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Determinantes de la satisfacción laboral en un establecimiento de salud durante el estado de emergencia sanitaria, Perú
(UNIV PERUANA UNION, 2021-11-08) Mendoza-Briceño, Edmer; Guerrero Bejarano, María Auxiliadora; Carhuancho-Mendoza, Irma; Nolazco-Labajos, Fernando; Daniel Silva Siu
En la presente investigación se examinaron los factores determinantes de la satisfacción laboral en un establecimiento de salud durante el estado de emergencia sanitaria en Perú. Se realizaron encuestas a 244 colaboradores de las diferentes áreas del establecimiento de salud. El estudio se realizó bajo el enfoque cuantitativo y de diseño ex post facto. La técnica de recopilación de datos fue la encuesta, la que se aplicó en el mes de agosto del 2020, cuando los casos de Covid 19 iban en aumento. Para la contrastación de la hipótesis se aplicó la regresión jerárquica por pasos, donde se determinó dos modelos que expliquen la satisfacción laboral. El primer modelo explica que la satisfacción laboral depende del burnout en un 20.4%, con una potencia de 0.996; mientras que el segundo modelo explica la satisfacción laboral por el burnout y la motivación en un 28.7%, con una potencia de 0.99. Por lo tanto, en la investigación se confirmó que las determinantes de la satisfacción laboral son el burnout y la motivación según los colaboradores del establecimiento de salud durante el estado de emergencia sanitaria.
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How much Fear of COVID-19 is There in Latin America? A Prospective Exploratory Study in Six Countries
(Modestum LTD, 2021-12-02) Moya-Salazar, Jeel; Cañari, Betsy; Contreras-Pulache, Hans
“Introduction: During the unprecedented lockdown, COVID-19 is causing people to suffer from mental disorders in response to strict containment measures. Latin America is the third most severely affected continent, and restrictive measures can have many negative effects on mental health (such as anxiety, depression, and stress) that may arise with fear. We aimed to measure the spread of fear of COVID-19 in the Latin American population. Materials and Methods: We conducted a prospective study in 535 participants of six countries of Latin America (Argentina, Bolivia, Colombia, Guatemala, Mexico, and Peru), and a country of Europe (Spain) as a control, during 2020. We used the Fear of COVID-19 Scale. Results: The mean age was 31.2±13.2 years (70.8% under 30 years) and the majority were women (57.9%) and 76.6% had a technical, university, or postgraduate studies. Seven percent of participants had high rates of fear of COVID-19, these high estimates of fear were observed in Argentines (14.3%, score range: 28-31%), of Peruvians (10.2%, score range: 27-35%), and Mexicans (5.7%, score range: 27-29%). Both Peru (p=0.003) and Mexico (p=0.0001) showed significant differences from the control country. We showed low levels of fear in 57.1%, 45.5%, 42.9%, and 41.2% of Argentines, Colombians, Bolivians, and Peruvians, respectively. No differences in low levels of fear we found among age groups (p> 0.05), however, we find differences between genders (p=0.001). Conclusions: These results suggested low levels of fear in six Latin American countries, highlighting the need to contextualize fear behavior as a key element in people’s psychological well-being and mental health during the COVID-19 pandemic.“
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Sociodemographic Predictors Associated with the Willingness to Get Vaccinated against COVID-19 in Peru: A Cross-Sectional Survey
(MDPI, 2021-12-30) Vizcardo, David; Figueroa Salvador, Linder; Nole-Vara, Arian; Pizarro Dávila, Karen; Alvarez-Risco, Aldo; Yáñez, Jaime A.; Mejia, Christian R.
During the race for the development of a vaccine against COVID-19, even before itscommercialization, part of the population has already shown a growing fear of its application. Wedesigned an analytical cross-sectional study using an anonymous survey in the 25 departmentsof Peru. We surveyed whether the participants were planning on getting vaccinated, as well asother characteristics that were cross-checked in a uni-, bi- and multivariate manner. Of the 1776respondents, 70% (1251) stated that they were planning to be vaccinated, 20% (346) did not knowyet or doubted it, and 10% (179) did not want to be vaccinated. We observed that those who did notget infected with COVID-19 exhibited a higher frequency to not wanting or were uncertain aboutgetting vaccinated (aPR: 1.40; 95% CI: 1.09–1.81;p-value = 0.008). In contrast, there was a lowerfrequency of vaccine refusal among university students (aPR: 0.75; 95% CI: 0.61–0.92;p-value = 0.005)and healthcare workers (aPR: 0.59; 95% CI: 0.44–0.80;p-value = 0.001); adjusted by place of residence.There is still an important percentage of respondents who do not want to be vaccinated or are hesitantto do it, which was associated with educational level, being a healthcare worker and if they werepreviously infected with COVID-19. Our results could offer useful information about COVID-19vaccination campaigns.
