Patrones de resistencia antimicrobiana de la familia enterobacteriaceae aisladas de infecciones del tracto urinario de una región alto-andina peruana

Background: Antibiotic resistance is considered to be the next worldwide epidemic. Urinary tract infections (UTI) are the second most common cause of infection, which also has the highest resistance frequency. Nevertheless, in high Andean regions, little is known about the antibiotic resistance. Objectives : Determine the antimicrobial resistance patterns of the enterobacteriaceae family isolated from urinary tract infections of a Peruvian Andean region. Material and Methods: A retrospective cross-sectional review of 1717 records from the microbiology service of a private health institution from Puno - Peru, was done between the years 2014 and 2017. Antibiotic resistance by uropathogens was studied among different age groups. Statistical analysis included Chi2 test with a p<0.05. Poisson regression was used to calculate the prevalence ratio (PR) with a 95% confidence interval. Findings: There was a wide distribution of antibiotic resistance among all the antibiotics, mainly in Escherichia coli and Proteus spp. The elderly had the highest prevalence of antibiotic resistance. As age increased, resistance to all drugs also increased (p<0.01). Furthermore, the elderly had a risk probability of resistance of 1.22, 1.42, 1.20 and 1.32 to penicillins, cephalosporins, quinolones and other antibiotics respectively. Conclusion: The antimicrobial resistance patterns of the Peruvian Andean region were lower than national and international patterns.Introducción: La resistencia a antibióticos es considerada la próxima epidemia mundial. Las infecciones del tracto urinario (ITU) son la segunda causa más común de infecciones y la que presenta mayor frecuencia de resistencia. Sin embargo, poco se ha reportado en regiones altos-andinas. Objetivo: Evaluar los patrones de resistencia antimicrobiana de la familia enterobacteriaceae aisladas de infecciones del tracto urinario de pacientes ambulatorios de una región altoandina peruana y sus factores asociados. Material y Métodos: Estudio transversal analítico retrospectivo, a partir de 1717 registros del Servicio de Microbiología de una institución de salud en la región Puno - Perú, entre los años 2014 al 2017. Se estudió la resistencia a antibióticos según uropatógeno en diferentes grupos etarios. Se empleó la prueba de Chi2 de Pearson y un modelo de regresión de de Poisson para calcular la razón de prevalencias (RP). En todos los análisis se consideró un valor de p<0.05 como significativo y se estimaron intervalos de confianza al 95%. Resultados: Se presentó una amplia distribución de resistencia en todos los fármacos evaluados, siendo mayor en Escherichia coli y Proteus spp. El grupo etario, ≥ 60 años, presentó la mayor prevalencia de resistencia bacteriana. A medida que la edad aumentaba, la resistencia a todos los fármacos estudiados también aumentó (p <0.01). Así mismo, los pacientes ≥ 60 años presentaron mayor probabilidad de presentar resistencia bacteriana a penicilinas, cefalosporinas y quinolonas. Conclusión: El patrón de resistencia a los antibióticos utilizados en ITUs en la zona altoandina peruana incrementa con la edad

Dominancia lateral en estudiantes de primaria de institución educativa nacional - Nuevo Chimbote, 2015

El estudio tuvo como objetivo determinar la dominancia lateral en estudiantes de primaria de una Institución Educativa nacional de Nuevo Chimbote 2016. El tipo de investigación fue descriptiva de diseño no experimental ya que no se manipuló deliberadamente la variable y transaccional porque se recolectó la información en un solo momento. La población de estudio fue de 143 estudiantes. El instrumento que se utilizó para recoger información fue el Test de Harris (1969). Los resultados muestran que los niños de primer grado tienen una dominancia mal afirmada en un 95,8% mientras que hay un 4,2 de diestros completo. El 51% de los estudiantes de 6 años realizan 7 a 9 pruebas con la mano derecha y un 40.8% son diestros; 4, 1% utilizan la mano izquierda, mientras que los niños de 7 años el 46,6% son diestros y un 42.2% realizan 7 a 9 pruebas con la mano derecha y un 8, 8% utilizan la mano izquierda.Trabajo de investigació

