Examinando por Autor "Failoc-Rojas, Virgilio E."

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Asociación entre tiempo de trabajo y síndrome de burnout en militares peruanos durante la segunda ola epidémica de COVID-19
(MDPI, 2022-10-20) alladares Garrido, Mario J. V; Zapata Castro, Luis Eduardo; Picón Reátegui, Cinthia Karina; Mesta Pintado, Ana Paula; Picón Reátegui, Ronald Alberto; Huamán García, Mariana; Pereira-Victorio, César Johan; Valladares-Garrido, Danai; Failoc-Rojas, Virgilio E.
Hay poca evidencia sobre el impacto de la pandemia de COVID-19 en el agotamiento en el personal militar de primera línea y cómo el tiempo de trabajo puede influir en esta condición. Nuestro objetivo fue determinar la asociación entre el tiempo de trabajo y el síndrome de Burnout en personal militar. Se realizó un estudio transversal utilizando datos secundarios entre 576 militares de Lambayeque, Perú durante la segunda ola de COVID-19 en 2021. Utilizamos el instrumento Inventario de Burnout de Maslach para medir el Síndrome de Burnout. Evaluamos su asociación con el tiempo de trabajo, medido como el número de meses que el militar trabajó durante la pandemia. La prevalencia del síndrome de burnout fue del 9%. Del total de la muestra, 39,1% y 10,3% presentaron despersonalización y agotamiento emocional, respectivamente. El personal militar que trabajaba durante más de 18 meses tenía una prevalencia del síndrome de Burnout un 104 % mayor (PR: 2,04, IC del 95 %: 1,02–4,10). La exposición a un tiempo de trabajo prolongado durante la pandemia aumentó la prevalencia del síndrome de Burnout en el personal militar. Esta información ayuda a comprender los efectos potenciales de la pandemia en esta población y proporciona información sobre el tiempo que los militares necesitarían descansar para prevenir el síndrome de Burnout.
Acceso abierto
Association between Working Time and Burnout Syndrome in Peruvian Military during the Second Epidemic Wave of COVID-19
(MDPI, 2022-10-20) Valladares-Garrido, Mario J.; Zapata-Castro, Luis Eduardo; Picón-Reategui, Cinthia Karina; Mesta-Pintado, Ana Paula; Picón-Reategui, Ronald Alberto; Huaman-Garcia, Mariana; Pereira-Victorio, César Johan; Valladares-Garrido, Danai; Failoc-Rojas, Virgilio E.
There is scant evidence on the impact of the COVID-19 pandemic on burnout in front-line military personnel and how working time may influence on this condition. We aimed to determine the association between working time and Burnout syndrome in military personnel. A cross-sectional study was conducted using secondary data among 576 military personnel from Lambayeque, Peru during the second wave of COVID-19 in 2021. We used the Maslach Burnout Inventory instrument to measure Burnout Syndrome. We evaluated its association with work time, measured as the number of months that the military member worked during the pandemic. The prevalence of burnout syndrome was 9%. Of the total sample, 39.1% and 10.3% presented depersonalization and emotional exhaustion, respectively. Military personnel working for more than 18 months had a 104% higher prevalence of Burnout syndrome (PR: 2.04, 95%CI: 1.02–4.10). Exposure to a prolonged work time during the pandemic increased the prevalence of Burnout syndrome in military personnel. This information helps to understand the potential effects of the pandemic on this population and provides insight into the time the military members would need rest to prevent Burnout syndrome.
