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ABSTRACT During the agronomic design of micro-sprinkling systems, it is difficult to guarantee the wetting of a volume of roots that allows the appropriate extraction of water and nutrients, as well as adequate anchorage. This leads to extreme precision at this stage, essentially in the estimation of crop coefficients KC, irrigation location coefficient KL and climatic variability coefficient KVC, as well as leaching requirements LR. When these are not estimated in a rigorous manner, the results can affect irrigation efficiency and the profitability of the installation. Identifying the effects of simplifications made during agronomic design on the accuracy of the capability's operating parameters is one of the ways to contribute to agricultural food production, considering the rational and efficient use of water. The research used the design procedure proposed by Keller and Rodrigo/1979, and the hypothetical-deductive method was also used to evaluate the effects of simplifications in the operating parameters of the installation. As a result, arguments were obtained that allow establishing the effects of simplifications in the rigor of the results of the agronomic design of localized irrigation systems, which allow us to conclude that the rigorous agronomic design of localized irrigation systems with micro-sprinkling leads to establishing effective installations.

RESUMEN Durante el diseño agronómico de sistemas de riego por microaspersión es difícil garantizar humedecer un volumen de raíces que permita la apropiada extracción de agua y nutrientes, así como el anclaje adecuado. Esto conlleva a extremar la precisión en esta etapa, esencialmente, en la estimación de los coeficientes de cultivo KC , de localización del riego KL y de variabilidad Climática KVC , así como de las necesidades de lavado LR. Cuando la estimación de éstos no se realiza de manera rigurosa, los resultados pueden afectar la eficacia del riego y la rentabilidad de la instalación. Identificar los efectos de las simplificaciones realizadas durante el diseño agronómico, en la precisión de los parámetros de explotación de la instalación, constituye una de las maneras de contribuir a la producción de alimentos agrícolas, considerando el uso racional y eficiente del agua. En la investigación se utilizó el procedimiento de diseño propuesto por Keller y Rodrigo/1979, se empleó además el método hipotético - deductivo, para evaluar los efectos de las simplificaciones en los parámetros de explotación de la instalación. Como resultado, se obtuvieron argumentos que permiten establecer los efectos de las simplificaciones en el rigor de los resultados del diseño agronómico de sistemas de riego localizado, los cuales permiten concluir que el diseño agronómico riguroso de sistemas de riego localizado con Microaspersores conlleva a establecer instalaciones eficaces.

Síndrome de DRESS inducido por fármacos antituberculosos
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Pavón-Romero, Gandhi Fernando

; Parra-Vargas, María Itzel

; Rosas-Fernández, Rodrigo

; Ramírez-Jiménez, Fernando

; Gutiérrez-Quiroz, Katia Vanessa

; Terán, Luis Manuel

Revista alergia México

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jun 2023, Volume 70 N. 2 Pages 55 - 63

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Objetivo: Describir el fenotipo del síndrome de DRESS inducido por fármacos antituberculosos. Métodos: Estudio descriptivo efectuado a partir de la revisión de los expedientes de pacientes con síndrome de DRESS, identificados en la interconsulta del Departamento de Investigación en Inmunogénetica y Alergia, del Instituto Nacional de Enfermedades Respiratorias (INER) Ismael Cosío Villegas, entre 2014 y 2020. Se realizó análisis de frecuencias. Las asociaciones entre biomarcadores y latencia se calcularon con la prueba de χ2 y log-rank, y la evaluación del cambio en los biomarcadores con la prueba de Wilcoxon. Se consideró estadísticamente significativo el valor de p < 0.05. Para el análisis de los datos se utilizó el programa SPSS v.21. Resultados: Se identificaron 15 pacientes, que representaron el 0.2% de los casos atendidos en el Departamento por algún padecimiento inmuno-alérgico (15/7052); las principales manifestaciones fueron: exantema (100%), eosinofilia (93%), fiebre (80%), adenomegalia (60%), daño renal (40%), daño hepático (33%) y latencia de 21 días. El daño hepático se asoció con latencia prolongada (p = 0.02). Posterior al tratamiento disminuyeron las concentraciones totales de eosinófilos (p < 0.001) y biomarcadores hepáticos y renales (p < 0.04). El síndrome de DRESS inducido por fármacos antituberculosos no se asoció con la cantidad de fármacos prescritos ni con el patrón de resistencia de Mycobacterium tuberculosis. Conclusión: El síndrome de DRESS inducido por fármacos antituberculosos es una reacción clínica atípica, similar a otros tipos de síndrome de DRESS que responden favorablemente a corticosteroides sistémicos.

