Gastric cancer is one of the most common cancers globally, and the most lethal cancer in Peru. The variations in its incidence and mortality throughout the world are undergoing dramatic shifts in certain populations. This, along with the recent recognition of the broad molecular landscape of gastric tumors, will have an impact on the treatment decisions of our patients. The impact of these observations could be more significant in populations that are currently being affected by disparities in the care of gastric cancer.

The development of thrombotic complications in COVID-19 appears to be driven by uncontrolled inflammation, and it is clinically different from other conditions such as disseminated intravascular coagulation. The underlying mechanisms seem to be related to endothelial dysfunction and feedback loops between the immune system and the coagulation system. Thrombosis seems more frequent in critically ill patients with COVID-19. This suggest the need for a different management strategy for COVID-19 associated thrombosis. However, clinical trials are necessary to determine the most adequate approach for COVID-19 associated coagulopathy and thrombotic events.

Presentamos la experiencia del Policlínico de la Peruvian American Medical Society (PAMS) en Chincha, en la ejecución de misiones médico-educativas en la región Chincha. El Policlínico PAMS presta atención médica general y especializada a la población de la zona, seis días a la semana. Además, recibe misiones médicas que vienen generalmente de los EE. UU. Desde 2011, se han recibido 43 misiones médicas. La composición y la naturaleza de las misiones han cambiado con el tiempo. Los primeros años se atraía a especialistas con el énfasis de traer equipos e insumos para mejorar la infraestructura del Policlínico. Ahora estamos limitados por la renuencia de voluntarios de venir al Perú en parte debido a que el gobierno americano considera que viajes al Perú son de alto riesgo. Esta limitación nos ha brindado la oportunidad de hacer misiones médicas juntamente con dos exce...

The COVID-19 pandemic had a significant impact on medical care and medical education in Peru.  In response, the Peruvian American Medical Society (PAMS), a charitable medical organization based in the USA, pursued its medical and educational missions in Peru by adopting virtual learning technology. We developed closer collaborative relationships with several medical schools and the Peruvian Association of Medical Schools (ASPEFAM) while offering a faculty panel of twenty-four members to provide lectures and multidisciplinary webinars in Spanish. We conducted 19 webinars including COVID -19 and non-COVID-19 related topics that over the last two years attracted 14,489 participants from 23 countries. They were the foundation for twenty publications in Peruvian medical journals. Our clinical investigations competition was positively received as was our pilot project on research mentorsh...