Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
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    - HEALTH AND SAFETY (686 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (686 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted by number of followers
American Journal of Public Health     Full-text available via subscription   (Followers: 220)
Journal of Public Health     Hybrid Journal   (Followers: 153)
Journal of Epidemiology & Community Health     Hybrid Journal   (Followers: 64)
Health and Social Work     Hybrid Journal   (Followers: 64)
Health Psychology     Full-text available via subscription   (Followers: 63)
Journal of Health Psychology     Hybrid Journal   (Followers: 59)
British Journal of Health Psychology     Hybrid Journal   (Followers: 55)
Journal of Child Sexual Abuse     Hybrid Journal   (Followers: 54)
Health Policy     Hybrid Journal   (Followers: 52)
Safer Communities     Hybrid Journal   (Followers: 50)
Health Psychology Review     Hybrid Journal   (Followers: 47)
Ageing & Society     Hybrid Journal   (Followers: 40)
Journal of Occupational Health Psychology     Full-text available via subscription   (Followers: 40)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 39)
American Journal of Health Education     Hybrid Journal   (Followers: 36)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 34)
Qualitative Health Research     Hybrid Journal   (Followers: 33)
Psychology & Health     Hybrid Journal   (Followers: 33)
Journal of Traumatic Stress     Hybrid Journal   (Followers: 29)
Journal of Health and Social Behavior     Hybrid Journal   (Followers: 27)
Social Work in Health Care     Hybrid Journal   (Followers: 27)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 27)
Journal of Occupational Science     Hybrid Journal   (Followers: 27)
Health Promotion International     Hybrid Journal   (Followers: 26)
Journal of Public Health     Hybrid Journal   (Followers: 26)
Journal of Exercise Science & Fitness     Open Access   (Followers: 26)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 25)
Implementation Science     Open Access   (Followers: 25)
International Journal of Mental Health     Full-text available via subscription   (Followers: 25)
Health & Place     Hybrid Journal   (Followers: 23)
Quality in Primary Care     Open Access   (Followers: 23)
Journal of Public Health Policy     Partially Free   (Followers: 23)
BMC Pregnancy and Childbirth     Open Access   (Followers: 20)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 20)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 19)
Applied Ergonomics     Hybrid Journal   (Followers: 18)
International Journal of Social Welfare     Hybrid Journal   (Followers: 18)
Journal of Integrated Care     Hybrid Journal   (Followers: 18)
Mental Health Review Journal     Hybrid Journal   (Followers: 18)
Psychology, Health & Medicine     Hybrid Journal   (Followers: 17)
Ethnicity & Health     Hybrid Journal   (Followers: 16)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Social Work in Mental Health     Hybrid Journal   (Followers: 16)
Tobacco Control     Hybrid Journal   (Followers: 16)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 16)
Global Health Promotion     Hybrid Journal   (Followers: 16)
Open Journal of Safety Science and Technology     Open Access   (Followers: 16)
Health Research Policy and Systems     Open Access   (Followers: 15)
Journal of Family Social Work     Hybrid Journal   (Followers: 15)
Journal of Behavioral Health Services & Research     Hybrid Journal   (Followers: 15)
Journal of Religion and Health     Hybrid Journal   (Followers: 14)
Policy and Practice in Health and Safety     Hybrid Journal   (Followers: 14)
International Journal of Healthcare Management     Hybrid Journal   (Followers: 14)
Canadian Family Physician     Partially Free   (Followers: 14)
Systematic Reviews     Open Access   (Followers: 14)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 13)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 13)
Journal of Creativity in Mental Health     Hybrid Journal   (Followers: 13)
Perspectives in Public Health     Hybrid Journal   (Followers: 13)
Archives of Suicide Research     Hybrid Journal   (Followers: 13)
Social Work in Public Health     Hybrid Journal   (Followers: 13)
Family & Community Health     Hybrid Journal   (Followers: 13)
Scandinavian Journal of Work, Environment & Health     Partially Free   (Followers: 13)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 13)
Health Care Analysis     Hybrid Journal   (Followers: 12)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 12)
Public Health Ethics     Hybrid Journal   (Followers: 12)
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 12)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Family Relations     Partially Free   (Followers: 11)
International Journal for Equity in Health     Open Access   (Followers: 11)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 11)
International Journal of Health Economics and Management     Hybrid Journal   (Followers: 10)
Journal of Spirituality in Mental Health     Hybrid Journal   (Followers: 10)
Women & Health     Hybrid Journal   (Followers: 10)
Diversity and Equality in Health and Care     Open Access   (Followers: 10)
School Mental Health     Hybrid Journal   (Followers: 10)
Journal of Healthcare Risk Management     Hybrid Journal   (Followers: 10)
Journal of Family Medicine and Primary Care     Open Access   (Followers: 10)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 9)
Journal of Community Health     Hybrid Journal   (Followers: 9)
Journal of Mental Health Counseling     Full-text available via subscription   (Followers: 9)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Journal of Public Health Research     Open Access   (Followers: 9)
Conflict and Health     Open Access   (Followers: 8)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
International Journal of Health Geographics     Open Access   (Followers: 8)
Journal of Immigrant and Minority Health     Hybrid Journal   (Followers: 8)
Journal of Public Child Welfare     Hybrid Journal   (Followers: 8)
Theoretical Issues in Ergonomics Science     Hybrid Journal   (Followers: 8)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
Revista Brasileira de Medicina de Família e Comunidade     Open Access   (Followers: 8)