Abstract Objective: To describe the phenotype of DRESS syndrome induced by antituberculosis drugs. Methods: Descriptive study, withdrawn from the review of the records of patients with DRESS syndrome, identified in the interconsultation of the Department of Research in Immunogenetics and Allergy, of the Instituto Nacional de Enfermedades Respiratorias (INER) Ismael Cosío Villegas, among 2014 and 2020. Frequency analysis was performed. The associations between biomarkers and latency are calculated with the χ2 test and log-rank, and the evaluation of the change in the biomarkers with the Wilcoxon test. The value of p < 0.05 is considered statistically significant. For data analysis, the SPSS v.21 program was obtained. Results: 15 patients were identified; represented by 0.02% of total cases treated in the Department for someimmuno-allergic condition (15/7052); the main symptomatology were: rash (100%), eosinophilia (93%), fever (80%), adenomegaly (60%), kidney damage (40%), liver damage (33%), and latency of 21 days. Liver damage was associated with prolonged latency (p = 0.02). After treatment, the total levels of eosinophils (p < 0.001) and liver and kidney biomarkers (p < 0.04) decreased. DRESS syndrome induced by antituberculosis drugs is not associated with the number of drugs prescribed or with the pattern of resistance of Mycobacterium tuberculosis. Conclusion: DRESS syndrome induced by antituberculosis drugs is an atypical clinical reaction, similar to other types of DRESS syndrome that respond favorably to systemic corticosteroids.

https://doi.org/10.29262/ram.v70i2.1151

DRESS, una reacción alérgica no mediada por IgE
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Pavón-Romero, Gandhi Fernando

; Gutiérrez-Quiroz, Katia Vanessa

; Ramírez-Jiménez, Fernando

; Rosas-Fernández, Rodrigo

; Parra-Vargas, María Itzel

; Terán, Luis Manuel

Revista de la Facultad de Medicina (México)

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apr 2023, Volume 66 N. 2 Pages 7 - 19

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen El síndrome de reacción a medicamentos con eosinofilia y síntomas sistémicos (DRESS, por sus siglas en inglés) es una respuesta de hipersensibilidad multisistémica poco frecuente inducida por uno o varios medicamentos que puede inducir una reacción adversa cutánea grave, la cual es difícil de diagnosticar y pone en peligro la vida del paciente si no es identificada y no se recibe tratamiento. Frecuentemente, se manifiesta como una erupción cutánea amplia, linfadenopatía, signos de afectación de órganos viscerales y alteraciones hematológicas, como leucocitosis, eosinofilia y, en ocasiones, linfocitosis atípica que se presentan de 2 a 8 semanas posterior a la administración del fármaco responsable. Los medicamentos responsables con mayor número de reportes son la fenitoína, la carbamazepina, el alopurinol y el abacavir. Se han identificado algunos alelos específicos del antígeno leucocitario humano (HLA) que se asocian a la hipersensibilidad de estos fármacos. La fisiopatología del síndrome de DRESS aún no se conoce por completo, generalmente se trata de una respuesta de hipersensibilidad mediada por células T, al interactuar con el receptor del complejo principal de histocompatibilidad en individuos con factores de susceptibilidad genética, como ocurre en otros cuadros de reacciones graves secundarias a la ingesta de fármacos. Los criterios del European Registry of Severe Cutaneous Adverse Reactions to Drugs (RegiSCAR) son los más utilizados para su diagnóstico. El síndrome de hipersensibilidad inducido por fármacos (DiHS), el síndrome de Stevens-Johnson (SSJ), la necrólisis epidérmica tóxica (NET), y la pustulosis exantemática generalizada aguda (PEGA) deben considerarse ante cualquier exantema que aparezca posterior a la administración de cualquier fármaco. La terapia incluye la eliminación del agente causal lo antes posible, así como los corticosteroides sistémicos, los cuales son los pilares del tratamiento.. Los agentes ahorradores de esteroides, como la ciclosporina, las inmunoglobulinas intravenosas (IVIGs) y otros agentes inmunosupresores, se han utilizado con éxito para contribuir al tratamiento.

