Arévalo Ipanaqué, Janet Mercedes

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0000-0002-2205-0522

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57223112070

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Gestión del grado de dependencia y complicaciones de los pacientes en la Unidad de Recuperación Post-Anestésica en un Hospital de Lima, 2022
(2025-05-01)
E. Álvarez Rojas
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Vidalia Giessela Tarazona Ponce
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;
Roxana Obando Zegarra
Introducción, el postoperatorio inmediato es un periodo crucial donde se presentan complicaciones postoperatorias que sumadas al grado de dependencia son importantes indicativos para la gestión del cuidado de enfermería. El objetivo de este estudio fue determinar la relación entre el grado de dependencia y las complicaciones de los pacientes según características clínico demográficas de los pacientes en la Unidad de recuperación post anestésica. Metodología, estudio cuantitativo, transversal, descriptivo y nivel correlacional. Se utilizaron una ficha de recolección de datos clínico demográficos y de las complicaciones, además del sistema de clasificación de pacientes Perroca para medir el grado de dependencia del cuidado enfermero. Resultados: Se evidencio que en 147 (55,47%) de los pacientes que participaron en el estudio, tenían de 18 a 39 años, la edad mínima de los encuestados fue de 18 años y 178 (67,2%) eran mujeres. Respecto al grado de instrucción 132 (36,2%) corresponde a nivel secundaria, y 92 (25,2%) eran ama de casa. Por otro lado, la mayoría de los pacientes tuvieron grado de dependencia III (55,8%) del cuidado enfermero (cuidado semi-intensivo); la frecuencia de complicaciones fue de 47,5% siendo la más frecuente el dolor moderado 30,6%, taquicardia 21,9% y nauseas 19,7%. Así mismo el dolor, las náuseas, los vómitos, la hipotensión y el despertar retardado son las complicaciones más frecuentes que se encuentran asociados al grado de dependencia. La edad y el sexo son características asociadas a complicaciones post anestésicas. Finalmente se muestra que el nivel de instrucción y la ocupación son características asociadas al grado de dependencia. Se ha encontrado relación estadísticamente significativa entre el grado de dependencia de cuidados de enfermería y las complicaciones en la unidad de recuperación posanestésica. Conclusión: existe relación entre el grado de dependencia del cuidado enfermero y las complicaciones en la unidad de recuperación posanestésica.
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Cuidado interprofissional de mulheres indígenas no ciclo gravídico-puerperal à luz da Teoria da Complexidade
(2026-01-01)
Julieli Rosso
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LUANA PIZARRO MENEGHELLO
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Silvia Naujorks
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Dirce Stein Backes
RESUMO Objetivo: Refletir, à luz da teoria da complexidade, as dinâmicas do cuidado interprofissional à saúde das mulheres indígenas no ciclo gravídico-puerperal. Método: Estudo teórico-reflexivo, empregando o referencial da complexidade de Edgar Morin, por meio do tetragrama para desvelar os encontros, tensões e possibilidades presentes no cuidado interprofissional em contextos interculturais. Resultados: O cuidado interprofissional emerge como estratégia crucial para superar a fragmentação do modelo biomédico hegemônico. A aplicação do tetragrama demonstrou que: a ordem reside nas práticas tradicionais e protocolos biomédicos; a desordem manifesta-se nas rupturas e conflitos culturais; a interação ocorre nas experiências de articulação entre saberes; e a organização indica a construção de arranjos de cuidado mais inclusivos e adaptativos. Conclusão: A teoria da complexidade oferece uma lente fecunda para repensar e (re)orientar a atenção à saúde das mulheres indígenas, destacando a imperatividade da escuta ativa, valorização dos saberes tradicionais e construção de práticas interprofissionais culturalmente seguras, contextualizadas e transformadoras.
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Diversity and dissemination of viruses in pathogenic protozoa
(2023-12-15)
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Ilse Maes
;
Mandy Sanders
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Lon‐Fye Lye
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Vanessa Adaui
Viruses are the most abundant biological entities on Earth and play a significant role in the evolution of many organisms and ecosystems. In pathogenic protozoa, the presence of viruses has been linked to an increased risk of treatment failure and severe clinical outcome. Here, we studied the molecular epidemiology of the zoonotic disease cutaneous leishmaniasis in Peru and Bolivia through a joint evolutionary analysis of Leishmania braziliensis and their dsRNA Leishmania virus 1. We show that parasite populations circulate in tropical rainforests and are associated with single viral lineages that appear in low prevalence. In contrast, groups of hybrid parasites are geographically and ecologically more dispersed and associated with an increased prevalence, diversity and spread of viruses. Our results suggest that parasite gene flow and hybridization increased the frequency of parasite-virus symbioses, a process that may change the epidemiology of leishmaniasis in the region.