Acceso abierto
Clinical-epidemiologic variation in patients treated in the first and second wave of COVID-19 in Lambayeque, Peru: A cluster analysis
(Elsevier Ltd, 2022-07-18) Valladares-Garrido, Mario J.; Failoc-Rojas, Virgilio E.; Soto-Becerra, Percy; Zeña-Ñañez, Sandra; Torres-Roman, J. Smith; Fernández-Mogollón, Jorge L.; Colchado-Palacios, Irina G.; Apolaya-Segura, Carlos E.; Dávila-Gonzales, Jhoni A.; Arce-Villalobos, Laura R.; Neciosup-Puican, Roxana del Pilar; Calvay-Requejo, Alexander G.; Maguiña, Jorge L.; Apolaya-Segura, Moisés; Díaz-Vélez, Cristian
“Objectives: To identify differences in the clinical and epidemiologic characteristics of patients during the first and second waves of the COVID-19 pandemic at the EsSalud Lambayeque health care network, Peru. Methods: An analytical cross-sectional study of 53,912 patients enrolled during the first and second waves of COVID-19 was conducted. Cluster analysis based on clustering large applications (CLARA) was applied to clinical-epidemiologic data presented at the time of care. The two pandemic waves were compared using clinical-epidemiologic data from epidemiologic surveillance. Results: Cluster analysis identified four COVID-19 groups with a characteristic pattern. Cluster 1 included the largest number of participants in both waves, and the participants were predominantly female. Cluster 2 included patients with gastrointestinal, respiratory, and systemic symptoms. Cluster 3 was the “severe” cluster, characterized by older adults and patients with dyspnea or comorbidities (cardiovascular, diabetes, obesity). Cluster 4 included asymptomatic, pregnant, and less severe patients. We found differences in all clinical-epidemiologic characteristics according to the cluster to which they belonged. Conclusion: Using cluster analysis, we identified characteristic patterns in each group. Respiratory, gastrointestinal, dyspnea, anosmia, and ageusia symptoms were higher in the second COVID-19 wave than the first COVID-19 wave“
Acceso abierto
Clinical-epidemiologic variation in patients treated in the first and second wave of COVID-19 in Lambayeque, Peru: A cluster analysis
(Elsevier Ltd, 2022-07-18) Valladares-Garrido, Mario J.; Failoc-Rojas, Virgilio E.; Soto-Becerra, Percy; Zeña-Ñañez, Sandra; Torres-Roman, J. Smith; Fernández-Mogollón, Jorge L.; Colchado-Palacios, Irina G.; Apolaya-Segura, Carlos E.; Dávila-Gonzales, Jhoni A.; Arce-Villalobos, Laura R.; Neciosup-Puican, Roxana del Pilar; Calvay-Requejo, Alexander G.; Maguiña, Jorge L.; Apolaya-Segura, Moisés; Díaz-Vélez, Cristian
“Objectives: To identify differences in the clinical and epidemiologic characteristics of patients during the first and second waves of the COVID-19 pandemic at the EsSalud Lambayeque health care network, Peru. Methods: An analytical cross-sectional study of 53,912 patients enrolled during the first and second waves of COVID-19 was conducted. Cluster analysis based on clustering large applications (CLARA) was applied to clinical-epidemiologic data presented at the time of care. The two pandemic waves were compared using clinical-epidemiologic data from epidemiologic surveillance. Results: Cluster analysis identified four COVID-19 groups with a characteristic pattern. Cluster 1 included the largest number of participants in both waves, and the participants were predominantly female. Cluster 2 included patients with gastrointestinal, respiratory, and systemic symptoms. Cluster 3 was the “severe” cluster, characterized by older adults and patients with dyspnea or comorbidities (cardiovascular, diabetes, obesity). Cluster 4 included asymptomatic, pregnant, and less severe patients. We found differences in all clinical-epidemiologic characteristics according to the cluster to which they belonged. Conclusion: Using cluster analysis, we identified characteristic patterns in each group. Respiratory, gastrointestinal, dyspnea, anosmia, and ageusia symptoms were higher in the second COVID-19 wave than the first COVID-19 wave“
Acceso abierto
Combining visual rating scales to identify prodromal Alzheimer's disease and Alzheimer's disease dementia in a population from a low and middle-income country
(FRONTIERS MEDIA SA, 2022-09-01) Custodio, Nilton; Malaga, Marco; Chambergo-Michilot, Diego; Montesinos, Rosa; Moron, Elizabeth; Vences, Miguel A.; Huilca , José Carlos; Lira, David; Failoc-Rojas, Virgilio E.; Diaz, Monica M.
“Background: Many low- and middle-income countries, including Latin America, lack access to biomarkers for the diagnosis of prodromal Alzheimer's Disease (AD; mild cognitive impairment due to AD) and AD dementia. MRI visual rating scales may serve as an ancillary diagnostic tool for identifying prodromal AD or AD in Latin America. We investigated the ability of brain MRI visual rating scales to distinguish between cognitively healthy controls, prodromal AD and AD. Methods: A cross-sectional study was conducted from a multidisciplinary neurology clinic in Lima, Peru using neuropsychological assessments, brain MRI and cerebrospinal fluid amyloid and tau levels. Medial temporal lobe atrophy (MTA), posterior atrophy (PA), white matter hyperintensity (WMH), and MTA+PA composite MRI scores were compared. Sensitivity, specificity, and area under the curve (AUC) were determined. Results: Fifty-three patients with prodromal AD, 69 with AD, and 63 cognitively healthy elderly individuals were enrolled. The median age was 75 (8) and 42.7% were men. Neither sex, mean age, nor years of education were significantly different between groups. The MTA was higher in patients with AD (p < 0.0001) compared with prodromal AD and controls, and MTA scores adjusted by age range (p < 0.0001) and PA scores (p < 0.0001) were each significantly associated with AD diagnosis (p < 0.0001) but not the WMH score (p=0.426). The MTA had better performance among ages <75 years (AUC 0.90 [0.85–0.95]), while adjusted MTA+PA scores performed better among ages>75 years (AUC 0.85 [0.79–0.92]). For AD diagnosis, MTA+PA had the best performance (AUC 1.00) for all age groups. Conclusions: Combining MTA and PA scores demonstrates greater discriminative ability to differentiate controls from prodromal AD and AD, highlighting the diagnostic value of visual rating scales in daily clinical practice, particularly in Latin America where access to advanced neuroimaging and CSF biomarkers is limited in the clinical setting.“
Acceso abierto
Combining visual rating scales to identify prodromal Alzheimer's disease and Alzheimer's disease dementia in a population from a low and middle-income country
(FRONTIERS MEDIA SA, 2022-09-01) Custodio, Nilton; Malaga, Marco; Chambergo-Michilot, Diego; Montesinos, Rosa; Moron, Elizabeth; Vences, Miguel A.; Huilca, José Carlos; Lira, David; Failoc-Rojas, Virgilio E.; Diaz, Monica M.
