Diaz Orihuela, Maria Magdalena

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Diaz Orihuela, Maria Magdalena
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  • Publicacion
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    Burnout, estrategias afrontamiento y satisfacción laboral en enfermeros
    (2023-09-19)
    Ilasaca-Ortega, Jessica Esther
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    Epiquien-Rojas, Rut Catalina
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    Diaz Orihuela, Maria Magdalena  
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    Alberca-Lonzoy, Ana Lourdes
    Objective: To determine the relationship between burnout, coping strategies, and job satisfaction among nurses working in the COVID care area in East Lima. Materials and Methods: A quantitative, descriptive, and correlational study was conducted with the participation of 300 Peruvian nurses who worked in high-risk COVID-19 services during the health emergency. Results: Spearman's Rho test showed a result of 0.223 (p<0.01) for the burnout syndrome and coping strategies, indicating a positive, direct, and highly significant relationship. The relationship between the burnout syndrome and job satisfaction was -0.627 (p<0.01), indicating a negative, inverse, and highly significant relationship. Finally, the relationship between coping strategies and job satisfaction had a result of 0.368 (p<0.01), indicating a positive, direct, and highly significant relationship. Regarding the prediction of the variables, the coefficient of determination (adjusted R2) was analyzed, obtaining a result of 0.444, indicating that 44.4% of the variability in job satisfaction is explained by the variables of burnout syndrome and coping strategies. Conclusions: There is a significant (ANOVA F=120.353, p=0.000) linear relationship between job satisfaction as the criterion variable, and burnout syndrome and coping strategies as predictor variables. Keywords: Nurses; Burnout; Coping strategies; Job satisfaction; Prediction.
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    Factores psicosociales y rendimiento laboral en colaboradores de una institución educativa privada, Lima, 2021
    (2023-09-01)
    Enfermera docente de la Universidad Peruana Unión, E.P. Enfermería, Lima, Perú.
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    Diaz Orihuela, Maria Magdalena  
    ;
    Chavez Sosa, Jannett Virginia  
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    Enfermera docente de la Universidad Peruana Unión. E.P. Enfermería, Lima, Perú.
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    Castillo Zamora, Luz Victoria  
    Introducción: La actividad laboral de las personas siempre ha transformado al mundo, sin embargo, ha generado muchos riesgos y enfermedades. Asimismo, el trabajo ha sido afectado por la globalización, la tecnología y la crisis sanitaria por la COVID-19. Generando, transformaciones en las estructuras del empleo y en las condiciones del trabajo, tornándose más exigente en el área laboral, estas condiciones han predispuesto factores psicosociales negativos que amenaza la salud; ocasionando enfermedades y accidentes laborales, y como consecuencia un deficiente rendimiento laboral. Objetivo: Determinar la relación entre los factores psicosociales y el rendimiento laboral en colaboradores de una institución educativa privada de Lima. Metodología: Enfoque cuantitativo, de diseño no experimental, corte transversal y de tipo correlacional. En el estudio participaron 120 colaboradores de la institución educativa privada, según el muestreo no probabilístico; como instrumento se aplicó el Cuestionario de “Factores Psicosociales en el Trabajo” y el “El cuestionario de Rendimiento Laboral Individual” compartido digitalmente través del correo electrónico. Resultados: del total de los encuestados, el 52,50% manifestaron tener una buena percepción de los factores psicosociales; sin embargo, se obtuvo una mala percepción en las dimensiones exigencia laboral con el 63,30% y satisfacción con la remuneración del rendimiento con el 52,50%; con respecto a la variable rendimiento laboral, el 75,00% demostró un nivel alto. Conclusión: Los trabajadores que indicaron una alta exigencia laboral tuvieron 11 veces mayor probabilidad de presentar un alto rendimiento en su trabajo (OR:11,03; IC 95%: 1,71-17,95).
