Examinando por Autor "Jaime-Quispe, Alexis"

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A systematic review of mental health in rural Andean populations in Latin America during the COVID-19 pandemic
(Frontiers Media SA, 2023-08-17) Moya-Salazar, Jeel; Jaime-Quispe, Alexis; Cañari, Betsy; Moya-Espinoza, Jeel G.; Contreras-Pulache, Hans
“Background: COVID-19 has been causing mental health problems around the world, with rural and indigenous peoples likely to be the most aected. This systematic review synthesizes and critically analyzes the existing literature on mental disorders in the rural Andean population in Latin America. Methods: A systematic review with narrative synthesis was carried out following the PRISMA guidelines. We searched nine databases (PubMed/MEDLINE, Scopus, EMBASE, ScienceDirect, Web of Science, Cochrane, Scielo, LILACS, and Latindex), five public prepublication servers (SocArXiv, medRxiv, bioRxiv, SportRXiv, and Preprints), ALICIA, and Google Scholar for articles that included the analysis of mental health problems using data collected from the rural Andean population in Latin America. These were eligible for inclusion. Articles that included NonLatin American populations (including European or African migrants) and studies conducted prior to the COVID-19 pandemic (since the declaration of national lockdown) were excluded. Results: A total of 23,761 articles were retrieved, 14 of which met the inclusion requirements. Most were cross-sectional (n = 12) and related to anxiety (n = 9), depression (n = 8), and stress (n = 5). The mental health analysis of 5,976 rural dwellers from four countries in Latin America also included gray literature studies (n = 7) that allowed the quantification of mental health problems in adults (n = 7) and adolescents/children (n = 4). Only one study was multinational, and the quality of publications varied. Despite the high frequency of anxiety, depression, and stress symptoms among rural Latin American populations during COVID-19, published research is very limited. This review found preliminary evidence that the frequency of anxiety (45%), depression (27.6%), and stress (33.1%) in the rural population was associated with pandemic restrictions across countries. Measures of other psychiatric problems, such as distress or suicidal ideation, cannot be estimated. Conclusion: Regional-wide studies investigating changes in the frequency of symptoms of mental health problems in the context of the COVID-19 pandemic are warranted to inform culturally adapted prevention strategies. This study is limited to a narrative synthesis and may be subject to publication bia“
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Alterations in the coagulation markers did not show differences with the severity of COVID-19 in Peruvian patients: A cross-sectional single-center study
(HEALTH SCIENCE REPORTS, 2023-03-15) Moya-Salazar, Jeel; Cóndor, Liliana Y.; Zuñiga, Nahomi; Jaime-Quispe, Alexis; Moya-Salazar, Jeel; Chicoma-Flores, Karina; Cañari, Betsy; Contreras-Pulache, Hans
Background and Aims:COVID‐19 is a pandemic disease that can lead to alteredlung function, systemic inflammatory events, and altered coagulation. During severestages of the disease, changes in coagulation homeostasis increase, leading tothrombosis, and increased risk of death. In this cross‐sectional study, we aimedto assess coagulation markers by COVID‐19 severity in Peruvian adults.Methods:During the second wave of infections, we included 186 adults diagnosedwith COVID‐19 (mean age 53.3 ± 16.3 years). Patients were divided into mild,moderate, and severe stages of COVID‐19, and coagulation markers includedprothrombin time (PT), activated partial prothrombin time (aPTT), fibrinogen,D‐dimer, and platelet count.Results:Of the total, 120 (64.5%) were males and 39 (21%) were in the intensivecare unit. We determine 104 (55.9%), 43 (24.7%), and 36 (19.4%) patients in mild,moderate, and severe stages of COVID‐19, respectively. In the severe stage ofCOVID‐19, patients had an average concentration of PT, aPTT, fibrinogen,D‐dimer,and platelets of 13.2 ± 0.9 s, 28.9 ± 4.3 s, 679.4 ± 185.1 mg/dL, 1.9 ± 3.1 μg/mL, and272.8 ± 88.9 cel/10 mm,3respectively. We found no differences in the concentra-tion of each marker according to severity (p< 0.05). Patients with severe COVID‐19had altered the aPTT, fibrinogen,D‐dimer, and PT in 31 (57.4%), 48 (88.9%), 37(68.5%), and 15 (27.8%) cases, respectively.Conclusions:Our results showed that although there is an alteration in coagulationmarkers, mainly fibrinogen andD‐fiber, there are no differences in concentrationaccording to the severity of COVID‐19