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Location-based Mobile Application for Blood Donor Search
(ASOCIACION ESPANOLES DE GEOGRAFIA, 2022) Iparraguirre-Villanueva, Orlando; Sierra-Liñan, Fernando; Cabanillas-Carbonell, Michael
Technological advances and the massive use of mobile devices have led to the exponential evolution of mobile applications in the health sector. Blood donation centers frequently suffer blood shortages due to lack of donations, which is why blood donation requests are frequently seen on social networks for blood donors in urgent need of a transfusion of a specific blood group. Mobile applications for blood donation are crucial in the health sector, since it allows donors and blood donation centers to communicate immediately to coordinate with each other, minimizing the time to perform the donation process. The present work was to develop a location-based mobile application for the search of blood donors, with the objective of increasing the number of donors, having a greater population reach, and reducing the time to search for blood donors. The results obtained show a significant increase of 39.58% in the number of donors, a reduction of 53.2% in the search time, and a greater population reach.
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“The Monkeypox Fear Scale: development and initial validation in a Peruvian sample “
(BioMed Central Ltd, 2022) Caycho‑Rodríguez, Tomás; Vilca, Lindsey W.; Carbajal‑León, Carlos; Gallegos, Miguel; Reyes‑Bossio, Mario; Noe‑Grijalva, Martin; Delgado‑Campusano, Mariel; Muñoz‑del‑Carpio‑Toia, Águeda
“Background: Fear is one of the basic emotions generated during periods of infectious diseases. Therefore, the aim of this study was to develop and validate a scale that assesses monkeypox fear, the Monkeypox Fear Scale (MFS). Methods: A total of 451 Peruvians participated (61% women and 39% men), with a mean age of 28.31 years (SD=9.72). based on procedures from classical test theory (CTT) and item response theory (IRT). Classical Test Theory (CTT) and Item Response Theory (IRT) procedures were used. Results: The results showed that MFS has a two-factor structure related to emotional and physiological fear fac‑ tors (χ2=41.87; df=12; p<.001; CFI=.99; TLI=.99; RMSEA=.074 [IC90% .051–.100]). In addition, the physiological and emotional factors showed good reliability. Measurement invariance analysis showed that the factor structure of the MFS is strictly invariant between male and female groups. Finally, the discrimination and difculty parameters of the items show adequacy. In addition, the scale seems to be more accurate in measuring high levels of fear of monkeypox. Conclusion: The MFS has adequate psychometric evidence to assess fear of monkeypox in the Peruvian population. These fndings may guide future studies related to the consequences of monkeypox on mental health.“
Acceso abierto
A Functional Assessment Tool to Distinguish Controls From Alzheimer’s Disease in Lima, Peru
(SAGE PUBLICATIONS INC, 2022) Custodio, Nilton; Montesinos, Rosa; Chambergo-Michilot, Diego; Herrera-Perez, Eder; Pintado-Caipa, Maritza; Seminario, Wendy; Cuenca, Jose; Mesía, Laura; Failoc-Rojas, Virgilio E; Diaz, Monica M
Background: The Alzheimer’s Disease Cooperative Study-Activities of Daily Living (ADCS-ADL) scale is a versatile functional assessment tool for patients with Alzheimer’s disease (AD). We evaluated its performance in controls, Peruvians with MCI or AD. Methods: A cross-sectional study of older adults attending a neurology institute in Lima (Peru) with mild cognitive impairment (MCI), AD or cognitively healthy. Test-retest reliability (intraclass correlation coefficient, ICC; internal consistency, Cronbach’s alpha) and validity were assessed. Results: We enrolled 276 individuals (AD: 113, MCI: 68, controls: 95) with no age, sex, educational level, and depressive symptom differences. Reliability was ideal (ICC: .996), and Cronbach’s alpha was adequate (.937). The ADCS-ADL could not differentiate MCI from controls but did differentiate AD severity. The ADCS-ADL correlated highly with nearly all tools. Conclusions: The ADCS-ADL scale is reliable in a population with AD in Lima, Peru. Future work may validate a tool for Peruvians with lower educational levels.
