La dispepsia es uno de los síndromes gastrointestinales más frecuentes en Latinoamérica, siendo los estudiantes universitarios una de las poblaciones en que más se ha estudiado durante las clases presenciales; sin embargo, se desconoce su prevalencia durante la época de educación remota en nuestra casa de estudios y si los factores que comúnmente se le asocian estuvieron presentes en este contexto. Objetivo: conocer los factores asociados a dispepsia en estudiantes de medicina de la Universidad Privada de Tacna durante la educación remota debido a la pandemia del COVID-19. Materiales y métodos: Para ello se realizó un estudio exploratorio observacional de corte transversal retrospectivo y correlacional del que participaron 264 estudiantes matriculados en el semestre académico 2021-II. Se utilizó un instrumento de recolección de datos que incluyó el Test de Bisbal y León pa...

Introduction: Late-onset Pompe disease is an extremely rare enzyme characterized by incapacitating and progressive neuromuscular damage. There is still no consensus on treatment, but clinical trials have shown that enzymatic replacement with recombinant alpha-glucosidase acid could slow the natural course of the disease and improve prognosis. Clinical case: A 67-year-old man diagnosed with Pompe disease for 4 years, in treatment with physical rehabilitation. He entered the service for right lower limb cellulite that decompensates his background leading to severe respiratory failure. It is admitted to mechanical ventilation, its evolution is torrid due to multiple bacterial infections associated with fan. After 7 months in mechanical ventilation despite multiple weaning attempts, the enzymatic replacement treatment with recombinant acid alpha glucosidase is proposed. Two weeks later, he b...

Introduction: The COVID-19 pandemic has claimed more than two million lives, leading to the collapse of health systems around the world, especially in low-income countries. As the pandemic progressed, the imbalance between the supply of and demand for medical resources created ethical dilemmas regarding how best to allocate available resources. Discussion: Peru did not have the necessary resources to deal with a pandemic like that of COVID-19, which is why its health system collapsed, showing the highest mortality rate worldwide during the first wave. Faced with the saturation of hospital services, the dilemma presented was: when, how and to whom should the few available medical resources be allocated? From a bioethical point of view, health professionals should seek to save as many lives as possible, giving priority to patients with better prognosis and those who could contribute to thi...