Globalization and Health     Open Access   (Followers: 7)
International Journal of Health Services     Full-text available via subscription   (Followers: 7)
International Journal of Hygiene and Environmental Health     Hybrid Journal   (Followers: 7)
Journal of Workplace Behavioral Health     Hybrid Journal   (Followers: 7)
Medicine, Health Care and Philosophy     Hybrid Journal   (Followers: 7)
Hastings Center Report     Hybrid Journal   (Followers: 7)
The Journal of Rural Health     Hybrid Journal   (Followers: 7)
American Journal of Family Therapy     Hybrid Journal   (Followers: 7)
Journal Of Allied Health     Full-text available via subscription   (Followers: 7)
Revue d'Épidémiologie et de Santé Publique     Full-text available via subscription   (Followers: 7)
Journal of Multidisciplinary Healthcare     Open Access   (Followers: 7)
Epidemics     Open Access   (Followers: 7)
Rehabilitation Process and Outcome     Open Access   (Followers: 7)
Journal of School Nursing     Hybrid Journal   (Followers: 7)
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 7)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 7)
EcoHealth     Hybrid Journal   (Followers: 6)
International Journal of Sexual Health     Hybrid Journal   (Followers: 6)
Journal of Muslim Mental Health     Open Access   (Followers: 6)
Risk Management and Healthcare Policy     Open Access   (Followers: 6)
Journal of Developing Areas     Full-text available via subscription   (Followers: 6)
International Journal of Healthcare Information Systems and Informatics     Hybrid Journal   (Followers: 6)
BMC Oral Health     Open Access   (Followers: 5)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Population Health Metrics     Open Access   (Followers: 5)
Journal of Infection and Public Health     Open Access   (Followers: 5)
Journal of Development Effectiveness     Hybrid Journal   (Followers: 5)
International Health     Hybrid Journal   (Followers: 5)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 5)
Journal of Public Health Management and Practice     Hybrid Journal   (Followers: 5)
Journal of Consumer Health on the Internet     Hybrid Journal   (Followers: 4)
Sexual Health     Hybrid Journal   (Followers: 4)
Southern African Journal of Critical Care     Open Access   (Followers: 4)
Journal of Communication in Healthcare     Hybrid Journal   (Followers: 4)
International Research in Children's Literature     Hybrid Journal   (Followers: 4)
Progress in Community Health Partnerships: Research, Education, and Action     Full-text available via subscription   (Followers: 4)
Health Promotion & Physical Activity     Open Access   (Followers: 4)
Journal of Health Care Chaplaincy     Hybrid Journal   (Followers: 3)
Reproductive Health     Open Access   (Followers: 3)
South African Family Practice     Open Access   (Followers: 3)
Social Theory & Health     Hybrid Journal   (Followers: 3)
World Health & Population     Full-text available via subscription   (Followers: 3)
Journal of Public Health in Africa     Open Access   (Followers: 3)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 3)
Public Health Genomics     Full-text available via subscription   (Followers: 3)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy     Full-text available via subscription   (Followers: 2)
Vascular Health and Risk Management     Open Access   (Followers: 2)
Health SA Gesondheid     Open Access   (Followers: 2)
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 2)
Noise and Health     Open Access   (Followers: 2)
ElectronicHealthcare     Full-text available via subscription   (Followers: 2)
Atención Primaria     Open Access   (Followers: 2)
Gaceta Sanitaria     Open Access   (Followers: 2)
Water Quality, Exposure and Health     Hybrid Journal   (Followers: 2)
World Medical & Health Policy     Hybrid Journal   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 2)
Journal of Biology, Agriculture and Healthcare     Open Access   (Followers: 2)
SMAD, Revista Electronica en Salud Mental, Alcohol y Drogas     Open Access   (Followers: 2)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
Dramatherapy     Hybrid Journal   (Followers: 2)
FASEB BioAdvances     Open Access   (Followers: 1)
South African Journal of Child Health     Open Access   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Internationale Revue Fur Soziale Sicherheit     Hybrid Journal   (Followers: 1)
Research Methods in Medicine & Health Sciences     Open Access   (Followers: 1)
médecine/sciences     Hybrid Journal   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 1)
Journal of The Egyptian Public Health Association     Open Access   (Followers: 1)
Revista Facultad Nacional de Salud Pública     Open Access   (Followers: 1)
Poblacion y Salud en Mesoamerica     Open Access   (Followers: 1)
International Journal of Healthcare Delivery Reform Initiatives     Full-text available via subscription   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Tidsskrift for Forskning i Sygdom og Samfund     Open Access  
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Journal of Dr. NTR University of Health Sciences     Open Access  
Israel Journal of Health Policy Research     Open Access  
Revista de Ciencias Médicas de Pinar del Río     Open Access  
Revista Médica Electrónica     Open Access  
Saúde Coletiva     Open Access  
Revista Ciencias de la Salud     Open Access  
Psicologia, Saúde e Doenças     Open Access  
Portularia     Open Access  
Motricidade     Open Access  
Investigaciones Andina     Open Access  
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Salud Colectiva     Open Access  
Revista de la Universidad Industrial de Santander. Salud     Open Access  
Revista U.D.C.A Actualidad & Divulgación Científica     Open Access  
Revista Peruana de Medicina Experimental y Salud Pública     Open Access  
Revista Gerencia y Políticas de Salud     Open Access  
Hacia la Promoción de la Salud     Open Access  
CES Medicina     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Face à face     Open Access  
Iranian Journal of Health and Environment     Open Access  
Iranian Journal of Public Health     Open Access  
Revista Chilena de Terapia Ocupacional     Open Access  
Revista Chilena de Salud Pública     Open Access  
Revista de Comunicación y Salud     Open Access  
Prävention und Gesundheitsförderung     Hybrid Journal  
Child's Nervous System     Hybrid Journal  