“Background: Many low- and middle-income countries, including Latin America, lack access to biomarkers for the diagnosis of prodromal Alzheimer's Disease (AD; mild cognitive impairment due to AD) and AD dementia. MRI visual rating scales may serve as an ancillary diagnostic tool for identifying prodromal AD or AD in Latin America. We investigated the ability of brain MRI visual rating scales to distinguish between cognitively healthy controls, prodromal AD and AD. Methods: A cross-sectional study was conducted from a multidisciplinary neurology clinic in Lima, Peru using neuropsychological assessments, brain MRI and cerebrospinal fluid amyloid and tau levels. Medial temporal lobe atrophy (MTA), posterior atrophy (PA), white matter hyperintensity (WMH), and MTA+PA composite MRI scores were compared. Sensitivity, specificity, and area under the curve (AUC) were determined. Results: Fifty-three patients with prodromal AD, 69 with AD, and 63 cognitively healthy elderly individuals were enrolled. The median age was 75 (8) and 42.7% were men. Neither sex, mean age, nor years of education were significantly different between groups. The MTA was higher in patients with AD (p < 0.0001) compared with prodromal AD and controls, and MTA scores adjusted by age range (p < 0.0001) and PA scores (p < 0.0001) were each significantly associated with AD diagnosis (p < 0.0001) but not the WMH score (p=0.426). The MTA had better performance among ages <75 years (AUC 0.90 [0.85–0.95]), while adjusted MTA+PA scores performed better among ages>75 years (AUC 0.85 [0.79–0.92]). For AD diagnosis, MTA+PA had the best performance (AUC 1.00) for all age groups. Conclusions: Combining MTA and PA scores demonstrates greater discriminative ability to differentiate controls from prodromal AD and AD, highlighting the diagnostic value of visual rating scales in daily clinical practice, particularly in Latin America where access to advanced neuroimaging and CSF biomarkers is limited in the clinical setting.“
Acceso abierto
Factores asociados a la colonización rectal por Enterobacteriaceae productoras de betalactamasas de espectro extendido en pacientes de consulta externa de un hospital al norte del Perú
(Medical Body of the Almanzor Aguinaga Asenjo National Hospital, 2022-03-31) Aguilar-Martínez, Sergio Luis; Suclupe-Campos, Danny Omar; Guevara-Vásquez, Génesis Masiel; Failoc-Rojas, Virgilio E.; Franklin Rómulo Aguilar-Gamboa
“Introducción: Las Enterobacteriaceae productoras de betalactamasas de espectro extendido están presentes en las heces de los individuos de la comunidad. En Perú, la automedicación, el tipo de alimentación, condiciones sanitarias podrían asociarse a esta colonización. Objetivo: determinar la frecuencia de colonización rectal por EP-BLEE en pacientes de consulta externa del Hospital Regional Lambayeque, así como los factores asociados a la misma, durante los meses de julio 2018 a febrero 2019. Material y método: 331 pacientes participantes fueron entrevistados, de los cuales se obtuvieron tres muestras seriadas de heces recién emitidas. Las muestras fueron cultivadas en agar McConkey. Las EP-BLEE se confirmaron con la prueba de disco combinado (método americano). Resultados: el 85,8 % de los pacientes estuvieron colonizados por EP-BLEE, siendo Escherichia coli el aislamiento más frecuente (87,7 %). El análisis bivariado asoció el consumo de carne de cerdo (RP=1,15 IC 95%: 1,07 1,24), caprino (RP=1,18, IC 95%: 1,10 1,25) y el consumo de ensaladas frecuentemente (RP=1,15, IC 95 %: 1,05 1,28) con una mayor probabilidad de ser portador rectal de EP-BLEE. La automedicación presentó valores cercanos al límite de validez (p=0,051, RP 1,12, IC 95% 0,98 1,26). Conclusiones: Consumir carne de cerdo, caprino y ensaladas aumentan la probabilidad de ser portador de EP-BLEE, mientras que la automedicación podría estar asociada, por lo que es necesario seguir investigando, ya que se desconocen las razones de este hallazgo en pacientes de la comunidad.“