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    Correction: Neurologic symptoms following COVID-19 in Lima, Peru: a prospective longitudinal observational study
    (2025-10-10)
    Hanalise V. Huff  
    ;
    Carla Villanueva-Colina
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    Monica M. Diaz
    ;
    Sofia Tovar
    ;
    Andrea Davila Luna
    The published version had copy editing errors to several affiliations with one affiliation for David Hamer completely left off and one affiliation for Tom Solomon duplicated and attributed to Igor Koralnik. As a result Drs. Hamer, Koralnik and Solomon had problems with their affiliation. Additionally, the affiliation for Drs. Villanueva-Colina, Tovar and Davila Luna were supposed to be the same as Dr. Garcia at the School of Public Health at Universidad Peruana Cayetano Heredia. Lastly, requested queries in regards to tables 1 and 2 which were uploaded along with the proofs were not applied. Below are the correct affiliations. Hanalise V. Huff 1,2*, Carla Villanueva-Colina 3, Monica M. Diaz 4, Sofia Tovar 3, Andrea Davila Luna 3, Tianxia Wu 5, Davidson H. Hamer 6,7,8, Igor J. Koralnik 9, Tom Solomon 10,11, Miguela A. Caniza 12 and Patricia J. Garcia 3 1 Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, United States 2Section of Infections of the Nervous System, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, United States, 3 School of Public Health, Cayetano Heredia University, Lima, Peru 4 School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 5Clinical Trials Unit, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, United States, 6 Department of Global Health, Boston University School of Public Health, Boston, MA, United States, 7Section of Infectious Diseases, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States, 8 Boston University Center on Emerging Infectious Diseases, Boston, MA, United States, 9 Ken and Ruth Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, United States, 10The Pandemic Institute and The National Institute for Health and Care Research (NIHR) Health Protection Research Unit in Emerging and Zoonotic Infections, University of Liverpool, Liverpool, United Kingdom, 11The Walton Centre, NHS Foundation Trust, Liverpool, United Kingdom 12 Department of Global Pediatric Medicine and Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, United States
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    A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean
    (2024-12-09)
    Monica M. Diaz  
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    Lesley A. Guareña
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    Bettsie Garcia
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    Christoper A. Alarcón-Ruiz
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    Stella Seal
    Background: Palliative care (PC) is essential to improve quality of life for individuals with life-limiting acute neurological conditions, particularly in resource-limited settings. In Latin America and the Caribbean (LAC), there is limited health care professional training and education on PC. Objective: We reviewed the peer-reviewed literature discussing end-of-life care, withdrawal of life-sustaining treatments (WOLST), and PC in the acute inpatient setting. Methods: We searched 10 databases, including peer-reviewed published conference abstracts and articles published until May 22, 2024, and included literature describing goals-of-care discussions or availability of PC services in an inpatient setting in LAC countries. Results: We identified 34 articles that highlighted end-of-life discussions, WOLST, and PC utilization in inpatient settings in LAC. We identified several themes across literature as follows: limitations to PC referrals, hospice/end-of-life care, and the role of advanced directives in LAC. Our review found that several articles highlight the limitations of PC usage in LAC and inadequate access to treatments, including gastrostomy and tracheostomy tube placement. Conclusions: Our review demonstrates a need to improve PC knowledge and access to end-of-life care resources. Regional educational efforts are needed to improve PC knowledge among health care providers who care for patients with acute neurological conditions in LAC.
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    A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S.
    (2024-08-24)
    Monica M. Diaz  
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    Lesley A. Guareña
    ;
    Bettsie Garcia
    ;
    Christoper A. Alarcón-Ruiz
    ;
    Stella Seal
    Goals of care (Goals-of-care) discussions and palliative care (PC) are crucial to providing comprehensive healthcare, particularly for acute neurological conditions requiring admission to a neurological intensive care unit. We identified gaps in the literature and describe insight for future research on end-of-life discussions and PC for U.S. Latinos with acute neurological conditions. We searched 10 databases including peer-reviewed abstracts and manuscripts of hospitalized U.S. Latinos with acute neurological and non-neurological conditions. We included 44 of 3231 publications and identified various themes: PC utilization, pre-established advanced directives in Goals-of-care discussions, Goals-of-care discussion outcomes, tracheostomy or percutaneous gastrostomy tube placement rates among hospitalized Latinos. Our review highlights that Latinos appear to have lower palliative care utilization compared with non-Latino Whites and may be less likely to have pre-established advanced directives, more likely to have gastrostomy or tracheostomy placement and less likely to have do-not-resuscitate status.
