RESUMENLa tuberculosis es un gran problema de salud a nivel mundial. Causa problemas de salud entre millones de personas cada año y es la principal causa de morbilidad en muchas regiones, por ello comprender su efecto sobre la calidad de vida y estado de salud es importante para el cuidado del paciente. Objetivos: Identificar la asociación entre calidad de vida y afetación del parenquima pulmonar mediante grado de secuela radiológica de tuberculosis pulmonar en pacientes atendidos por el departamento de neumología del Hospital Nacional Hipólito Unánue en el 2016. Métodos: Estudio observacional, cuantitativo, analítico y transversal. Se encuestaron a 162 pacientes atendidos por el departamento de neumología con el antecedente de haber sido afectados por tuberculosis pulmonar en el Hospital Nacional Hipólito Unánue en el 2016. Se aplicó el test de calidad de vida SF-36 validado en el Perú por Salazar y Bernabé el 2012, además el grado de secuela radiológica clasificó según Willcox. Resultados: La correlación de Pearson fue de -0.157 lo cual significa que hay una relación negativa entre calidad de vida y grado de secuela radiológica de tuberculosis pulmonar, además se halló significancia estadística ya que P=0.046 (P<0.05). Conclusión: Se comprueba asociación entre calidad de vida y grado de secuela radiológica de tuberculosis pulmonar pero ésta es una correlación negativa débil.Palabras clave: Calidad de vida; Secuela radiológica; Tuberculosis pulmonar. (fuente: DeCS BIREME) ABSTRACTTuberculosis is a major global health problem. It causes health problems among millions of people every year and is the main cause of morbidity in many regions, so the understanding of its effect on quality of life and health status is important for patient care. Objective: Identify the association between quality of life and degree of radiological sequelae of pulmonary tuberculosis in patients treated by the neumology department of the National Hospital Hipolito Unanue in 2016. The Quality of Life test SF36 was applied, the test was validated by Salazar and Bernabé in 2012; in addition the degree of radiological sequelae is classified according to Willcox. Methods: CObservational, quantitative, analytical and transverse study. We surveyed 162 patients treated by the neumology department with the clinical antecedent of pulmonary tuberculosis in the National Hospital Hipolito Unanue in 2016. Results: Pearson's correlation was -0.157, which means that there is a negative relation between quality of life and degree of pulmonary sequelae of pulmonary tuberculosis. Statistical significance was also found since P = 0.046 (P <0.05). Conclusions: There is an association between quality of life and radiological sequelae of pulmonary tuberculosis, but this is a weak negative correlation.
Objetivos: Evaluar la asociación entre los factores de riesgo dependientes del huésped y la neumonía asociada a ventilador en la UCI del Hospital Nacional Dos de Mayo durante enero 2013 a enero 2015. Métodos: Estudio observacional, cuantitativo, analítico y retrospectivo. Se estudió factores de riesgo dependientes del huésped para Neumonía Asociada a Ventilador (NAV) y se evaluó la asociación de cada uno de ellos con la enfermedad de estudio. En el análisis de resultados, se utilizó los Odds ratios (OR) crudos y el análisis bivariado. Resultados: Durante el periodo de estudio, 232 pacientes ventilados fueron evaluados, de los cuales fueron diagnosticados con NAV, 18 pacientes (7.75%), siendo la tasa de letalidad de 27.77%. El sexo masculino y la edad avanzada mostraron un OR de 0.846 (IC 95% 0.322-2.227) y 1.017 (IC 95% 0.386-2.677), respectivamente. En relación a
Objective: To identify the factors associated with the interference of gynecological cancer screening in women aged 25-69 years, according to the Demographic and Family Health Survey (ENDES) for the years 2019 and 2020. Materials and methods: Quantitative, observational, analytical cross- sectional study. It was a secondary database analysis obtained by ENDE for the years 2019 and 2020. Generalized linear Poisson family crude and adjusted models were used to estimate the association. The measure of association. The measure of association used was the adjusted prevalence ratio (Rpa) with 95% confidence interval (95% CI). Results: We worked with a total of 18,113 women aged 25-69 who were interviewed at the ENDES 2019-2020. In the descriptive analysis, it is observed that 19.3% did not take a PAP smear (PAP) and 53.6% did not perform “screening for breast cancer”. Women with a primary education level have 19% and 58% more opportunities to present interference for taking PAP and screening for breast cancer respectively (RPa: 1,19, 95% CI 1.08-1,31 and RPa:1.58, 95% CI 1:51 – 1:64). Living in the jungle increases 56%and 20%more chance of presenting interference for taking PAP and screening for breast cancer respectively (RPa: 1.46, 95% CI 1.42-1.71 and RPa: 1.20, 95% CI: 1.15- 1.25). The level of knowledge increases the interference for taking PAP and screening for breast cancer by 43% and 3% respectively (RPa: 1.43, 95% CI: 1.34- 1.54 and RPa: 1.03, 95% CI:1.00 -1.06) Conclusions: Sociodemographic, sociocultural and economic factors have a marked influence on the performance of gynecological cancers such as cervical cancer and breast cancer, so it is necessary to implement strategies to promote the prevention of these pathologies.
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