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Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
(SAGE Publications Ltd, 2022-03-29) Moya-Salazar, Jeel; Nuñez, Elizabeth; Jaime-Quispe, Alexis; Zuñiga, Nahomi; Loaiza-Barboza, Isabel L; Balabarca, Edison A; Chicoma-Flores, Karina; Cañari, Betsy; Contreras-Pulache, Hans
BACkgROUnD: The COVID-19 pandemic has generated a remarkable change in the behaviour of Healthcare workers (HCWs) around the world. However, there is a lack of evidence on substance use among HCWs in Latin America. Therefore, this study aimed to determine the current frequency of substance use among Latin American among HCWs.MeTHODS: We searched 8 databases (PubMed, Scopus, ScientDirect, Web of Science, Cochrane, Scielo, LILACS and Latindex), 4 public prepublication servers (SocArXiv, medRxiv, bioRxiv and Preprints) and Google scholar from 1/9/2019 to 11/1/2021. We determined the fre-quency of each study based on original studies, scientific letters, and clinical trials in English, Spanish and Portuguese.ReSULT S: A total of 17 175 study articles were identified from electronic databases and preprints, and 2 cross-sectional studies conducted in 2020 were included in the qualitative analysis. Both studies included HCWs but did not perform a differential analysis. The first was devel-oped by the Pan-American Health Organization and included interviewees from 35 countries, while the second was conducted with 1145 Brazilian participants. Both studies showed increases in substance use during the pandemic, with alcohol being the most commonly used substance (30%), but PAHO’s study reported a 13.8% increase in self-reported heavy-episodic drinking, with differences among genders (males, 15.4%), age groups (highest increase in the 40-49 age group, 16.5%) and area of residence (urban with 14%). The second study showed that 21 32% of participants reported initiating psychoactive substance use, 29.3% added some substance to their initial use and 4% of them had to replace the substance, mainly due to difficulty of access. Other substances of abuse that showed significant increases were tobacco (0.5%) and marijuana (0.3%).COnCLUSIOn: Overall, despite the analysis of the 2 studies, the results provided are not a conclusive description of the frequency of sub-stance use by HCWs in Latin America during the COVID-19 pandemic. Further research is required to understand the impact of the pan-demic on drug abuse in the region.PROTOCOL RegISTRATIOn: The protocol has been registered on 30 November 2021 on the International Prospective Register of System-atic Reviews (PROSPERO) with ID: CRD420212919700
Acceso abierto
Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
(SAGE Publications Ltd, 2022-03-29) Moya-Salazar, Jeel; Nuñez, Elizabeth; Jaime-Quispe, Alexis; Zuñiga, Nahomi; Loaiza-Barboza, Isabel L; Balabarca, Edison A; Chicoma-Flores, Karina; Cañari, Betsy; Contreras-Pulache, Hans
BACkgROUnD: The COVID-19 pandemic has generated a remarkable change in the behaviour of Healthcare workers (HCWs) around the world. However, there is a lack of evidence on substance use among HCWs in Latin America. Therefore, this study aimed to determine the current frequency of substance use among Latin American among HCWs.MeTHODS: We searched 8 databases (PubMed, Scopus, ScientDirect, Web of Science, Cochrane, Scielo, LILACS and Latindex), 4 public prepublication servers (SocArXiv, medRxiv, bioRxiv and Preprints) and Google scholar from 1/9/2019 to 11/1/2021. We determined the fre-quency of each study based on original studies, scientific letters, and clinical trials in English, Spanish and Portuguese.ReSULT S: A total of 17 175 study articles were identified from electronic databases and preprints, and 2 cross-sectional studies conducted in 2020 were included in the qualitative analysis. Both studies included HCWs but did not perform a differential analysis. The first was devel-oped by the Pan-American Health Organization and included interviewees from 35 countries, while the second was conducted with 1145 Brazilian participants. Both studies showed increases in substance use during the pandemic, with alcohol being the most commonly used substance (30%), but PAHO’s study reported a 13.8% increase in self-reported heavy-episodic drinking, with differences among genders (males, 15.4%), age groups (highest increase in the 40-49 age group, 16.5%) and area of residence (urban with 14%). The second study showed that 21 32% of participants reported initiating psychoactive substance use, 29.3% added some