viernes, 20 de noviembre de 2015

Are medical students able to perform multicenter studies?

Are medical students able to perform multicenter studies? This question goes far beyond what the scientific environment could imagine even a few years ago. Medical students, particularly in Latin America, have progressively incremented their research productivity[1],[2]. This is due to the strategies developed —such as the creation of medical students’ scientific societies— in response to the lack of a culture of research and publishing in the continent [3],[4]. As these improvements have been rising, new research challenging opportunities have emerged. Multicenter studies are an example. We would like to relate the experience of a project we ran in 85 universities of 17 Latin American countries in which the main local researchers were medical students, conforming then the Collaborative Working Group for the Research of Human Resources for Health (Red-LIRHUS) [5]. In order to do so, we will mention the main advantages and complications in carrying out a multicenter study with medical students as investigators.

Author(s): Pereyra Elías, ReneéMontenegro Idrogo, Juan JoséMayta Tristán, Percy ( 0000-0002-0861-6606 ) 
Source: Medwave (Medwave)
URL: http://hdl.handle.net/10757/579916

Dispositivo intrauterino parcialmente migrado e incrustado en serosa de rectosigmoides tras 8 años de inserción

Se presenta el caso clínico de un dispositivo intrauterino parcialmente migrado a cavidad pélvica e incrustado en serosa de rectosigmoides luego de 8 años de su inserción. El diagnóstico se realizó mediante ecografía transvaginal y retiro del dispositivo por laparoscopia. Se realizó rafia de serosa rectal y de útero. La paciente tuvo un postoperatorio sin complicaciones.

Autor(es): Bernuy P., SandraRivera N., María CristinaSalazar L., CarmenRamírez C., Fernando
Fuente: Revista Chilena de Obstetrica y Ginecología (Rev. Chil. Obstet. Ginecol.)
URL: http://hdl.handle.net/10757/582068

jueves, 19 de noviembre de 2015

Perception of physicians about medical education received during their Nephrology residency

Introduction: In Peru there are different hospitals and university programs for training of specialists in nephrology. Objective: To assess the perception of physicians who attend such programs. Methods: We carried out a descriptive cross-sectional national-level study in physicians who were in the last two years of nephrology training during February 2012 and who had graduated from it in 2010 and 2011. A self-applied questionnaire was developed along with the Peruvian Society of Nephrology based on international standards. The questionnaire evaluated: mentoring, clinical training, procedures, external rotations, research and global perception. Results: Forty doctors were surveyed nationwide. 82.5% had tutors, 22.5% of them said their support was poor. A 27.5% described their theoretical formation as deficient. The practical training was perceived as acceptable globally; however, improvements in training on peritoneal dialysis and reading kidney transplant biopsies are necessary. A 90% have national external rotations and 65% reported to have an international rotation. In the assessment of research, 77.5% thought this is deficient. In addition, 82.5% believed that residency should last four years. However, 60% reported that their residency training was good. There is a decrease in the positive perception of the aspects studied among residents regarding graduates. Conclusion: The overall perception of nephrology residency training was considered good; however, areas of tutoring, and academic and research activities on average were deficient.

Author(s): Herrera Añazco, PercyBonilla Vargas, LuisHernandez, Adrian V.Silveira Chau, Manuela
Source: Jornal Brasileiro de Nefrologia (J. Bras. Nefrol)

URL: http://hdl.handle.net/10757/579609

Comments on Hynes et al. Prevalence of Marijuana Use among University Students in Bolivia, Colombia, Ecuador and Peru

We have read and analyzed the article entitled “Prevalence of marijuana use among university students in Bolivia, Colombia, Ecuador and Peru”. We propose some objective points which could enhance the internal validity of the study (i.e., we suggest to report participation proportions).

Author(s): Martinez Novack, Maria ClaudiaOrtiz Ortiz, Maria TeresaCastañeda-Carbajal, BrunoAlvarado, German F.
Source: International Journal of Environmental Research and Public Health (Int. J. Environ. Res. Public Health)

URL: http://hdl.handle.net/10757/579608

Pileflebitis: reporte de caso y revisión de literatura

Se presenta el caso de un paciente varón de 50 años que acude a la emergencia del Hospital Dos de Mayo, Lima, Perú, por presentar fiebre, dolor abdominal, diarrea e ictericia. Se plantea un cuadro de infección intestinal como diagnóstico inicial. Es derivado al área de Medicina Interna donde se realizan diversos exámenes de laboratorio y auxiliares, dentro de los cuales se indica realizar una tomografía computarizada abdominal. El estudio imagenológico confirmó el diagnóstico de pileflebitis, iniciando tratamiento con antibióticos y anticoagulantes. La respuesta y evolución fueron favorables

Autor(es): Lizeth Mirtha Flores AnayaCinthia Katherine León LozadaTorres Damas, William Lovel
Fuente: Medwave (Medwave)

URL:  http://hdl.handle.net/10757/579607