Componentes de riesgo psicosocial y satisfacción laboral en enfermeras de un Hospital de Cajamarca, Perú / Psychosocial Risk Components and Job Satisfaction in Nurses from a Hospital in Cojamarca, Peru

Introducción: Los componentes de riesgo psicosocial y la satisfacción laboral son relevantes para las enfermeras. La carga mental, las alteraciones psicobiológicas, el proceso de decisión y control, así como la variabilidad constituyen aspectos psicológicos. Mientras que los riesgos sociales. la organización y responsabilidad laboral, la información oportuna, la capacitación y la jornada laboral están en el entorno. Objetivo: Establecer el grado de asociación entre los componentes de riesgo psicosocial y la satisfacción laboral en las enfermeras del Hospital Regional de Cajamarca. Métodos: Estudio cuantitativo, descriptivo correlacional, de corte transversal realizado en el Hospital Regional de Cajamarca, Perú, durante agosto-diciembre 2018. Población de 241 enfermeras. Por muestreo aleatorio simple se seleccionaron 148 enfermeras. Se aplicó la batería de instrumentos para la evaluación de componentes de riesgo psicosocial- BIPEFRPS y la Escala de Satisfacción Laboral, ambos adaptados por expertos y validados por prueba piloto. Los datos fueron procesados con IBM-SPSS V.25, se utilizó el porcentaje y para la contrastación de hipótesis el estadígrafo de correlación Rho Spearman (p < 0,05, significancia estadística). Resultados: Se evidenció un grado de asociación significativa (p < 0,05) y negativa (r = -0,224) entre los componentes de riesgo psicosocial y satisfacción laboral en las enfermeras. Conclusiones: Los componentes de riesgo psicosocial tienen un grado de asociación negativa con la satisfacción laboral; así, el control de los componentes de riesgo psicosocial incrementa niveles de satisfacción laboral(AU)

Introduction: Psychosocial risk components and job satisfaction are relevant for nurses. Mental workload, psychobiological instabilities, decision-making and control process, as well as variability, constitute psychological aspects. On the other hand, social risks, work organization and responsibility, timely information, training and working hours are part of the setting. Objective: To establish the degree of association between psychosocial risk components and job satisfaction in nurses of Hospital Regional de Cajamarca. Methods: Quantitative, correlational, cross-sectional and descriptive study carried out at Hospital Regional de Cajamarca, Peru, during August-December 2018. The population was made up of 241 nurses. A total of 148 nurses were selected by simple random sampling. A battery of instruments for the evaluation of psychosocial risk components was applied: BIPEFRPS and the Job Satisfaction Scale, both adapted by experts and validated using a pilot test. The data were processed with IBM-SPSS V.25. Percentage was used, while the rho Spearman correlation statistic was used for the hypothesis testing (p<0.05, statistical significance). Results: A significant (p<0.05) and negative (r=0.224) degree of association was evidenced between the components of psychosocial risk and job satisfaction in nurses. Conclusions: Psychosocial risk components have a negative degree of association with job satisfaction. Thus, control of psychosocial risk components increases levels of job satisfaction(AU)

Impact of COVID-19 status on patients receiving neuraxial analgesia during labor: A national retrospective-controlled study.

BACKGROUND: Pregnancy affects a woman's susceptibility to and severity of certain infectious diseases. Central neuraxial block for analgesia during labor is superior to nonneuraxial methods in efficacy, safety, and maternal satisfaction. Although Coronavirus disease (COVID-19) can be vertically transmitted from mother to fetus, little is known about the effects of COVID-19 on pregnant women or about anesthesia management and the risk of adverse effects related to neuraxial techniques in women with untreated COVID-19 during gestation. AIM: This investigation assesses the effects of neuraxial analgesia during labor of COVID-19-positive parturients on their hemodynamic stability. RESULTS: The study was conducted on 64 patients and involved 32 parturients positive for SARS-CoV-2 by polymerase chain reaction (PCR) and a similar number of control "negative" patients. The affected group had an uneventful course during gestation. Seven were positive for ground-glass opacities on chest X-rays, and none underwent computed tomography (CT) scans. Two neonates were PCR-positive for SARS-CoV-2, and all 32 neonates were released from the hospital. No clinical differences were observed between the neonates in the COVID-19 and control groups. Although parturients in both groups were hemodynamically stable, hemodynamic stability was subnormal in the COVID-19 group regarding blood pressure, oxygen saturation, heart rate, and body temperature. None of the women in either group required a vasopressor or oxygen supplementation during delivery. No other clinical differences were observed between the COVID-19 and control groups. CONCLUSION: This is the first case-controlled study testing the anesthetic implications of neuraxial labor analgesia in pregnant, COVID-19-positive women. Although management of neuraxial labor analgesia did not differ in pregnant women positive and negative for COVID-19, their hemodynamic characteristics differed significantly. Therefore, care is required to prevent adverse outcomes in pregnant women positive for COVID-19.

Tumor neuroepitelial disembrioplásico: presentación de caso y revisión de la literatura / Dysembryoplastic Neuroepithelial Tumor (DNT): Case Presentation and Literature Review

El tumor neuroepitelial disembrioplásico (DNT) fue descrito por primera vezpor Daumas-Duport, en 1988, e incorporado a la clasificación de tumores de laOrganización Mundial de la Salud, desde 1993, como parte del grupo de tumoresneurogliales. El artículo describe un caso típico, dada su presentación clínica, hallazgosimaginólógicos e histológicos, con adecuada evolución postoperatoria. Se haceuna revisión de la literatura del DNT, describiendo su epidemiología, presentaciónclínica, hallazgos imaginólógicos e histológicos, posibilidades de tratamiento actualy pronóstico...

Dysembryoplastic neuroepithelial tumors (DNT)were first described by Daumas-Duport in 1988and incorporated into the new World Health Organizationclassification of brain tumours as partof the group of glioneuronal tumours in 1993. Wedescribe a typical case due to its clinical presentation,image and hystologic findings, with goodpostoperative course. A review of the literatureof DNT is made, describing its epidemiology,clinical presentation, image and histological findings,current treatment options and prognosis...

Colecistectomía en paciente portadora de valvulopatía grave: a propósito de un caso. / Cholecystectomy in a patient with severe valvular disease: presentation of a case

Paciente femenina de 30 años de edad, raza blanca con antecedentes patológicos personales de Atresia Tricuspídea tipo 1c, que acude al Servicio de Cirugía del Hospital Universitario Camilo Cienfuegos de Sancti Spíritus, refiriendo cuadros periódicos de cólicos biliares de difícil control que la convierte en tributaria de tratamiento quirúrgico. Fue ingresada en sala de Cardiología y presentada al Servicio de Anestesiología para el estudio de las patologías de base y su intervención quirúrgica. En este artículo se abordan con detalles todos los procederes de diagnóstico y tratamiento realizados desde el ingreso, así como el manejo anestésico perioperatorio de la paciente la cual fue dada de alta satisfactoriamente a los cinco días del acto quirúrgico(AU)

A white female patient of 30 years of age, of white race with a previous personal history of tricuspíd atresia type 1c comes to the Surgery Service of the Camilo Cienfuegos University Hospital of Sancti Spíritus, reporting periodic episodes of vesicle colic pains of difficult control that warrant a surgical treatment. She was admitted at the Cardiology Ward and presented to the Service of Anesthesiology for the study of underlying diseases and her surgical intervention. In this article, a thorough approach is made of all the procedures of diagnosis and treatment carried out from admission, as well as the perioperative anesthetic management of this patient who was satisfactorily discharged five days after the surgical act(AU)