ABSTRACT
RESUMEN Objetivo: Determinar las características sociodemográficas, los antecedentes gíneco-obstétricos, la percepción y los conocimientos previos asociados a no realizarse la esterilización quirúrgica en mujeres gran multíparas internadas en un hospital de la provincia de Huancayo. Materiales y Métodos: Estudio de tipo cuantitativo, prospectivo y de corte transversal, que se realizó en las mujeres gran multíparas internadas en el Hospital Regional Docente Materno Infantil "El Carmen" de Huancayo; que cumplieran con los criterios de inclusión. Se aplicó un instrumento de recolección de tipo encuesta. Se realizó una estadística descriptiva, así como, el análisis bivariado y multivariado. Resultados: Un 73% de las mujeres encuestadas no se realizaría la esterilización quirúrgica a futuro, sin embargo, a un 90% le gustaría recibir más información al respecto. Los factores estadísticamente significativos asociados a no realizase la esterilización quirúrgica fueron: No haber utilizado ningún método anticonceptivo anteriormente (RPa: 1,35; IC 95%: 1,01-1,82; p: 0,042), no saber si desea tener más hijos (RPa: 1,58; IC 95%: 1,22-2,03; p <0,001), pensar que realizarse la esterilización quirúrgica iría en contra de sus derechos (RPa: 1,24; IC 95%:1,05-1,46; p: 0,008) y pensar que la esterilización quirúrgica produce alteraciones menstruales (RPa: 1,11; IC 95%:1,17-1,34; p: 0,027). Conclusiones: Muchas mujeres encuestadas no optarían por la esterilización quirúrgica a futuro, debido a diversos factores, muchos de ellos modificables con una adecuada capacitación e intervención del personal de salud.
ABSTRACT Objective: Determine sociodemographic characteristics, gynecological-obstetric history, perception and previous knowledge associated with not performing surgical sterilization in large multiparous women admitted to a hospital in the province of Huancayo. Materials and Methods: A quantitative, prospective and cross-sectional study, was carried out on large multiparous women hospitalized in the gynecology and obstetrics services of the Regional Maternal and Child Teaching Hospital "El Carmen" of Huancayo; that met the inclusion criteria. A survey-type collection instrument was applied. A descriptive statistic was carried out, as well as the bivariate and multivariate analysis. Results: 73% of the women surveyed would not undergo surgical sterilization in the future, however, 90% would like to receive more information about it. The statistically significant factors associated with not performing surgical sterilization were: Not having used any contraceptive method previously (RPa: 1.35, 95% CI: 1.01-1.82, p: 0.042), not knowing if you want having more children (RPa: 1.58, 95% CI: 1.22-2.03, p <0.001), thinking that performing surgical sterilization would be against their rights (RPa: 1.24, 95% CI: 1.05-1.46; p: 0.008) and to think that surgical sterilization produces menstrual alterations (RPa: 1.11, 95% CI: 1.17-1.34, p: 0.027). Conclusions: Many women surveyed would not opt for surgical sterilization in the future due to various factors, many of them modifiable with adequate training and intervention of health personnel.
Subject(s)
Humans , Female , Adult , Young Adult , Sterilization, Tubal/psychology , Sterilization, Tubal/statistics & numerical data , Women/psychology , Parity , Peru , Socioeconomic Factors , Obstetrics and Gynecology Department, Hospital , Health Knowledge, Attitudes, Practice , Cross-Sectional Studies , Multivariate Analysis , Prospective Studies , Surveys and QuestionnairesABSTRACT
Functional dyspepsia impacts on quality of life. Due to its multifactorial etiology its characterization proves difficult, especially in populations at risk such as medical students. Objetives: To determine if behavioral and harmful habits of medical students from eight universities of Peru were associated to functional dyspepsia. Methods: Multicentric, cross-sectional study. A self-administered questionnaire was taken among students enrolled in eight medical faculties in Peru. Functional dyspepsia was measured using a validated test; diet characteristics, alcohol, tobacco, coffee or energy drinks consumption were considered behavioral habits. Furthermore, others from the social and educational sphere were measured. Bivariate and multivariate statistical analyses were made. Results: From a total of 1.923 students, the median of the ages was 20, 55% were women and 24% suffered from functional dyspepsia. Factors which diminished the frequency of functional dyspepsia were masculine gender (aPR:0,75; 95%CI:0.64-0.87; p < 0,001), hours spent studying (aPR:0,97; 95%CI:0,96-0,99; p < 0,001) and eating following a fixed schedule (aPR:0,80; 95%CI:0,67- 0,95; p = 0,013); however, having failed a course increases the frequency of functional dyspepsia (aPR:1.24; 95%CI:1.13-1.37; p < 0,001)adjusted for age, as well as difficulties to fall asleep and depression. Conclusion: Many medical students suffered from functional dyspepsia, this being related to several behavioral variables; therefore further studies as well as educational institutions' intervention is required, due to the short and long term problems that may arise from this situation.
Subject(s)
Dyspepsia/etiology , Feeding Behavior , Life Style , Students, Medical/statistics & numerical data , Cross-Sectional Studies , Dyspepsia/diagnosis , Female , Humans , Male , Peru , Risk Factors , Schools, Medical/statistics & numerical data , Socioeconomic Factors , Students, Medical/psychology , Young AdultABSTRACT
It is widely accepted that cosmic rays (CRs) up to at least PeV energies are Galactic in origin. Accelerated particles are injected into the interstellar medium where they propagate to the farthest reaches of the Milky Way, including a surrounding halo. The composition of CRs coming to the solar system can be measured directly and has been used to infer the details of CR propagation that are extrapolated to the whole Galaxy. In contrast, indirect methods, such as observations of γ-ray emission from CR interactions with interstellar gas, have been employed to directly probe the CR densities in distant locations throughout the Galactic plane. In this article we use 73 months of data from the Fermi Large Area Telescope in the energy range between 300 MeV and 10 GeV to search for γ-ray emission produced by CR interactions in several high- and intermediate-velocity clouds (IVCs) located at up to ~7 kpc above the Galactic plane. We achieve the first detection of IVCs in γ rays and set upper limits on the emission from the remaining targets, thereby tracing the distribution of CR nuclei in the halo for the first time. We find that the γ-ray emissivity per H atom decreases with increasing distance from the plane at 97.5% confidence level. This corroborates the notion that CRs at the relevant energies originate in the Galactic disk. The emissivity of the upper intermediate-velocity Arch hints at a 50% decline of CR densities within 2 kpc from the plane. We compare our results to predictions of CR propagation models.