Acceso abierto
Factores asociados a la colonización rectal por Enterobacteriaceae productoras de betalactamasas de espectro extendido en pacientes de consulta externa de un hospital al norte del Perú
(Medical Body of the Almanzor Aguinaga Asenjo National Hospital, 2022-03-31) Aguilar-Martínez, Sergio Luis; Suclupe-Campos, Danny Omar; Guevara-Vásquez, Génesis Masiel; Failoc-Rojas, Virgilio E.; Franklin Rómulo Aguilar-Gamboa
“Introducción: Las Enterobacteriaceae productoras de betalactamasas de espectro extendido están presentes en las heces de los individuos de la comunidad. En Perú, la automedicación, el tipo de alimentación, condiciones sanitarias podrían asociarse a esta colonización. Objetivo: determinar la frecuencia de colonización rectal por EP-BLEE en pacientes de consulta externa del Hospital Regional Lambayeque, así como los factores asociados a la misma, durante los meses de julio 2018 a febrero 2019. Material y método: 331 pacientes participantes fueron entrevistados, de los cuales se obtuvieron tres muestras seriadas de heces recién emitidas. Las muestras fueron cultivadas en agar McConkey. Las EP-BLEE se confirmaron con la prueba de disco combinado (método americano). Resultados: el 85,8 % de los pacientes estuvieron colonizados por EP-BLEE, siendo Escherichia coli el aislamiento más frecuente (87,7 %). El análisis bivariado asoció el consumo de carne de cerdo (RP=1,15 IC 95%: 1,07 1,24), caprino (RP=1,18, IC 95%: 1,10 1,25) y el consumo de ensaladas frecuentemente (RP=1,15, IC 95 %: 1,05 1,28) con una mayor probabilidad de ser portador rectal de EP-BLEE. La automedicación presentó valores cercanos al límite de validez (p=0,051, RP 1,12, IC 95% 0,98 1,26). Conclusiones: Consumir carne de cerdo, caprino y ensaladas aumentan la probabilidad de ser portador de EP-BLEE, mientras que la automedicación podría estar asociada, por lo que es necesario seguir investigando, ya que se desconocen las razones de este hallazgo en pacientes de la comunidad.“
Acceso abierto
Factors Associated with Knowledge of Evacuation Routes and Having an Emergency Backpack in Individuals Affected by a Major Earthquake in Piura, Peru
(MDPI, 2022-11-09) Valladares-Garrido, Mario J.; Zapata-Castro, Luis E.; Valdiviezo-Morales, Christopher G.; García-Vicente, Abigaíl; León-Figueroa, Darwin A.; Calle-Preciado, Raúl; Failoc-Rojas, Virgilio E.; Pereira-Victorio, César Johan; Díaz-Vélez, Cristian
Information on the prevention of earthquakes in Peru, a high-risk country, is still emerging. We determined the frequency and factors associated with knowledge of evacuation routes and the use of emergency backpacks in people affected by a major earthquake. A cross-sectional study using secondary data was conducted from August–December 2021 on people that experienced the 6.1 magnitude earthquake that occurred in Piura, Peru on 30 July 2021. The outcome was self-reported knowledge of evacuation routes and the use of emergency backpacks. The association with self-reported earthquake preparation training, use of sources of information on earthquakes, and sociodemographic variables was investigated. A total of 69.5% of participants knew evacuation routes, and 46.3% had an emergency backpack. A higher frequency of knowledge of evacuation routes was associated with previous training (PR: 1.47; 95% CI: 1.15–1.87), use of the media (PR: 1.35; 95% CI: 1.06–1.72), having received information from the COEN (PR: 1.19; 95% CI: 1.02–1.40), and with a greater number of household members (PR: 1.03; 95% CI: 1.01–1.06). There is a high frequency of knowledge of evacuation routes among participants. However, basic notions of prevention culture are still needed. This research contributes to policy development on earthquake preparation at the community level.