substance to their initial use and 4% of them had to replace the substance, mainly due to difficulty of access. Other substances of abuse that showed significant increases were tobacco (0.5%) and marijuana (0.3%).COnCLUSIOn: Overall, despite the analysis of the 2 studies, the results provided are not a conclusive description of the frequency of sub-stance use by HCWs in Latin America during the COVID-19 pandemic. Further research is required to understand the impact of the pan-demic on drug abuse in the region.PROTOCOL RegISTRATIOn: The protocol has been registered on 30 November 2021 on the International Prospective Register of System-atic Reviews (PROSPERO) with ID: CRD420212919700
Acceso abierto
What is the perception of medical students about eLearning during the COVID-19 pandemic? A multicenter study in Peru
(Modestum LTD, 2022-07-28) Moya-Salazar, Jeel; Jaime-Quispe, Alexis; Milachay, Yeferson S.; Cañari , Betsy; Lozano-Zanely, Glenn; Chicoma-Flores, Karina; Moya-Salazar, Marcia M.; Contreras-Pulache, Hans
“Introduction: As face-to-face medical education was restricted during the pandemic; digital tools have been deployed to continue education showing a good educational impact in most countries. However, the perception of medical students in Peru on eLearning has not yet been investigated. This study assessed the perception of 440 medical students from two national universities in Peru on the characteristics and limitations of eLearning during 2021. Materials and methods: We conducted a cross-sectional study using the self-administered survey Encuesta Virtual en Tiempos de COVID-19 (EVI-CV19) on students between the second and sixth medical year of the Universidad Nacional Mayor de San Marcos (UNMSM) and the Universidad Nacional San Luis Gonzaga (UNSLG, n=325). Results: The majority of students were under 30 years of age (93.9% vs. 97.2%, p=0.084), and female (67% vs. 64%, p=0.107). Of the total, 63.9% and 81.5% UNMSM and UNSLG students considered the virtual platform effective in favouring feedback with recorded lectures (85.2% vs. 85.5%) and the organization of documents (61.7% vs. 80.9%), respectively (p>0.05). Seventy per cent and 46.8% of UNMSM and UNSLG students perceived that teachers were nottrained (p=0.063), and 26.1% and17.2% of students perceived thatthe virtual modality affected their academic performance a lot, respectively (p=0.003). About 38% of students from both universities perceived the virtual platforms as very secure. We found differences between UNMSM and UNSLG students on whether the virtual exams were fair (28.7% vs. 52.3%, p<0.001). Conclusions: This study reported a favorable perception of medical eLearning with clear differences in the limitations of the virtual environment. Keywords: medical education, COVID-19, eLearning, distance education, Peru“
Acceso abierto
“What is the perception of medical students about eLearning during the COVID-19 pandemic? A multicenter study in Peru“
(Modestum LTD, 2022-07-13) Moya-Salazar, Jeel; Jaime-Quispe, Alexis; Milachay, Yeferson S.; Cañari, Betsy; Lozano-Zanely, Glenn; Chicoma-Flores, Karina; Moya-Salazar, Marcia M.; Contreras-Pulache, Hans
“Introduction: As face-to-face medical education was restricted during the pandemic; digital tools have been deployed to continue education showing a good educational impact in most countries. However, the perception of medical students in Peru on eLearning has not yet been investigated. This study assessed the perception of 440 medical students from two national universities in Peru on the characteristics and limitations of eLearning during 2021. Materials and methods: We conducted a cross-sectional study using the self-administered survey Encuesta Virtual en Tiempos de COVID-19 (EVI-CV19) on students between the second and sixth medical year of the Universidad Nacional Mayor de San Marcos (UNMSM) and the Universidad Nacional San Luis Gonzaga (UNSLG, n=325). Results: The majority of students were under 30 years of age (93.9% vs. 97.2%, p=0.084), and female (67% vs. 64%, p=0.107). Of the total, 63.9% and 81.5% UNMSM and UNSLG students considered the virtual platform effective in favouring feedback with recorded lectures (85.2% vs. 85.5%) and the organization of documents (61.7% vs. 80.9%), respectively (p>0.05). Seventy per cent and 46.8% of UNMSM and UNSLG students perceived that teachers were nottrained (p=0.063), and 26.1% and17.2% of students perceived thatthe virtual modality affected their academic performance a lot, respectively (p=0.003). About 38% of students from both universities perceived the virtual platforms as very secure. We found differences between UNMSM and UNSLG students on whether the virtual exams were fair (28.7% vs. 52.3%, p<0.001). Conclusions: This study reported a favorable perception of medical eLearning with clear differences in the limitations of the virtual environment.“
