Benites Bullón, Alejandro

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Benites Bullón, Alejandro
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Benites Bullón, Alejandro
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Benites-Bullón, Alejandro
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Universidad Peruana Unión
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  • Publicacion
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    Scientific production and collaborative networks in Peruvian Social Security (EsSalud): Bibliometric analysis 2008-2020; Producción científica y redes de colaboración en la Seguridad Social del Perú (EsSalud): Análisis bibliométrico 2008-2020
    (Medical Body of the Almanzor Aguinaga Asenjo National Hospital, 2021-08-18)
    Alarcon-Ruiz, Christoper A.
    ;
    Cortez-Soto, Andrea G.
    ;
    Romero-Cerdán, Anthony
    ;
    Benites Bullón, Alejandro  
    ;
    Altamirano-Farfan, Euler Faraday
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  • Publicacion
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    Recommendations for nutritional assessment across clinical practice guidelines: A scoping review
    (2022-04-27)
    Soriano‐Moreno, David R.
    ;
    Dolores-Maldonado, Gandy
    ;
    Benites Bullón, Alejandro  
    ;
    Ccami‐Bernal, Fabricio
    ;
    Fernandez‐Guzman, Daniel
    Background & aims CPGs propose several methods and criteria to perform nutritional assessment, a key process to determine the type and severity of malnutrition, which generates variability in clinical practice and outcomes. The aim of the study was to describe the criteria considered by clinical practice guidelines (CPGs) for nutritional assessment. Methods We performed a scoping review systematically searching in PubMed, Trip Database, Google Scholar, and Google, until November 5, 2021. We included all CPGs mentioning tools or criteria for nutritional assessment in adults from the general population or with any specific pathology or condition. Two authors independently reviewed and decided on study selection and data extraction. Results We included 18 CPGs (12 elaborated in Europe). The CPGs recommended heterogeneous criteria for nutritional assessment: 16/18 CPGs included at least one body composition parameter (e.g., loss of muscle mass, loss of subcutaneous fat), 15/18 included history related to dietary intake, 15/18 included clinical history (e.g., weight loss), 10/18 included anthropometric measurement (e.g., low body mass index [BMI]), 11/18 included biochemical criteria (e.g., albumin, C-reactive protein), 8/18 included physical examination (e.g., fluid retention, sarcopenia, loss of subcutaneous fat), 8/18 included functional test (e.g., decreased handgrip strength), and 1/18 included catabolic state. Also, 9/18 CPGs mentioned a tool for nutritional assessment, the Subjective Global Assessment (SGA) the most common (8/18). None of the CPGs justified the inclusion of any of the tools or criteria they mentioned. Conclusions The CPGs mentioned heterogeneous criteria for nutritional assessment. The most commonly mentioned criteria were decreased food intake, loss of muscle mass, weight loss, and low BMI. The most mentioned tool was the SGA. None of the CPGs provided a clear rationale for using certain criteria or tools for nutritional assessment.
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    Self-reported perceptions and knowledge of telemedicine in medical students and professionals who enrolled in an online course in Peru
    (BioMed Central Ltd, 2023-02-03)
    García-Gutiérrez, Fabrizio M.
    ;
    Pino-Zavaleta, Francis Robert
    ;
    Romero-Robles, Milton A.
    ;
    Patiño-Villena, Ana F.
    ;
    Jauregui-Cornejo, Abigail S.
    Background Telemedicine has become more relevant during the COVID-19 pandemic. However, medical students and professionals do not acquire competences in telemedicine during their training. Our objective was to describe the self-reported perception and baseline knowledge of telemedicine among medical students and professionals enrolled in a virtual course. Methods Cross-sectional study that included physicians or medical students aged 18 years or older who were interested in a free virtual telemedicine course and who completed the data collection questionnaire. We used a Likert scale to assess the self-reported perceptions of four domains related to telemedicine. The participants were grouped into three levels for each domain: low, medium and high. We also objectively assessed telemedicine knowledge by means of 10 questions, with a cut-off point of 50% of correct answers. The Fisher's exact test, the Chi-square test, and the Mann–Whitney U test were used for the comparison of categorical data. A p-value < 0.05 was considered statistically significant. Results We included 161 participants: 118 medical students and 43 physicians. We observed no significant differences between medical students and physicians in self-reported perceptions of knowledge, security, or utility of telemedicine. However, students had a high self-reported perception of the disadvantages of telemedicine especially related to patient security (p = 0.018), efficiency of care (p = 0.040), and the possibility of medical malpractice (p = 0.010) compared to physicians. Nearly half of the students (n = 53,44.9%) and physicians (n = 22,51.7%) answered 50% or more of the questions related to telemedicine knowledge correctly. Conclusion Among the physicians and medical students enrolled in the course, the students perceived the disadvantages of telemedicine more frequently. Although physicians and students have limited knowledge of telemedicine, there appears to be no influence of experience and prior training in telemedicine.
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    Prevalence and incidence of chronic obstructive pulmonary disease in Latin America and the Caribbean: a systematic review and meta-analysis
    (2022-07-16)
    Olortegui Rodriguez, Juan José  
    ;
    Soriano‐Moreno, David R.
    ;
    Benites Bullón, Alejandro  
    ;
    Pelayo-Luis, Pilar P.
    ;
    Huaringa-Marcelo, Jorge
    BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) remains one of the leading causes of morbidity and mortality worldwide, and its epidemiology in Latin America and the Caribbean is not well described. The aim of this study was to evaluate the prevalence and incidence of COPD in Latin America and the Caribbean. METHODS: We searched systematically in Web of Science (WoS)/Core Collection, WoS/MEDLINE, WoS/Scielo, Scopus, PubMed, and Embase from 2010 to 2021. Studies assessing the prevalence and incidence of COPD according to the GOLD classification were included. The overall prevalence of COPD was calculated as a function of the general population using a random-effects model. RESULTS: 20 studies (19 cross-sectional and 1 cohort) met the inclusion criteria. The prevalence of COPD in the general population older than 35 years was 8.9%. The prevalence in men was 13.7% and in women 6.7%. The prevalence in smokers and ex-smokers was 24.3%. The incidence in the general population of COPD according to one study was 3.4% at 9 years of follow-up. CONCLUSIONS: COPD is prevalent in Latin America, especially in men and in smokers and ex-smokers. Further prevalence and incidence studies in the general population are needed, as well as health policies and strategies to address the disease.
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