3. Producción
Browse
4 results
Search Results
- Some of the metrics are blocked by yourconsent settings
Item type:Publication, Effect of salt substitution on community-wide blood pressure and hypertension incidence(Nature Research, 2020-03-01)Replacement of regular salt with potassium-enriched substitutes reduces blood pressure in controlled situations, mainly among people with hypertension. We report on a population-wide implementation of this strategy in a stepped-wedge cluster randomized trial (NCT01960972). The regular salt in enrolled households was retrieved and replaced, free of charge, with a combination of 75% NaCl and 25% KCl. A total of 2,376 participants were enrolled in 6 villages in Tumbes, Peru. The fully adjusted intention-to-treat analysis showed an average reduction of 1.29 mm Hg (95% confidence interval (95% CI) (−2.17, −0.41)) in systolic and 0.76 mm Hg (95% CI (−1.39, −0.13)) in diastolic blood pressure. Among participants without hypertension at baseline, in the time- and cluster-adjusted model, the use of the salt substitute was associated with a 51% (95% CI (29%, 66%)) reduced risk of developing hypertension compared with the control group. In 24-h urine samples, there was no evidence of differences in sodium levels (mean difference 0.01; 95% CI (0.25, −0.23)), but potassium levels were higher at the end of the study than at baseline (mean difference 0.63; 95% CI (0.78, 0.47)). Our results support a case for implementing a pragmatic, population-wide, salt-substitution strategy for reducing blood pressure and hypertension incidence. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Peru – progress in health and sciences in 200 years of independence(Elsevier, 2021-12-20)Peru celebrates 200 years of independence in 2021. Over this period of independent life, and despite the turbulent socio-political scenarios, from internal armed conflict to economic crisis to political instability over the last 40 years, Peru has experienced major changes on its epidemiological and population health profile. Major advancements in maternal and child health as well as in communicable diseases have been achieved in recent decades, and today Peru faces an increasing burden of non-communicable diseases including mental health conditions. In terms of the configuration of the public health system, Peru has also strived to secure country-wide optimal health care, struggling in particular to improve primary health care and intercultural services. The science and technology infrastructure has also evolved, although the need for substantial investments remains if advancing science is to be a national priority. Climate change will also bring significant challenges to population health given Peru's geographical and microclimates diversity. Looking back over the 200-years of independence, we present a summary of key advances in selected health-related fields, thus serving as the basis for reflections on pending agendas and future challenges, in order to look forward to ensuring the future health and wellbeing of the Peruvian population. Resumen translated El Perú cumple 200 años de independencia en 2021. Durante estos dos siglos de vida independiente, junto con periodos sociales y políticos turbulentos, incluyendo un conflicto armado interno, hiperinflación y la inestabilidad política de los últimos 40 años, el Perú ha experimentado importantes cambios en su perfil epidemiológico con repercusiones directas en la salud de la población. En las últimas décadas, los indicadores de salud materno-infantil y de las enfermedades transmisibles muestran mejoría importante, pero el país se enfrenta de manera simultánea a una carga cada vez mayor de enfermedades no transmisibles y de salud mental. En cuanto a los sistemas de salud pública, se han realizado esfuerzos por aumentar la cobertura y calidad de la atención de salud en todo el país, apostándose en particular por mejorar la atención primaria. La ciencia y tecnología relacionadas con la salud también han mejorado, aunque si se quiere que la ciencia sea una prioridad nacional, son necesarias inversiones sustanciales. El cambio climático traerá importantes desafíos para la salud de la población, dada la diversidad geográfica y de microclimas del país. Para conmemorar los 200 años de vida independiente del Perú, presentamos un resumen de avances clave en diversas áreas y temas relacionados con la salud. Este repaso sirve como base para reflexionar sobre agendas y desafíos pendientes y futuros, con el fin de asegurar la salud y el bienestar de la población peruana en las próximas décadas. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Mental health policies for adolescents and young adults in Peru: A policy analysis(RELX Group (Netherlands), 2024-01-01) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Co-production of Recommendations to Improve Mental Health Services for Youth in Peru: Analysis of Workshops with Professionals and Service Users(Elsevier BV, 2025-10-01)Objective Co-produce recommendations with professionals and users to improve mental health services for young people and adolescents in Lima, Peru. Methods We conducted 4 co-production workshops with 30 users and health professionals from 2 primary health care centres and 3 Community Mental Health Centres located in Lima, Peru. Their recommendations were organised into four categories: centres’ resources, health personnel, challenges in care access and continuity, guidelines and health service packages. A final list was compiled by identifying commonalities between suggestions. Results The recommendations included guaranteeing users’ privacy during sessions, training the staff to deliver efficient and empathetic care, promoting and disseminating mental health services options, and prioritising treatment adherence. While professionals suggested changes related to the administrative aspects of health facilities, users recommended improvements in the interpersonal treatment received during care. Conclusion Engaging both users and professionals allows for the identification of valuable recommendations to improve access to and the quality of mental health services for young people. Future efforts should focus on developing sustainable strategies to address the needs of key stakeholders.1