RESUMO
Introducción: La prueba de Papanicolau ayuda a detectar de manera oportuna en la intervención de rutina el cáncer de cuello uterino. Objetivo: Analizar factores asociados al tamizaje para cáncer de cuello uterino en mujeres de 12 a 49 años en Perú durante el año 2019. Metodología: Se realizó un estudio observacional, analítico-transversal de un análisis secundario de datos de la Encuesta Demográfica y de Salud Familiar del 2019. Muestreo bietápico, probabilístico, equilibrado y estratificado. Se utilizó estadística descriptiva y analítica (nivel de inferencia p<0.05). Para el análisis bivariado y multivariado se utilizaron razones de prevalencia con intervalo de confianza de 95% y p<0.05. Resultados: La frecuencia de tamizaje de cáncer de cuello uterino en las regiones políticas con menores valores de prevalencia fueron Pasco (0,52%) y Tumbes (0,55%). Discusión: Los factores asociados al tamizaje de cáncer de cuello uterino son la edad, tener pareja, nivel educación superior, nivel socioeconómico pobre, residir en área rural, tener seguro de salud, edad de inicio de relaciones sexuales y haber escuchado del cáncer de cuello uterino.
Introduction: The Papanicolaou test smear helps detect cervical cancer in a timely manner in routine intervention. Objective: To analyze factors associated with screening for cervical cancer in women aged 12 to 49 years in Peru in 2019. Methods: An observational, analytical-cross-sectional study of a secondary analysis of data from 2019 Demographic and Family Health Survey was carried out. Two-stage, probabilistic, balanced, and stratified sampling. Descriptive and analytical statistics were used (level of inference p<0.05). For the bivariate and multivariate analysis, prevalence ratios were used with a 95% confidence interval and p<0.05. Results: The frequency of cervical cancer screening in the political regions with the lowest prevalence values were Pasco (0.52%) and Tumbes (0.55%). Discussion: The factors associated with cervical cancer screening are age, having a partner, higher education level, poor socioeconomic level, residing in a rural area, having health insurance, age at the start of sexual relations, and having heard of cervical cancer.
RESUMO
A incidência de diabetes mellitus tem aumentado continuamente nos últimos anos. Os pacientes acometidos por esta enfermidde crônica têm maior risco de desenvolver doença aterosclerótica coronária. Infelizmente, devido ao frequente envolvimento difuso de multiplos vasos, a intervenção percutânea, quer seja com cateter-balçao ou com stent não farmacológico, tem sido associada a pior prognóstico, quando comparada à cirurgia de revascularização miocárdica neste grupo de pacientes. Recentemente, a introdução dos stents farmacológicos renovou o entusiasmo para o tratamento percutâneo de pacientes com lesões mais complexas. Neste artigo, reportamos um caso de uma paciente de 63 anos, portadora de diabetes em uso de insulina, tratada percutaneamente com nove stents farmacológicos (Taxus, Boston Scientific).
The incidence of diabetes mellitus has continuously risen over recent years. Patients with this chronic condition have a higher risk of developing coronary artery disease. Unfortunately, due to the frequent diffuse involvement of multiple vessels, the long term outcomes after percutaneous intervention, whether by balloon catheter or bare-metal stent, has always been poor and frequently inferior to cardiac surgery for this subset of patients. Recently, the introduction of drug-eluting stents (DES) has brought new hope to treat patients with more complex diseases percutaneously. In this paper we report a successful percutaneous approach of a 63-year-old insulin dependent diabetic patient treated with nine DES (TaxusTM, Boston Scientific).