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Competency-Based Curriculum Planning Model To Overcome Inconsistencies In Vocational Training
(Wolters Kluwer Medknow Publications, 2022) Neyra López, Carolina Amelia; Tacilla Ramìrez, Nancy Jesús; Rivera-Zamudio, July
“The objective of the research was to evaluate the consistency of different training proposals, proposing as a reference a competency-based curriculum planning model. Qualitative methodology was used from an interpretive paradigm, making use of inductive and deductive analysis at the same time. Inductively, observations were generated through documentary analysis, interviews with experts, and a focus group with university professors, who then deductively derived interpretations and forecasts regarding curricular planning. As a result, it was obtained that the designed model, based on the triangulation of the information collected, allowed evaluating and determining the strengths and weaknesses of the priority elements of the university curriculum: the graduation profile, the study plan and the evaluation system. The main conclusion was that it is necessary to have clear parameters for specifying the university curriculum, through a referential model that allows the development of a virtuous circle of evaluation and continuous improvement of curricular planning.Keywords: -competencies; curriculum planning; consistency; discharge profile; Curriculum; evaluation systemINTRODUCTIONThe Bologna agreement signed by the European Union led to great transformations in the training processes of future professionals. One of these was that the university curriculum presents competencies to develop for the exercise of a certain career 18 . According to the Tuning Project for Latin America 45 , competencies are classified by their basic, transversal or specific nature. Basic skills allow people to function as individuals who are part of society and support the development of more complex skillsof analysis, synthesis, understanding and action, thanks to the cognitive skills of information processing, argumentation and interpretation 44 accompanied by of central aspects.Transversal, generic or soft skills are common to different professions, and increase performance expertise, employability, management and productivity in different work environments 8,14, 19,26,44 . The specific competencies are those specific to each profession, and establish the performance expected in each of the professional disciplines, which promote specialization, thanks to the development of specific training processes 2, 20, 39,44 .Another transformation was the management of curricular planningso that all the elements of the curriculum (profiles, objectives, competencies, contents, didactic strategies and evaluation strategies) converge harmoniously and, thus, achieve the graduation profile 11,38 . The design of a curricular planning by competencies must start by identifying the challenges and needs of each profession, this with the aim of contributing to the solution of the latent problems that society faces, for which the competencies to be trained for a suitable performance. All this with theaim of guaranteeing the articulation between the training proposal and the set of demands on the profession 6 .Based on the above, curricular planning is defined in a competency-based approach as the design process of each of the central components of the curriculum, taking into account the educational model of the university, which defines the fundamental orientations of training, as well as the environment of the profession, its demands and development trends.From this perspective, a Curriculum Planning Model for Competencies -hereinafter MPCC -becomes the reference for the construction, organization and readjustment of the competency-based training curriculum, which contains the description of the stages and processes that guarantee consistency, coherence, relevance and gradualness of the training process, likewise, it articulates the macro, meso and micro stages of curricular planning where the structure of each of its components is taken into account 3,24,25,41,50 .The fundamental elements of the MPCC are the graduate profile, the study plan and the evaluation system. The graduation profile is made up of the set of generic and specific competencies for performance in a certain profession, identified after “
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El proceso de enseñanza-aprendizaje de la Enfermería durante la pandemia en Perú
(Universidad del Zulia, 2022) Gálvez-Díaz, Norma del Carmen; Cárdenas Velásquez, Nairoby; Zapata Montoya, Alexandra; Torres Panesso, Martha Cecilia; García Puicón, Lady Yanina
Determinar los factores presentes enel proceso de enseñanza-aprendizaje de la Enfermería en el contexto de una universidad peruana. Material y métodos: Cuantitativo descriptivode corte transversal;participaron 128estudiantesy 36 docentes de Enfermería de una universidad privada en el norte de Perú.El instrumento fue un cuestionario validado por expertos con una confiabilidad de 0.88.Resultados:el 86% y 90% de docentes y estudiantes,respectivamente,fueron mujeres;y la mayoría entre edades de 37 a 46 (docentes) de media condición económica,y 16a 25 años de edad (estudiantes) y de baja condición económica. Más del 50% de docentes y estudiantes no conocen la plataforma virtual y el manejo de base de datos; más del 60% no tiene adecuada asignación de actividades académicas y un ambiente en casa deficiente,donde el 47% de docentes y el 60% de estudiantes destacan la presencia de ruidoypoca iluminación. Conclusión:Existen factoresacadémicos, del entorno de los docentes y estudiantes que representan una preocupación en la formación de enfermeras apoyadas en la virtualidad. Sin embargo,características de los actores involucrados sería una oportunidad para mejorar el proceso.
