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- Tesis Título Profesional Acceso EmbargadoComplicaciones y factores asociados al uso de episiotomía en nulíparas del Hospital Regional de Loreto 2025(Universidad Nacional de la Amazonía Peruana, 2026) Rodriguez del Aguila, Delfor Martin; Vásquez Vásquez, JavierEpisiotomy remains a frequent practice in nulliparous women despite recommendations for its restrictive use. The aim of this study was to determine complications and factors associated with episiotomy use in nulliparous women attended at the Hospital Regional de Loreto during 2025. A quantitative, observational, analytical, retrospective, and cross-sectional study was conducted. A total of 431 medical records of nulliparous women with vaginal delivery attended between January 1 and December 31, 2025 were included. Data were collected through document review and analyzed using descriptive and bivariate statistics, including Pearson’s chi-square test, Fisher’s exact test, Fisher-Freeman-Halton exact test, and Mann-Whitney U test, with a significance level of p < 0.05. The prevalence of episiotomy was 85.4%(IC 95%: 82,0–88,7), and the most frequent type was right mediolateral episiotomy (95.1%). Among maternal factors, only occupation showed a statistically significant association (p = 0.012), while no association was found with age, comorbidities, place of origin, or marital status. Among obstetric factors, no significant association was found with prenatal care, uterine height, or pregnancy-related pathology; the onset of labor could not be evaluated because all cases were spontaneous. Among fetal factors, significant associations were found with birth weight (p = 0.002) and gestational age estimated by Capurro (p = 0.006), while no association was found with the remaining variables. Regarding postpartum maternal complications, perineal tear was the most frequent. Significant differences were found in the presence of at least one complication (p < 0.001), perineal tear (p < 0.001), and perineal or vaginal hematoma (p = 0.043). No cases of wound infection were reported, and no differences were found in hospital stay. In conclusion, episiotomy showed a high prevalence and was associated with fetal factors and differences in postpartum maternal complications.
- Trabajo de Investigación Grado de Maestro Acceso EmbargadoRelación del gasto público en el programa Nacional de Alimentación Escolar Qali Warma y reducción de la desnutrición crónica infantil en la región Loreto periodo 2015-2019(Universidad Nacional de la Amazonía Peruana, 2025) Rojas Rengifo, Wendy Franchesca; Vela Wong, Danitza Tatiana; Diaz Zumaeta, JavierThe National School Feeding Program Qali Warma or budget program 0115 is a social program focused on providing a complementary feeding service to school-age children throughout the country, especially in areas of greater poverty and extreme poverty, which together with other specialized programs seek to reduce the incidence of child malnutrition generated by anemia suffered by these sectors of the population, which would affect the academic, labor and productive performance in the medium and long term of these people, being an impediment to breaking the cycle of poverty, the Loreto region is one of the regions with the lowest level of economic and social development in the country, being one of those with the highest levels of poverty and extreme poverty in its territory, therefore it presents the highest levels of anemia and child malnutrition, affecting the limited possibilities of its population to get out of poverty and make possible the economic development of the region, this work through the search for data, use of advanced computer means and the application of the respective statistical analysis, seek to find a relationship between the evolution of public spending on this social program in the region and the evolution of the rate of chronic child malnutrition in the period from 2015 to 2019, in order to know or infer the level of effectiveness of the execution of this social program in reducing chronic child malnutrition in the territory, what we found was that the relationship between both variables was very weak and practically null due to the result of the correlation statistic R and R ^ 2 from inferential statistics and econometrics being (0.15 and 0.02 respectively), so it is possible that the characteristics of the territory and the operational difficulties of the institutions are a possible explanation for this almost null relationship, such as the dispersion of the population, lack of infrastructure in general, difficulties in coordination and execution.