Abstract DRESS (drug reaction syndrome with eosinophilia and systemic symptoms) is a rare drug-induced multisystemic hypersensitivity response that can induce a severe cutaneous adverse reaction that is difficult to diagnose and treat. It frequently manifests as an extensive skin rash, systemic symptoms, lymphadenopathy, visceral organ involvement, and hematological alterations, mainly leukocytosis, eosinophilia, and sometimes atypical lymphocytosis that manifest 2 to 8 weeks after continuous administration of the responsible drug. The most prevalent drugs related with this syndrome are phenytoin, carbamazepine, allopurinol, and abacavir. Some specific human leukocyte antigen (HLA) alleles have been identified that are associated with hypersensitivity to these drugs. The pathophysiology of DRESS syndrome is not yet fully understood; the main hypothesis is a T-cell mediated hypersensitivity response when interacting with the major histocompatibility complex receptor in individuals with genetic susceptibility factors. The criteria of the European Registry of Severe Cutaneous Adverse Reactions to Drugs (RegiSCAR) are the most commonly used for the diagnosis of DRESS syndrome. Drug-induced hypersensitivity syndrome (DiHS), Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis (AGEP) should be considered for any rash that appears following the administration of any drug. Therapy of DRESS includes the elimination of the causative agent as soon as possible, as well as systemic corticosteroids which are the cornerstones of treatment. Steroid-sparing agents such as cyclosporine, intravenous immunoglobulins (IVIGs), and other immunosuppressive agents have been used successfully to contribute to treatment.

https://doi.org/10.22201/fm.24484865e.2023.66.2.02

Fetal Macrosomia and Postpartum Hemorrhage in Latin American and Caribbean Region: Systematic Review and Meta-analysis Region Metaanalysis Meta analysis
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Quezada-Robles, Araceli

; Quispe-Sarmiento, Fiorella

; Bendezu-Quispe, Guido

; Vargas-Fernández, Rodrigo

Revista Brasileira de Ginecologia e Obstetrícia

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2023, Volume 45 N. 11 Pages 706 - 723

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo Determinar a associação entre macrossomia fetal (FM) e hemorragia pós-parto (HPP) em mulheres da América Latina e Caribe (ALC). Fontes de dados Estudos avaliando a associação entre FM e HPP (≥ 500 ml) e HPP grave (≥ 1.000 ml) até 4 de novembro de 2021, indexados no CINHAL, Scopus, Embase, Biblioteca Cochrane, MEDLINE, LILACS e SciELO. Seleção de estudos Os critérios de inclusão foram estudos de corte e caso-controle que forneceram o número de casos de HPP e FM. Os critérios de exclusão foram estudos sem informação sobre o número de casos, com uma população de mulheres que não eram da ALC; publicado em um idioma diferente do inglês, espanhol ou português e com um design diferente. Coleta de dados A extração de dados foi realizada independentemente por dois autores, as discrepâncias foram resolvidas com um terceiro autor. Os dados relativos aos casos de FM e HPP foram recuperados. Síntese dos dados Dos 1.044 artigos avaliados, foram incluídos 5 estudos, de 6 países diferentes: Argentina e Uruguai (multipaíses), Índias Ocidentais, Antígua e Barbuda, Guiana Francesa e Suriname. O odds ratio agrupado (OR) para FM e HPP na meta-análise (cinco estudos) foi de 2,10 (intervalo de confiança de 95% [IC]: 1,79–2,47; I2: 0%), com estimativas dentro deste IC de 95% no análise sensitiva. O OR combinado para HPP grave (3 estudos) foi de 1,61 (95% CI: 0.40–6.48; I2: 91.89%), mostrando alta heterogeneidade. Conclusão Houve associação positiva entre FM e HPP na ALC, aumentando em 2 vezes o risco da presença desse evento. A alta heterogeneidade dos estudos que mediram a HPP grave não permite tirar conclusões sobre as estimativas obtidas. (FM pósparto pós parto (HPP ALC. ALC . (ALC) ≥ ( 50 ml 1000 1 000 1.00 2021 CINHAL Scopus Embase Cochrane MEDLINE SciELO casocontrole caso controle inglês autores autor recuperados 1044 044 1.04 avaliados diferentes multipaíses, multipaíses , (multipaíses) Ocidentais Barbuda Suriname (OR metaanálise meta cinco 210 10 2,1 intervalo 95 [IC] 1,79–2,47 179247 79 47 I2 I 0%, 0 0% 0%) sensitiva 3 161 61 1,6 (95 CI 0.40–6.48 040648 40 48 91.89%, 9189 91.89% 91 89 91.89%) evento obtidas (ALC 100 00 1.0 202 104 04 (multipaíses 21 2, 9 [IC 1,79–2,4 17924 7 16 1, (9 0.40–6.4 04064 918 91.89 8 1. 20 1,79–2, 1792 0.40–6. 0406 91.8 1,79–2 179 0.40–6 040 91. 1,79– 17 0.40– 1,79 0.40 1,7 0.4 0.

