RESUMEN
Background: Limited supply of resources during the COVID-19 emergency encouraged the local development of the Masi mechanical ventilator (MV). Despite the efforts to promote Masi, adopting this innovation faced multiple obstacles, regardless of its performance. We explored the perceptions among healthcare personnel towards incorporating Masi to provide ventilatory support to COVID-19 patients during the second wave in Peru (January to June 2021). Methods: We conducted twelve in-depth virtual interviews. Topics included experience when handling Masi, the impact of the training received, confidence in the device, barriers perceived, and enablers identified. All participants provided verbal informed consent. Results: Most of the participants were male physicians. Participants belonged to seven hospitals that exhibited a wide range of healthcare capacities. Globally, the adoption of Masi MV was driven by the scarcity of ventilatory devices in the wards and reinforced by appropriate training and prompt technical support. Participants reported that Masi's structural and operational features played both advantages and disadvantages. Hospital infrastructure readiness, availability of commercial MVs, mistrust in its simple appearance, and resistance to change among healthcare personnel were perceived as barriers, while low-cost, prompt technical support and user-friendliness were valuable enablers. The first two enablers were observed in participants regardless of their attitude towards Masi. Despite the small number of participants for this qualitative study, it is important to note that the sample size was sufficient to reach saturation, as the topics discussed with participants became redundant and did not yield new information. Conclusions: The perceptions among healthcare personnel to incorporate Masi as a mechanical ventilator for COVID-19 patients showed that communication, training and experience, and peer encouragement were essential to secure its use and sustainability of the technology. A priori judgments and perceptions unrelated to the performance of the novel device were observed, and its proper management may define its further implementation. Altogether our study suggests that along with strengthening local technological development, strategies to improve their adoption process must be considered as early as possible in medical innovations.
RESUMEN
Se reporta el caso de un paciente peruano con diagnóstico de hidatidosis y vesical y retrovesical diagnosticado por Tomografía Axial Computarizada (TAC), confirmándose Equinococcus granulosus por Inmunoblot. Fue intervenido quirúrgicamente para una quistectomía laparoscópica múltiple, en la que se encuentran además quistes en lóbulo hepático izquierdo, mesenterio y pared peritoneal. Recibió tratamiento médico pre y post operatorio con albendazol y continuó con controles a través de consultorio externo
We report a case of a Peruvian patient diagnosed with bladder and retrovesical hydatidosis using Computed Tomography (CT), and the presence of Echinococcus granulosus was confirmed by an Immunoblot test. The patient underwent surgery for a multiple laparoscopic cystectomy, and some cysts were also found in the left hepatic lobe, as well as in the mesentery and the peritoneal wall. The patient received pre- and post-operative medical therapy with albendazole and he had been continuously controlled in the outpatient clinic
RESUMEN
Introducción: Los autores de tesis de pregrado deben buscar publicar sus investigaciones en revistas científicas, para respaldar su calidad y garantizar su difusión en el ámbito académico-científico. Objetivo: Determinar la publicación de las tesis de pregrado de la Facultad de Medicina Humana de la Universidad de San Martín de Porres aprobadas en el periodo 2000-2009. Diseño: observacional, descriptivo. Materiales: Tesis de pregrado aprobadas en el periodo 2000-2009. Intervenciones: Se solicitó las tesis en la biblioteca de dicha universidad. Se realizó una búsqueda de cada tesis en Google Académico para determinar si fueron publicadas. Además, se buscó la producción científica de los asesores y los jurados de cada tesis. Estos datos fueron tabulados en Microsoft Excel 2010 y presentados en forma descriptiva. Principales medidas de los resultados: Publicación de las tesis, producción científica de asesores y jurados. Resultados: Durante el periodo 2000-2009, egresaron 2 667 estudiantes y se aprobó 74 tesis de pregrado, de las cuales solo dos fueron publicadas. Se encontró que 21 de 67 asesores (31,3 por ciento) y 24 de 73 jurados (32,9 por ciento) tuvieron algún artículo original publicado. Conclusiones: Se encuentra una proporción baja de tesis publicadas en la facultad estudiada.
Background: Authors of pre-graduate theses must try to publish them in scientific journals in order to support their quality and diffusion in the scientific-academic environment. Objectives: To determine Universidad de San Martin de PorresÆ School of Medicine approved pregraduate thesis publication in the period 2000-2009. Design: Observational, descriptive. Materials: Pre-graduate theses approved during 2000-2009. Interventions: Permission was obtained to access theses at the University library. A search for separate theses was conducted utilizing Google Scholar to find dates of publication. Personal scientific production of both theses consultants and jurors was also researched. Results were tabulated in Microsoft Excel 2010 and presented descriptively. Main outcome measures: Theses publication, scientific production of tutors and juries. Results: During 2000-2009, 2 667 students graduated, 74 theses were approved, and only two were published. Twenty-one out of 67 consultants (31.3 per cent) and 24 out of 73 jurors (32.9 per cent) had at least one original article published. Conclusions: Low proportion of thesis publication was found at the faculty of Medicine studied.