Peruvian households have experienced one of the most prevalent economic shocks due to COVID-19, significantly increasing their vulnerability to food insecurity (FI). To understand the vulnerability characteristics of these households among the Peruvian young population, including the role of the government’s response through emergency cash transfer, we analysed longitudinal data from the Young Lives study (n = 2026), a study that follows the livelihoods of two birth cohorts currently aged 18 to 27 years old. FI was assessed using the Food Insecurity Experience Scale. Household characteristics were collected before and during the COVID-19 outbreak in Peru to characterise participants’ vulnerability to FI. Multivariate logistic regression was used to evaluate the association between government support and participants’ vulnerability characteristics to FI. During the period under study (March to December 2020), 24% (95% CI: 22.1–25.9%) of the participants experienced FI. Families in the top wealth tercile were 49% less likely to experience FI. Larger families (>5 members) and those with increased household expenses and decreased income due to COVID-19 were more likely to experience FI (by 35%, 39% and 42%, respectively). There was no significant association between government support and FI (p = 0.768). We conclude that pre-pandemic socioeconomic status, family size, and the economic disruption during COVID-19 contribute to the risk of FI among the Peruvian young population, while government support insufficiently curtailed the risk to these households.

Objetivos: Conocer el perfil y la situación laboral del médico joven egresado de la Facultad de Medicina Humana de la Universidad Nacional Pedro Ruiz Gallo en Lambayeque y Lima en el 2013. Materiales y métodos: Estudio descriptivo transversal, se evaluó una muestra de 230 egresados en el periodo 2002 a 2011. Se indago a través de un cuestionario validado por juicio de expertos sobre aspectos sociodemográficos, formación profesional, inserción laboral y oportunidades de trabajo. Resultados: La edad media de los egresados fue de 32,5; la mayoría varones (67,4%) y solteros (48,3%). Su principal motivación para la selección de la carrera fue la vocación (83,0%), contando con estudios de especialización el 52,6%. Su empleo actual lo realiza principalmente en instituciones públicas (82,6%) y realizando una labor asistencial (65,9%). La satisfacción en el empleo actual fue alta en un 60,8%. Conclusiones: La mayoría de egresados fueron varones, con edades entre 30 y 34 años, solteros, nacidos en el departamento de Lambayeque. Sus motivaciones para la selección de la carrera fueron generalmente vocacionales, más de la mitad es especialista o se encuentra realizando la residencia médica. El primer empleo se consiguió a través de contactos personales y el empleo actual a través de concurso público, en ambos casos en instituciones públicas y realizando labor asistencial. La satisfacción con el empleo actual es alta.

literature search engines that will let us find evidence for the sustain of our activities in the healthcare systems, and in some cases without even looking for them, like with the applications from Google Reader and the RSS/XML, or obtaining portals dedicated to Evidence Based Medicine, or programs such as the statistical calculator Epidat which can simplify our statistical analysis, without even mentioning the multiple statistical softwares available [7]. Other concepts to consider are social epidemiology, which have been gaining ground these last decades and backing up the analysis of the social determinants of health status. This approach has generated big expectation for its integration and multidisciplinary character, but it's not free of skepticism that relates it with the idealism of a politics' strategic instrument [8]. However, social epidemiology, like field of clinical epidemiology, is based on the positivist paradigm and uses the statistical methods as analysis foundation. Besides, it is important to mention that currently, it has been generated a whole new research line based on the approach of the social determinants, where it is critical the usage of multilevel statistical models and new technologies that pose a new challenge to young researchers [9]. According to what it is stated, the current medical science tendency is focused in the generation of evidence that contributed in its development and has an impact in the patients' health. This approach, of EBM, is expressed mainly in the care, in relation to drugs and medical devices, though it is admitted that community interventions through Public Health deserve to be recognized as significant events that have had an impact in the population's health [10]. In this way, it is necessary to recognize the existence of research that s directed to make evidence of the impact of Public Health's diverse activities. Evidence Based Public Health keeps the cause-effect logic, and allows adding the determinants of health, such as lifestyles, culture and environment, to the scientific context that often is what characterizes the good or bad execution of an intervention. Evidence Based Public Health is a new tendency that is joining efforts to offer the best information for an efficient politics decision making [11]. When it is oriented to the research of a population's health issues whether in the community or the hospital sphere, it contributes remarkably to the solution of very different local and regional realities, thus making a progress in Public Health, especially in out developing countries. 2. Differences between clinical epidemiology and field epidemiology 2.1. Classic or field epidemiology Epidemiology is an old discipline with roots on scientific and rational structures, based on experience, on what is real. It is of great importance for Public Health and its impact for clinical medicine has risen in the last decades [12]. The comparison between clinical epidemiology and field epidemiology may demonstrate similarities and differences that can result...

Objetivo: Determinar las características de la sexualidad, del adulto mayor atendido en consulta externa del servicio de geriatría del Hospital Nacional Almanzor Aguinaga Asenjo. Material y métodos: estudio descriptivo, prospectivo, observacional y transversal. Se encuestaron 252 adultos mayores atendidos en consulta externa entre setiembre a octubre de 2012 y que no tengan patologías que le impida la comprensión del test utilizado en el estudio (se usó dos elementos utilizados para medir el deseo sexual se combinaron para formar un índice). Resultados: El puntaje promedio de deseo para los hombres fue 2,37 (DS = 1,53, n = 627), y el promedio de las mujeres fue de 2.61 (DS = 1,46, n = 709), con una puntuación de 1 indicando un alto deseo. Tenga en cuenta que los hombres en promedio reportan niveles ligeramente más altos de deseo que las mujeres. Conclusiones: se encontró que el género masculino tiene más interés, reportan niveles ligeramente más altos de deseo sobre sexualidad y reportan mayor frecuencia de relaciones sexuales. Las actitudes hacia la sexualidad se presentan en ambos sexos con igual predominancia siendo actitudes positivas y que el nivel del deseo sexual no disminuye con la edad.