Abstract Objective To determine the association between fetal macrosomia (FM) and postpartum hemorrhage (PPH) in Latin American and Caribbean (LAC) women. Data Sources Studies evaluating the association between FM and PPH (≥ 500 ml) and severe PPH (≥ 1,000 ml) until November 4, 2021, indexed in CINHAL, Scopus, Embase, Cochrane Library, MEDLINE, LILACS, and SciELO. Selection of Studies Inclusion criteria were cohort and case-control studies that provided the number of PPH and FM cases. Exclusion criteria were studies lacking information about the number of cases, with a population of women who were not from LAC; published in a language other than English, Spanish, or Portuguese, and with a different design. Data Collection Data extraction was performed independently by two authors, and discrepancies were resolved with a third author. Data regarding FM and PPH cases were retrieved. Data Synthesis Of the 1,044 articles evaluated, 5 studies were included, from 6 different countries: Argentina and Uruguay (multi-country), West Indies, Antigua and Barbuda, French Guyana, and Suriname. The pooled odds ratio (OR) for FM and PPH in the meta-analysis (five studies) was 2.10 (95% confidence interval [CI]: 1.79–2.47; I2: 0%), with estimates within this 95% CI in the sensitivity analysis. The combined OR for severe PPH (3 studies) was 1.61 (95% CI: 0.40–6.48; I2: 91.89%), showing high heterogeneity. Conclusion There was a positive association between FM and PPH in the LAC, increasing the risk of the presence of this event 2-fold. The high heterogeneity of the studies that measured severe PPH does not allow drawing conclusions about the estimates obtained. (FM (PPH LAC (LAC ≥ ( 50 ml 1000 1 000 1,00 4 2021 CINHAL Scopus Embase Library MEDLINE LILACS SciELO casecontrol case control English Spanish Portuguese design authors author retrieved 1044 044 1,04 evaluated included countries multicountry, multicountry multi country , (multi-country) Indies Barbuda Guyana Suriname (OR metaanalysis meta analysis five 210 2 10 2.1 95 (95 [CI] 1.79–2.47 179247 79 47 I2 I 0%, 0 0% 0%) 3 161 61 1.6 0.40–6.48 040648 40 48 91.89%, 9189 91.89% 91 89 91.89%) 2fold. 2fold fold fold. 2-fold obtained 100 00 1,0 202 104 04 (multi-country 21 2. 9 (9 [CI 1.79–2.4 17924 7 16 1. 0.40–6.4 04064 918 91.89 8 1, 20 1.79–2. 1792 0.40–6. 0406 91.8 1.79–2 179 0.40–6 040 91. 1.79– 17 0.40– 1.79 0.40 1.7 0.4 0.

https://doi.org/10.1055/s-0043-1772597

Association between diabetes and cataracts in the Peruvian population: analysis of a national survey population
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Fernandez-Martinez, Alejandra

; Lobatón-Vicente, Gabriela

; Vargas-Fernández, Rodrigo

; Bendezu-Quispe, Guido

Revista Brasileira de Oftalmologia

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2023, Volume 82 elocation e0002

