Desvinculación de los presupuestos de observancia obligatoria en el momento consumativo del delito de robo agravado contenidos en la Sentencia Plenaria N° 1-2005-Dj-301-A.I, en las salas mixtas de la corte superior de justicia de San Martin - Tarapoto durante el año 2008

Para concretar la investigación propuesta se descubrió cuáles son las causas por las que los magistrados de las Salas Penales de la Corte Superior de Justicia de Tarapoto, cumplen con aplicar o no los presupuestos vinculantes contenidos en el acuerdo N° 1-2005-DJ-301-A.I, conociendo para ello cuál es el grado de conocimiento de los abogados con relación a los alcances del acuerdo plenario, habiéndose conseguido determinar en qué medida los jueces han resuelto procesos penales por la comisión del delito de robo agravado con prescindencia de los presupuestos vinculantes contenidos en la sentencia plenaria, Identificando los nuevos criterios jurisprudenciales que apartándose de lo dispuesto en la sentencia plenaria constituyen un nuevo parámetro en la determinación judicial de la pena en los procesos penales por la comisión del delito de robo agravado, se ha logrado descubrir si las sentencias están relacionados al acuerdo plenario o sujetas al código penal que permita realizar una interpretación legal idónea de las decisiones procesales que ameritan un cumplimiento obligatorio en la actividad jurisdiccional de los magistrados, proponiendo finalmente el mecanismo de armonización de sentencias o decisiones jurisdiccionales que permita que lo decidido por el funcionario que administra justicia no genere inseguridad jurídica sino que pese a su potestad de desvinculación, ésta pueda organizarse y servir como antecedente jurisprudencial a la luz de una necesaria y suficiente motivación

Prevalence and patterns of hypertension in Peruvian Andean Hispanics: the PREVENCION study

Cardiovascular disease is emerging as a leading cause of morbidity and mortality in Latin America. Population-based data regarding the prevalence of hypertension and hypertension subtypes in Andean Hispanic populations are scarce. The authors performed a population-based study that included 1878 Peruvian Andean adults to determine: (1) the prevalence, awareness, and control of hypertension and (2) the relative frequency of hypertension subtypes (systolic vs. diastolic). The prevalence of hypertension was 15.7% (95% confidence interval [CI], 14.0%-17.4%), did not differ by gender, and increased steeply with age, particularly in women. Awareness, treatment, and control rates were 47.9%, 39.5%, and 14%, respectively. Diastolic blood pressure increased until age 50 years and reached a plateau thereafter, whereas mean arterial pressure continued to increase with age even after age 50 years. Furthermore, in sharp contrast with the United States population, the predominant type of hypertension was systodiastolic (41.7%; 95% CI, 35.1%-48.5%). Isolated systolic hypertension accounted for only 29.3% of cases (95% CI, 23.9%-35.4%) and was responsible for a minority of cases in all age groups before age 70 years. Hypertension subtypes in this Andean population seem to differ significantly from those present in the United States population, with a much larger proportion of systodiastolic and diastolic hypertension even with advanced age. These differences result from interactions between hemodynamic and structural factors, and further studies aimed at characterizing their genetic and environmental determinants and implications in end-organ damage and prognosis in this population may contribute to understanding the pathophysiology of hypertension

Prevalence of the metabolic syndrome in Peruvian Andean hispanics: The PREVENCION study

Data regarding the prevalence of metabolic syndrome (MTS) in Andean populations are limited. We evaluated the prevalence of MTS according to American Heart Association/National Heart, Lung and Blood Institute criteria among 1878 subjects in the PREVENCION study in Peru. In women, the most common component was low HDL cholesterol (60.9%) followed by abdominal obesity (36.9%). In men, the most common component was elevated triglycerides (52.0%) followed by low HDL cholesterol (32.5%), whereas the prevalence of abdominal obesity was 14%. Abnormal fasting glucose was the least common component in men (5.4%) and women (5.0%). The prevalence of MTS was significantly higher in women compared to men (23.2% versus 14.3%) and increased steeply with age, particularly in women ( p < 0.0001). Using body mass index (BMI ≥ 30 kg/m 2) instead of waist circumference as a component of the MTS lead to equivalent prevalence estimates of MTS in men but significantly underestimated the prevalence in women. The MTS is highly prevalent among Peruvian Andeans, particularly in older women. The pattern of MTS components in this Andean population is characterized by a high prevalence of dyslipidemia and a relatively low prevalence of elevated fasting glucose. Further studies are required to characterize genetic and environmental determinants of these patterns