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Antibacterial and Antiadhesion Effects of Psidium guajava Fractions on a Multispecies Biofilm Associated with Periodontitis
(Association of Support to Oral Health Research (APESB), 2022) Millones Gómez, Pablo Alejandro; Requena Mendizábal, Margarita Fe; Calla Poma, Roger Damaso; Rosales Cifuentes, Tania Valentina; Malpartida Quispe, Federico Martin; Maurtua Torres, Dora Jesús; Bacilio Amaranto, Reyma Evelyn; Minchón Medina, Carlos Alberto; Ponce Contreras, Lusin Antonio
Objective: To assess the antibacterial activity of Psidium guajava fractions and their effects on adhesion of a multispecies biofilm consisting of Streptococcus gordonii, Fusobacterium nucleatum, and Porphyromonas gingivalis in vitro. Material and Methods: Guava leaves were obtained from the mountains of northern Peru, where they grow wild and free of pesticides. The antimicrobial activity of 25 mg/mL petroleum ether, 25 mg/mL dichloromethane and 25 mg/mL methanol fractions of P. guajava was evaluated by measuring inhibition halos, as well as the effect on the adhesion of multispecies biofilms at 4, 7 and 10 days of growth by measuring the optical density. In addition, antimicrobial susceptibility was compared using the Kruskal-Wallis test and its multiple comparison tests, and differences in mean biofilm adhesion between each fraction were assessed by repeated measures analysis and the Tukey multiple comparison test. Results: The rank-based Kruskal-Wallis test highlighted differences in the effects of the fractions on the zone of inhibition for each oral bacterium, including S. gordonii(p=0.000), F. nucleatum (p=0.000), and P. gingivalis (p=0.000), the Tukey test showed that the group treated with 0.12% chlorhexidine exhibited the least amount of adhesion, followed by the group treated with the 1.56 mg/mL methanol fraction. Conclusion: The methanol fraction of P. guajava had an antibacterial effect on S. gordonii and P. gingivalis, and the 1.56 mg/mL methanol fraction decreased biofilm adhesion.
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Convolutional Neural Networks with Transfer Learning for Pneumonia Detection
(Science and Information Organization, 2022) Iparraguirre-Villanueva, Orlando; Guevara-Ponce, Victor; Roque Paredes, Ofelia; Sierra-Liñan, Fernando; Zapata-Paulini, Joselyn; Cabanillas-Carbonell, Michael
“Pneumonia is a type of acute respiratory infection caused by microbes, and viruses that affect the lungs. Pneumonia is the leading cause of infant mortality in the world, accounting for 81% of deaths in children under five years of age. There are approximately 1.2 million cases of pneumonia in children under five years of age and 180 000 died in 2016. Early detection of pneumonia can help reduce mortality rates. Therefore, this paper presents four convolutional neural network (CNN) models to detect pneumonia from chest X-ray images. CNNs were trained to classify X-ray images into two types: normal and pneumonia, using several convolutional layers. The four models used in this work are pre-trained: VGG16, VGG19, ResNet50, and InceptionV3. The measures that were used for the evaluation of the results are Accuracy, recall, and F1-Score. The models were trained and validated with the dataset. The results showed that the Inceptionv3 model achieved the best performance with 72.9% accuracy, recall 93.7%, and F1-Score 82%. This indicates that CNN models are suitable for detecting pneumonia with high accuracy.“
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Sentiment Analysis of Tweets using Unsupervised Learning Techniques and the K-Means Algorithm
(Science and Information Organization, 2022) Iparraguirre-Villanueva, Orlando; Guevara-Ponce, Victor; Sierra-Liñan, Fernando; Beltozar-Clemente, Saul; Cabanillas-Carbonel, Michael
Today, web content such as images, text, speeches, and videos are user-generated, and social networks have become increasingly popular as a means for people to share their ideas and opinions. One of the most popular social media for expressing their feelings towards events that occur is Twitter. The main objective of this study is to classify and analyze the content of the affiliates of the Pension and Funds Administration (AFP) published on Twitter. This study incorporates machine learning techniques for data mining, cleaning, tokenization, exploratory analysis, classification, and sentiment analysis. To apply the study and examine the data, Twitter was used with the hashtag #afp, followed by descriptive and exploratory analysis, including metrics of the tweets. Finally, a content analysis was carried out, including word frequency calculation, lemmatization, and classification of words by sentiment, emotions, and word cloud. The study uses tweets published in the month of May 2022. Sentiment distribution was also performed in three polarity classes: positive, neutral, and negative, representing 22%, 4%, and 74% respectively. Supported by the unsupervised learning method and the K-Means algorithm, we were able to determine the number of clusters using the elbow method. Finally, the sentiment analysis and the clusters formed indicate that there is a very pronounced dispersion, the distances are not very similar, even though the data standardization work was carried out.
