Neurofibromatosis type 1 is a dominant autosomal disease caused by mutation of the neurofibrin gene located in chromosome 17q11.2. This disease presents a variety of clinical manifestations and predisposition to develop tumors, leading to high mortality. We report the case of a patient with neurofibromatosis type 1 diagnosis who developed a malignant tumor of peripheral nerve sheath and colon cancer. The authors review the literature as well as the clinical factors, imaging and histological features associated to neurofibromas malignant transformation.

Introduction: Research is an important area in medical education and should be promoted during the forming years. Thesis is an investigation to acquire a professional title, but there is a decrease in its production as there are other ways of graduation. Objectives: To determine the number of theses, area, specialty and designs utilized. To determine the collaboration between specialists depending on the area and design of investigation. To determine the proportion of theses published in an indexed journal. Design: Bibliometric study. Setting: Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru. Participants: Theses of Medicine undergraduates. Interventions: Theses elaborated during 1998-2008 were collected from the Library of the Faculty. We read the summaries and in case of doubt, the complete thesis. We analyzed the patterns of frequency through Microsoft Office ...

Background: Breast cancer women have a tendency to develop psychiatric symptomatology, mainly depressive. A way to evaluate how the patient entails her disease is by quality of life. Objectives: To determine the prevalence of depressive symptoms and quality of life and their associations with time since diagnosis and the menopausal status. Design: Analytical, observational and transversal study. Setting: Arzobispo Loayza Hospital Oncology Service. Participants: Women with clinical and histological diagnosis of breast cancer and seeking chemotherapy. Interventions: The Beck depression inventory, the Mezzich and Cohen quality of life scale and a demographic questionnaire were used. The Fisher test, student’s T-test and lineal regression analysis were used. Main outcome measures: Depression symptoms, quality of life. Results: In 24 women studied the prevalence of depressive symptoms and l...

La psicoterapia es una herramienta terapéutica basada en la relación empática entre el paciente y su terapeuta, que utiliza técnicas actitudinales y verbales para lograr la recuperación de la salud. Los estudios evidencian su eficacia, y guías de práctica clínica la recomiendan en el tratamiento de problemas específicos de salud mental en el primer nivel de atención de salud. Esto significa que los médicos que trabajan en este nivel debieran conocer las indicaciones y uso de esta valiosa herramienta terapéutica. En el Perú, un gran porcentaje de médicos que trabajan en este primer nivel son médicos recién egresados que realizan el Servicio Rural Urbano Marginal. Estos profesionales atenderán problemas prevalentes de salud mental, tales como depresión, ansiedad y problemas de violencia en su primera experiencia como profesiona...

Psychotherapy seeks to modify abnormal behavior and promote normal behaviors through psychological and attitudinal means, as well as corrective experiences. Its utility is reflected in clinical practice guidelines that place it within the first lines of treatment for mental disorders. In Peru, physicians are trained in psychotherapy in the medical school and the psychiatry residency program. However, some problems are reported in his teaching. Only some medical schools offer psychotherapy classes; and among whose do, they invest few hours of teaching. In the psychiatry residency program, some residents report not holding theoretical classes, or practices that allow them to apply support psychotherapy. Also, graduate psychotherapy programs, apart from the psychiatry residency program, are few. The manuscript analyzes psychotherapy training in the me...

Introduction. The COVID-19 pandemic has prompted the adoption of telepsychiatry for psychiatric medical care. Objective. To evaluate the acceptability of telepsychiatry by psychiatrists, determine the characteristics of telepsychiatric care and request recommendations for the improvement of the telepsychiatry service. Methods. A virtual survey was administered to psychiatrists of the three main psychiatric hospitals in Lima from June 16 to July 16, 2020. Results. 42.9% had worked in telepsychiatry and 57.2% perceived high congruence (80% -100%) between telepsychiatry and face-to-face care. The global mean and in each of the five domains of the acceptability index was above the average. The main recommendation was to improve the flow of care. Conclusion. Telepsychiatry is a modality of care accepted by psychiatrists, this service is expected to improve as problems of daily work are identi...

Sr. Editor, Desde mediados de diciembre del 2022 hasta parte de febrero del 2023 se desarrollaron en el Perú protestas sociales de gran magnitud que expresaron el reclamo de un sector de la población (1). Así, se registraron incidentes de violencia entre protestantes y las fuerzas del orden, bloqueo de carreteras, toma de aeropuertos, entre otros (2). Estos incidentes  produjeron la paralización de actividades económicas, sentimiento de inseguridad e incertidumbre social (1); y al 5 de febre-ro del 2023, 59 fallecidos y 1229 heridos (2). Además, millones de personas atestiguaron estos incidentes directa o indirectamente por medios de comunicación y redes sociales.