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Determinar a associação entre o diabetes mellitus tipo 2 e catarata em adultos peruanos com mais de 50 anos de idade. Métodos: Estudo analítico observacional transversal correspondente à análise secundária da base de dados do Encuesta Demográfica y de Salud Familiar de 2019. O diabetes mellitus tipo 2 foi considerado variável independente e a catarata, variável dependente. Foi realizada uma análise descritiva utilizando frequências absolutas e proporções ponderadas, bem como uma análise multivariada, usando modelos lineares generalizados da família Poisson com função de ligação logarítmica para estimar razões de prevalência sobre a associação entre o diabetes e a catarata. Resultados: Foram analisados dados de 8.775 adultos peruanos com mais de 50 anos de idade, dos quais 1.322 autorrelataram diagnóstico de catarata. Do total de inquiridos, 9,2% relataram ter sido diagnosticados com diabetes mellitus e 16,7%, com cataratas. O modelo bruto (p<0,001), o modelo ajustado 1 (p=0,007) e o modelo ajustado 2 (p=0,029) encontraram associação entre ter diabetes mellitus e ter catarata. Conclusão: Dois em cada dez adultos com 50 anos de idade ou mais no Peru tinham catarata. Houve associação entre ter diabetes e a presença de catarata na população peruana. Objetivo 5 Métodos 2019 dependente ponderadas multivariada Resultados 8775 8 775 8.77 1322 322 1.32 inquiridos 92 9 9,2 167 16 7 16,7% cataratas p<0,001, p0001 p p<0,001 , 0 001 (p<0,001) p=0,007 p0007 007 (p=0,007 p=0,029 p0029 029 (p=0,029 Conclusão peruana 201 877 77 8.7 132 32 1.3 9, 16,7 p000 p<0,00 00 (p<0,001 p=0,00 (p=0,00 p=0,02 p002 02 (p=0,02 20 87 8. 13 3 1. 16, p00 p<0,0 (p<0,00 p=0,0 (p=0,0 p0 p<0, (p<0,0 p=0, (p=0, p<0 (p<0, p=0 (p=0 p< (p<0 p= (p= (p< (p

ABSTRACT Objective: To determine the association between type 2 diabetes mellitus and cataracts in Peruvian adults over 50 years of age. Methods: Cross-sectional analytical observational study corresponding to the secondary analysis of the 2019 Encuesta Demográfica y de Salud Familiar database. Type 2 diabetes mellitus was considered an independent variable and cataract as a dependent variable. A descriptive analysis was performed using absolute frequencies and weighted proportions, as well as a multivariate analysis using generalized linear models of the Poisson family with logarithmic link function to estimate prevalence ratios on the association between diabetes and cataracts. Results: Data from a total of 8,775 Peruvian adults over 50 years of age were analyzed, of whom 1,322 self-reported a diagnosis of cataract. Of the total respondents, 9.2% reported having been diagnosed with diabetes mellitus and 16.7% with cataracts. The crude model (p<0.001) and the adjusted models 1 (p=0.007) and 2 (p=0.029) found an association between having diabetes mellitus and having cataracts. Conclusion: Two out of ten adults aged 50 years old and older in Peru had cataracts. There was an association between having diabetes and the presence of cataracts in the Peruvian population. Objective 5 Methods Crosssectional Cross sectional 201 database proportions Results 8775 8 775 8,77 analyzed 1322 322 1,32 selfreported self respondents 92 9 9.2 167 16 7 16.7 p<0.001 p0001 p 0 001 (p<0.001 p=0.007 p0007 007 (p=0.007 p=0.029 p0029 029 (p=0.029 Conclusion population 20 877 77 8,7 132 32 1,3 9. 16. p<0.00 p000 00 (p<0.00 p=0.00 (p=0.00 p=0.02 p002 02 (p=0.02 87 8, 13 3 1, p<0.0 p00 (p<0.0 p=0.0 (p=0.0 p<0. p0 (p<0. p=0. (p=0. p<0 (p<0 p=0 (p=0 p< (p< p= (p= (p

https://doi.org/10.37039/1982.8551.20230002

Consenso chileno de diagnóstico y manejo de neoplasias quísticas pancreáticas. Club de páncreas Chile-SCHGE
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Espino, Alberto

