- Pneumonia and Respiratory Infections
- Mosquito-borne diseases and control
- Vaccine Coverage and Hesitancy
- Healthcare Systems and Reforms
- Health Systems, Economic Evaluations, Quality of Life
- Dialysis and Renal Disease Management
- Viral Infections and Vectors
- Reproductive Health and Contraception
- Media and Digital Communication
- Male Reproductive Health Studies
- Tuberculosis Research and Epidemiology
- Public Health and Social Inequalities
- Rabies epidemiology and control
- Nosocomial Infections in ICU
- Emergency and Acute Care Studies
- Health and Lifestyle Studies
- Virology and Viral Diseases
- Respiratory viral infections research
- Plant and animal studies
- Vibrio bacteria research studies
- Medication Adherence and Compliance
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Antibiotic Resistance in Bacteria
- Higher Education and Sustainability
- Hemostasis and retained surgical items
University of Cologne
2025
Instituto Nacional de Salud
2010-2024
EsSALUD
2018-2021
National Institute of Quality
2021
Agencia de Evaluación de Tecnologías Sanitarias
2020
Medico
2018-2020
Revista Conamed
2020
Centrum für Integrierte Onkologie
2018
International Potato Center
2016
Instituto Nacional de Salud del Niño
2011
Abstract Background Nosocomial Infections (NI) are a frequent and relevant problem. The purpose of this study was to determine the epidemiology three most common NI in Pediatric Intensive Care Unit from developing country. Methods We performed prospective single during 12 months. Children were assessed for 3 NI: bloodstream infections (BSI), ventilator-associated pneumonia (VAP) urinary tract (UTI), according Center Disease Control criteria. Use devices (endotracheal tube [ETT], central...
Abstract Purpose Tuberculosis (TB) remains a leading cause of morbidity and mortality, with 1.3 million deaths in 2022. Extrapulmonary tuberculosis (EPTB) accounts for approximately 20% all TB cases. We assessed the clinical presentation challenges during course treatment EPTB patients low-incidence setting. Methods conducted prospective cohort study involving 44 at University Hospital Cologne, Germany. Clinical data were collected before treatment. Results The comprised originating from 21...
Guaroa virus (GROV) was first isolated from humans in Colombia 1959. Subsequent isolates of the have been recovered febrile patients and mosquitoes Brazil, Colombia, Panama; however, association with human disease has unclear. As part a study on etiology illnesses Peru Bolivia, 14 GROV strains were illnesses, 3 additional cases confirmed by IgM seroconversion. The prevalence rate antibodies among Iquitos residents 13%; highest rates persons occupations such as woodcutters, fisherman,...
Venezuelan equine encephalitis virus (VEEV) has been responsible for hundreds of thousands human and cases severe disease in the Americas. A passive surveillance study was conducted Peru, Bolivia Ecuador to determine arboviral etiology febrile illness. Patients with suspected viral-associated, acute, undifferentiated illness <7 days duration were enrolled blood samples obtained from each patient assayed by isolation. Demographic clinical information also at time voluntary enrollment. In...
Introduction: Pneumococcal pneumonia (PP) has a high burden of morbimortality in children. Use pneumococcal conjugate vaccines (PCVs) is an effective preventive measure. After PCV 7-valent (PCV7) withdrawal, 10-valent (PCV10) and 13-valent (PCV13) are the alternatives Peru. This study aimed to evaluate cost effectiveness these preventing PP Peruvian children <5 years-old. Methodology: A cost-effectiveness analysis was developed three phases: systematic evidence search for calculating...
OBJECTIVE: To evaluate the effectiveness of adherence to a multidisciplinary renal health program in reducing mortality and progression hemodialysis. METHODS: We used database that included patient monitoring (2013-2017), dialysis admissions all cause Peru. Adherence was established by meeting minimum visits during first year monitoring. The outcome interest hemodialysis or cause-mortality. Kaplan-Meier curves, Log-Rank test competing survival analysis methods were estimate differential risk...
Antecedentes: Presencia de un brote intrahospitalario Salmonella typhimurium productora beta-lactamasas espectro extendido ocurrido en el Hospital San Bartolome, entre 17 febrero y 6 marzo del año 2001. Objetivo: Identificar los mecanismos implicados la transmisión caracterización genes asociados a resistencia beta-lactámicos. Diseño: Estudio clínico-bacteriológico retrospectivo. Lugar: Nacional Docente Madre Niño (Honadomani) Bartolomé. Materiales biológicos: Aislamientos bacterianos...
