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As a result, this platform has helped to guarantee citizens' rights to health service access in the face of infringement caused by delays in affiliation processing among the different IAFAS in Peru. Telemedicina: posible respuesta a deficiencias del manejo del infarto de miocardio agudo. The techniques described by Millard and Mulliken are probably the most commonly used all over the world for repairing bilateral cleft lip; however, there are some short-comings when trying to repair asymmetric forms of bilateral cleft lip.
So, we designed this technique aiming to correct asymmetry in bilateral cleft lip. This technique is based on a double advancement and lateral rotation concept placing the scars over the natural lines between the esthetic subunits of the upper lip. Matherial and Methods: This is a retrospective and descriptive study based on a case series.
We present a new technique used for surgical repair of bilateral cleft lip in patients. The technique is based in the double advancement and lateral rotation concept which allows lengthening of the shortest lateral lip segment.
Most of the incisions are performed on the natural lip landmarks, between the aesthetic subunits of the upper lip. Results were assessed considering the number of failures observed after following up patients for more than one year, performing physical examination and analyzing standardized postoperative pictures. Results: This technique has been used in procedures for repairing cleft lip. We obtained good functional and esthetic outcomes for both nose and lips using this technique.
These latter procedures had to undergo major secondary surgical revisions. Conclusions: We describe a new technique for surgical repair of asymmetric bilateral cleft lip. This technique led to the elongation of the shortest lateral labial segment, allowing us to achieve good esthetic and functional results on upper lip and nose reconstruction in cases of bilateral asymmetric cleft lip.
The effect of statins on cardiovascular outcomes by smoking status: A systematic review and meta-analysis of randomized controlled trials. Ursoniu, Sorin; Mikhailidis, Dimitri P. The impact of statin therapy on CVD risk by smoking status has not been fully investigated.
Therefore we assessed the impact of statin therapy on CVD outcomes by smoking status through a systematic review of the literature and meta-analysis of available randomized controlled trials RCTs. Relative risks RR ratios were calculated from the number of events in different treatment groups for both smokers and non-smokers. Finally 11 trials with 89, individuals were included. The number of smokers and non-smokers in the statin groups of the analyzed studies was and 36,, respectively.
The RR for major CV events was 0. Smokers seemed to benefit slightly more from statins than non-smokers according to the number needed to treat NNT analysis The number of avoided events per individuals was In conclusion, this meta-analysis suggests that the effect of statins on CVD is similar for smokers and non-smokers, but in terms of NNTs and number of avoided events, smokers seem to benefit more although non-significantly.
Understanding patient perspectives of newly diagnosed men who have sex with men MSM in Lima, Peru during linkage and engagement in the HIV care continuum can help close the gaps in care following initial HIV diagnosis and ensure retention in continuous care. Text messaging was bi-directional, meaning participants could also send messages to their counselor at any time.
In this qualitative study, we coded and thematically analyzed SMS, WhatsApp, and 2, Facebook bi-directional messages. Mean age of participants was We identified six recurring themes that emerged from the data: a mental health symptoms; b coping behaviors; c interpersonal support; d physical symptoms; e HIV knowledge; and f care coordination.
Participants sent text messages describing depressive symptoms and seeking mental health services during this initial stage of HIV care. For newly diagnosed MSM entering the HIV care continuum, a bi-directional mHealth intervention provided support to facilitate care while eliciting deeply personal mental and emotional states.
Future interventions could benefit from using mHealth interventions as ancillary support for clinicians. The fecal virome of South and Central American children with diarrhea includes small circular DNA viral genomes of unknown origin. Two genomes related to sequences previously reported in feces from chimpanzees and other mammals and recently named smacoviruses were characterized and then detected by PCR in 1.
Pecovirus DNA was detected in Feces containing these ssDNA genomes also contained known human enteric viral pathogens. The cellular origins of these circular ssDNA viruses, whether human cells, ingested plants, animals or fungal foods, or residents of the gut microbiome, are currently unknown. The mortality-incidence ratio as an indicator of five-year cancer survival in metropolitan Lima. This study aims to determine if the MIR correlates directly with five-year survival in patients diagnosed with the ten most common types of cancer in metropolitan Lima.