        1 2 3 4 | Last

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Revista Peruana de Medicina Experimental y Salud Pública
Journal Prestige (SJR): 0.226
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1726-4642 - ISSN (Online) 1726-4634
Published by Instituto Nacional de Salud Homepage  [1 journal]
  • Climate change and health: atipasunchu allín kausayta' can we have health
           and well-being'

    • Authors: César Cabezas
      First page: 4
      PubDate: 2023-03-31
      DOI: 10.17843/rpmesp.2023.401.12333
  • Social context and moderate-severe food and nutritional insecurity and in
           families with children 0 to 59 months, Paraíba, Brazil, 2017-2018

    • Authors: Dixis Figueroa-Pedraza
      First page: 7
      Abstract: Objective. To analyze the association between the social context (demographic, socioeconomic and social support factors) and moderate-severe food and nutritional insecurity in families with children aged 0-59 months enrolled in municipal kindergartens in the state of Paraíba, Brazil. Materials and methods. We conducted a cross-sectional study in Brazilian municipalities prioritized for the prevention of childhood obesity. A questionnaire was used to collect information on the social context of the family (demographic profile of the child, socioeconomic situation and social support) as well as the Brazilian food insecurity scale. The association between the independent variables and moderate-severe food and nutrition insecurity was determined by applying Poisson regression to estimate crude and adjusted prevalence ratios and their respective 95% confidence intervals. Results. We included 382 families; 27.2% had moderate-severe food and nutrition insecurity. In addition, dysfunctional families with children under 24 months, from less affluent classes, beneficiaries of the Bolsa Família Program and without social support (material, emotional/informational and interaction) were more likely to present the outcome. Conclusions. Our results show that 27.2% of the families had moderate-severe food and nutritional insecurity, were beneficiaries of the Bolsa Família Program, dysfunctional and did not have social support. Therefore, the identification of these factors would be useful to improve family food and nutritional security.
      PubDate: 2023-03-30
      DOI: 10.17843/rpmesp.2023.401.12328
  • Characterization of adverse events to hydroxychloroquine, ivermectin,
           azithromycin and tocilizumab in patients hospitalized due to COVID-19 in a
           Peruvian Social Health Insurance hospital