Acceso abierto
Factors Associated with Knowledge of Evacuation Routes and Having an Emergency Backpack in Individuals Affected by a Major Earthquake in Piura, Peru
(MDPI, 2022-11-09) Valladares-Garrido, Mario J.; Zapata-Castro, Luis E.; Valdiviezo-Morales, Christopher G.; García-Vicente, Abigaíl; León-Figueroa, Darwin A.; Calle-Preciado, Raúl; Failoc-Rojas, Virgilio E.; Pereira-Victorio, César Johan; Díaz-Vélez, Cristian
Information on the prevention of earthquakes in Peru, a high-risk country, is still emerging. We determined the frequency and factors associated with knowledge of evacuation routes and the use of emergency backpacks in people affected by a major earthquake. A cross-sectional study using secondary data was conducted from August–December 2021 on people that experienced the 6.1 magnitude earthquake that occurred in Piura, Peru on 30 July 2021. The outcome was self-reported knowledge of evacuation routes and the use of emergency backpacks. The association with self-reported earthquake preparation training, use of sources of information on earthquakes, and sociodemographic variables was investigated. A total of 69.5% of participants knew evacuation routes, and 46.3% had an emergency backpack. A higher frequency of knowledge of evacuation routes was associated with previous training (PR: 1.47; 95% CI: 1.15–1.87), use of the media (PR: 1.35; 95% CI: 1.06–1.72), having received information from the COEN (PR: 1.19; 95% CI: 1.02–1.40), and with a greater number of household members (PR: 1.03; 95% CI: 1.01–1.06). There is a high frequency of knowledge of evacuation routes among participants. However, basic notions of prevention culture are still needed. This research contributes to policy development on earthquake preparation at the community level.
Acceso abierto
Factors Associated with Knowledge of Evacuation Routes and Having an Emergency Backpack in Individuals Affected by a Major Earthquake in Piura, Peru
(MDPI, 2022-11-09) Valladares-Garrido, Mario J.; Zapata-Castro, Luis E.; Valdiviezo-Morales, Christopher G.; García-Vicente, Abigaíl; León-Figueroa, Darwin A.; Calle-Preciado, Raúl; Failoc-Rojas, Virgilio E.; Pereira-Victorio, César Johan; Díaz-Vélez, Cristian
Information on the prevention of earthquakes in Peru, a high-risk country, is still emerging. We determined the frequency and factors associated with knowledge of evacuation routes and the use of emergency backpacks in people affected by a major earthquake. A cross-sectional study using secondary data was conducted from August–December 2021 on people that experienced the 6.1 magnitude earthquake that occurred in Piura, Peru on 30 July 2021. The outcome was self-reported knowledge of evacuation routes and the use of emergency backpacks. The association with self-reported earthquake preparation training, use of sources of information on earthquakes, and sociodemographic variables was investigated. A total of 69.5% of participants knew evacuation routes, and 46.3% had an emergency backpack. A higher frequency of knowledge of evacuation routes was associated with previous training (PR: 1.47; 95% CI: 1.15–1.87), use of the media (PR: 1.35; 95% CI: 1.06–1.72), having received information from the COEN (PR: 1.19; 95% CI: 1.02–1.40), and with a greater number of household members (PR: 1.03; 95% CI: 1.01–1.06). There is a high frequency of knowledge of evacuation routes among participants. However, basic notions of prevention culture are still needed. This research contributes to policy development on earthquake preparation at the community level.
Acceso abierto
Factors Associated with Mortality in Patients with COVID-19 from a Hospital in Northern Peru
(MDPI, 2023-03-23) Valladares-Garrido, Mario J.; Alvarez-Risco, Aldo; Vasquez-Elera, Luis E.; Valdiviezo-Morales, Christopher G.; Martinez-Rivera, Raisa N.; Cruz-Zapata, Annel L.; Pereira-Victorio, César Johan; Garcia-Peña, Elian; Failoc-Rojas, Virgilio E.; Del-Aguila-Arcentales, Shyla; Davies, Neal M.; Yáñez, Jaime A.
We aimed to identify the factors associated with mortality in patients with COVID-19 from the hospitalization service of the Cayetano Heredia Hospital, Piura, Peru, from May to June 2020. A prospective study was conducted in hospitalized patients with a confirmed diagnosis of COVID-19 through serological and/or molecular reactive testing. The dependent variable was death due to COVID-19, and the independent variables were the epidemiological, clinical and laboratory characteristics of the patient. The chi-square test and the non-parametric Mann–Whitney U test were used, with a significance level of 5%. Of 301 patients with COVID-19, the majority of them were male (66.1%), and the mean age was 58.63 years. Of the patients analyzed, 41.3% of them died, 40.2% of them were obese and 59.8% of them had hepatic steatosis. The three most frequent signs/symptoms were dyspnea (90.03%), fatigue (90.03%) and a cough (84.72%). Being an older adult (p = 0.011), being hospitalized in the ICU (p = 0.001), overweight (p = 0.016), obese (p = 0.021) and having compromised consciousness (p = 0.039) and thrombocytopenia (p = 0.024) were associated with mortality due to COVID-19. Overall, the mortality rate due to COVID-19 was 41.3%. Having an older age, being hospitalized in the ICU, overweight, obese and having compromised consciousness and thrombocytopenia were positively associated with mortality in patients with COVID-19. These findings highlight the need to establish an adequate system of surveillance and epidemiological education in hospitals and communities in the event of new outbreaks, especially in rural and northern Peru.
