Objetivo general: Determinar la efectividad del bloqueo de plexo celiaco intraoperatorio en la reducción del dolor oncológico comparado con fármacos opioides convencionales, en pacientes sometidos a cirugías de cáncer gástrico, en el Hospital Nacional Arzobispo Loayza 2019. En relación con la mortalidad, el cáncer de estómago es un importante problema de salud pública y la causa de muerte más frecuente entre las neoplasias malignas cuando se consideran ambos sexos. En 1986, la OMS estableció una guía clínica para el tratamiento del dolor oncológico, con la finalidad de proveer un tratamiento adecuado para controlar el 90% del dolor en pacientes con cáncer. El dolor podía ser primario por el cáncer per se o podía ser secundario a complicaciones como obstrucciones, compresiones de los nervios o plexos. El tipo de dolor que se presenta puede ser visceral, somático o neur...

Objective: To know the incidence of iron-deficiency anemia and its associated factors during pregnancy in Rapayan District, Ancash, Peru. Material and methods: A prospective, analytical and longitudinal study was carried pout in 39 pregnant women in Rapayan District, Huari Province, Ancash Department in Peru, between May 2010 and March 2011. Blood samples were taken from every pregnant woman participating, during the three trimesters of pregnancy, in order to measure hemoglobin values and to assess the shape of red blood cells (RBCs). We also collected additional data, such as age, number pf pregnancies, and weight gain during pregnancy. Results: Of the 39 women studied, 15.3% presented with anemia in the first two trimesters, and 10.2% had anemia during the third trimester. Anemia was classified as mild. Most pregnant women with anemia (83.33%) had normocytic RBCs, and 16...