    • Authors: L. Yesenia Rodríguez-Tanta, Enrique Cachay Rojas, Fabián Fiestas Saldarriaga, Guisela Alva Lozada, Paola Fernández-Rojas, Raquel Delgado-Escalante
      First page: 16
      Abstract: Objective. To characterize the adverse events (AEs) related to the off-label use of hydroxychloroquine (HQ), azithromycin (AZI), tocilizumab (TOB) and ivermectin (IVM) for the treatment of COVID-19 in hospitalized patients. Materials and Methods. We conducted a secondary cross-sectional analysis of the Peruvian Social Health Insurance (EsSalud) pharmacovigilance system database of AE notifications to HQ, AZI, TOB and IVM in the Edgardo Rebagliati Martins National Hospital from April to October 2020. Information was collected from digital medical records. We estimated AE reporting rates and evaluated their characteristics by drug type, time of occurrence, type by the affected organ-system, severity and causality. Results. We identified 154 notifications describing a total of 183 AE possibly related to HQ, AZI, TOB and IVM; the reporting rate was 8%. The median time of AE occurrence was 3 days (IQR: 2-5). Most were cardiovascular events; prolongation of the QT interval was the most frequent. Hepatobiliary AEs were mainly associated with TOB. Most cases were moderate, however, 10.4% were severe. Conclusions. We found AEs potentially associated with
      the use of HQ, AZI, TOB and IVM against COVID-19; cardiovascular events were the most frequent. Although AZI, HQ and IVM have known safety profiles, their use against COVID-19 could increase the occurrence of AE due to the risk factors inherent to this infection. Surveillance systems must be improved, especially those for TOB.
      PubDate: 2023-03-28
      DOI: 10.17843/rpmesp.2023.401.11563
  • Factors associated with microbiological contamination of chicken meat
           marketed in El Salvador

    • Authors: Alejandro López, Tatiana Burgos, Marcela Vanegas, Zaida Álvarez, Yudy Mendez, Edgar Quinteros
      First page: 25
      Abstract: Objective. To determine the hygienic-sanitary factors associated with the microbiological contamination of chicken meat sold at the municipal markets of El Salvador. Materials and methods. An analytical cross-sectional study was conducted in 33 municipal markets of the 14 departmental capitals of El Salvador. The sample consisted of 256 out of 456 possible market stalls. A sample of chicken meat was obtained from each market stall. The microbiological analysis was conducted at the National Public Health Laboratory. Frequencies, percentages, measures of central tendency and association were calculated with SPSS version 21. Results. Escherichia coli was found in 74% of the samples, Staphylococcus aureus in 24% and Salmonella spp. in 1%. The presence of Salmonella spp. was associated with not using hand sanitizer and not using towels for drying hands. S. aureus was associated with the use of personal accessories and improper storage.
      The presence of S. aureus was associated with the lack of hand washing, not using a towel to dry hands and not wearing an apron. Conclusion. The hygienic-sanitary conditions of the handlers and the market stalls were associated with microbiological contamination of chicken meat marketed in El Salvador.
      PubDate: 2023-03-27
      DOI: 10.17843/rpmesp.2023.401.12100
  • Association between symptoms of COVID-19 infection and adverse
           maternal-perinatal outcomes in pregnant women at a referral hospital

