Positive Impact of Professionalism on the Perception of Global Well-Being: A Study in Healthcare Professionals Starting Their First Working Experience in Peruvian Rural Areas.

Introduction: In Peru, recently graduated physicians and nurses who are willing to start working in the public healthcare system, first have to work in their newly acquired profession in the programme denominated "Servicio Rural Urbano y Marginal de Salud" (SERUMS). The SERUMS programme is a 1-year contract in rural areas of the country. The aim of this study was to confirm the following hypothesis: the development of abilities associated to professionalism has a positive effect on the perception of global well-being in the professionals beginning SERUMS. Material and methods: In the study two cohorts of medical and nursing professionals that started SERUMS in 2017 and 2019 were included. The perception of global well-being and general health condition were measured with the Scale of Life Satisfaction (SWLS) and the General Health Questionnaire (GHQ-28), respectively. Professionalism was measured using Jefferson's scales of empathy (JSE), teamwork (JSAPNC), and lifelong learning (JeffSPLL). An analysis in phases using the R language was applied to develop a multiple regression model that would explain the lineal relationship between the global perception of well-being and the studied variables. Results: The study sample included 303 professionals (108 men and 195 women) with a mean age of 26 years, ranging from 22 to 39 years (SD = 4). Based on their profession, 230 were medical doctors and 67 were nurses. The multiple regression model evidenced that age (p < 0.001), social dysfunction (p < 0.001), severe depression (p < 0.001), and inter-professional collaborative work abilities (p < 0.001) explain 38% of the variability in the global perception of well-being. Moreover, a second model explained 44% of the variability in the inter-professional collaborative work abilities based on a lineal relationship with empathy (p < 0.001), lifelong learning (p < 0.001), and future professional orientation (p = 0.01). Both models complied with the necessary conditions for statistic inference and showed large effect sizes. Conclusions: These findings confirm that professionalism has an important role in improving the global well-being of the professionals initiating SERUMS. This influence is direct in the case of inter-professional collaborative work, whereas it is indirect in the case of empathy and lifelong learning.

Evaluación comparativa del tratamiento quirúrgico de la apendicitis aguda: Apendicectomía abierta versus apendicectomía laparoscópica en el Hospital Nacional Carlos A. Seguín E. Essalud - Año 2, 000 / Comparative evaluation of the surgical treatment of acute appendicitis: open appendicectomy versus laparoscopic appendicectomy in the National Hospital Carlos A. Seguin E. Essalud

ESTADO DEL PROBLEMA, establecer las ventajas de la apendicectomía abierta versus apendicectomía laparoscópica en el tratamiento quirúrgico de la apendicitis aguda en el Hospital Nacional Carlos Alberto Seguin Escobedo. OBJETIVO.- evaluación comparativa de la apendicectomía abierta versus apendicectomía laparoscópica, se evalúa: a) Características como, edad, sexo, ocupación, tiempo de enfermedad, signos y síntomas, pruebas de laboratorio y diagnóstico pre y post operatorio, terapia con antibióticos antes y después de la cirugía, tiempo de anestesia. b) Técnica operatoria respecto a: tiempo pre operatorio, accidentes operatorios, estadía hospitalaria y complicaciones. c) Evaluación comparativa de los costos y beneficios de ambas ténicas. MATERIALES.- se estudió 100 pacientes con apendicectomía abierta y 100 casos de apendicectomía laparoscópica. Métodos.- estudio no experimental analítico, comparativo y retrospecto. RESULTADOS.- No hay diferencia significativa en: edad, tiempo de enfermedad, tiempo de espera pre operatoria, estadía hospitalaria, ni complicaciones post operatorias. Hay significativa diferencia respecto a sexo, más frecuente mujeres con apendicectomía laparoscópica, tiempo operatorio más largo en apendicectomía, (103.03 min), costo total, más alto que el costo de apendicectomía abierta (2047.97 nuevos soles), índice de conversión en apendicectomía laparoscópica 4 por ciento. CONCLUSION.- La apendicectomía laparoscópica no ofrece beneficios significativos sobre la laparoscópica abierta en pacientes con apendicitis con excepción de los aspectos estéticos en las mujeres, la desventaja de tener más tiempo operatorio y ser más costosa.