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Programa educativo para prevenir tuberculosis infantil en un colegio nacional de Lima-Perú
(2017-06-18)
José Luis De La Cruz Cumpén
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Objetivo: Determinar los efectos de un programa educativo en el nivel de conocimiento y prácticas preventivas que tienen las madres sobre la tuberculosis pulmonar infantil en un colegio nacional del distrito de San Juan de Lurigancho en Lima-Perú. Materiales y método: Estudio de enfoque cuantitativo, tipo aplicado, diseño pre experimental. Población establecida por 90 madres cuyos niños estudiaban en dicho colegio. Se empleó la técnica de la encuesta y como instrumentos un cuestionario para medir la variable conocimiento y una escala de Likert para medir la variable prácticas preventivas. Resultados: El conocimiento de las madres varió en el nivel alto de 5,6% en el pretest a 27,8% en el postest, mientras que el nivel medio descendió de 77.8% en el pretest a 72.8% en el postest. Así mismo las practicas preventivas se mantuvieron en un nivel regular variando de 73.3% en el pretest a 90% en el postest. Conclusión: El programa educativo tiene efectos significativos en el nivel de conocimiento y praxis maternas preventivas para tuberculosis infantil.
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La investigación de Enfermería en el primer nivel de atención
(2018-09-30)
La salud pública en los países latinoamericanos presenta una problemática caracterizada por el limitado desarrollo de investigaciones. Se dice que, de cierto modo ello representa la marginalidad que tiene la salud pública dentro de las prioridades de investigación y la poca importancia que ha alcanzado en el desarrollo de las políticas públicas.
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La salud mental: producción científica versus planes de acción
(2024-09-05)
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Ecological divergence and hybridization of Neotropical <i>Leishmania</i> parasites
(2020-09-21)
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Nicholas J. Savill
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Hideo Imamura
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Mandy Sanders
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Ilse Maes
Significance Parasites are interesting models for studying speciation processes because they have a high potential for specialization, thanks to the intimate ecological association with their hosts and vectors. Yet little is known about the circumstances under which new parasite lineages emerge. Here we studied the genome diversity of parasites of the Leishmania braziliensis species complex that inhabit both Amazonian and Andean biotas in Peru. We identify three major parasite lineages that occupy particular ecological niches and show that these emerged during forestation changes over the past 150,000 y. We furthermore discovered that meiotic recombination between Amazonian and Andean lineages resulted in full-genome hybrids presenting mixed mitochondrial genomes, providing insights into the genetic consequences of hybridization in parasitic protozoa.
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Professional Quality of Life and Job Stress among Nurses in COVID-19 Areas
(2024-01-01)
Enoc Mamani
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Mónica Elisa Meneses-La-Riva
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Wilter C. Morales-García
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Background: the COVID-19 pandemic has posed unprecedented challenges in the healthcare field, notably affecting nursing professionals working in critical areas. These challenges have impacted their professional quality of life (PQoL) and increased job stress levels, which are crucial for both the well-being of healthcare personnel and the quality of care provided to patients. Objective: this study aims to explore the relationship between professional quality of life and job stress among nurses at a medium-complexity hospital in Lima, Peru, during the COVID-19 pandemic. Methods: a quantitative, non-experimental, cross-sectional, correlational methodology was used, with a non-probabilistic sample of 59 nurses. Data were collected through online questionnaires assessing PQoL and job stress, using validated tools such as the Nursing Stress Scale and the PQoL-35 Questionnaire. Results: the majority of participants (69,5 %) perceive their PQoL as good, highlighting high levels of intrinsic motivation and perceived quality of