    • Authors: Kevyn Angulo-Fernandez, Adrian Olivera-Rojas, Benoit Mougenot, Percy Herrera Añazco
      First page: 34
      Abstract: Objectives. To determine the association between symptoms of COVID-19 infection and adverse maternal-
      perinatal outcomes in pregnant women from a referral hospital. Materials and methods. Analytical cross-sectional study of women in the third trimester of pregnancy hospitalized due to COVID-19 in the gynecology and obstetrics area of a general hospital in Lima during 2020. Clinical and obstetric variables were collected. Fisher’s exact test and Chi-square test were used during the descriptive analysis. Poisson regression was used to find the association between the variables of interest, with a 95% confidence interval (95%CI). Results. A total of 272 pregnant women were included, 50.3% of whom had symptoms of infection. Of these, 35.7% of the pregnant women and 16.5% of the newborns had an adverse outcome. Having symptoms of COVID-19 infection increased the risk of maternal complications as a whole (PR= 2.32 95%CI: 1.61-3.34), premature rupture of membranes (PR= 2.73 95%CI: 1.51-4.94) and preeclampsia (PR= 2.73 95%CI: 1.51-4.94). Similarly, symptoms of COVID-19 infection increased the risk of perinatal complications as a whole (PR= 2.51 95%CI:
      1.34-4.68) and acute fetal distress (PR= 2.99 95%CI: 1.07-8.38)]. Conclusions. The presence of symptoms of
      COVID-19 infection increase the risk of adverse maternal-perinatal outcomes.
      PubDate: 2023-03-28
      DOI: 10.17843/rpmesp.2023.401.11205
  • Myths and beliefs about insulin therapy in patients with diabetes mellitus
           and their family caregivers from a hospital in northern Peru, 2020

    • Authors: Jhoana Lorena Vera Ubillús, Blanca Katiuska Loayza Enríquez, Rosa Elizabeth Guarníz Lozano, Franco Ernesto León Jiménez
      First page: 42
      Abstract: Objective. To analyze and explore the myths and beliefs about insulin therapy in patients with diabetes mellitus and their family caregivers from a general hospital in northern Peru in 2020. Materials and methods. This qualitative study used a thematic analysis model, following the interpretative paradigm. Sociodemographic and clinical data were obtained from medical records. Patients with diabetes that used some type of insulin for at least three months prior to the study were interviewed, as well as their family caregivers. Patients participated in a focus group
      and in-depth interviews; family caregivers participated only in in-depth interviews. Results. Twelve patients with diabetes (11 with type 2 diabetes mellitus) were included; six in the focus group and six in the in-depth interviews. Seven family caregivers were included. After analysis, we obtained four categories: 1) beliefs related to starting insulin treatment: treatment of choice after failure of other drugs, cures diabetes, regulates sugar, fear of injectables; 2) beliefs related to maintaining treatment: decompensation for not using insulin, insulin is necessary to live; 3) beliefs related to alternative therapies and cost: use of alternative therapies, high cost of insulin; and 4) myths related to the
      use of insulin: generates dependence, dependence for insulin administration, negative effects of insulin. Conclusions. The beliefs and myths of patients treated with insulin arise from the beginning of treatment, are maintained
      throughout the course of treatment, and are often reinforced by the worldview of family members.
      PubDate: 2023-03-30
      DOI: 10.17843/rpmesp.2023.401.12210
  • Allergic rhinitis associated with the degree of pulmonary involvement due
           to COVID-19 in patients from a peruvian general hospital

    • Authors: Bianca García-Gallo, Giancarlo Gonzales-Caldas , Diego Urrunaga-Pastor, Percy Herrera-Añazco
      First page: 51
      Abstract: Objectives. To evaluate the association between allergic rhinitis and the degree of pulmonary involvement in patients with COVID-19 and to determine the frequencies of the main variables. Materials and methods. An observational, cross-sectional and analytical study was carried out by reviewing the medical records of patients diagnosed with COVID-19 from the Cayetano Heredia National Hospital between 2020 and 2021. We obtained information regarding the history of allergic rhinitis; pulmonary involvement was assessed by non-contrast tomography results using the chest computed tomography
      (CT) score. Data regarding sociodemographic and clinical variables was also obtained. Both crude (PR) and adjusted (aPR) prevalence ratios with their respective 95% confidence intervals (CI) were estimated. We also used a generalized linear Poisson family model with log link function and robust variances. Results. We evaluated 434 patients, who were mostly male, older than 60 years and had no relevant
      medical history. Of these, 56.2% had a history of allergic rhinitis and 43.1% had moderate to severe pulmonary
      involvement. The adjusted regression model showed that the history of allergic rhinitis reduced the severity of COVID-19 according to the pulmonary involvement assessed by the CT score (aPR: 0.70; 95%CI: 0.56-0.88; p=0.002). Conclusions. The history of allergic rhinitis resulted in a 30.0% decrease in
      COVID-19 severity according to the CT score in hospitalized patients.
      PubDate: 2023-03-30
      DOI: 10.17843/rpmesp.2023.401.12491
  • Association between overweight/obesity and multidrug-resistant