Objective: to measure production, impact, and collaboration in Peruvian research on mental health as reported in Scopus, from 1992 until 2018. Materials and methods: this is a bibliometric review that analyzed publications featured in Scopus and dealing with psychiatry and mental health that had been produced by researchers affiliated to Peruvian institutions. Scientific production analysis reviewed the number of papers published per year, the impact analysis assessed the number of times these papers were referenced in Scopus, and the collaboration analysis assessed institutions and country networks participating in the aforementioned pieces of research. Results: research dealing with psychiatry and mental health showed an increasing trend for the number of published papers, as well as with respect to the times such papers were referenced and also considering inter-institutional collabor...

No description

La fenomenología ha dividido conceptualmente al cuerpo humano en el “cuerpo-objeto”, la entidad física que puede ser percibida por uno mismo y por otros, y en el “cuerpo-vivido”, que es la experiencia inmediata del propio cuerpo, tácitamente experimentado (o vivido) en una perspectiva de primera persona. El “cuerpo-vivido” origina la experiencia pre-reflexiva de la vida, adscribible al yo mínimo, core self o ipseidad que constituye el sustento nuclear de la conciencia del yo. Este modo corporal opera implícitamente en cada acción que ejecutamos en el mundo y nos permite la aprehensión y entendimiento del entorno. Sin embargo, en algunos procesos mórbidos el cuerpo puede perder su calidad de “transparencia” y volverse anormalmente explícito, tal como ocurre en la esquizofrenia. En esta patología, los pacientes sufren un distanciamiento subjetivo entre la mente y ...

OBJETIVO: Analizar la prevalencia de las agresiones sexuales intrafamiliares y extrafamiliares en adolescentes del Perú y su asociación con el consumo de alcohol. MÉTODOS: Se utilizó un muestreo probabilístico bietápico y estratificado para seleccionar estudiantes varones y mujeres de educación secundaria de todo el Perú. Los datos de 54,756 estudiantes que incluían información demográfica, sobre consumo de alcohol y drogas, y agresión sexual fueron incluidos en el estudio. En el análisis estadístico se consideró el muestreo complejo y se condujeron dos análisis independientes por el tipo de agresión sexual (intrafamiliar y extrafamiliar), estratificado por el sexo de la víctima. RESULTADOS: La prevalencia de vida de las agresiones sexuales intrafamiliares (5.4%, IC95% 5.0–5.8) fue similar al de las agresiones extrafamiliares (6.1%, IC95% 5.6–6.6). El consumo de alc...

ABSTRACT The pathogenic nucleus of schizophrenia has varied according to the different eras and influences of distinguished clinical researchers. Self-disorders have also been recognised to be at the heart of this disorder, although they have seldom been studied due to their subjective nature. Recently, due to the growing interest in the study of the early stages of schizophrenia, the study of self-disorders has been resumed. The self-disorders in schizophrenia model, developed by Sass and Parnas, proposes that in this disorder the person suffers loss of the first-person perspective and experiences hyperreflexibility, diminished self-affection and disturbance of the field of awareness. Therefore, the person experiences feelings of strangeness about him/herself, difficulty in understanding the common sense of things and difficulty interacting with his/her environment. Based on this model,...

No description

Background: Peer aggression (Bullying) is a frequent problem in the school-age population, whose occurrence is determined by factors from different contexts, and not only from the school. Objective: To determine the annual prevalence of peer aggression among secondary school students in Peru, in its forms of aggression, victimization and aggression-victimization; and to determine the individual, family and community factors associated with peer aggression based on the ecological model of violence. Material and methods: Secondary analysis of the database of the "IV National Study on Drug Prevention and Consumption in High School Students 2012". Data from 48 025 secondary school students were analyzed taking into account the two-stage, stratified probability sampling of the original study. The dependent variable peer aggression was studied for each of its components: aggression, victimizat...

Objective: to measure production, impact, and collaboration in Peruvian research on mental health as reported in Scopus, from 1992 until 2018. Materials and methods: this is a bibliometric review that analyzed publications featured in Scopus and dealing with psychiatry and mental health that had been produced by researchers affiliated to Peruvian institutions. Scientific production analysis reviewed the number of papers published per year, the impact analysis assessed the number of times these papers were referenced in Scopus, and the collaboration analysis assessed institutions and country networks participating in the aforementioned pieces of research. Results: research dealing with psychiatry and mental health showed an increasing trend for the number of published papers, as well as with respect to the times such papers were referenced and also considering inter-institutional collabor...

El proyecto trata de demostrar la gran influencia que tiene las adherencias peritoneales a nivel vesicular, para la conversión de la colecistectomía laparoscópica, pues según estudios actuales sigue siendo un factor importante. Así mismo refleja la realidad de nuestra población en estudio como de otras instituciones a fin, lo cual se deberá poner énfasis en tal punto y así no tener complicaciones durante la cirugía laparoscópica. Material y métodos: Estudio de cohorte retrospectivo y transversal. La muestra estará conformada por 43 pacientes para cada grupo, uno que comprende pacientes con colecistitis aguda que presentan adherencias peritoneales durante la colecistectomía laparoscópica y otro grupo que no presenta adherencias; de cualquier sexo entre 20 y 60 años de edad.

No description