; Vargas, José Ignacio

; Mancilla, Carla

; Muñoz, Pablo

; Martínez, Waldo

; Menéndez, Alejandra

; Jara, Daniela

; Mansilla, Rodrigo

; Schiappacasse, Giancarlo

; Santamarina, Mario

; Huete, Álvaro

; Candia, Roberto

; Silva, Felipe

; Castillo, Cecilia

; Richter, Hugo

; Mejía, Ricardo

; Vial, Paula

; Robles, Ignacio

; Martínez, Jorge

; Jarufe, Nicolás

; Briceño, Eduardo

; Lembach, Hanns

; Zoroquiain, Pablo

; Roa, Juan Carlos

; Walker, Kenneth

; Torres, Javiera

; Carreño, Laura

; Castiblanco, Adriana

; Fernández, Wanda

; Ríos, Álvaro

; Chandia, Javiera

; Ayala, María José

; Rojas, Tamara

; Verdugo, Jorge

; Berger, Zoltán

Revista médica de Chile

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dec 2021, Volume 149 N. 12 Pages 1773 - 1786

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Pancreatic cystic neoplasms (PCN) are frequently detected on abdominal images performed for non-pancreatic indications. Their prevalence in asymptomatic population ranges from 2.7 to 24.8%, and increases with age. There are several types of pancreatic cysts. Some may contain cancer or have malignant potential, such as mucinous cystic neoplasms, including mucinous cystadenoma (MCN) and intraductal papillary mucinous neoplasms (IPMN). In contrast, others are benign, such as serous cystadenoma (SCA). However, even those cysts with malignant potential rarely progress to cancer. Currently, the only treatment for pancreatic cysts is surgery, which is associated with high morbidity and occasional mortality. The Board of the Chilean Pancreas Club of the Chilean Gastroenterology Society developed the first Chilean multidisciplinary consensus for diagnosis, management, and surveillance of PCN. Thirty experts were invited and answered 21 statements with five possible alternatives: 1) fully agree; 2) partially agree; 3) undecided; 4) disagree and 5) strongly disagree. A consensus was adopted when at least 80% of the sum of the answers “fully agree” and “partially agree” was reached. The consensus was approved by the Board of Directors of the Chilean Pancreas Club for publication.

https://doi.org/10.4067/s0034-98872021001201773 73 downloads

Derivados de hipromelosa para prevenir la infección por el SARS-CoV-2: una revisión sistemática
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Hernández-Vásquez, Akram

; Azañedo, Diego

; Vargas-Fernández, Rodrigo

; Comandé, Daniel

Revista Peruana de Medicina Experimental y Salud Pública

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sep 2021, Volume 38 N. 3 Pages 469 - 471

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.17843/rpmesp.2021.383.9116

10.

Posible caso de publicación duplicada
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Pisfil-Benites, Nilthon

; Vargas-Fernández, Rodrigo

Revista Medica Herediana

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jul 2021, Volume 32 N. 3 Pages 194 - 196

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.20453/rmh.v32i3.4067

11.

Derivados de hipromelosa para prevenir la infección por el SARS-CoV-2: una revisión sistemática
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Hernández-Vásquez, Akram

; Azañedo, Diego

; Vargas-Fernández, Rodrigo

; Comandé, Daniel

Revista Peruana de Medicina Experimental y Salud Publica

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jul 2021, Volume 38 N. 3 Pages 469 - 471

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.17843/rpmesp.2021.383.9116

12.

Prevalence and Determinants of Adequate Compliance with Antenatal Care in Peru
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Tello-Torres, Cesar

; Hernández-Vásquez, Akram

; Dongo, Karla F.

; Vargas-Fernández, Rodrigo

; Bendezu-Quispe, Guido

Revista Brasileira de Ginecologia e Obstetrícia

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jun 2021, Volume 43 N. 6 Pages 442 - 451

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo Determinar a adequação do cumprimento dos cuidados pré-natais (CPN) por mulheres grávidas no Peru e identificar os fatores associados. Métodos Foi realizado um estudo analítico transversal dos dados da Pesquisa Demográfica e de Saúde da Família Peruana de 2019 (Encuesta Demográfica y de Salud Familiar, ENDES, em espanhol). A variável dependente foi conformidade adequada coma CPN (fornecida por profissionais de saúde qualificados; primeira visita CPN durante o primeiro trimestre de gravidez; seis ou mais visitas CPN durante a gravidez; visitas CPN com conteúdo apropriado) por mulheres de 15 a 49 anos em seu último parto nos cinco anos anteriores à pesquisa. Os índices de prevalência bruta e ajustada e seus intervalos de confiança de 95% foram calculados usando um modelo de regressão log-binomial. Resultados Foi analisado um total de 18.386 mulheres, das quais 35,0% cumpriram adequadamente o CPN. A menor proporção de conformidade foi encontrada com o conteúdo de ANC (42,6%). Fatores sociodemográficos e aqueles relacionados à gravidez, como estar na faixa etária de 20 a 34 anos e 35 a 49 anos, ter educação secundária ou superior, pertencer a um quintil de riqueza da população que não a mais pobre, ser da região da selva, não ser de etnia nativa, ter um segundo ou terceiro gravidez, e tendo uma gravidez desejada, aumentou a probabilidade de apresentar conformidade adequada com CPN. Conclusão Apenas 3 em cada 10 mulheres no Peru mostraram conformidade adequada com o CPN. O cumprimento do conteúdo do CPN deve ser melhorado, e estratégias devem ser desenvolvidas para aumentar a proporção de cumprimento adequado com o CPN.