    • Authors: Jesus Peinado, Leonid Lecca, Judith Jiménez, Roger Calderón, Rosa Yataco, Mercedes Becerrra, Megan Murray
      First page: 59
      Abstract: Objective. To evaluate the association between overweight/obesity and multidrug resistance in patients
      with and without a history of tuberculosis treatment. Materials and methods. Cross-sectional study of secondary data from a tuberculosis cohort, which included anthropometric and drug-sensitivity testing data at the baseline visit of patients with and without previous tuberculosis treatment. Results. We evaluated 3,734 new cases and 766 with a history of having received treatment for tuberculosis. Overweight/obesity was not associated with multidrug resistance in patients with a history of tuberculosis treatment, with a prevalence ratio of 0.97 and a 95% confidence interval of 0.68-1.38. Conclusions. Overweight/obesity is not associated with multidrug resistance in tuberculosis. Overweight/obesity is a dynamic process that may influence the relationship between the immune system and the metabolic system.
      PubDate: 2023-03-30
      DOI: 10.17843/rpmesp.2023.401.12138
  • Clinical-epidemiological characteristics of dengue deaths during an
           outbreak in northern Peru

    • Authors: Néstor Luque, Catia Cilloniz, María J. Pons, Fernando Donaires, Roger Albornoz, Moisés Mendocilla-Risco, Manuel Espinoza
      First page: 67
      Abstract: Objective: To describe the clinical-epidemiological characteristics of patients who died from dengue during 2017. Methods: We conducted a retrospective study of the information related to cases of dengue deaths in the department of Piura. Results: We reviewed 24 medical records. Sixty-seven percent were women and 3 (12.5%) were pregnant. Diabetes (12.5%) and hypertension (16.7%) were the most frequent comorbidities. Previous dengue fever was reported in only 12.5%. The time from health care and death was 4.10 ± 5.34 days. Red blood cell transfusions were performed in 45.8%, plasma in 25%, platelets in 16.8% and cryoprecipitate in 16.8% of cases. Crystalloid therapy (91.7%) and treatment with vasoactive drugs (70.8%) were also frequent. In conclusion, mortality from severe dengue fever was predominantly in adult women, and the time of care from the first health facility to a specialized unit was prolonged.
      PubDate: 2023-03-31
      DOI: 10.17843/rpmesp.2023.401.12148
  • Medication use in pediatric patients with COVID-19 hospitalized in a
           referral hospital in Lima, Peru, 2020 - 2022

    • Authors: Medalit Luna-Vilchez, Jhonatan R. Mejia , Zhamanda N. Ortiz-Benique , Mitsi Santiago-Abal, Alvaro Taype-Rondan
      First page: 73
      Abstract: This study aimed to describe the use of medication in pediatric patients with COVID-19 hospitalized at the National Children’s Health Institute - San Borja (INSN-SB) in Lima, Peru, between March 2020 and March 2022. Therefore, we conducted a descriptive, observational study to evaluate the use of six medications: corticosteroids, ceftriaxone, azithromycin, immunoglobulin, hydroxychloroquine, and ivermectin. We compared the results among subpopulations defined according to the COVID-19 pandemic waves. We included 421 pediatric patients. Corticosteroids were prescribed to 40.4%, ceftriaxone to 35.6%, azithromycin
      to 12.1%, immunoglobulin to 3.6%, hydroxychloroquine to 2.4%, and ivermectin to 0.5% of the patients. The use of ceftriaxone and azithromycin was less frequent during the third wave. Hydroxychloroquine was used almost exclusively during the first wave. Only patients with pediatric multisystem inflammatory syndrome used immunoglobulin. Overall, the prescription of the evaluated medications
      decreased during the third wave.
      PubDate: 2023-03-31
      DOI: 10.17843/rpmesp.2023.401.12326
  • Molecular detection of the natural infection by trypanosomatid parasites
           in Didelphis marsupialis from a rural area in northern Colombia