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Where Do Medical Students Look for Information? A Study on Scientific Consultation Sources in Peru
(Modestum LTD, 2022-02-02) Moya-Salazar, Jeel; Cañari, Betsy; Jaime-Quispe, Alexis; Chicoma-Flores, Karina; Contreras-Pulache, Hans
“Introduction: Scientific consultation sources is essential in the quality of information during medical training worldwide. The sources of consultation should provide quality information to students who begin with clinical courses; however, it is unknown how and where students seek data in all medical schools in Peru. In this study, we determine the most frequent sources of scientific consultation of medical students at Norbert Wiener University. Materials and methods: We conducted a survey-based observational study in 148 volunteers (mean age 22.1±5.4 years) during 2019. A 21-items questionnaire was divided into three components: demographic data (10 questions), scientific consultation sources (7 questions), and Information search engines (4 questions). Results: Eighty (54.1%) students were between 20-30 years, and 26.8% worked < 20 hours per week. The scientific search sources considered very usefully were scientific articles (75.4%) and specialized books (49.3%), while 33% did not know Medscape. Regarding audiovisual sources, documentaries on the history of medicine and YouTube were considered useful in 41% and 48%, respectively. We found differences in the use of consultation sources (p =0.031), Medscape (p =0.001), documentaries (p=0.009), and YouTube (p=0.022) among medical years. Sixty-three percent considered Wikipedia useful, and 19.3% used PubMed, while Google was the most frequent information search engine, followed of Scielo and Google scholar. We found a correlation between year of students and SciELO (p=0.024) and Google (p=0.024) engine use. Conclusions: Our results suggest that scientific articles, specialized books and audiovisual sources (documentaries and YouTube) were convenient for medical students. In addition, we have found that as students’ progress through the years in medical school, they make less use of rigorous scientific reference sources.“
Acceso abierto
Where Do Medical Students Look for Information? A Study on Scientific Consultation Sources in Peru
(Modestum LTD, 2022-02-02) Moya-Salazar, Jeel; Cañari, Betsy; Jaime-Quispe, Alexis; Chicoma-Flores, Karina; Contreras-Pulache, Hans
“Introduction: Scientific consultation sources is essential in the quality of information during medical training worldwide. The sources of consultation should provide quality information to students who begin with clinical courses; however, it is unknown how and where students seek data in all medical schools in Peru. In this study, we determine the most frequent sources of scientific consultation of medical students at Norbert Wiener University. Materials and methods: We conducted a survey-based observational study in 148 volunteers (mean age 22.1±5.4 years) during 2019. A 21-items questionnaire was divided into three components: demographic data (10 questions), scientific consultation sources (7 questions), and Information search engines (4 questions). Results: Eighty (54.1%) students were between 20-30 years, and 26.8% worked < 20 hours per week. The scientific search sources considered very usefully were scientific articles (75.4%) and specialized books (49.3%), while 33% did not know Medscape. Regarding audiovisual sources, documentaries on the history of medicine and YouTube were considered useful in 41% and 48%, respectively. We found differences in the use of consultation sources (p =0.031), Medscape (p =0.001), documentaries (p=0.009), and YouTube (p=0.022) among medical years. Sixty-three percent considered Wikipedia useful, and 19.3% used PubMed, while Google was the most frequent information search engine, followed of Scielo and Google scholar. We found a correlation between year of students and SciELO (p=0.024) and Google (p=0.024) engine use. Conclusions: Our results suggest that scientific articles, specialized books and audiovisual sources (documentaries and YouTube) were convenient for medical students. In addition, we have found that as students’ progress through the years in medical school, they make less use of rigorous scientific reference sources.“