RESUMO
Kawasaki´s disease (KD) has surpassed rheumatic fever in many countries as the first cause of acquired heart disease in pediatric age, being the coronary aneurism its worst complication. We present a case of successful revascularization in a 5-year-old patient, with three-vessel coronary disease secondary to KD, who underwent a coronary bypass with anastomosis from the left internal mammary artery to the anterior descending artery, the right mammary artery to the marginal obtuse artery and the radial artery to the posterior descending artery. Close follow-up and choosing the right time to undergo surgery will prevent adverse events like permanent disability of the patient, ventricular dysfunction, arrhythmias, global infarction and sudden death.
RESUMO
Objetivo: Determinar los conocimientos sobre violencia familiar en padres o cuidadores de niños en etapa escolar en una institución educativa nacional del distrito de Ate Vitarte (Lima, Perú). Métodos: Enfoque cuantitativo, tipo descriptivo de corte transversal. Se trabajó con una muestra de 73 padres o cuidadores de escolares de un colegio estatal de Lima. La técnica utilizada fue la encuesta y como instrumento se utilizó un cuestionario que constó de dos partes: la primera sobre datos sociodemográficos de los sujetos de estudio y una segunda parte donde se indaga sobre los conocimientos de violencia familiar en veinte preguntas relativas a violencia física, psicológica, sexual y por negligencia. Resultados: El 62 % de los encuestados obtuvo un nivel de conocimiento bajo en violencia física por negligencia; el 52 %, en violencia sexual, y el 34 %, en violencia psicológica. Por otro lado, se consideró el puntaje global sobre conocimiento de violencia de los cuales el 45 % obtuvo un nivel bajo. Conclusión: Los padres o cuidadores tienen un conocimiento deficiente de los conceptos de violencia y sus tipos.
Objective: To determine the knowledge about family violence parents or caregivers of children in school stage have in a state educational institution in Ate Vitarte (Lima, Peru). Methods: Quantitative Approach, descriptive cross- sectional type. The sample was comprised of 73 parents or caregivers of schoolchildren in a state school in Lima. The technique used was surveying and the instrument was a questionnaire which consisted of two parts: the first on socio-demographic data from the Study subjects and a second section was related to the knowledge of family violence in twenty questions on physical, psychological, sexual violence and negligence. Results: 62% of the respondents got a low score related to knowledge about physical violence by negligence; 52% in sexual violence, and 34% in psychological violence. On the other hand, the other score that was taken into account was the overall score on knowledge of violence from which 45% obtained a low level. Conclusion: Parents or caregivers have poor knowledge of the concepts of violence and their types.