    • Authors: Marlon M. Ardila, Yoselin Villadiego, Herrera Herrera, Wendy Zabala-Monterroza, Alveiro Pérez-Doria
      First page: 79
      Abstract: We studied the prevalence of infection by trypanosomatid parasites in Didelphis marsupialis and its relationship with morphological/age aspects in a rural area of El Carmen de Bolivar, Colombia. Five visits were made to the Vereda El Alférez; each of which lasted three consecutive nights. During these visits, Tomahawk® traps were installed in the peridomestic and wild ecotopes of the Vereda El Alférez. Body measurements, sex and age were determined from the collected animals. Blood was extracted by cardiopuncture, after sedation, in order to obtain total
      deoxyribonucleic acid (DNA) and amplify the conserved region of the kinetoplast minicircle DNA (kDNA) of
      parasitic trypanosomatids. The association between morphological parameters of didelphids and their frequency of infection by parasitic trypanosomatids was determined by binomial regression. Thirty D. marsupialis specimens (60.0% females and 40.0% males/66.7% adults and 33.3% juveniles) were collected. Molecular diagnosis revealed a frequency of trypanosomatid parasite infection of 46.7%. Stage (p=0.024) was a determinant for infection. We discuss the role of D. marsupialis as a potential reservoir of parasitic trypanosomatids in the Vereda El Alférez.
      PubDate: 2023-03-24
      DOI: 10.17843/rpmesp.2023.401.11573
  • What does our region need in order to strengthen public policies on
           sugar-sweetened beverages' decision-makers’ dialogue

    • Authors: Andrea Alcaraz , Lucas Perelli, María Belén Rodriguez, Alfredo Palacios, Ariel Bardach, Kimberly-Ann Gittens-Baynes, Cid Vianna, Giovanni Guevara, Sebastián García-Martí, Agustín Ciapponi, Federico Augustovski, María Belizán, Andrés Pichon-Riviere
      First page: 86
      Abstract: In order to prioritize public policies to reduce the consumption of sugar-sweetened beverages in Argentina,
      Brazil, El Salvador and Trinidad and Tobago and to identify information gaps related to the burden of disease
      attributable to their consumption, a policy dialogue was held with government members, civil society organizations,
      researchers and communicators from Latin American and Caribbean countries. Presentations and deliberative workshops were conducted using semi-structured data collection tools and group discussions. The prioritized interventions were tax increases, front labeling, restriction of advertising, promotion and sponsorship, and modifications regarding the school environment. The main perceived barrier was the interference from the food industry. This dialogue among decision-makers led to the identification of priority public policies to reduce the consumption of sugar-sweetened beverages in the region.
      PubDate: 2023-03-31
      DOI: 10.17843/rpmesp.2023.401.12394
  • Use of liposomal anfotericin B in diseminated cutaneous leishmaniasis
           caused by Leishmania braziliensis in a pediatric patient with Down

    • Authors: Aidé Sandoval-Juárez, Nyshon Rojas-Palomino, Lenka Kolevic Roca, Graciela Pilares-Barco, Jorge Cuadros-Castro, Roger Araujo-Castillo
      First page: 94
      Abstract: We present a case of disseminated cutaneous leishmaniasis with extensive manifestation in a pediatric
      patient with Down syndrome. The case was confirmed by parasitological and immunological tests. The
      species was identified as Leishmania (Viannia) braziliensis by polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLP). The immune deficit that occurs as part of Down syndrome
      may have been the reason for the aggressive and prolonged clinical manifestations as well as the poor response to stibogluconate and deoxycholate amphotericin. The patient was treated with liposomal amphotericin B and at the end of therapy, showed clinical improvement of the lesions. This report highlights
      the challenges of the diagnosis and treatment of cutaneous leishmaniasis in immunosuppressed pediatric
      patients, especially under difficult social, economic and geographic conditions. Leishmaniasis should be
      considered as a differential diagnosis when treating atypical chronic dermatologic ulcers; the use of liposomal
      amphotericin in immunocompromised patients should also be considered in these cases.
      PubDate: 2023-03-22
      DOI: 10.17843/rpmesp.2023.401.11481
  • Pleural empyema by Parvimonsd micra in an immunocompetent patient: a case