State of the problem: To establish the advantages and disadvantages of open appendicectomy versus laparoscopic appendicectomy in the surgical treatment of acute appendicitis in the National Hospital Carlos Alberto Seguin Escobedo. Objectives/Aims: Comparative evaluation of open appendicectomy versus laparoscopic appendicectomy in their grouped in: a) Characters/Features. Age, sex, occupation, time of disease, symptoms and signs, laboratory investigations, pre and post operative diagnoses, pre and post operative antibiotic therapy and time of anesthesia, b) Impact of surgical techniques in: preoperative time, operative time, operative accidents, stay in hospital and postoperative complications, and c) Evaluation of the benefits through comparative costs of both techniques. Survey Material. It was made/done a comparative survey of 100 cases/events of open Apendicectomy versus 100 cases/events of Laparoscopic Appendicectomy. Results. In the comparative evaluation of both surgical techniques there is not significant difference in: age, time of disease, time of waiting before the operation, stay in hospital, postoperative complications. There are significant difference in: sex, more frequency in female in laparoscopic appendicectomy; general anesthesia more frequent in laparoscopic appendicectomy; longer operative time in laparoscopic appendicectomy (103.03 min); higher total cost on average in laparoscopic appendicectomy (2047.97 new soles) conversion index laparoscopic appendicectomy 4%. Conclusion: Laparoscopic appendicectomy does not offer significant benefits over open appendicectomy in patients with acute appendicitis with the exception of the esthetic aspect in women and disadvantages langer operative time and more expensive.

[Comparative evaluation of the surgical treatment of acute appendicitis: open appendicetomy versus laparoscopic appendicectomy in the national hospital hospital Carlos a. Seguin e. Essalud]. / Evaluación comparativa del tratamiento quirúrgico de la apendicitis aguda: apendicectomía abierta versus apendicectomía laparoscópica en el Hospital Nacional Carlos A. Seguín E. Essalud - año 2,000

STATE OF THE PROBLEM: To establish the advantages and disadvantages of open appendicectomy versus laparoscopic appendicectomy in the surgical treatment of acute appendicitis in the National Hospital Carlos Alberto Seguin Escobedo. OBJECTIVES/AIMS: Comparative evaluation of open appendicectomy versus laparoscopic appendicectomy in their grouped in: a) Characters/Features.- Age, sex, occupation, time of disease, symptoms and signs, laboratory investigations, pre and post operative diagnoses, pre and post operative antibiotic therapy and time of anesthesia, b) Impact of surgical techniques in: preoperative time, operative time, operative accidents, stay in hospital and postoperative complications, and c) Evaluation of the benefits through comparative costs of both techniques. Survey Material. It was made/done a comparative survey of 100 cases/events of open Apendicectomy versus 100 cases/events of Laparoscopic Appendicectomy. RESULTS: In the comparative evaluation of both surgical techniques there is not significant difference in: age, time of disease, time of waiting before the operation, stay in hospital, postoperative complications. There are significant difference in: sex, more frequency in female in laparoscopic appendicectomy; general anesthesia more frequent in laparoscopic appendicectomy; longer operative time in laparoscopic appendicectomy (103.03 min); higher total cost on average in laparoscopic appendicectomy (2047.97 new soles) conversion index laparoscopic appendicectomy 4% CONCLUSION: Laparoscopic appendicectomy does not offer significant benefits over open appendicectomy in patients with acute appendicitis with the exception of the esthetic aspect in women and disadvantages langer operative time and more expensive.

Endoscopia y colon por enema: estudio comparativo / Endoscopy and colon by enema: comparative study

En la revisión de 200 expedientes clínicos de enfermos portadores de diversos padecimientos colorrectales se captó que a 96.5 por ciento se les efectuó colonoscopia y a 90.5 por ciento colon por enema. En 76.5 por ciento del total de enfermos se llegó el diagnóstico definitivo. En 125 de 200 pacientes (65 por ciento) el diagnóstico de las enfermedades colorrectales se apoyó principalmente en los hallazgos endoscópicos. En 90 de 200 pacientes (45 por ciento) los diagnósticos se basaron principalmente en los hallazgos radiológicos que se observaron en cada colon por enema. En resumen, la colonoscopia y el colon por enema de ninguna manera compiten en cuanto a eficacia diagnóstica se refiere; por lo contrario, ambos se complementan