Profiles of Parental Burnout Around the Globe: Similarities and Differences Across 36 Countries

Parental burnout (PB) is a pervasive phenomenon. Parenting is embedded in cultural values, and previous research has shown the role of individualism in PB. In this paper, we reanalyze previously collected data to identify profiles based on the four dimensions of PB, and explore whether these profiles vary across countries' levels of collectivistic-individualistic (COL-IND) values. Our sample comprised 16,885 individuals from 36 countries (73% women; 27% men), and we used a latent profile approach to uncover PB profiles. The findings showed five profiles: Fulfilled, Not in PB, Low risk of PB, High risk of PB and Burned out. The profiles pointed to climbing levels of PB in the total sample and in each of the three country groups (High COL/Low IND, Medium COL-IND, Low COL/High IND). Exploratory analyses revealed that distinct dimensions of PB had the most prominent roles in the climbing pattern, depending on the countries' levels of COL/IND. In particular, we found contrast to be a hallmark dimension and an indicator of severe burnout for individualistic countries. Contrary to our predictions, emotional distance and saturation did not allow a clear differentiation across collectivistic countries. Our findings support several research avenues regarding PB measurement and intervention

Parenting Culture(s): Ideal-Parent Beliefs Across 37 Countries

What is it to be “an ideal parent”? Does the answer differ across countries and social classes? To answer these questions in a way that minimizes bias and ethnocentrism, we used open-ended questions to explore ideal-parent beliefs among 8,357 mothers and 3,517 fathers from 37 countries. Leximancer Semantic Network Analysis was utilized to first determine parenting culture zones (i.e., countries with shared ideal-parent beliefs) and then extract the predominant themes and concepts in each culture zone. The results yielded specific types of ideal-parent beliefs in five parenting culture zones: being “responsible and children/family-focused” for Asian parents, being “responsible and proper demeanor-focused” for African parents, and being “loving and responsible” for Hispanic-Italian parents. Although the most important themes and concepts were the same in the final two zones—being “loving and patient,” there were subtle differences: English-speaking, European Union, and Russian parents emphasized “being caring,” while French-speaking parents valued “listening” or being “present.” Ideal-parent beliefs also differed by education levels within culture zones, but no general pattern was discerned across culture zones. These findings suggest that the country in which parents were born cannot fully explain their differences in ideal-parent beliefs and that differences arising from social class or education level cannot be dismissed. Future research should consider how these differences affect the validity of the measurements in question and how they can be incorporated into parenting intervention research within and across cultures

Parenting Culture(s): Ideal-Parent Beliefs Across 37 Countries

What is it to be “an ideal parent”? Does the answer differ across countries and social classes? To answer these questions in a way that minimizes bias and ethnocentrism, we used open-ended questions to explore ideal-parent beliefs among 8,357 mothers and 3,517 fathers from 37 countries. Leximancer Semantic Network Analysis was utilized to first determine parenting culture zones (i.e., countries with shared ideal-parent beliefs) and then extract the predominant themes and concepts in each culture zone. The results yielded specific types of ideal-parent beliefs in five parenting culture zones: being “responsible and children/family-focused” for Asian parents, being “responsible and proper demeanor-focused” for African parents, and being “loving and responsible” for Hispanic-Italian parents. Although the most important themes and concepts were the same in the final two zones—being “loving and patient,” there were subtle differences: English-speaking, European Union, and Russian parents emphasized “being caring,” while French-speaking parents valued “listening” or being “present.” Ideal-parent beliefs also differed by education levels within culture zones, but no general pattern was discerned across culture zones. These findings suggest that the country in which parents were born cannot fully explain their differences in ideal-parent beliefs and that differences arising from social class or education level cannot be dismissed. Future research should consider how these differences affect the validity of the measurements in question and how they can be incorporated into parenting intervention research within and across cultures