A linear regression model was used to assess the correlation between [1 — MIR] and total observed five-year survival for the selected cancers. Results: Observed and estimated five-year survival determined by [1 — MIR] for each neoplasia were thyroid Using the coefficient of determination, it was found that [1 — MIR] X captures the Conclusion: The Mortality—Incidence Ratio complement [1 — MIR] is an appropriate tool for approximating observed five-year survival for the ten types of cancers studied.
This study demonstrates the validity of this model for predicting five-year survival in cancer patients in metropolitan Lima. At the university where the thesis is compulsory, the process began with the choice of topic and adviser. Administrative timeliness and processes should be reviewed so as not to impede the completion of thesis, since the new University Act requires the completion of a thesis to graduate.
The patient had non-specific symptoms during 9 days. Both printed and internet-based technologies offer potential tools to enhance traditional partner notification approaches among MSM in resource-limited settings. Objective: This randomized controlled trial aimed to evaluate the effect of 2 different PN technologies on notification outcomes following syphilis diagnosis among MSM in Peru: A Web-based notification system and patient-delivered partner referral cards.
Prior to enrollment, potential participants used a computer-based self-interviewing system to enumerate their recent sexual partnerships and provide details of their 3 most recent partners. Self-reported partner notification was assessed after 14 days among participants who returned for the follow-up assessment.
Results: The median age of enrolled participants was 27 interquartile range, IQR years, with a median of 2 partners IQR reported in the past month. Compared with those who received only counseling arm 4 , MSM provided with access to Web-based partner notification arms 1 and 2 or printed partner referral cards arms 2 and 3 were more likely to have notified one or more of their sexual partners odds ratio, OR, 2.
Conclusions: Both new Web-based technologies and traditional printed materials support patient-directed notification and improve self-reported outcomes among MSM with syphilis. Additional research is needed to refine the use of these partner notification tools in specific partnership contexts.
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.
The understanding and application of KT is a key element for effective use of knowledge in decision making. Braun, Hannan M. Lake uth. Many developing countries, including Peru, are in transition. Objectives: The aim of this study was to describe the variation of the nutritional profile of Peruvian children, mothers in reproductive age and families between and Results: Stunting in children has been high and constant since Overweight in children has increased, mainly in Lima and the Coast.
Overweight and obesity are the main nutritional problems of mothers in reproductive age, which have increased in Lima and the Coast. Coexistence of child stunting and maternal obesity at the family level has been low and without specific trend. Conclusions: The Peruvian nutritional profile is in transition. The main components are the high prevalence of stunting in children and the increase of maternal overweight and obesity. This findings show that Peruvian population is posed at a high risk of developing diseases related to both extremes of nutrition.
Several studies show the importance of implementing interventions that enhance patients' knowledge about their disease. Methods—The translation and cultural adaptation of KiKS was performed. Subsequently, its validity and reliability were determined.
The validity was evaluated by construct validity; and the reliability by its internal consistency and its intra-observer reliability test-retest. Regarding intraobserver reliability, the intraclass correlation coefficient with a value of 0. Trauma and traumatic stress in a sample of pregnant women. Elsevier B. Hierarchical logistic regression procedures were used to evaluate relations between TEQ and symptoms of psychiatric disorders. Trauma exposure and post-traumatic stress disorder in a cohort of pregnant Peruvian women.
Springer-Verlag Wien , Women have a higher prevalence of post-traumatic stress disorder PTSD than men, with a peak during the reproductive years. PTSD during pregnancy adversely impacts maternal and infant health outcomes. The objectives of this study were to estimate the prevalence of antepartum PTSD symptoms in a population of pregnant Peruvian women and to examine the impact of number of traumatic events and type of trauma experienced.
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Radical hysterectomy in a patient with Steinert disease: spinal anaesthesia, ketamine and TAP and rectus sheath blocks. Hospital San Pedro. Anestesia espinal. Rectus abdominis.
To compare early and late postoperative complications recurrence and survival according to the surgical technique used in the treatment of vulvar carcinoma. We studied 44 patients with vulvar carcinoma who were treated in our center between and The patients were divided into two groups according to the techniques most commonly used. Group 1 consisted of 14 patients who underwent radical vulvectomy RV with the Taussig-Way operation between Group II consisted of 10 patients who underwent modified radical vulvectomy MRV using the three-incision approach between —