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Attitudes towards Research in Higher Education Students
(WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2022) Camacho Torres, Julissa; Balcázar Medina, Gaby; Robalino Sánchez, Karla; Palacios Garay, Jessica Paola
In recent years, there have been positive changes in teaching and research; however, these are insufficient. The responsibility falls on the university, the undeniable center of knowledge, since it must embrace teaching and research, and transform it so that it results in the greatest economic, political and social development of the country. The objective was to know the attitude towards research in Education students of a national university in Metropolitan Lima 2022. The sample consisted of 110 students from the Faculty of Education during the year 2022. The information was collected through the version revised scale of attitudes towards research (EACIN). The results indicated that70% had a bad attitude towards research; 21.8%, regular level and 8.2%, good attitude. Interest in research was similar between the fair and poor levels, 45.5% and 42.7%, respectively; only 11.8% presented a good level. 68.2% showed a poor vocation for research; 25.5%, regular level and 6.4%, good. The evaluation of the investigation had the highest percentage in the bad level, 81.8%; regular level with 14.5% and good valuation 3.6%
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Free Hardware based System for Air Quality and CO2 Monitoring
(Science and Information Organization, 2022) Alvarez-Mendoza, Cristhoper; Vilchez-Lucana, Jhon; Sierra-Liñan, Fernando; Cabanillas-Carbonell, Michael
Due to the increase in air pollution, especially in Latin American countries of low and middle income, great environmental and health risks have been generated, highlighting that there is more pollution in closed environments. Given this problem, it has been proposed to develop a system based on free hardware for monitoring air quality and CO2, in order to reduce the levels of air pollution in a closed environment, improving the quality of life of people and contributing to the awareness of the damage caused to the environment by the hand of man himself. The system is based on V-Model, complemented with a ventilation prototype implemented with sensors and an application for its respective monitoring. The sample collected in the present investigation was non-probabilistic, derived from the reports of air indicators during 15 days with specific schedules of 9am, 1pm and 6pm. The results obtained indicated that the air quality decreased to 670 ppm, as well as the collection time decreased to 5 seconds and finally the presence of CO2 was reduced to 650 ppm after the implementation of the system, achieving to be within the standards recommended by the World Health Organization.
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Mobile Applications for the Implementation of Health Control against Covid-19 in Educational Centers, a Systematic Review of the Literature
(SCIENCE & INFORMATION SAI ORGANIZATION LTD, 2022) Quispe-Lavalle, Bryan; Sierra-Liñan, Fernando; Cabanillas-Carbonell, Michael
“—A health crisis caused by the SARS-CoV-2 virus is still ongoing. That is why an important factor for the resumption of on-site classes is the creation of sanitary measures to help control Covid-19. The present research is a literature review, The PRISMA methodology is used and 265 articles are collected from various databases such as EBSCO Host, IEEE Xplore, SAGE, ScienceDirect, and Scopus. According to the inclusion and exclusion criteria, the most relevant articles aligned to the topic were identified, systematizing 119 articles. Showcasing digital technologies used in mobile applications that allow better control, tracking, and monitoring of the health status of students, teachers, and staff of educational centers, in addition to the parameters and quality attributes that must be taken into account for the effective sanitary control of the disease, finally, a development model is proposed. “
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“Conocimiento sobre la valoración de hematíes dismórficos en sedimento urinario en profesionales de laboratorio clínico de Lima metropolitana“
(Wiley-Blackwell Publishing Ltd, 2022) Saldaña-Orejón, Italo Moisés