life. In contrast, workload was the most negatively valued aspect. Job stress was perceived as low overall, and a moderate positive correlation between PQoL and job stress (r = 0,517; p < 0,05) was found, suggesting that better working conditions could improve PQoL. Workload was identified as a significant factor of job stress. Conclusions: despite the challenges imposed by the pandemic, nurses maintain a positive perception of their PQoL, especially in terms of intrinsic motivation and perceived quality of life. However, workload is highlighted as a critical factor of job stressBackground: the COVID-19 pandemic has posed unprecedented challenges in the healthcare field, notably affecting nursing professionals working in critical areas. These challenges have impacted their professional quality of life (PQoL) and increased job stress levels, which are crucial for both the well-being of healthcare personnel and the quality of care provided to patients. Objective: this study aims to explore the relationship between professional quality of life and job stress among nurses at a medium-complexity hospital in Lima, Peru, during the COVID-19 pandemic. Methods: a quantitative, non-experimental, cross-sectional, correlational methodology was used, with a non-probabilistic sample of 59 nurses. Data were collected through online questionnaires assessing PQoL and job stress, using validated tools such as the Nursing Stress Scale and the PQoL-35 Questionnaire. Results: the majority of participants (69,5 %) perceive their PQoL as good, highlighting high levels of intrinsic motivation and perceived quality of life. In contrast, workload was the most negatively valued aspect. Job stress was perceived as low overall, and a moderate positive correlation between PQoL and job stress (r = 0,517; p < 0,05) was found, suggesting that better working conditions could improve PQoL. Workload was identified as a significant factor of job stress. Conclusions: despite the challenges imposed by the pandemic, nurses maintain a positive perception of their PQoL, especially in terms of intrinsic motivation and perceived quality of life. However, workload is highlighted as a critical factor of job stress
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Evaluación de la toxicidad de chalconas sintéticas con potencial anti-Leishmania en ratones BALB/c
(2021-09-04)
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Inés Castro
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Carlos Yauri
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Valérie Jullian
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Jorge Arévalo
OBJECTIVE: To evaluate the toxicity of three synthetic chalcones administered intraperitoneally to BALB/c mice. MATERIALS AND METHODS: The median lethal dose (LD50) was estimated by Dixon's Up-and-Down method. Subchronic toxicity of chalcones was evaluated at 20 and 40 mg/kg for 21 days. Behavioral, physiological, biochemical, and histological toxic effects were evaluated. RESULTS: Chalcone 43 produced mucus in feces, visceral damage (liver) and alterations in organ coefficient (kidney, p = 0.037 and brain, p = 0.008) when compared to the control group. In addition, histological analysis showed that this chalcone produced edema, inflammation and necrosis in the evaluated organs, although there was no significant difference with the control. None of the biochemical parameters differed significantly between the treatment groups at 40 mg/kg dose and the control. CONCLUSIONS: The LD50 for all three chalcones was greater than 550 mg/kg of body weight. Chalcones 40 and 42 were found to be relatively non-toxic. Both can be considered safe for intraperitoneal application in BALB/c mice and, consequently, are potential candidates for use in the treatment of leishmaniasis.
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Motivación y satisfacción laboral del enfermero en un Hospital de Lima - Perú
(2017-12-16)
Johana Collantes Zapata
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Objetivo. El propósito del presente estudio fue determinar la relación entre motivación y satisfacción laboral del Enfermero que labora en un Hospital de Lima Este en Perú. Metodología. Se trató de un estudio descriptivo correlacional, diseño no experimental de corte transversal. La muestra estuvo constituida por 50 enfermeros, a quienes se aplicó el Cuestionario “Satisfacción Laboral del Enfermero” elaborado por el Ministerio de Salud (2002) y la escala Lickert de Job Diagnostic Survey de Hackman y Oldham, adaptada por Vásquez (2006). Resultados. Se encontró que el 54% presenta satisfacción laboral, mientras que la motivación es media (64%) e igual porcentaje de enfermeros que están satisfechos como insatisfechos laboralmente, tienen motivación media (40%). Conclusiones. No existe relación entre motivación y satisfacción laboral del Enfermero que labora en un Hospital de Lima Este en Perú.

Arévalo Ipanaqué, Janet Mercedes

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