Acceso abierto
Factors Associated with Mortality in Patients with COVID-19 from a Hospital in Northern Peru
(MDPI, 2023-02-23) Valladares-Garrido, Mario J.; Alvarez-Risco, Aldo; Vasquez-Elera, Luis E.; Valdiviezo-Morales, Christopher G.; Martinez-Rivera, Raisa N.; Cruz-Zapata, Annel L.; Pereira-Victorio, César Johan; Garcia-Peña, Elian; Failoc-Rojas, Virgilio E.; Del-Aguila-Arcentales, Shyla; Davies, Neal M.; Yáñez, Jaime A.
We aimed to identify the factors associated with mortality in patients with COVID-19 from the hospitalization service of the Cayetano Heredia Hospital, Piura, Peru, from May to June 2020. A prospective study was conducted in hospitalized patients with a confirmed diagnosis of COVID-19 through serological and/or molecular reactive testing. The dependent variable was death due to COVID-19, and the independent variables were the epidemiological, clinical and laboratory characteristics of the patient. The chi-square test and the non-parametric Mann–Whitney U test were used, with a significance level of 5%. Of 301 patients with COVID-19, the majority of them were male (66.1%), and the mean age was 58.63 years. Of the patients analyzed, 41.3% of them died, 40.2% of them were obese and 59.8% of them had hepatic steatosis. The three most frequent signs/symptoms were dyspnea (90.03%), fatigue (90.03%) and a cough (84.72%). Being an older adult (p = 0.011), being hospitalized in the ICU (p = 0.001), overweight (p = 0.016), obese (p = 0.021) and having compromised consciousness (p = 0.039) and thrombocytopenia (p = 0.024) were associated with mortality due to COVID-19. Overall, the mortality rate due to COVID-19 was 41.3%. Having an older age, being hospitalized in the ICU, overweight, obese and having compromised consciousness and thrombocytopenia were positively associated with mortality in patients with COVID-19. These findings highlight the need to establish an adequate system of surveillance and epidemiological education in hospitals and communities in the event of new outbreaks, especially in rural and northern Peru.
Acceso abierto
“Factors Associated with Perceived Change in Weight, Physical Activity, and Food Consumption during the COVID-19 Lockdown in Latin America“
(MDPI, 2023-01-28) Mejia, Christian R.; Farfán, Bertha; Figueroa-Tarrillo, Jorge A.; Palomino, Kely; Pereira-Victorio, César Johan; Failoc-Rojas, Virgilio E.; Valladares-Garrido, Mario J.
“Quarantine and the restrictions necessitated by the COVID-19 pandemic have generated problems in nutrition and physical condition around the world. We aimed to determine factors associated with changes in perceived weight and lifestyle factors during the COVID-19 quarantine in Latin America, conducting a cross-sectional study based on a survey administered in more than a dozen countries during June–August 2020. Perceptions of weight changes and alterations in other habits were investigated and were associated with social factors and self-reported diseases. Of 8800 respondents, the majority perceived that they had gained weight and had been less physically active. Being female, living in Bolivia, obesity, and stress were factors associated with a higher perception of weight gain. A higher perception of physical activity was also associated with living in Chile, being of older age, being female, having diabetes, obesity, and stress. When living in Paraguay and Mexico, being female, obesity, anxiety, and stress were associated with a higher perception of unhealthy food consumption. When living in Bolivia, women, obesity, and stress were associated with a higher perception of consuming larger food portions. In conclusion, the perceived changes in weight and lifestyle during the pandemic were more evident in women, people with comorbidities, and those with emotional distress. Differences in the perception of weight changes were minimal among Latin American countries. This information suggests the possible metabolic implications in at-risk individuals that should be further addressed by researchers for timely intervention. “
Acceso abierto
“Factors Associated with Perceived Change in Weight, Physical Activity, and Food Consumption during the COVID-19 Lockdown in Latin America“
(MDPI, 2023-01-28) Mejia, Christian R.; Farfán, Bertha; Figueroa-Tarrillo, Jorge A.; Palomino, Kely; Pereira-Victorio, César Johan; Failoc-Rojas, Virgilio E.; Valladares-Garrido, Mario J.