“Introducción: A pesar de la existencia de directrices internacionales para la correcta valoración de la hematuria dismórfica, es frecuente que su categorización presente mucha variabilidad, inclusive entre los profesionales del mismo laboratorio. Objetivo: Determinar el nivel de conocimiento de profesionales tecnólogos médicos para la valoración de hematíes dismórficos en sedimento urinario. Material y Métodos: Estudio transversal observacional. Se aplicó un instrumento de medición para evaluar el conocimiento sobre la fase preanalítica y analítica de la valoración de hematíes dismórficos en sedimento urinario a 113 profesionales con más de tres años de experiencia en el área de uroanálisis y que laboran en centros hospitalarios estatales y privados. Resultados. La media del puntaje obtenido fue de 5,4±1,9 de 10 puntos posibles; El 85,0% de los encuestados presento un conocimiento medio e insuficiente y solo el 15,0% un conocimiento avanzado; Se observo asociación entre los niveles de conocimiento y años de experiencia (p=0,006), no se evidenció asociación significativa con la variable sexo (p=0,791) y sedes hospitalarias (p=0,888). Discusión: Se evidenció un bajo conocimiento en los dominios preanalíticos y analíticos para la valoración de hematíes dismórficos, además de una asociación significativa entre el nivel de conocimiento y los años de experiencia del profesional. “
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“Design of a Mobile Application for the Logistics Process of a Fire Company“
(Science and Information Organization, 2022) Parra Aquije, Luis Enrique; Vasquez Carranza, Luis Gustavo; Alfaro Pena, Gustavo Bernnet; Cabanillas-Carbonell, Michael; Andrade-Arenas, Laberiano
“Currently, the logistics process is an important part for any company because it helps to manage the assets and products that enter and leave it. Some companies carry out this process physically, saving the information on sheets of paper or Excel files, which takes longer to do and is not at the forefront of how companies do it, which is by using mobile applications to improve this process. Likewise, it has been decided to implement a mobile application with the aim of improving the logistics process in the Callao No. 15 fire company. For the elaboration of the application, the RUP methodology was used to do it in a more optimal way, in the end, a survey of experts in Google Forms was conducted, addressed to 10 experts to know the evaluation of the mobile application. In the end, a favorable result was obtained from the opinion of the experts on the mobile application; 70% of the respondents indicate that the usability of the mobile application has a “Very high” level;it can be seen that 80% of respondents indicate that the presentation of the mobile the application has a “Very high” level; it can be seen that 90% of the respondents indicate that the functionality of the mobile application has a “Very high” level; besides,it can be seen that 80% of the respondents indicate that the security of the mobile application has a “Very high” level.“
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Suicidality Scale: Psychometric Evidences in Peruvian Adolescents
(Universidad del Zulia, 2022) Baños-Chaparro, J.; Reyes-Arquiñego, M.
Quantitative, descriptive and cross-sectional study, whose objective was to analysethe sources of evidence of validity of the Suicidality Scale (SS) in Peruvian adolescents. 319 adolescents residing in the province of Ica -Peru participated, who answered the SS virtually. Structural Equation Modelling(SEM) and Item Response Theory (IRT) were applied in the statistical analysis. Results: 21% indicated that they had suicidal thoughts during the first wave of Covid-19. Likewise, the SS evidence a one-dimensional structure (CFI = .99, RMSEA = .05 [90% CI: .00-.13], SRMR = .02), acceptable reliability (ω= .87 and H = .96), suitable parameter values (αand β) and latent trait information (Ɵ), being useful in people with high levels of suicidality. Therefore, the SS proves to be a reliable, accessible and practical instrument to evaluate suicidality in Peruvian adolescents.
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Epidemiological Situation of Monkeypox Transmission by Possible Sexual Contact: A Systematic Review
(MDPI, 2022) León-Figueroa, Darwin A.; Barboza, Joshuan J.; Garcia-Vasquez, Edwin A.; Bonilla-Aldana, D. Katterine; Diaz-Torres, Milagros; Saldaña-Cumpa, Hortencia M.; Diaz-Murillo, Melissa T.; Campos-Santa Cruz, Olga; Rodriguez-Morales, Alfonso J.
