Objetivo. Con el objetivo de valorar las diferentes tablas de curvas percentilares de peso usadas en nuestro medio para el diagnóstico nutricional de los recién nacidos en el Hospital regional de Ica, sobretodo de los desnutridos. Material y métodos. Fueron evaluadas 830 madres con sus recién nacidos, a los que se pesó, tallo y calculó su edad gestacional; catalogándolos luego como: con peso adecuado, pequeño o grande para su edad gestacional, priorizando pequeños para Edad Gestacional; para ello se usaron 6 tablas percentilares, posteriormente se compararon los resultados con cada una de ellas. Resultados. Hubieron diferencias significativas en el diagnostico nutricional, la tabla NACIONAL permitió identificar 16, 36 % PEG, la concordancia fue alta entre las tablas NACIONAL con las de LIMA Y TACNA (0,87 Y 0,90), al usar la tabla NACIONAL como patrón de oro la de TACNA y de LIMA dieron los más adecuados cocientes de probabilidad positivo y negativo (CP+ 45,93 y CP- 0,08 la de TACNA); las áreas bajo la curva ROC fueron también mayores con las tablas de TACNA (0,986) y LIMA (0,980). Conclusión: Podría adoptarse la tabla percentilar NACIONAL o la de TACNA, aunque se debe considerar la elaboración de tablas locales dadas las diferencias encontradas

Objective: To evaluate the safety and efficacy of the TOT in the treatment of female stress urinary incontinence, according to our experience.Material and Methods: A prospective study of 30 patients who underwent TOT in the Unit of Gynecology, Department of Gynecology and Obstetrics of the HospitalRegionalde Ica, between January 2010 and May 2012. We used polypropylene mesh, macropore, monofilament (Prolene) and needles of Emmet. Median age 53.7 years, parity 4.2. Results: The operative time of TOT was 18 minutes (median). Of the 30 patients, the month was found healing of stress incontinence in 27 (90 % ), 2 (6.7 %) cases improvement, 1 (3.3 %) cases failure of the surgery. In the three months and six months of follow up is a 96.7 % of cure and 3.3 % of failure. There were 2 intraoperative complications, corresponding to injury of vagina. A with scissors during the dissection of the space vesico-vaginal hole toward the shutter and another with the needle of Emmet. During the immediate postoperative period there was a case with perineal pain treated with analgesics. During the late postoperative period in a patient presented erosion of the mesh, as a result was removed the mesh. Conclusion: According to our experience with 30 cases, the TOT is a safe and effective technique for the surgical treatment of stress urinary incontinence.

Objective :To Determine the clinical epidemiological features of Acute Coronary Syndrome (SICA) in hospitalized patients in the Intensive Care Unit (ICU) of the Hospital Felix Torrealva Gutierrez in 2010. Material and methods: Design observational descriptive, were evaluated 34 clinical histories, were evaluated variables such as age, sex, diagnosis at admission, coronary risk factors, clinical complications hospital, etc. The data obtained are presented in tables, the results were compared with the literature reviewed. Results: The results showed that the SICA, accounted for 50% of the causes of admission to the ICU, the 85.29 % of the patients were 60 years or more, there was a predominance of males (73.53 %) on women (26.47 ) , the forms clinic that prevailed was the acute myocardial infarction with 67.64 % , there was a predominance of males in unstable angina and acute myocardial infarction, themost patients are hospitalized 6 hours or more after the beginning of the clinical picture, the 61.77 % of the patients had hypertension and coronary risk factor, diabetes mellitus and dyslipidemia were the second and third risk factor of importance ( 26.47 and 23.52 % ), cardiac arrhythmias were the most frequent complications with 47.05 %, the mortality rate was 14.71 %.Conclusions: The prevailing clinical form was the acute myocardial infarction; coronary risk factors more important were the high blood pressure (hypertension), diabetes mellitus and dyslipidemia, hospital clinical complications were the most important cardiac arrhythmias

