Socio-demographic inequalities in the uptake of Papanicolaou tests in Peru: analysis of the 2015-2017 Demographic and Family Health Survey

Antonio Barrenechea-Pulache,Emmanuel Avila-Jove,Akram Herná,ndez-Vá,squez,Fernando M,Runzer-Colmenares 한국역학회 2020 Epidemiology and Health Vol.42 No.-

OBJECTIVES: This study was conducted to analyze the inequalities in Papanicolaou test (also referred to as the Pap smear) uptake according to the socio-demographic characteristics of Peruvian women 30 years to 59 years of age using information from the 2015-2017 Demographic and Family Health Survey (ENDES, acronym in Spanish). METHODS: This is an analytical, cross-sectional study based on information acquired from the 2015-2017 ENDES surveys. Socio-demographic characteristics were reported using absolute frequencies and weighted proportions with 95% confidence intervals, considering results with a p-value <0.05 as statistically significant. Concentration curves (CCs) and concentration indices (IndCs) were created based on the interaction of the wealth index and uptake of Pap smears, taking into account the different characteristics of the population studied for the measure of inequalities. RESULTS: All the CCs were distributed below the line of equality. Similarly, all the IndCs were higher than zero, indicating inequality in the uptake of Pap smears, favoring those with a higher wealth index. The highest IndC values were obtained from women aged 50-59 (IndC, 0.293), those who lived in the jungle (IndC, 0.230), and those without health insurance (IndC, 0.173). CONCLUSIONS: We found socio-demographic inequalities in the uptake of Pap smears in Peru, favoring women with a higher wealth index. More funding is needed to promote cervical cancer screening programs and to create systems that ensure equal access to healthcare in Peru.

Awake craniotomy removal of a corticospinal tract developmental venous anomaly hemorrhage: A case report

Ignacio J. Barrenechea,Luis M. Márquez,Vanina A. Cortadi,Héctor P. Rojas,Robin Ingledew 대한뇌혈관외과학회 2023 Journal of Cerebrovascular and Endovascular Neuros Vol.25 No.3

Developmental venous anomalies (DVAs) are composed of mature venous vessels that lack malformed or neoplastic elements. Although the hemorrhage risk is considered negligible, some patients may have neurological symptoms attributable to acute infarction or intracranial hemorrhage secondary to thrombosis, in the absence of a coexisting cavernous malformation. We report the case of a 42-year-old patient who presented with acute left-hand paresis secondary to a subcortical hemorrhage. This bleeding originated from a DVA in the corticospinal tract area and was surgically drained through an awake craniotomy. To accomplish this, we used a trans-precentral sulcus approach. After the complete removal of the coagulum, small venous channels appeared, which were coagulated. No associated cavernoma was found. Although the main DVA trunk was left patent, no signs of ischemia or venous infarction were observed after coagulating the small venous channels found inside the hematoma cavity. Two weeks after the procedure, the patient’s hand function improved, and he was able to resume desktop work. DVA-associated hemorrhage within the cortico-spinal tract could be safely removed with modern awake mapping techniques. This technique allowed the patient to rapidly improve his hand function.

Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate

Percy Rossell-Perry,Omar Cotrina-Rabanal,Luis Barrenechea-Tarazona,Roberto Vargas-Chanduvi,Luis Paredes-Aponte,Carolina Romero-Narvaez 대한성형외과학회 2017 Archives of Plastic Surgery Vol.44 No.3

Background The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. We present here a new scale to evaluate the degree of hypoplasia of the palate and identify patients with cleft palate at high risk for the development of this complication. Methods In this case series, a 20-year retrospective analysis (1994–2014) identified patients from our records (medical records and screening day registries) with nonsyndromic cleft palate who underwent operations at 3 centers. All of these patients underwent operations using 2-flap palatoplasty and also underwent a physical examination with photographs and documentation of the presence of palatal flap necrosis after primary palatoplasty. Results Palatal flap necrosis was observed in 4 cases out of 1,174 palatoplasties performed at these centers. The observed prevalence of palatal flap necrosis in these groups was 0.34%. Conclusions The prevalence of flap necrosis can be reduced by careful preoperative planning, and prevention is possible. The scale proposed here may help to prevent this complication; however, further studies are necessary to validate its utility.

Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate

Rossell-Perry, Percy,Cotrina-Rabanal, Omar,Barrenechea-Tarazona, Luis,Vargas-Chanduvi, Roberto,Paredes-Aponte, Luis,Romero-Narvaez, Carolina Korean Society of Plastic and Reconstructive Surge 2017 Archives of Plastic Surgery Vol.44 No.3

Background The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. We present here a new scale to evaluate the degree of hypoplasia of the palate and identify patients with cleft palate at high risk for the development of this complication. Methods In this case series, a 20-year retrospective analysis (1994-2014) identified patients from our records (medical records and screening day registries) with nonsyndromic cleft palate who underwent operations at 3 centers. All of these patients underwent operations using 2-flap palatoplasty and also underwent a physical examination with photographs and documentation of the presence of palatal flap necrosis after primary palatoplasty. Results Palatal flap necrosis was observed in 4 cases out of 1,174 palatoplasties performed at these centers. The observed prevalence of palatal flap necrosis in these groups was 0.34%. Conclusions The prevalence of flap necrosis can be reduced by careful preoperative planning, and prevention is possible. The scale proposed here may help to prevent this complication; however, further studies are necessary to validate its utility.

USO Y DISTRIBUCIÓN DEL TIEMPO EN MUJERES Y HOMBRES OFICIALES DE POLICÍA DE LA CIUDAD DE MÉXICO

Jahel López Guerrero,Abigain Dely García López,Jimena Sánchez Barrenechea Institute of Iberoamerican Studies Pusan Universit 2013 International Journal of Latin American Studies Vol.3 No.1

Abstract. Historically, police workplace has been considered as a male-only-space, with particular characteristics, because it is linked to power and to the legitimate use of it. Therefore, we have decided to investigate whether woman who work in this area are in a process of empowerment. Knowing the existence of diverse factors involved in the process of empowerment, we evaluated time use (classifying time into four categories: paid work time, obligated time, leisure time and unpaid work time) as a tool to analyze gender inequalities and possible changes in status and position in the workplaces and familiar spaces. The aim of this paper is to provide overview data about time use and distribution of women and men who work as police officers in Mexico City Ministry of Public Security, analyzing the distribution of their activities during a working day and during a day off. Even though there was no evidence of gender differences in time use during a working day, we did observe some during a day off, specially attending to unpaid work time and leisure time categories. Palabras clave: tiempo, trabajo, empoderamiento, policías, desigualdades de género. Keywords: time, work, empowerment, police officers, gender inequalities. Resumen. La Policía es un espacio laboral considerado históricamente masculino, que tiene características peculiares al estar ligada al poder y al uso legítimo de la fuerza. Por ello hemos decidido investigar sí las mujeres que laboran en este ámbito están en un proceso de empoderamiento. Sabiendo de antemano que existen diversos factores involucrados en un proceso de empoderamiento, tomamos el tiempo (utilizando las categorías de tiempo de trabajo remunerado, tiempo obligado, tiempo de ocio y tiempo de trabajo no remunerado) como una herramienta para analizar las desigualdades de género y los posibles cambios en la condición y posición de las mujeres, que se pueden estar dando en el ámbito laboral y familiar. El objetivo es presentar los primeros resultados sobre el uso y la distribución del tiempo en mujeres y hombres que realizan trabajo operativo en la Secretaria de Seguridad Pública de la Ciudad de México, analizando las actividades realizadas en un día de trabajo y en un día de descanso. Aunque no se observaron diferencias importantes entre hombres y mujeres en el uso y distribución del tiempo durante un día de trabajo, en el día de descanso sí podemos observar diferencias, sobre todo, en el tiempo dedicado al trabajo no remunerado (doméstico) y ocio.