Monkeypox (MPX), a zoonotic infection caused by the monkeypox virus (MPXV), has re-emerged worldwide with numerous confirmed cases with person-to-person transmission through close contacts, including in sexual networks. Therefore, this study aimed to determine the epidemiological situation of monkeypox transmission by possible sexual contact. A systematic literature review was conducted using PubMed, Scopus, Web of Science, and Embase databases until 18 August 2022. The key search terms used were “monkeypox”, “sexual contact”, “sexual intercourse” and “sexual transmission”. A total of 1291 articles were retrieved using the search strategy. After eliminating duplicates (n = 738) and examining by title, abstract, and full text, 28 studies reporting case reports of monkeypox with a detailed description of clinical features, sexually transmitted diseases, method of diagnosis, location and course of skin lesions, and treatment were included. A total of 4222 confirmed cases of monkeypox have been reported, of which 3876 monkeypox cases are the result of transmission by sexual contact distributed in twelve countries: 4152 cases were male with a mean age of 36 years. All confirmed cases of monkeypox were diagnosed by reverse transcriptase-polymerase chain reaction (RT-PCR). The most frequent clinical manifestations were fever, lymphadenopathy, headache, malaise, and painful perianal and genital lesions. The most frequent locations of the lesions were perianal, genital, oral, trunk, upper and lower extremities. Patients were in good clinical condition, with treatment based on analgesics and antipyretics to relieve some symptoms of monkeypox. A high proportion of STIs and frequent anogenital symptoms were found, suggesting transmissibility through local inoculation during close skin-to-skin or mucosal contact during sexual activity. The highest risk of monkeypox transmission occurs in men who have sex with men, and MPXV DNA could be recovered in seminal fluid. It is essential to establish health policies for the early detection and management of patients with monkeypox.
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“Rosenberg Self-Esteem Scale (RSES): Analysis of the factorial structure and proposal of a new version of only positive items“
(Universidad de Almeria, 2022) Vilca, Lindsey W.; Travezaño-Cabrera, Aaron; Santos-Garcia, Stephany
“Introduction. The objective was to evaluate the factor structure and propose a new version of the Rosenberg Self-Esteem Scale with only positive items to overcome the method effect associated with negative items. Method. A version A (positive and negative items) and a version B (only positive items) were considered. A sample of 350 university students was collected for each version. Results. The CFA shows that version A's one-dimensional model (A1) does not present adequate fit indices. It was also found that adding a specific factor for negative items (model A2) and another factor for positive items (model A3) does not improve the fit indices. A twodimensional model (A4 model) does not improve the fit indices either. Regarding the onedimensional model of version B, it presents a superior fit compared to the original model (model A1) Discussion and Conclusions. It is concluded that version B, a proposal of only positive items, adequately measures self-esteem since it does not have negative items and agrees with Rosenberg's original approach. “
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Evaluation of Three Models of Follow-up of Patients with Cervical Cytological Abnormalities in a Peruvian’s Largest Teaching Women’s Hospital
(Modestum LTD, 2022-01-13) Moya-Salazar, Jeel; Huarcaya, Jennifer; Rojas-Zumaran, Víctor; Vásquez, Diana L.; Chicoma-Flores, Karina; Contreras-Pulache, Hans
“Introduction: The follow-up of squamous intraepithelial lesions (SIL) allows us to understand their progression and regression, however squamous cell atypia (ASC) can generate confusing follow-up results. We aimed to describe the evolution of ASC and SIL during cyto-histopathological follow-up in a tertiary-care hospital. Materials and methods: we conducted a retrospective study during 2016 in 156 Papanicolaou test (PAP) results under three models: 1) with ≥1 PAP and biopsies, 2) 1 PAP followed by ≥1 biopsy, and 3) ≥1 PAP and a confirmatory biopsy. Progression was defined as ASCUS to low-grade SIL (LSIL) or higher, and LSIL to high-grade SIL (HSIL) or higher; and regression as HSIL to LSIL or lower; and LSIL to ASCUS or lower. Results: In PAP, 57 (36.5%) cases were ASC and in histopathology 56 (39.9%) cases of grade 1 cervical intraepithelial neoplasia. Twenty-nine (18.6%) results were followed: 8 (27.6%), 17 (58.6%), and 4 (13.8%) with models 1, 2, and 3, respectively. The progression of the lesions was reported in ~50% for models 2 and 3. ASCUS was the main cytological finding that indicated biopsies, and for all models, the mean progression and regression time was 4 and 3.1 months, respectively. Conclusions: The follow-up of cytological alterations in three models showed progression of lesions in half of the cases analyzed with a time of four months of evolution; ASCUS was the main finding that indicated histopathological study.“

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