Objective:ToIdentify the risk factors associated with perinatal morbidity of the early San Juan de Dios Hospital, located in the Ancash region, 2010. Material and methods:It was realized a retrospective study, analytical cross the population consisted of 625 pregnant women, it took a random sample of 100 pregnant women, using a technical sheet. For the statistical analysis found the Odds Ratio (OR) and the chi-square through the program SPSS version 14, with 95% confidence interval.Results: Newborns with complications were 33, the total number of newborns killed were 12 by death late fetal and early neonatal of 945 g, and the controls 88 live births, selected at random. The early mortality rate was 12 %.The risk factors were: maternal age 35 years to more (OR=4.54 ), multiparity (OR=3.77 ), prenatal care absent or inadequate (OR=3.87 ), marking the beginning of induced labor or elective cesarean section (OR=21.5 ), work of premature birth or prolonged (OR=10.5 ), depression (OR=37.40 ) Prematurity (OR=9.67 ). The presence of depression at birth, initiation of induced labor, prolonged labor, low birth weight and prematurity, have high predictive values. Conclusions: The risk factors of the newborn have greater partnership and high predictive value for early perinatal mortality in the San Juan de Dios hospital in Ancash, Peru

To determine the working conditions and level of stress in the nurses of a Peruvian public hospital in 2011.Material and methods:It was realized a descriptive study, and cross-sectional, the sample was composed of 44 nurses who are dedicated to the welfare work, which were selected through the non-probability sampling and by convenience according to the criteria of inclusion and exclusion. Results: Regarding the working conditions are considered unfavourable in a 70% favorable and 30 %. With regard to the level of stress, the 52% level of average stress, the 34% low stress and a 14% presents high stress. Conclusions: The working conditions are adverse and the stress level is moderate in the nurses in a public hospital peruvian

Objective: To determine the degree of relationship between culture and the organizational climate with administrative efficiency. Material and methods: The type of research was descriptive, with a descriptive method and design. The population was composed of 106 teachers and 30 appointed teachers hired. A sample was selected by non-probabilistic assessments, 44 teachers and 16 appointed teachers hired. A survey consisted of 35 statements, using the nominal scale with three alternative response. Results: The culture and the organizational climate perceived by teachers is a high level (68.3 % and 66.7 % respectively), the Administrative Efficiency measure in each of its six dimensions, was remarkably high: Faculty (73.3 % ), environmental conditions (70.0 % ), possibilities of creativity and initiative (66.7 % ), head and above (73.3 % ), recognition (58.3 %) and Communication (53.3 % ). Conclusions: The results prove that the culture and the organizational climate was significantly related to the administrative efficiency of the Faculty of Human Medicine at Ica, Peru.

It is reported the case of a woman, 22 years of age, without important background information. She was admitted to the hospital, in premonitory signs of labor with a gestation of 40 weeks and cerebral malformation: semilobar holoprosencephaly, hipotelorismo, mild right hydronephrosis (sonographic diagnosis). She is operated by the cesarean section obtaining a newborn with characteristics of holoprosencephaly remains what the striking hipotelorismo and arrinencefalia . There is no crying at birth, by what is realized maneuvers cardio pulmonary resuscitation ,continues in poor condition general ,with periods of apnea, low saturation ,chest diminished expansibility, so proceeded to endotracheal tube placement, placement of adrenaline, is taken to the pediatric intensive care units, presenting in the journey two episodes of cardiac arrest ,the minor then is placed on mechanical ventilator ,not taking a good evolution , dies the next day of birth.

La Tuberculosis (TB) es una enfermedad infecto contagiosa ampliamente diseminada en el mundo, se calculó que la incidencia mundial en el año 2010 fue de 8.8 millones de afectados (128 casos por 100,000 habitantes), la cantidad de tuberculosos multidrogo resistentes (TB-MDR) fue entre 460 000 a 870 000 casos, y en 58 países, se habían reportado al menos un caso de tuberculosis extremadamente resistente (TB-XDR) a los fármacos.