Introducción: Una de las complicaciones más frecuentes post procedimiento Whipple es la fístula pancreática, la cual aparece debido a una cirugía mayor o algún proceso inflamatorio del páncreas (1). El cáncer de páncreas es una de las indicaciones principales para cirugía Whipple, y hasta el momento sigue siendo la quinta causa de muerte a nivel mundial, realizando la cirugía de Whipple en ciertos casos. La fístula pancreática puede representar una de las consecuencias más severas, siendo su incidencia del 1-36% (2). Objetivo: Determinar si existe una asociación entre el periodo de operación durante la pandemia por SARS - COV 2 y los casos de fístula pancreática postoperatorias en pacientes sometidos a cirugía de Whipple en el Hospital Edgardo Rebagliati Martins en Lima, Perú entre marzo del 2018 y marzo del 2022. Metodología: Estudio observacional de cohorte retrosp...

Background: climate change is a reality, and more and more people are becoming aware of this global problem, which has generated anxiety in some populations. To validate a short survey to assess eco-anxiety in adults in South America. Methods: It is an instrumental study, and the validation was based on a previous survey, which had six questions and was generated by 217 respondents in the USA in 2021. These questions were subjected to a validation process with expert judgment, pilot and application, and then statistics were obtained. It was validated with 1907 people in six countries in South America, where the mean, standard deviation, skewness and kurtosis were adequate. Results: The initial confirmatory factorial model obtained unsatisfactory goodness-of-fit indices, so the indices were modified through a re-specification, where two items were eliminated, after which adequate values w...