Since the announcement of the start of SARS-CoV-2 vaccines development, many myths and vaccine opponents have come to the fore. Therefore, in this scenario, it is imperative to have an instrument to assess the population perception of this subject matter.Objective: To validate a scale to measure the perception of SARS-CoV-2 vaccines acceptance.Methods: This is an instrumental and multicentre study, through which a list of possible reasons for whether or not people would be vaccinated was generated. After submitting them to 15 experts, a pilot survey was conducted virtually in a population of almost 3000 participants in the 24 regions of Peru. Descriptive statistics and the exploratory factor analysis (EFA) were conducted using the FACTOR program.
Results:The Kaiser-Meyer-Olkin (KMO) coefficient (KMO = 0.917) and the Bartlett's test of sphericity (3343.3; gl = 136; p < 0.001) were conducted. According to EFA results, two factors were found to explain 58.17% of the total variance. The fit indices show that the proposed model is adequate (χ 2 = 826.321; df = 43; p = 0.001; RMR = 0.054; GFI = 0.952; AGFI = 0.927; CFI = 0.946; TLI = 0.931; and RMSEA = 0.078). Finally, Cronbach's α was found to be very satisfactory for the generated scale (α = 0.831; 95% CI = 0.82 -0.84).
Conclusion:A simple and efficient scale was validated to assess positive and negative perceptions of SARS-CoV-2 vaccines (the VAC-COVID-19 scale), with a Cronbach's coefficient of 0.831.
Plasmodium vivax es la especie más común en la Amazonía peruana y ocasiona el 81% del total de casos de malaria. Presentamos el caso de un paciente adulto varón con malaria cerebral por Plasmodium vivax, que inicia con malestar general y fiebre, luego presenta convulsiones más de dos veces al día con pérdida de consciencia y limitación funcional motora. Se le realiza gota gruesa donde se observa trofozoítos de Plasmodium vivax y depresión de las tres series sanguíneas. Se inicia tratamiento con artesunato y clindamicina por cinco días, se le transfunde un paquete globular, y continua con primaquina por siete días. El paciente muestra mejoría clínica con secuela neurológica en extremidad inferior izquierda.
La tuberculosis cutánea es una presentación rara de la infección por Mycobacterium tuberculosis. Se presenta el caso de una mujer sin antecedentes médicos de importancia, que presenta un tiempo de enfermedad de año y medio, caracterizado por lesiones tipo esporotricoide, con diseminación linfocutánea en miembro superior derecho, de evolución lentamente progresiva. Se realizó un estudio histopatológico encontrándose células gigantes tipo Langhans y escasa necrosis. Actualmente en terapia esquema de tipo sensible antituberculoso, con evolución favorable.
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