    • Authors: Stalin Vilcarromero, Max Small, Alexis Lizarzaburu, Abel Rivadeneyra-Rodriguez
      First page: 99
      Abstract: We present the case of a young immunocompetent patient, with a history of pulmonary tuberculosis, who attended the hospital with a subacute clinical picture of persistent fever, weight loss, dyspnea and abolition of vesicular murmur. Chest CT scan showed an extensive empyema in the left hemithorax. Samples were taken for detection of common germs. Then, a chest drainage tube was placed and antibiotic therapy started. The MALDI-TOF MS test identified Parvimonas micra, an anaerobic bacterium, commensal to the oral flora, associated with severe periodontitis, but rarely reported in cases of pleural empyema, especially in immunocompetent patients. Gingivitis and pericoronaritis of the third molar were diagnosed during oral evaluation. The patient progressed favorably. Parvimonas micra should be considered as a possible etiological agent in cases of subacute or chronic pleural empyema, in addition to mycobacteria. Tests such as MALDI-TOF MS or 16S rRNA sequencing, chest tube placement, empirical antibiotic coverage and an adequate oral evaluation should be considered in these cases.
      PubDate: 2023-03-20
      DOI: 10.17843/rpmesp.2023.401.11956
  • Hyperbaric oxygen therapy as an adjunctive treatment for
           COVID-19-associated mucormycosis: a report of two cases

    • Authors: Víctor Valencia-Caballero, José Cachay-Diaz, José Huamán-Muñante, Lourdes Romaní-Montoro, Norka Vásquez-Zevallos, César Carozzi-Calvo, Cesar Chian-García, Hugo Hernández-Chávez, Cristhian Agustín-Paredes, Esteban Vergara-de la Rosa
      First page: 105
      Abstract: We present the first two cases reported in Peru of the use of adjuvant hyperbaric oxygen therapy (HBOT) in patients with
      COVID-19-associated mucormycosis (CAM). The first case is a 41-year-old woman, with pain in the left side of the face
      and palatine region with purulent rhinorrhea for a month. Only an oroantral fistula was found during physical examination. The second case is a 35-year-old male, with decreased left visual acuity and palatal pain with a fistula, draining purulent secretion for four months. Both patients have history of diabetes, had moderate COVID-19 four months prior to admission, and received corticosteroid therapy for this diagnosis. Tomographic evaluation of both patients showed involvement of the maxillary sinus and surrounding bone tissue; both received diagnostic and therapeutic nasal endoscopy for debridement. Histological analysis showed that the samples were compatible with mucormycosis. The patients underwent debridement and were treated with amphotericin B deoxycholate; however, they presented torpid evolution. Then, HBOT was added and the patients showed an evident improvement after four weeks of treatment with subsequent controls without the presence of mucormycosis. We highlight the favorable evolution of these patients while receiving HBOT as treatment for a disease with high morbimortality, which emerged during the pandemic.
      PubDate: 2023-03-22
      DOI: 10.17843/rpmesp.2023.401.11980
  • Recurrent laryngeal papillomatosis with pulmonary involvement: case report

    • Authors: Enrique Zumaeta-Saavedra, Christian Chiara-Chilet, Julio Maquera-Afaray, Medalit Luna-Vilchez
      First page: 111
      Abstract: Recurrent respiratory papillomatosis is a neoplastic disease caused by the human papillomavirus and characterized by the growth of exophytic proliferative lesions affecting the mucosa of the respiratory tract. This condition has a bimodal age distribution; the juvenile form affects those under 20 years of age, is more aggressive and presents multiple papillomatous lesions and high frequency of recurrence, compared to the adult form. Pulmonary involvement is rare and challenging to treat. We present the case of a 13-year-old male with a history of laryngeal papillomatosis since the age of two years. The patient showed respiratory distress and multiple stenosing nodules in the larynx and trachea, as well as several pulmonary cysts identified on chest CT. The patient underwent excision of the papillomatous lesions and tracheostomy. Then, the patient received a single dose of intravenous bevacizumab 400 mg and respiratory therapies with favorable evolution, without recurrences during follow-up.
      PubDate: 2023-03-24
      DOI: 10.17843/rpmesp.2023.401.12169
  • Microbiological profile of bacteria causing ventilator-associated
           pneumonia in the intensive care unit of a high-complexity hospital

    • Authors: Luis Ángel Rodríguez-Chávez, Maribel Luz Esteban-Dionicio , Cristhian Renzho Elsayed Rodríguez-Mendoza
      First page: 115
      PubDate: 2023-03-24
      DOI: 10.17843/rpmesp.2023.401.12377
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