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    Risk Factors for Depression Among Middle-Aged to Older People Living With HIV in Lima, Peru
    (2024-01-01)
    Virgilio E. Failoc‐Rojas  
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    Dan Jia
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    Marcela Gil-Zacarías
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    Alana Latorre
    ;
    Robinson Cabello
    INTRODUCTION: Depression is prevalent among aging people living with HIV (PLWH) worldwide. We sought to identify depression risk factors among a group of middle-aged and older PLWH in Lima, Peru. MATERIALS AND METHODS: We assessed risk factors for depression among PLWH over age 40 receiving care in an HIV clinic in Lima, Peru. The Patient Health Questionnaire-9 (PHQ-9) was administered. We performed descriptive statistics and logistic regression analyses. RESULTS: Mean age was 51.7 ± 7.7 years with 15.3% females. One-quarter of participants had depression with higher frequency in females. Risk factors that significantly increased the risk of depression included female sex (adjusted prevalence ratio [aPR] = 2.19 [95%CI 1.07-4.49]), currently smoking (aPR = 2.25 [95%CI 1.15-4.43]), and prior opportunistic infection (aPR = 2.24 [95%CI 1.05-4.76]). DISCUSSION: Our study demonstrates that PLWH who are female, current smokers, or had an opportunistic infection have higher risk of depression. Identifying PLWH at-risk for depression is key to early mental health interventions.
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    The burden of cardiovascular events according to cardiovascular risk profile in adults from high-income, middle-income, and low-income countries (PURE): a cohort study
    (2025-07-22)
    Darryl P. Leong  
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    Rita Yusuf
    ;
    Romaina Iqbal
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    Álvaro Avezum
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    Afzalhussein Yusufali
    BACKGROUND: Current strategies to prevent adverse cardiovascular outcomes focus primary prevention in high-risk groups and secondary prevention in people with known cardiovascular disease. We aimed to determine the proportion of events occurring in lower-risk groups globally. METHODS: We included people aged 40 years to younger than 75 years who were enrolled in the Prospective Urban Rural Epidemiology (PURE) study, which is an ongoing, international, prospective, population-based cohort study that started recruiting adults from households selected to be broadly representative of the sociodemographic composition of their communities. We prospectively documented fatal or non-fatal myocardial infarction, stroke, heart failure, or any other fatal cardiovascular event stratified by history of cardiovascular disease and by the 10-year predicted disease risk scores based on WHO 2019 laboratory risk tables (<10% [low], 10% to <20% [intermediate], and ≥20% [high]) in people without previous cardiovascular disease from 26 high-income, middle-income, and low-income countries. Outcome event rates were standardised for the cohort's age and sex distribution. FINDINGS: Between July 11, 2000, and May 6, 2019, 128 973 participants were included from 26 countries (mean age 53·6 years [SD 8·2]; 75 858 [58·8%] were female and 53 115 [41·2%] were male). We observed 11 483 outcome events affecting 8·9% of the cohort during a median follow-up of 12·3 years (IQR 9·8-14·6). Among participants, 89 508 (69·4%) had a low cardiovascular disease risk, 22 363 (17·3%) had an intermediate cardiovascular disease risk, and 5529 (4·3%) had a high cardiovascular disease risk, while 11 573 (9·0%) had known cardiovascular disease. The age-standardised and sex-standardised cardiovascular disease incidence rates per 1000 person-years was 4·1 (95% CI 4·0-4·2) in the low-risk group, 17·7 (15·2-20·2) in the intermediate-risk group, and 40·8 (25·1-56·4) in the high-risk group. Overall, 41% of outcome events occurred in cardiovascular disease-naive participants at low risk. The proportion of adverse cardiovascular outcomes occurring in this low-risk group was inversely related to country income level (32% in high-income, 38% in middle-income, and 54% in low-income countries) and was higher in women (51%) than in men (32%). INTERPRETATION: To achieve a substantial population-level reduction in cardiovascular disease, a fundamental change is needed, so that preventive strategies for cardiovascular disease extend beyond those at high or even intermediate predicted risk to include those at considered to be at low risk. FUNDING: The funding bodies are listed in the appendix (p 29).
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    Ecological overlap and divergence in natural and urbanized habitats in two species of sympatric anoles
    (2026-02-01)
    Noah D Gripshover  
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    Elizabeth G. Hoffman
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    Gauthier Alexandrescu
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    Arianna Bazzani
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    Jose M. Bonilla
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