Abstract Objective To determine the adequacy of compliance with antenatal care (ANC) by pregnant women in Peru and to identify the associated factors. Methods An analytical cross-sectional study of data from the 2019 Peruvian Demographic and Family Health Survey (Encuesta Demográfica y de Salud Familiar, ENDES, in Spanish) was conducted. The dependent variable was adequate compliance with ANC (provided by skilled health care professionals; first ANC visit during the first trimester of pregnancy; six or more ANC visits during pregnancy; ANC visits with appropriate content) by women aged 15 to 49 years in their last delivery within the five years prior to the survey. Crude and adjusted prevalence ratios and their 95% confidence intervals were calculated using a log-binomial regression model. Results A total of 18,386 women were analyzed, 35.0% of whom adequately complied with ANC. The lowest proportion of compliance was found with the content of ANC (42.6%). Sociodemographic factors and those related to pregnancy, such as being in the age groups of 20 to 34 years and 35 to 49 years, havingsecondaryor higher education, belonging to a wealth quintile of the population other than the poorest, being from the Amazon region, not being of native ethnicity, having a second or third pregnancy, and having a desired pregnancy, increased the probability of presenting adequate compliance with ANC. Conclusion Only 3 out of 10women in Peru showed adequate compliancewith ANC. Compliance with the content of ANC must be improved, and strategies must be developed to increase the proportion of adequate compliance with ANC.

https://doi.org/10.1055/s-0041-1732463 64 downloads

13.

Consideraciones metodológicas sobre el artículo «Uso de terapias de medicina alternativa y complementaria en la provincia de Coronel Portillo, Ucayali, Perú»
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Vargas-Fernández, Rodrigo

Revista Peruana de Medicina Experimental y Salud Pública

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mar 2021, Volume 38 N. 1 Pages 188 - 189

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.17843/rpmesp.2021.381.6587

14.

Consideraciones metodológicas sobre el artículo «Uso de terapias de medicina alternativa y complementaria en la provincia de Coronel Portillo, Ucayali, Perú»
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Vargas-Fernández, Rodrigo

Revista Peruana de Medicina Experimental y Salud Publica

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jan 2021, Volume 38 N. 1 Pages 188 - 189

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.17843/rpmesp.2021.381.6587

15.

MATERNIDAD ADOLESCENTE EN DISTRITOS PERUANOS: UN ANÁLISIS ESPACIAL DE DATOS CENSALES
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Hernández-Vásquez, Akaram

; Bohorquez-Cobos, Andrea

; Ynocente-Canchari, Leslie

; Vargas-Fernández, Rodrigo

; Bendezú-Quispe, Guido

Ciencia y enfermería

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2021, Volume 27 elocation 31

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective: The aim of this study was to perform a spatial analysis of the prevalence of adolescent maternity in different districts of Peru and determine the spatial correlation with socioeconomic and sociodemographic characteristics. Material and Method: An ecological study was carried out through a spatial analysis based on the prevalence of adolescent maternity, registered in the 2017 National Census, of different districts of Peru. The global and local Moran's Indexes were used to establish clustering patterns. A spatial lag model was performed to correlate district sociodemographic and socioeconomic characteristics with adolescent maternity. Results: Data from 1874 districts were analyzed. Of all the adolescents, 122.144 (10.1%) had been mothers. Some districts showed a prevalence of adolescent maternity above 40%. Ucayali, Loreto, and San Martin were the administrative regions with the highest proportion of districts with adolescent pregnancies, surrounded by districts with also a high prevalence of adolescent pregnancies. The spatial lag model analysis showed a significant and positive association for illiteracy, single marital status, rurality, and location in the Jungle natural region of the district with adolescent maternity; access to drinking water showed a negative association. Conclusion: One in ten adolescents between 15 and 19 in Peru has been a mother. The districts with the highest prevalence of adolescent maternity are located in the Peruvian jungle region. Sociodemographic and socioeconomic factors at the district level such as illiteracy, rurality, single marital status, and location in the Jungle natural region were positively associated with adolescent maternity. A higher prevalence of access to drinking water at the district level is associated with a lower prevalence of adolescent maternity at the district level.

