La motivación para realizar el presente trabajo fue la de conocer más profundamente como fue el m... more La motivación para realizar el presente trabajo fue la de conocer más profundamente como fue el manejo de los pacientes de emergencia a lo largo de la historia, confirmar como van evolucionando los pensamientos y los conceptos, para luego poder hacer una proyección a futuro de como debería de funcionar, y como tendría que organizarse un servicio de emergencia para el futuro.
Objetivo. Analizar los cambios en la Densidad de Recursos Humanos en Salud(DRHS) en el Ministerio... more Objetivo. Analizar los cambios en la Densidad de Recursos Humanos en Salud(DRHS) en el Ministerio de Salud a nivel regional y provincial en el Perú; a fin de describir la respuesta del sistema de salud sobre este componente durante la epidemia de COVID-19. Métodos. Estudio descriptivo basado en el análisis de la base de datos nacional de INFORHUS del Ministerio de Salud. Para el cálculo de la DRHS, se consideró como numerador al personal de salud registrado en la base de INFORHUS y como denominador a la población adscrita al Seguro Integral de Salud – SIS. Se excluyó a personal de salud que falleció y aún estaba registrado, y a personal diagnosticado de COVID-19 por prueba rápida o molecular durante los meses considerados en el análisis. Se analizaron los cambios porcentuales de DRHS entre los meses de abril hasta agosto de 2020 a nivel regional y provincial en el Perú. Resultados. En el periodo abril-agosto la DRHS a nivel nacional se incrementó en un 5,1%. A nivel regional este in...
Cats are unique among domestic animals in that they are obligate carnivores and have a high prote... more Cats are unique among domestic animals in that they are obligate carnivores and have a high protein requirement. However, there are few data on protein turnover and amino acid (AA) metabolism in cats. The aim of this study was to examine the effects of dietary protein content on urea production and Leu metabolism in cats. Eighteen neutered male cats (4.4 ± 0.11 kg body weight, aged 4.6 ± 0.41 y) fed to maintain body weight for 3 wk with 15%, 40%, or 65% metabolizable energy intake as crude protein (CP) had [1-(13)C]Leu administered in the fed state. Urea production was measured by the infusion of [(15)N2]urea. Leu flux, nonoxidative Leu disposal (NOLD; protein synthesis), Leu rate of appearance (Ra; protein degradation), and Leu oxidation were determined. Urea production and Leu oxidation were both ∼3 times greater in cats fed 65% CP compared with those fed 15% CP, whereas those fed 40% CP were ∼1.6 times greater (P < 0.05). Leu flux was 1.9 and 1.3 times greater in cats fed 65% ...
The widespread use of commercial diets, the large amount of carbohydrates they contain [many comm... more The widespread use of commercial diets, the large amount of carbohydrates they contain [many commercial dry cat foods contain at least 40% carbohydrate (5)], and the frequent changes in the formulation of these diets suggest that handling of dietary carbohydrates by cats with ...
Revista peruana de medicina experimental y salud pública, 2011
To determine the frequency and clinical features of central nervous system infections caused by e... more To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month - 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the presence of enterovirus, herpes simplex virus 1 (HSV-1), herpes simplex virus 2 (HSV-2) and varicella-zoster virus (VZV) by polymerase chain reaction (PCR). 97 patients were included, out of which 69 % had acute encephalitis and 31 % acute meningitis. Enteroviruses were identified in 52,6% of all acute non-bacterial central nervous system infections; corresponding to 83,3 % of meningitis and 38,8 % of encephalitis. There were no cases of infection due to HSV-1, HSV-2 or VZV. Enterovirus infections reached 82,9 % in the warm months (November-January) and 28,6 % in the colder months (May-July). Ente...
Four hand-reared cheetah cubs (Acinonyx jubatus) exhibited progressively severe bilateral valgus ... more Four hand-reared cheetah cubs (Acinonyx jubatus) exhibited progressively severe bilateral valgus deformity of the carpi (CV) during the weaning period. Radiographs of the thoracic limbs suggested normal bone ossification, and serum chemistry was unremarkable. All affected cubs developed CV shortly after the onset of gastroenteritis, which was treated medically, and included use of a prescription diet. A sudden decrease in growth rate was associated with gastrointestinal disease. Before gastroenteritis and CV, affected cubs had higher growth rates than unaffected cubs, despite similar mean daily energy intake. Return to normal thoracic limb conformation was consequent to dietary manipulation (including a reduction in energy intake and vitamin and mineral supplementation), as well as decreased growth rates and recovery from gastroenteritis. The cause of the CV is likely to have been multi-factorial with potentially complex physiological interactions involved.
AIM: To determine the suitability of a reversible, injectable anaesthetic combination including m... more AIM: To determine the suitability of a reversible, injectable anaesthetic combination including medetomidine, butorphanol and atropine to produce the degree of immobilisation required to allow blood sampling in young pigs.METHODS: Twenty 6-week-old crossbred, intact male pigs were sedated with an intramuscular (I/M) injection of 80 µ&#39;g/kg medetomidine, 200 µ&#39;g/kg butorphanol and 25 µ&#39;g/kg atropine. Heart and respiratory rates and rectal
La motivación para realizar el presente trabajo fue la de conocer más profundamente como fue el m... more La motivación para realizar el presente trabajo fue la de conocer más profundamente como fue el manejo de los pacientes de emergencia a lo largo de la historia, confirmar como van evolucionando los pensamientos y los conceptos, para luego poder hacer una proyección a futuro de como debería de funcionar, y como tendría que organizarse un servicio de emergencia para el futuro.
