><strong>Final considerations:</strong> Pregnant women are a vulnerable population, whose mental health has always been affected and nowadays it has been much more affected due to the pandemic, therefore they need better attention in the health sector such as providing them with reliable information on measures to alleviate the burden of stressors, since they not only carry the anguish of their health but also that of the fetus.</p> César B. Cisneros Hilario María P. Bedoya Castillo Betsy A. Lázaro Huamán Katia E. Mendoza Chávez Evelin J. Cisneros Hilario Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-03-11 2022-03-11 22 2 10.25176/RFMH.v22i2.4802 Achievements and an outlook of 2012-2021 research: Instituto de Investigaciones en Ciencias Biomédicas of Universidad Ricardo Palma <p>Write about achievements and and outlook of research in the last ten years from the <strong>Instituto de Investigaciones en Ciencias Biomédicas (INICIB) of Universidad Ricardo Palma</strong>, it is relevant because research currently occupies a central place in universities, at least rethorically.<br><br>We present an overview of the evolution of scientific publication, which constitute a real and objective indicator to visualize the trends and projections of research at the Faculty of Human Medicine and at Universidad Ricardo Palma. For this, we will take as reference the records of international bases of recognized prestige as SCOPUS and WEB OF SCIENCE.</p> Jhony A. De La Cruz-Vargas Dante Quiñones Laveriano Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-05-05 2022-05-05 22 2 10.25176/RFMH.v22i2.4895 Hematopoietic stem cell transplant in peru: experience and challenges of the largest transplant center in Perú <p>Bone marrow transplantation, currently known as hematopoietic stem cell transplant (HSCT), involves the infusion of stem cells healthy hematopoietic cells to patients with dysfunctional bone marrow, diminished or compromised by hematological neoplasms. Since its rst exploration in humans in the 1950s based on the results obtained in animal models, more than one million procedures have now been performed in Europe and collaborating countries. Early detection of complications and histocompatibility typing (HLA) with which potential donors can be better-selected thanks to an international donor registry network of bone marrow and the advancement of technology in terms of support treatment.</p> Lourdes Aranda-Gomero Rafael Pichardo-Rodriguez Iván Fernandez-Vertíz Alfredo Wong-Chang Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-05-20 2022-05-20 22 2 10.25176/RFMH.v22i2.4786 The Revista de la Facultad de Medicina Humana in Scielo Citation Index of Web Of Science <p>Today we have the honor and joy of sharing with the scientific and university community that the "Revista de la Facultad de Medicina Humana" is part of the prestigious collection&nbsp; <strong>"Scielo Citation index"</strong> of <strong>Web of Science (WoS ).</strong>&nbsp;</p> <p>Scientific journals have become the first instrument and vehicle of scientific communication. Furthermore, periodic scientific publications are known and recognized by the scientific community based on their editorial quality, their degree of visibility and their levels of impact on scientific production, measured both by citations in other publications and by their presence in alternative metrics<span style="font-size: 11.6667px;">.</span></p> Jhony A. De La Cruz-Vargas Iván Hernández Patiño Consuelo Luna-Muñoz Lucy Correa-López Copyright (c) 2022 Revista de la Facultad de Medicina Humana 2022-04-18 2022-04-18 22 2 10.25176/RFMH.v22i2.4902