Universidad Privada San Juan Bautista

Parastomal hernia (PSH) is a common complication after stoma creation and may present emergently with obstruction, incarceration, or ischemia. While minimally invasive surgery (MIS, laparoscopic or robotic) shows benefits in elective PSH repair, data in emergencies are limited. This study compared outcomes following open versus MIS emergent PSH repair. In this retrospective cohort using ACS-NSQIP, patients undergoing emergent open, laparoscopic, or robotic PSH repair were identified. Surgical approach was categorized as open or MIS. A 3:1 propensity score–matched analysis balanced demographic, comorbidity, physiologic, laboratory, and operative variables. Primary outcome was 30-day overall postoperative complications; secondary outcomes included wound, medical, and surgical complications, return to the operating room (OR), length of stay, and readmission. Multivariate logistic regression identified predictors of complications. Of 303 patients (249 open, 54 MIS), 192 were analyzed after matching (144 open, 48 MIS) with balanced baseline characteristics. MIS repair had lower overall complications than open repair (22.9

Hemos leído con interés el artículo de Santiago-Abal1 sobre la eficacia después de implementar un programa educativo dirigido a enfermeras para el control de infecciones asociadas a catéter venoso central (CVC) en una unidad de cuidados intensivos pediátricos (UCIP) de un establecimiento pediátrico de referencia en Lima, Perú. Como futuras profesionales de enfermería, consideramos de suma relevancia reflexionar sobre los hallazgos de la autora. El estudio pone en evidencia brechas críticas en la práctica clínica de las enfermeras de UCIP en la evaluación inicial (pretest) y, además resalta la necesidad de sostener la educación continua de los profesionales de salud.

The objective of the research was to explore the relationship between depression, anxiety, well-being, and satisfaction with life in the Quechua population of southern Peru. Method: a predictive and cross-sectional study design was developed. There was voluntary participation of 428 Quechua speakers from southern Peru, of whom 57.7% were women whose ages ranged from 18 to 65 years (M = 33.52 and SD = 12.66), and 47% indicated that they were single. Results: The study found higher levels of anxiety in women compared to men (t = −2.13, p < 0.05). Life satisfaction was positively correlated with general well-being (r = 0.36, p < 0.01) and negatively correlated with anxiety (r = −0.17, p < 0.01) and depression (r = −0.23, p < 0.01), as well as a positive correlation between anxiety and depression (r = 0.61, p < 0.01). Regarding structural relationships, SEM analysis showed that general well-being is directly associated with life satisfaction (β = 0.446, p < 0.001), and depression was negatively associated with life satisfaction (β = −0.495, p = 0.026). No significant associations were observed between anxiety and life satisfaction (β = 0.159, p = 0.462). Overall, the model accounts for 35.4% of the variance in life satisfaction (R2 = 0.354). The goodness-of-fit indices were satisfactory (χ2 (71) = 147.441, p < 0.001, CFI = 0.986, TLI = 0.982, RMSEA = 0.067 [IC 90%: 0.056–0.079], SRMR = 0.041). Conclusions: Depression is significantly associated with anxiety and life satisfaction in the Quechua population of southern Peru.

Dengue, transmitted by Aedes aegypti, remains a critical public health challenge in tropical regions, with Peru experiencing upsetting increases in cases. Rapid immunochromatographic tests for NS1 antigen detection are vital in resource-limited settings, but their performance must be validated against gold-standard methods like RT-PCR. To determine the sensitivity, specificity, and diagnostic accuracy of the OnSite (R) Dengue NS1 rapid test compared to RT-PCR in a high-prevalence setting. A cross-sectional study analyzed 140 serum samples from suspected dengue cases (2021-2022) stored at -70 degrees C. RT-PCR served as the reference standard. Sensitivity, specificity, predictive values, AUC-ROC, and Cohen's kappa were calculated using Stata v18. We found a mean age of 32.2 years, and 54% of the participants were woman. We assessed a dengue prevalence of 51.4% by RT-PCR. The rapid test detected NS1 with 88.89% sensitivity (95% CI: 79.28-95.08) and 100% specificity (95% CI: 94.72-100). The AUC was 94.44% (90.79-98.10), indicating high diagnostic accuracy. Concordance with RT-PCR was excellent (kappa = 88.6). The test showed 94.29% overall accuracy, with 100% positive predictive value and 89.47% negative predictive value. However, 11.1% (8/72) of PCR-confirmed cases were false negatives. No false positives occurred. Most samples were collected 3-5 days post-symptom onset, aligning with peak NS1 detectability. The CTK Biotech OnSite (R) Dengue NS1 rapid test demonstrated high specificity and moderate sensitivity, making it a reliable tool for dengue screening in endemic areas. Its performance supports its use in resource-limited settings, though false negatives underscore the need for complementary testing in clinically suspicious cases.