Soriano Moreno, Anderson Nelver Elías
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Soriano Moreno, Anderson Nelver Elías
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Item type:Publicación, Physical Inactivity is Associated with Job Burnout in Health Professionals During the COVID-19 Pandemic(2023-04-01) ;Plaza-Ccuno, Jhoes Naylin R ;Vasquez Puri, Cristabel; ; Background: The pandemic has drastically impacted lifestyles, including the frequency, duration, and intensity of physical activity, which, in turn, leads to negative effects on job burnout among healthcare workers. Objective: This study evaluated the association between the level of physical activity and job burnout in a sample of health professionals during health emergency. Methods: In this cross-sectional study, 300 workers working in a public hospital, located in the city of Rioja, Department of San Martin, Peru, were considered. Data were collected through an online and face-to-face survey. Job burnout was assessed using a validated questionnaire adapted to the Peruvian population and physical activity was assessed based on a single item. Crude and adjusted linear regression models were created to assess the association between the frequency of physical activity performed weekly and the level of job burnout. Results: In the crude models, it was observed that participants who performed physical activity 1-2 times, 3-4 times, or more than 4 times per week had, respectively, 6.29 (95% CI, 11.00-1.59), 14.28 (95% CI, 21.70-6.85), and 14.95 (95% CI, 25.17-4.72) lower job burnout points compared to those who never performed physical activity. In the model adjusted for confounding variables, the association of this result was maintained, showing a dose-response effect. Conclusion: These findings suggest the need for the implementation of health education programs that include physical activity to minimize the negative effects of job burnout and ensure better medical care by health professionals for the benefit of patients.Citas (OpenAlex): 32metric-badges.view 7 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Association between sleep duration and burnout in healthcare professionals: a cross-sectional survey(2024-01-10); ; ;Ramos‐Vera, Cristian ;Oblitas-Guerrero, Susan M.Background Short sleep duration in healthcare professionals is a recurring concern among researchers. On the other hand, the prevalence of burnout in this population group is experiencing exponential growth. Therefore, this study aimed to explore the association between sleep duration and burnout in healthcare professionals. Methods This is a cross-sectional study. Data were collected by applying a non-probabilistic convenience sampling, considering a sample of 300 healthcare professionals from the public sector in Peru. The association between variables was explored using multivariate logistic regression. Values of p < 0.05 were considered statistically significant. Results The results of the analysis in the crude models revealed that both men and women who slept < 7 h during workdays and days off were 8.33 (95% CI = 2.68–13.99, p = 0.004) and 17.18 (95% CI = 10.50–23.87, p < 0.001) times more likely to have burnout compared to those who reported ≥7 h, respectively. After adjusting for confounding variables, the association remained statistically significant. Conclusion The findings of this study underscore the critical importance of sleep duration in the incidence of burnout among healthcare professionals. In the context of the global challenges to the mental and physical health of these professionals, our results highlight the urgent need to implement strategies at the organizational and individual level. This includes promoting a better work-life balance, and effective stress management and improved sleep quality.Citas (OpenAlex): 39metric-badges.view 4 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Viral–bacterial codetection and clinical and laboratory characteristics in children hospitalized with lower respiratory tract infections in a private hospital in Lima, Peru: a cross-sectional study(2026-05-08) ;Rojas-Cosi, Ana F. ;Soriano‐Moreno, David R.; ; Bobadilla, FernandoBACKGROUND: Viral-bacterial codetection is common and may increase clinical severity, but evidence in the Peruvian pediatric population is limited. The objective of the present study was to evaluate the clinical, laboratory, and seasonal characteristics associated with viral-bacterial codetection in children hospitalized for lower respiratory tract infections (LRTIs). METHODS: Cross-sectional secondary database study from a private hospital in Lima, Peru. We included patients < 13 years hospitalized for LRTIs with RT-qPCR results for respiratory viruses and/or bacteria. Viral-bacterial codetection was compared against other detection patterns using Poisson regression for binary outcomes and linear regression for continuous outcomes, with false discovery rate (FDR) correction for multiple comparisons. RESULTS: A total of 548 patients were included (median age 2.0 years; 50.5% female). Viral-bacterial codetection was identified in 21.5% of patients (n = 118), with RSV + Haemophilus influenzae being the most frequent combination. Compared with other detection patterns, viral-bacterial codetection was significantly associated with a higher prevalence of crackles (aPR: 1.30; 95% CI: 1.08-1.57), lower oxygen saturation at admission (β: -0.57; 95% CI: -1.04 to - 0.10), higher platelet counts (β: 30,452; 95% CI: 5,113-55,792), higher hemoglobin levels (β: 0.29 g/dL; 95% CI: 0.03-0.56), and longer hospital stay (β: 0.66 days; 95% CI: 0.02-1.29). However, after FDR correction for multiple comparisons, none of these associations reached statistical significance (q-values: 0.056-0.113). No difference was detected according to seasonality. CONCLUSIONS: Viral-bacterial codetection was common and was associated with crackles, lower oxygen saturation, longer hospital stay, and higher platelet counts; however, after FDR correction, none of these associations remained statistically significant, underscoring the exploratory nature of these findings and the need for larger, confirmatory studies.Citas (OpenAlex): 0metric-badges.view 4 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, An association between the depressive disorder and cognitive deterioration in elderly subjects in three Peruvian cities(2017-10-01) ;Vilchez‐Cornejo, Jennifer; ;Saldaña-Cabanillas, David ;Acevedo-Villar, TaniaBendezú-Saravia, PaolaCitas (OpenAlex): 1metric-badges.view 2 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Mental Health and Long-COVID In Peru: A Qualitative Exploration(2024-04-30); ;Elaine C. Flores ;Juan A Galvez-Buccollini ;A.G. LescanoWilliam CheckleyCitas (OpenAlex): 0metric-badges.view 2 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, ANDES trial and integration of the HEARTS model in Puno, Peru(2025-12-16) ;Gonzalo Cuentas ;Lucy Cordova-Ascona ;Lisa de las Fuentes; Lindsay J. UnderhillBackground: HEARTS is the regional strategy led by the Pan American Health Organization to strengthen hypertension and diabetes control in primary health care. This report summarizes formative and process evidence from the ANDES trial in Puno, Peru, and its alignment with HEARTS implementation. Methods: We assessed 414 health facilities using an adapted World Health Organization Service Availability and Readiness Assessment (SARA-NCD), conducted 55 semi-structured interviews with health professionals, and applied the Hill-Bone adherence scale to 204 hypertensive patients. Results: Facility readiness was 28% for hypertension and 29% for diabetes. Lower-level facilities - posts and basic health centers - showed markedly lower readiness (OR = 0.20 for hypertension; OR = 0.03 for diabetes). Provider interviews identified limited prioritization of hypertension, weak supply chains, and insufficient training. Mean adherence score was 48.3 ± 4.0 (medication 31.6 ± 3.5; appointment-keeping 5.98 ± 1.27; salt reduction 10.67 ± 1.18). Conclusions: Findings reveal major readiness gaps and systemic barriers to hypertension and diabetes management in high-altitude Andean regions. Community health worker-supported interventions such as ANDES can facilitate adoption of HEARTS strategies in resource-limited primary care settings.Citas (OpenAlex): 0metric-badges.view 2 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Metabolic Syndrome and Risk of Peripheral Arterial Disease: A Systematic Review and Meta-Analysis(2022-09-21) ;Soriano‐Moreno, David R. ;Fernandez-Morales, Jared; ;Coico-Lama, Abdiel H.This systematic review aimed to evaluate metabolic syndrome as a risk factor for the development of peripheral arterial disease (PAD). We searched in four databases: (1) PubMed, (2) Web of Science, (3) Scopus, and (4) Embase until March 2021. We included cohort studies that evaluated the risk of PAD in patients with and without metabolic syndrome. Study selection, data extraction, and risk of bias analysis were performed independently by 2 authors. We used a random-effects model to conduct a meta-analysis of effect measures [hazard ratio (HR), risk ratio (RR), and odds ratio (OR)]. Individual analyses were performed according to the diagnostic criterion used for metabolic syndrome. We included 7 cohort studies with a total of 43 824 participants. Most of the studies were performed in the general adult population. The metabolic syndrome and PAD diagnostic criteria used in the individual studies were heterogeneous. Almost all studies using RR found an association between metabolic syndrome and the development of PAD (RR: 1.31; confidence interval 95%: 1.03-1.59; I 2 : 15.6%). On the other hand, almost all the studies that used HR found no association between the two variables. All studies had a low risk of bias. In conclusion, available evidence on the association between metabolic syndrome and the risk of developing PAD is inconsistent. However, given the high prevalence of risk factors that patients with metabolic syndrome have, testing to rule out PAD could be recommended. Future studies should analyze each component of the metabolic syndrome separately and according to the severity of PAD.Citas (OpenAlex): 3metric-badges.view 4 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, COVID-19 among Amazonian indigenous in Peru(2022-01-01)Data of the paper "COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics"Citas (OpenAlex): 0metric-badges.view 1 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Percutaneous coronary intervention versus optimal medical therapy for stable coronary artery disease: An umbrella review(2024-03-01) ;Soriano‐Moreno, David R. ;Fernandez‐Guzman, Daniel; ; Ccami‐Bernal, FabricioBackground: Invasive management of stable coronary artery disease is still a controversial topic. The purpose of this umbrella review was to synthesize systematic reviews (SRs) that evaluate the benefits and harms of percutaneous coronary intervention (PCI) versus optimal medical therapy (OMT) in patients with stable coronary artery disease. Methods: We systematically searched PubMed/MEDLINE, Embase, and CENTRAL from 2018 to August 7, 2022. We included SRs with meta-analyses of randomized controlled trials (RCTs) that evaluated the question of interest. We assessed the methodological quality of the SRs with the AMSTAR-2 tool. We summarized the results of the outcomes for each SR. We calculated the degree of overlap of the RCTs included in the SRs using the corrected covered area (CCA). Results: We found 10 SRs with meta-analyses. The SRs included 3 to 15 RCTs. The degree of overlap among the SRs was very high (CCA > 15%). No SR evaluated the certainty of the evidence using the GRADE system and 9 out of 10 had critically low methodological quality. The SRs reported heterogeneous results for the outcomes of all-cause mortality, myocardial infarction, revascularization, and angina. On the other hand, for the outcomes of cardiovascular mortality and stroke, all SRs agreed that there were no differences between PCI and OMT alone. Conclusions: We found 10 SRs on the use of PCI compared to OMT alone for patients with stable coronary artery disease. However, none had high methodological quality, none evaluated the certainty of the evidence using the GRADE approach, and the results were inconsistent for several outcomes. This variability in evidence may result in divergent clinical decisions for the management of stable coronary artery disease among healthcare professionals. It is necessary to perform a high-quality SR using the GRADE approach to clarify the balance of benefits and harms of PCI.Citas (OpenAlex): 0metric-badges.view 2 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Association of Serum Uric Acid and Metabolic Syndrome Among Health Personnel from a Public Hospital in Peru(2021-01-28) ;Galindo Yllu, Brenda; ;Toro Huamanchumo, Carlos ;Gutierrez Ajañlcriña, RosmeryCitas (OpenAlex): 0metric-badges.view 1