“Quarantine and the restrictions necessitated by the COVID-19 pandemic have generated problems in nutrition and physical condition around the world. We aimed to determine factors associated with changes in perceived weight and lifestyle factors during the COVID-19 quarantine in Latin America, conducting a cross-sectional study based on a survey administered in more than a dozen countries during June–August 2020. Perceptions of weight changes and alterations in other habits were investigated and were associated with social factors and self-reported diseases. Of 8800 respondents, the majority perceived that they had gained weight and had been less physically active. Being female, living in Bolivia, obesity, and stress were factors associated with a higher perception of weight gain. A higher perception of physical activity was also associated with living in Chile, being of older age, being female, having diabetes, obesity, and stress. When living in Paraguay and Mexico, being female, obesity, anxiety, and stress were associated with a higher perception of unhealthy food consumption. When living in Bolivia, women, obesity, and stress were associated with a higher perception of consuming larger food portions. In conclusion, the perceived changes in weight and lifestyle during the pandemic were more evident in women, people with comorbidities, and those with emotional distress. Differences in the perception of weight changes were minimal among Latin American countries. This information suggests the possible metabolic implications in at-risk individuals that should be further addressed by researchers for timely intervention. “
Acceso abierto
Mental Disorders and Level of Resilience in Eight High-Altitude Cities of Peru during the Second Pandemic Wave: A Multicenter Population-Based Study
(MDPI, 2022-12-28) Zila-Velasque, J. Pierre; Grados-Espinoza, Pamela; Coba-Villan, Naomi; Quispe-Chamorro, Jocelyn; Taipe-Guillén, Yesenia F.; Pacheco, Estefany; Ccasa-Valero, Laura; Failoc-Rojas, Virgilio E.; Díaz-Vélez, Cristian; Valladares-Garrido, Mario J.
COVID-19 has led us to take preventive measures, such as social isolation, to reduce the high transmissibility of the disease. This could have affected the mental health of various population groups and the development of resilience as a mitigator. A cross-sectional analytical study was conducted with 700 participants from eight cities. The dependent variables were depression, anxiety, and post-traumatic stress disorder (PTSD). The independent variable was resilience. Generalized logistic regressions were used to identify the associations between the variables. The population consisted mostly of university students (65.0%); the rest of the population was distributed among workers of public or private institutions, housewives, and others (35.0%). High prevalences of anxiety (72.7%), depression (64.1%), and PTSD (15.1%) were found, as well as a median (interquartile range) resilience score of 24 points was determined. Factors associated with a high prevalence of PTSD were having lost employment and having a family member who died from COVID-19. For depression, associated factors were severe food insecurity and hypersomnia. For anxiety, associated factors were were having a deceased family member with COVID-19 and mild food insecurity. Our results show that, during the pandemic, the general population had a higher prevalence of mental disorders. In addition, anxiety was the most prevalent of the dependent variables. Special attention should be paid to the factors influencing the development of mental disorders and mental health prevention and promotion programs should be established.
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Moderating role of compassion in the link between fear of Coronavirus disease and mental health among undergraduate students
(Frontiers Media S.A., 2022-09-06) Zhang, Huichun; Abdalkareem Jasim, Saade; Suksatan, Wanich; Hashim Alghazali, Tawfeeq Abdulameer; Iqbal Doewes, Rumi; Turki Jalil, Abduladheem; Patra, Indrajit; Singer, Nermeen; Failoc-Rojas, Virgilio E.; Abdulameer Marhoon, Haydar; Fakri Mustafa, Yasser; Ramírez-Coronel, Andrés Alexis; Abdollahi, Abbas
“Background: The societal challenges presented by fear related to the coronavirus disease (COVID-19) pandemic may present unique challenges for an individual's mental health. However, the moderating role of compassion in the relationship between fear of COVID-19 and mental health has not been well-studied. The present study aimed to explore the association between fear of COVID-19 and mental health, as well as test the buffering role of compassion in this relationship. Methods: The participants in this study were 325 Iranian undergraduate students (228 females), aged 18–25 years, who completed questionnaires posted on social networks via a web-based platform. Results: The results showed that fear of COVID-19 was positively related with physical symptoms, social function, depressive symptoms, and anxiety symptoms. The results also showed that compassion was negatively associated with physical symptoms, social function, depressive symptoms, and anxiety symptoms. The interaction-moderation analysis revealed that compassion moderated the relationship between fear of COVID-19 and subscale of mental health. Conclusion: Results highlight the important role of compassion in diminishing the effect of fear of COVID-19 on the mental health (physical symptoms, social function, depressive symptoms, and anxiety symptoms) of undergraduate students.“
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Prevalence and Associated Factors of Depression, Anxiety, and Stress in University Students in Paraguay during the COVID-19 Pandemic
(MDPI, 2022-10-09) Aveiro-Róbalo, Telmo Raul; Garlisi-Torales, Luciana Daniela; Chumán-Sánchez, Marisella; Pereira-Victorio, César J.; Huaman-Garcia, Mariana; Failoc-Rojas, Virgilio E.; Valladares-Garrido, Mario J.