Parental Burnout Around the Globe: a 42-Country Study

High levels of stress in the parenting domain can lead to parental burnout, a condition that has severe consequences for both parents and children. It is not yet clear, however, whether parental burnout varies by culture, and if so, why it might do so. In this study, we examined the prevalence of parental burnout in 42 countries (17,409 parents; 71% mothers; M_{age} = 39.20) and showed that the prevalence of parental burnout varies dramatically across countries. Analyses of cultural values revealed that individualistic cultures, in particular, displayed a noticeably higher prevalence and mean level of parental burnout. Indeed, individualism plays a larger role in parental burnout than either economic inequalities across countries, or any other individual and family characteristic examined so far, including the number and age of children and the number of hours spent with them. These results suggest that cultural values in Western countries may put parents under heightened levels of stress

Academic performance of peruvian elementary school children : The case of schools in Lima at the 6th grade

En: Interdisciplinaria, Vol.28. No. 2, pp. 323-343Education is in general the basis for development in any country in the world. In the education al field, several international assessments (Pisa, 2006) reflect the great gap that yet subsists among developing countries, in which the case of Peru is not an exception. There have been many national and international academic achievement evaluations that examine the skills and knowledge of students not only in Peru but also in other Latin American countries in different academic domains. One of these examples is the Regional Comparative and Explanatory Study (LLECE), in which Peru participated, in order to evaluate and compare the performance achieved by Latin American students of 3rd and 6th grade in core areas like Language, Mathematics, and Natural Sciences. Peru ranks, together with other Latin countries, with scores below the average (Regional Office for Education of UNESCO, 2008). The low ranking of the Peruvian educational system carries heavy implications and consequences, especially to the intellectual and social development of learning disabled Peruvian children. Understanding the relation between academic performance and child development is of paramount importance. The present study examines how spelling, reading and arithmetic performances are associated to various child variables (gender, intelligence, and age), and distal variables such as Socio-Economic Status (SES) or type of school. The subjects in the study were 1.129 elementary school children who were in the 6th grade (11 - 12 years old) in Metropolitan Lima, Perú. Children completed four different tests: In the reading area, the subtest of Procesos Lectores (PROLEC-SE; Cuetos & Ramos, 1999), Reading of Word and Pseudo-word; in the Arithmetic domain, the Number Facility from the Kit of Factor Referenced Cognitive Tests of Ekstrom, French, and Harman (1979) and in the spelling domain, the Spelling Achievement Test from Dioses (2001) was used. The Intelligence Quotient (IQ) was measured using Raven's Progressive Matrices Test (Raven, J., Raven, J.C., & Court, 2004, updated edition). Some preliminary analyses were conducted beforehand in order to overview and examine the structure of the data. Following this, and because of the hierarchical structure of the data (students within classes within schools) multilevel analyses were conducted. Results showed, first and foremost, a great impact of (a) type of school, private schools performed better than in the public sector; (b) intelligence, another essential variable (the higher the IQ the better the academic achievement), and partially of (c) gender, girls showed prevalence over boys in spelling. Likewise, we did not encounter any significant results of socio-economic status in the multilevel analysis. Based on these results, some practical and pedagogical implications were discussed, such as the fundamental effort to bring the lower achievement group into average levels of learning with remedial work, otherwise these students will lack the requisite skills needed to fulfill their secondary school academic expectations. Notwithstanding, we have to point out some limitations such as the lack of data from rural zones that could prevent us from comparisons between rural and urban zones. Future work is necessary in order to investigate academic performance associated with other variables that might influence the child's development, such as parenting behavior or psychosocial factors

Parenting, Socioeconomic Status and Psychosocial Functioning in Peruvian Families and their Children. [Crianza, Nivel Socioeconómico y Funcionamiento Psicosocial en Familias Peruanas y sus Niños]

The purpose of this study was to analyze the relation between two dimensions of parenting (Positive Parenting and Negative Behavioral Control) and child psychosocial functioning, such as self-worth and problem behavior. We investigated (a) whether socioeconomic status moderates the relationship between parenting and child psychosocial outcomes, (b) whether parenting mediates the relation between socioeconomic status and psychosocial functioning in a Peruvian context and finally, (c) whether there are interaction effects between positive parenting and negative behavioral control. Information was gathered on 591 Peruvian children and their families from the normal population in urban zones of Metropolitan Lima. Hierarchical multiple regression analyses were conducted to investigate direct and indirect effects (mediation and moderation). Results revealed a significant mediation effect of positive parenting and negative behavioral control in the relationship between socioeconomic status and self-worth. Implications about the role played by context are discussed