RESUMEN Objetivo: Realizar un análisis espacial de la prevalencia de maternidad adolescente en diferentes distritos del Perú y determinar la correlación espacial con características socioeconómicas y sociodemográficas. Material y Método: Estudio ecológico mediante un análisis espacial con base en la prevalencia de maternidad adolescente registrada en el Censo Nacional del 2017 de diferentes distritos de la población peruana. El índice local y global de Moran se utilizó para establecer patrones de agrupamiento. Se realizó un modelo de rezago espacial para correlacionar las características sociodemográficas y socioeconómicas del distrito con la maternidad adolescente. Resultados: Se analizaron datos de 1.874 distritos. Del total de adolescentes, 122.144 (10,1%) habían sido madres. Algunos distritos mostraron una prevalencia de maternidad adolescente superior al 40%. Ucayali, Loreto y San Martín fueron las regiones administrativas con la mayor proporción de distritos con embarazos adolescentes rodeados de distritos también con alta prevalencia de embarazos adolescentes. El modelo de rezago espacial mostró una asociación significativa y positiva para el analfabetismo, el estado civil soltero, la ruralidad y la ubicación en región natural Selva del distrito con la maternidad adolescente; el acceso al agua potable mostró una asociación negativa. Conclusión: Una de cada diez adolescentes de 15 a 19 años en Perú ha sido madre. Los distritos con mayor prevalencia de maternidad adolescente pertenecen a la región selva peruana. Los factores sociodemográficos y socioeconómicos a nivel distrital como el analfabetismo, la ruralidad, el estado civil soltero y la ubicación del distrito en la región natural Selva se asociaron positivamente con la maternidad adolescente. Una mayor prevalencia de acceso a agua potable a nivel distrital se asocia a una menor prevalencia de maternidad adolescente a nivel distrital.

RESUMO Objetivo: O objetivo deste estudo foi realizar uma análise espacial da prevalência da maternidade adolescente em diferentes distritos do Peru e determinar a correlação espacial com as características socioeconómicas e sociodemográficas. Material e Método: Um estudo ecológico foi realizado através de uma análise espacial com base na prevalência da maternidade adolescente, registrada no censo nacional de 2017, de diferentes distritos do Peru. Os índices de Moran globais e locais foram usados para estabelecer padrões de agrupamento. Um modelo espacial lag foi realizado para correlacionar as características sociodemográficas e socioeconómicas do distrito com a maternidade na adolescência. Resultados: Foram analisados os dados de 1874 distritos. Do total de adolescentes, 122.144 (10,1%) foram mães. Alguns distritos apresentaram prevalência de maternidade na adolescência acima de 40%. Ucayali, Loreto e San Martin foram as regiões administrativas com a maior proporção de distritos com gravidez na adolescência, rodeados por distritos com também alta prevalência de gravidez na adolescência. A análise de modelo espacial lag mostrou uma associação significativa e positiva para analfabetismo, estado civil solteiro, ruralidade e localização na região natural Selva do distrito com maternidade na adolescencia; acesso à água potável mostrou associação negativa. Conclusão: Um em cada dez adolescentes de 15 a 19 anos no Peru já foi mãe. Os distritos com maior prevalência de maternidade adolescente estão localizados na região natural Selva. Fatores sociodemográficos e socioeconómicos em nível distrital, como analfabetismo, ruralidade, estado civil solteiro e localização na região natural Selva, foram associados positivamente com a maternidade na adolescência. Uma prevalência mais alta de acesso a água potável no nível distrital está associada a uma prevalência mais baixa de maternidade adolescente no nível distrital.

https://doi.org/10.29393/ce27-31maag50031 301 downloads

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