- Trabajo de Investigación Grado de Maestro Acceso EmbargadoRelación entre el presupuesto de programas sociales y la desnutrición crónica infantil en el Perú durante el periodo 2010–2024(Universidad Nacional de la Amazonía Peruana, 2026) Rodríguez Paredes, Jael; Montero Llaja, Sarita Giovanna; Linares Pezo, VíctorThe aim of this research was to analyze the relationship between public budget allocations for social programs and the prevalence of chronic child malnutrition in Peru during the period 2010–2024. A quantitative, correlational methodology was used, based on 60 trimestral annual records encompassing budgetary data and malnutrition prevalence rates. Statistical analysis with the Spearman correlation coefficient yielded a principal Rho value of 0.824 and a p-value of 0.024, demonstrating a positive and significant relationship between public financing and improved child health indicators. Additional findings highlighted strong correlations between budget increases (Rho=0.767), execution efficiency (Rho=0.844), and per capita expenditure (Rho=0.701) with reductions in malnutrition, indicating that both efficient management and equitable resource distribution are determining factors. In conclusion, the study confirms that adequate and efficiently managed budget allocations are key to reducing child malnutrition and progressing toward health equity in the Peruvian context.
- Trabajo académico Segunda Especialidad Acceso EmbargadoFactores de riesgo asociados al Hipotiroidismo Congénito en el servicio de neonatología en el Hospital Regional de Loreto, 2025(Universidad Nacional de la Amazonía Peruana, 2026) Rodriguez Saldaña, Segundo Miguel; Magallanes Castilla, Jesús JacintoINTRODUCTION: Thyroid hormone insufficiency from birth characterizes Congenital Hypothyroidism, which is the most common endocrine disorder in neonates and represents one of the most prevalent preventable etiologies of intellectual deficiency. OBJECTIVE: To determine the risk factors associated with Congenital Hypothyroidism in newborns born at the Loreto Regional Hospital during the year 2025. MATERIALS AND METHODS: The project will use a retrospective comparative approach that analyzes data from 2025, examining groups of neonates with and without the condition to identify differentiating factors. The study universe will be made up of all Neonates born at the "Felipe Santiago Arriola Iglesias" Regional Hospital of Loreto with the diagnosis of Congenital Hypothyroidism during the aforementioned period. Descriptive statistical procedures will be applied to display total numbers, percentage distributions, measures of central tendency and variability to characterize the affected neonatal population. Distribution-free statistical contrasts, including the Mann-Whitney U test and Chi-square, will be used to evaluate divergences in the data and associations between compared groups. In addition, a binary logistic regression will be performed to understand the impact of various factors on the presence or absence of Congenital Hypothyroidism. The research will require approval from the institutional ethics committee and will guarantee the protection of personal data through international biomedical research protocols. RESULTS: They will be obtained according to the completion of the schedule for data analysis. CONCLUSIONS: They will be carried out once the results have been obtained.
- Trabajo académico Segunda Especialidad Acceso EmbargadoFactores pronósticos de mortalidad en lactantes menores de 2 años con bronquiolitis aguda del Hospital Iquitos “César Garayar García”, 2018-2021(Universidad Nacional de la Amazonía Peruana, 2026) Salazar Hernandez, Omar Gregory; Ruiz Tello, SergioObjective: To determine the prognostic factors associated with mortality in infants aged 1 month to 2 years with acute bronchiolitis treated at the César Garayar García Hospital in Iquitos during the period 2018–2021. Methods: An analytical, observational, retrospective, case-control study was conducted. The study population consisted of infants aged 1 month to 2 years diagnosed with acute bronchiolitis; 96 cases (deceased) and 96 controls (alive) were included. Results: Clinical and perinatal factors significantly associated with mortality were identified, including prematurity, low birth weight, presence of congenital heart disease, need for invasive mechanical ventilation, and compromised nutritional status. Mortality was higher in infants under six months of age and in those with associated comorbidities. Conclusion: Mortality in infants with acute bronchiolitis is influenced by perinatal, clinical, and nutritional factors.