Psychiatric symptoms and insulinoma: a case report

Introduction
Insulinomas are pancreatic endocrine neoplasms with a low incidence between 1-4 cases per million per year. Case description: A female 49 years-old with neurological and psychiatric symptoms were treated for two years as a psychiatric patient. Presented a glucose value, which reflects hypoglycemia. The patient was operated with resolution of symptoms. Conclusion: Assess all patients with psychiatric symptoms and perform a complete medical history and laboratory findings, being the most opportune glucose
Source: Sociedad de Neurología, Psiquiatría y Neurocirugía de Chile (SONEPSYN
URL: http://hdl.handle.net/10757/311275

Contrast profiles of bullying in Peru and Spain

Dear editor: We read with greatinterestthe article Bullying among schoolchildren: differences between victims and aggressors, recently published in Gaceta Sanitaria.1 Motivated by this study, we would like to share information about the characteristics of victims and aggressors of bullying in Peru after an extensive literature search about this underexplored topic in our country and attempt some comparisons versus Spain as well as some concluding remarks and recomendations. Bullying in Peru, as very likely in Spain, is a hidden and yet latent phenomenon. Moreover, it varies across regions in our country and profiles might be different than what is found in Spain. In a study conducted in an urban Lima school in 2007, victims usually had fewer friends, spent more time alone at recess and exhibited decreased self-confidence than non-victims.2 Similarly, another study conducted in in 2009 found that adolescents with any physical defects are more prone to being bullied, being excluded by aggressors and experience discriminative behaviors that cause impaired social image of the victim and generate rivalries with peers.3 In Peruvian rural areas adolescent victims tend to be picked on by peers, be very quiet, fearful and considered small and weak and not to respond to attacks.2–4 On the other hand, the aggressors’ profile also differs from the ones in Spain. In a study conducted in 2009,3 they selfconsidered big and strong, use foul language frequently and were happy when insulting or beating their peers. They also tend to be surrounded by groups that support them, and have a history of having been expelled from other schools.4 Aggressors have no overall self-esteem issues because they are usually physically stronger, and are considered “popular,” but they had a lower score on home self-esteem because they come from families with difficulties.2 Moreover, another study noted the presence of gangs or gang friends in school environment as risk factors for bullying.3 A summary of the main characteristics of victims and aggressors in Peruvian studies is presented in Table 1. In conclusion, bullying is a complex social phenomenon that changes across environments, cultures and countries and even within a country as exhibited in Peruvian studies. All these factors might potentially shape different profiles for both victims and aggressors and this point out the need to establish prevention programs tailored to each specific context as well as to the specific needs of the involved subjects.
Source: Sociedad Española de Salud Pública y Administración Sanitaria
URL: http://hdl.handle.net/10757/311272

Online buying and selling of thesis: An ethical problem to control

Source: Rev Peru Med Exp Salud Publica
URL: http://hdl.handle.net/10757/311236

Scientific production and cancer-related collaboration networds in Peru 2000-2011: A bibliometric study in Scopus and Science Citation Index

A bibliometric study was carried out to describe the scientific production on cancer written by peruvians and published in international health journals, as well as to assess the scientific collaboration networks. It included articles on cancer written in Peru between the years 2000 and 2011 and published in health journals indexed in SCOPUS or Science Citation Index Expanded. In the 358 articles identified, an increase in the production was seen, from 4 articles in 2000 to 57 in 2011.The most studied types were cervical cancer (77 publications); breast cancer (53), and gastric cancer (37). The National Institute of Neoplastic Diseases (INEN) was the most productive institution (121 articles) and had the highest number of collaborations (180 different institutions). 52 clinical trials were identified, 29 of which had at least one author from INEN. We can conclude that, cancer research is increasing in Peru, the INEN being the most productive institution, with an important participation in clinical trials.
Source: Instituto Nacional de Salud (INS)
URL: Full texthttp://hdl.handle.net/10757/311234

Latin American medical students’ appraisal on university scientific research training

Background: Learning research skills should be a goal during undergraduate training of physicians. Aim: To identify Latin American medical students’ appraisal on research skills university training. Material and Methods: A self-administered survey about experience in research, self-assessment of research skills, quality of training in the area received at the university and that importance of publishing as undergraduate students, was answered by 208 medical students aged 23 ± 3 years (54% male), attending a medical students congress. Results: Seventy percent of respondents pertained to medical students’ scientific societies and 34% had published in a scientific journal. Fifty two percent considered as good or very good the training level received at their universities on information retrieval and 45% considered good the training in research methodology. Thirty two percent considered as poor or none the training received in scientific writing and 37% in the publishing process. Eighty nine percent considered student publishing as important and 61% perceived limitations in this matter. Conclusions: The university training level received by Latin American medical students on research and publication process was evaluated as deficient by these students
Source: Sociedad Médica de Santiago
URL: Full text