Parenting, socioeconomic status and psychosocial functioning in Peruvian families and their children

El objetivo de este artículo es analizar la relación entre dos dimensiones de crianza (crianza positiva y control negativo del comportamiento) y factores psicosociales infantiles (auto-valía y problemas de conducta). Se investigó (a) si el nivel socioeconómico moderaba la relación entre crianza y el funcionamiento psicosocial del niño, (b) si la crianza actuaba como mediador en la relación entre nivel socioeconómico y el funcionamiento psicosocial, por último, (c) si existían efectos de interacción entre crianza positiva y control negativo del comportamiento. La información fue obtenida de 591 niños peruanos y sus familias en zonas urbanas de Lima Metropolitana. Se utilizó Análisis de Regresión Múltiple Jerárquica con el fin de investigar los efectos directos e indirectos (mediación y moderación). Los resultados revelaron un efecto mediador de crianza positiva y control negativo del comportamiento en la relación entre el nivel socioeconómico y la auto-valía. Se discuten implicaciones sobre el importante rol desempeñado por el contexto.The purpose of this study was to analyze the relation between two dimensions of parenting (Positive Parenting and Negative Behavioral Control) and child psychosocial functioning, such as self-worth and problem behavior. We investigated (a) whether socioeconomic status moderates the relationship between parenting and child psychosocial outcomes, (b) whether parenting mediates the relation between socioeconomic status and psychosocial functioning in a Peruvian context and finally, (c) whether there are interaction effects between positive parenting and negative behavioral control. Information was gathered on 591 Peruvian children and their families from the normal population in urban zones of Metropolitan Lima. Hierarchical multiple regression analyses were conducted to investigate direct and indirect effects (mediation and moderation). Results revealed a significant mediation effect of positive parenting and negative behavioral control in the relationship between socioeconomic status and self-worth. Implications about the role played by context are discussed

Cormorant pellets as a tool for the knowledge of parasite-intermediate host associations and nematode diversity in the environment

Anisakids are usually acquired through the diet. Cormorant pellets are useful to detect both parasite larval stages, and prey items which could act as intermediate hosts in the environment. The current study provides information about the feeding habits of both birds and mammals, and the diversity of parasites circulating in the environment. The objective of the study was to identify Anisakidae larvae and prey items in pellets from the Imperial shag Phalacrocorax atriceps and the Red-legged cormorant P. gaimardi, suggesting possible parasite–prey associations. A total of 92 P. atriceps’ and 82 P. gaimardi’s pellets were collected from both Punta León, and Isla Elena bird colonies, respectively, during the period from 2006 to 2010. Pellets were preserved in ethanol and hard prey item remnants, and nematode larvae were studied using standard techniques. Prey item occurrence, nematode prevalence, and mean intensity were calculated. A correspondence analysis was performed to evaluate the larvae-prey association. Contracaecum spp., Pseudoterranova spp,, Anisakis spp., Terranova spp., and Hysterothylacium spp. third-stage larvae (L3) were identifi ed in pellets. Pseudoterranova spp. and Anisakis spp. L3 predominated in the environment of Punta León, whereas Contracaecum spp. and Hysterothylacium spp. L3 predominated in the Puerto Deseado area. The highest larvae-prey association was that of Contracaecum spp. L3 with Engraulis anchoita, followed by with Odontestes sp. in P. atriceps’ pellets. Contracaecum spp. L3 were significantly related to both sprats, Sprattus fueguensis and Ramnogaster arcuatta, in P. gaimardi’s pellets. It was verifi ed that E. anchovy is the main gateway of Contracaecum spp. L3 in P. atriceps. Odonthestes sp. might act as an intermediate/paratenic host of Contracaecum spp. L3 in the area. Both sprats might play a role as intermediate/paratenic hosts of C. australe, being the main gateway into P. gaimardi in the area. Thus, pellet analysis can be postulated as a good tool for indicating parasite-host associations between anisakids, and the prey items which act as intermediate hosts