We aimed to determine the prevalence of depression, anxiety, and stress in university students in Paraguay during the COVID-19 pandemic. A cross-sectional study was conducted among 293 students from four universities in Paraguay in 2021. The DASS-21 mental health scale was used to measure the outcomes (depression, anxiety, and stress) and evaluate their association with socio-educational variables. A total of 77.1% of the participants were women and 136 (46.4%) were between 21 and 25 years old. The prevalence of depression, anxiety, and stress was 74.7%, 87.4%, and 57%, respectively. We found that being a woman and studying at a public university was positively associated with depression, anxiety, and stress. Receiving COVID-19 training increases the prevalence of mental health problems. In conclusion, high levels of anxiety, depression, and stress were found in university students during the COVID-19 pandemic. Being a woman, studying at a public university, and receiving training on COVID-19 were factors associated with a higher prevalence of presenting all the mental health problems evaluated. Furthermore, students aged 31 and over had a higher prevalence of depression and stress.
Acceso abierto
Prevalence and Associated Factors of Depression, Anxiety, and Stress in University Students in Paraguay during the COVID-19 Pandemic
(MDPI, 2022-10-09) Aveiro-Róbalo, Telmo Raul; Garlisi-Torales, Luciana Daniela; Chumán-Sánchez, Marisella; Pereira-Victorio, César J.; Huaman-Garcia, Mariana; Failoc-Rojas, Virgilio E.; Valladares-Garrido, Mario J.
We aimed to determine the prevalence of depression, anxiety, and stress in university students in Paraguay during the COVID-19 pandemic. A cross-sectional study was conducted among 293 students from four universities in Paraguay in 2021. The DASS-21 mental health scale was used to measure the outcomes (depression, anxiety, and stress) and evaluate their association with socio-educational variables. A total of 77.1% of the participants were women and 136 (46.4%) were between 21 and 25 years old. The prevalence of depression, anxiety, and stress was 74.7%, 87.4%, and 57%, respectively. We found that being a woman and studying at a public university was positively associated with depression, anxiety, and stress. Receiving COVID-19 training increases the prevalence of mental health problems. In conclusion, high levels of anxiety, depression, and stress were found in university students during the COVID-19 pandemic. Being a woman, studying at a public university, and receiving training on COVID-19 were factors associated with a higher prevalence of presenting all the mental health problems evaluated. Furthermore, students aged 31 and over had a higher prevalence of depression and stress.
Acceso abierto
Prevalencia y factores asociados a disfunción familiar en pacientes atendidos en el primer nivel de atención
(Editorial Ciencias Medicas, 2023-02-01) Valladares-Garrido, Mario J.; Hernández-Yépez, Palmer J.; Bulnes Alvarez, Sandy; Huaman-Garcia, Mariana; Ccosco-Blas, Laura M.; Ramos-Rupay, Paola J.; Rivera-Pinto, Alix X.; Vertiz-Cuadra, Deyanira; Failoc-Rojas, Virgilio E.; Inga-Berrospi, Fiorella
“Introducción: La funcionalidad familiar influye en el proceso salud-enfermedad, es por ello que se destaca su importancia en el primer nivel de atención. No existe evidencia concluyente sobre los factores que influyen en la disfunción familiar en pacientes atendidos en el primer nivel de atención. Objetivo: Determinar la prevalencia y factores asociados a disfunción familiar en pacientes atendidos en el primer nivel de atención. Métodos: Estudio transversal de análisis secundario de datos en pacientes atendidos en 7 establecimientos del primer nivel de atención de Lima, Perú, en 2019. Se utilizó el cuestionario Apgar Familiar y se indagó su asociación con factores demográficos-socioeconómicos. Se estimaron razones de prevalencia (RP) a través de modelos de regresión simple y múltiple. Resultados: De 150 pacientes, la mayoría fueron mujeres (81,3 %) y la mediana de edad fue de 32 años. El 14 % presentó disfunción familiar. Los pacientes con acceso a servicio de agua tenían menor prevalencia de disfunción familiar (RP: 0,04; IC95 %: 0,001 - 0,47). Residir entre 1 a 10 años en Lima representó menor prevalencia de disfunción familiar; en comparación con pacientes recién llegados a la capital (menos de 1 año) (RP: 0,15; IC95 %: 0,04 - 0,62). Conclusiones: La prevalencia de disfunción familiar en pacientes atendidos en primer nivel de atención es baja. Tener acceso a servicio de agua y residir entre 1 a 10 años en la capital influyó en una menor prevalencia de disfunción familiar.“