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artículo
Publicado 2018
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Cesarean scar pregnancy (CSP) is a rare type of ectopic pregnancy that should be diagnosed early in order to seek the best therapeutic option. We present a case of CSP initially misdiagnosed as a non-viable pregnancy that undergone curettage. Patient was referred to our institution where conservative medical management with methotrexate failed, and the only option was surgical resection of CSP. CSP should be suspected and diagnosed as early as possible. In low-income countries the prevention of massive blood loss along with serious maternal morbidity should be priorized. The use of minimally invasive approach should be planned as a first-line treatment over medical management.
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artículo
Publicado 2015
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El objetivo de este estudio es realizar la validación externa de la escala de Glasgow-Blatchford y establecer su mejor punto de corte para predecir mortalidad por hemorragia digestiva alta en un hospital de Lima. Se realizó un estudio de validación diagnóstica, analítica, longitudinal, de tipo retrospectivo, con datos de pacientes con diagnóstico clínico y endoscópico de hemorragia digestiva alta, atendidos en la Unidad de Hemorragia Digestiva del Hospital Nacional Edgardo Rebagliati Martins, entre junio de 2012 y diciembre de 2013. Se concluye que en la población estudiada, la escala de Glasgow-Blatchford no posee una validez diagnóstica adecuada para predecir mortalidad.
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objeto de conferencia
Publicado 2024
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Las Jornadas Académicas de Salud 2024 promueven la actualización de los profesionales de la salud de diversas especialidades, enfatizando la atención interprofesional centrada en el paciente.
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artículo
In the special issue 2015, volume 76 of its prestigious journal, the short communication was published: "Student desertion in science careers health in Peru," Heredia et al (1). In this communication, it shows a real problem that occurs not only in our country, in relation to the training of human resources in health: desertion. We agree that the problem is multifactorial and often the impact of this decision is final, not only for students but for the family environment that had certain expectations and see how you lose your investment in time and resources; just as society does, by providing the opportunity for training, leaving aside other person who applied and did not get that vacancy wasted.
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artículo
Publicado 2013
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Medical emigration is a really important problem for Peru in order to consolidate a sustainable health system. Objectives: To determine the prevalence of emigration intention and associated factors according to gender in recently Peruvian graduated physicians. Design and setting: Cross-sectional, analytic study developed in Lima, Peru in 2010. Participants: Two hundred eightynine recently graduated physicians from Peruvian universities were included. Interventions: An anonymous and auto-administered questionnaire was handed to the study subjects to measure their intention to work abroad. Data was analyzed using the statistical package STATA 11.2, and a log-binomial generalized lineal model was used as regression model for multiple variables. Main outcome measures: Self-reported emigration intention. Results: Prevalence of intended emigration was 42.1%, higher in males (50.0% versus 36.4%...
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artículo
Publicado 2022
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Los gastrinomas son tumores neuroendocrinos localizados generalmente en duodeno y páncreas, en el contexto de una neoplasia endocrina múltiple y configurando un síndrome de Zollinger-Ellison. La localización de este tipo de tumor en ganglios linfáticos es extremadamente inusual y su diagnóstico precoz constituye un verdadero reto para poder instaurar un tratamiento adecuado y manejar las complicaciones que estos conllevan. Se presenta el caso de un paciente varón de 64 años con un gastrinoma de ganglio linfático y cuya extirpación quirúrgica resultó en la remisión inmediata del cuadro clínico del paciente.
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artículo
Publicado 2022
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Gastrinomas are neuroendocrine tumors usually located in the duodenum and pancreas, in the context of a Multiple Endocrine Neoplasm and forming a Zollinger-Ellison syndrome. The location of this type of lymph node tumor is extremely unusual and its early diagnosis constitutes a real challenge to be able to establish an adequate treatment and manage the complications that these entail. We present the case of a 64-year-old male patient with a lymph node gastrinoma and whose surgical removal resulted in the immediate remission of the patient’s symptoms.
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artículo
Background & Aims: In Latin America, genetic testing for Lynch syndrome (LS) has been partially implemented. Traditionally, LS diagnosis relied on the Amsterdam criteria and Bethesda guidelines, collectively known as traditional screening (TS). However, TS may miss up to 68% of LS cases. To improve detection rates, universal tumor screening (UTS) has been introduced. UTS involves screening all newly diagnosed patients with colorectal cancer for molecular markers to more effectively identify LS cases. Methods: Clinical and molecular data on 1684 patients with colorectal cancer, collected between 1999 and 2020, were provided by 24 Latin American genetic cancer registries and centers. Germline genetic testing was not consistently performed across all cases. Results: LS screening strategies were available for 72% (1209/1684) of cases, with germline testing conducted in one-quarter (304/1209)...