Objetivo. Analizar los cambios en la Densidad de Recursos Humanos en Salud(DRHS) en el Ministerio... more Objetivo. Analizar los cambios en la Densidad de Recursos Humanos en Salud(DRHS) en el Ministerio de Salud a nivel regional y provincial en el Perú; a fin de describir la respuesta del sistema de salud sobre este componente durante la epidemia de COVID-19. Métodos. Estudio descriptivo basado en el análisis de la base de datos nacional de INFORHUS del Ministerio de Salud. Para el cálculo de la DRHS, se consideró como numerador al personal de salud registrado en la base de INFORHUS y como denominador a la población adscrita al Seguro Integral de Salud – SIS. Se excluyó a personal de salud que falleció y aún estaba registrado, y a personal diagnosticado de COVID-19 por prueba rápida o molecular durante los meses considerados en el análisis. Se analizaron los cambios porcentuales de DRHS entre los meses de abril hasta agosto de 2020 a nivel regional y provincial en el Perú. Resultados. En el periodo abril-agosto la DRHS a nivel nacional se incrementó en un 5,1%. A nivel regional este in...
Cats are unique among domestic animals in that they are obligate carnivores and have a high prote... more Cats are unique among domestic animals in that they are obligate carnivores and have a high protein requirement. However, there are few data on protein turnover and amino acid (AA) metabolism in cats. The aim of this study was to examine the effects of dietary protein content on urea production and Leu metabolism in cats. Eighteen neutered male cats (4.4 ± 0.11 kg body weight, aged 4.6 ± 0.41 y) fed to maintain body weight for 3 wk with 15%, 40%, or 65% metabolizable energy intake as crude protein (CP) had [1-(13)C]Leu administered in the fed state. Urea production was measured by the infusion of [(15)N2]urea. Leu flux, nonoxidative Leu disposal (NOLD; protein synthesis), Leu rate of appearance (Ra; protein degradation), and Leu oxidation were determined. Urea production and Leu oxidation were both ∼3 times greater in cats fed 65% CP compared with those fed 15% CP, whereas those fed 40% CP were ∼1.6 times greater (P < 0.05). Leu flux was 1.9 and 1.3 times greater in cats fed 65% ...
The widespread use of commercial diets, the large amount of carbohydrates they contain [many comm... more The widespread use of commercial diets, the large amount of carbohydrates they contain [many commercial dry cat foods contain at least 40% carbohydrate (5)], and the frequent changes in the formulation of these diets suggest that handling of dietary carbohydrates by cats with ...
Revista peruana de medicina experimental y salud pública, 2011
To determine the frequency and clinical features of central nervous system infections caused by e... more To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month - 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the presence of enterovirus, herpes simplex virus 1 (HSV-1), herpes simplex virus 2 (HSV-2) and varicella-zoster virus (VZV) by polymerase chain reaction (PCR). 97 patients were included, out of which 69 % had acute encephalitis and 31 % acute meningitis. Enteroviruses were identified in 52,6% of all acute non-bacterial central nervous system infections; corresponding to 83,3 % of meningitis and 38,8 % of encephalitis. There were no cases of infection due to HSV-1, HSV-2 or VZV. Enterovirus infections reached 82,9 % in the warm months (November-January) and 28,6 % in the colder months (May-July). Ente...
Four hand-reared cheetah cubs (Acinonyx jubatus) exhibited progressively severe bilateral valgus ... more Four hand-reared cheetah cubs (Acinonyx jubatus) exhibited progressively severe bilateral valgus deformity of the carpi (CV) during the weaning period. Radiographs of the thoracic limbs suggested normal bone ossification, and serum chemistry was unremarkable. All affected cubs developed CV shortly after the onset of gastroenteritis, which was treated medically, and included use of a prescription diet. A sudden decrease in growth rate was associated with gastrointestinal disease. Before gastroenteritis and CV, affected cubs had higher growth rates than unaffected cubs, despite similar mean daily energy intake. Return to normal thoracic limb conformation was consequent to dietary manipulation (including a reduction in energy intake and vitamin and mineral supplementation), as well as decreased growth rates and recovery from gastroenteritis. The cause of the CV is likely to have been multi-factorial with potentially complex physiological interactions involved.
AIM: To determine the suitability of a reversible, injectable anaesthetic combination including m... more AIM: To determine the suitability of a reversible, injectable anaesthetic combination including medetomidine, butorphanol and atropine to produce the degree of immobilisation required to allow blood sampling in young pigs.METHODS: Twenty 6-week-old crossbred, intact male pigs were sedated with an intramuscular (I/M) injection of 80 µ&#39;g/kg medetomidine, 200 µ&#39;g/kg butorphanol and 25 µ&#39;g/kg atropine. Heart and respiratory rates and rectal
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