To determine the prevalence of arterial hypertension, and cardiovascular metabolic risk factors in school students, college students women from community-based organizations (CBO) four districts Peru.Cross-sectional study conducted 2011 Lima, Callao, La Libertad Arequipa with university CBOs. A survey, anthropometric measurements, blood pressure measurements fasting sampling were to glucose lipid levels. Thus, overweight, hypercholesterolemia, suspected diabetes, other variables, calculated....
A pesar de su relevancia actual entre los diez cultivos alimenticios más importantes en países desarrollo, la papa rara vez es citada por potencial agroindustrial o como un bien transable. El presente trabajo analiza las tendencias recientes agroindustria y comercio América Latina. Por medio una tipología se intenta aclarar situación opciones relevantes para el futuro cada tipo país. Así, nota que mayoría casos, realzar no solamente requiere nuevas variedades aptas procesamiento, sino...
Objetivo: Identificar factores asociados a calidad percibida de atención en la población adulta afiliada al Seguro Social Salud (EsSalud). Material y métodos: Analizamos Encuesta Nacional Socioeconómica Acceso los Asegurados EsSalud. La fue evaluada consultorio externo, hospitalización emergencias. Reportamos razones medias ajustadas (RMa) estimadas mediante regresión Poisson múltiple. Resultados: Estar empleado (RMa=0,98; IC95% 0,96-0,99), no conocer servicios que brinda EsSalud (RMa=0,97;...
The Renal Health Program (RHP) was implemented in 2013 as a secondary prevention strategy to reduce the incidence of patients initiating dialysis and overall mortality. A previous study found that adherent have 58% protection against progression compared non-adherent. main objective estimate lifetime economic health consequences RHP intervention determine its cost-effectiveness comparison with usual care.We use Markov model three stages simulate disease among chronic kidney Lima, Peru....
Objetivos. Estimar la prevalencia de anticuerpos contra sarampión, rubéola y hepatitis B en niños 1 a 4 años del Perú. Materiales métodos. Se realizó una encuesta nacional basada aplicación un cuestionario obtención muestra sangre capilar papel filtro para el estudio años. utilizó muestreo probabilístico, estratificado multietápico con inferencia nivel siete ámbitos estudio: Lima metropolitana, resto costa urbana, rural, sierra selva urbana rural. Las muestras fueron procesadas siguiendo...
Objetivos. Describir el proceso de priorización para desarrollo guías práctica clínica (GPC) en Seguro Social Salud del Perú (EsSalud). Métodos. El se realizó mediante un análisis multicriterio tres pasos: identificar las variables, obtener información mismas y asignarles una ponderación. Finalmente, obtuvo lista ordenada que fue puesta a consideración los decisores política. Resultados. Las cinco enfermedades con mayor número AVISA (años vida saludable perdidos) fueron: artrosis, glaucoma,...
Abstract The knowledge of factors limiting reproduction in rare plants can aid formulating effective management practices. We studied the floral and reproductive biology Sarcocapnos pulcherrima Morales & Romero (Fumariaceae), an endemic species from southeastern Iberian Peninsula. Flowering lasts January to June, peaking March May. mean production flowers per individual percentage individuals flower showed sensitivity monthly temperatures, this being more patent when data were related...
The genus Sarcocapnos DC., endemic to the western Mediterranean basin, contains seven species, all of which are rare. Monthly monitoring number and flowering status individuals as well appearance new seedlings in five populations three baetica (Boiss. & Reuter) Nyman, enneaphylla (L.) pulcherrima Morales Romero-García, was conducted between July 1997 June 1998. This repeated May 1999 2000. Given difficulty establishing age individuals, those that did not produce flowers study period were...
There is wide controversy about the mechanism of action levonorgestrel used for emergency oral contraception, and many organizations, both scientific as well from civil society, show their discrepancy with its use, due to possible an abortion- inducer. In order evaluate evidence available on mechanisms contraception (EOC), a systematic revision was performed in Medline Cochrane library databases. We found 444 articles. After reviewing abstracts, we selected 22 articles, whose complete texts...