Journal of the Faculty of Medicine <p><span id="result_box" class="" lang="en" tabindex="-1"><span class="">The Journal of the Faculty of Human Medicine of the Ricardo Palma University (Rev. Fac. Med. Hum.), Is the organ of scientific dissemination of this faculty and is a publication for the university medical community as a whole;</span> <span class="">students, graduates, academics, researchers and national and international institutions.</span> <span class="">It covers current issues, with original and unpublished articles, related to the various specialties of the biomedical area and Public Health.</span></span></p> en-US (Dr. Jhony A. De La Cruz Vargas PhD, MCR, MD) (Cesar Jefferson Ochoa Grados) Sat, 19 Jan 2019 00:00:00 +0000 OJS 60 THE RESEARCH: BEYOND THE RANKING OF THE UNIVERSITIES <p>One of the most important processes and of which all other university activities are sustained is research. Research is creation, original production, development of argumentation and coherence of ideas, exhaustive review-deep reflection, solving mysteries and, ultimately, giving focus to dreams. The integral conceptual approach, proposed by Rico1, for whom the research "is to colonize a small or large plot, to plant, cultivate, harvest and distribute its fruits, so that later others come to improve, optimize and overcome our task".</p> <p>&nbsp;</p> <p><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1786</strong></a></p> Jhony Alberto De La Cruz Vargas, Elio Iván Rodríguez Chávez ##submission.copyrightStatement## Sat, 19 Jan 2019 14:13:45 +0000 MODEL OF SUCCESS OF THE COURSE WORKSHOP TITLE CERTIFICATION IN HUMAN MEDICINE:PUBLICATION OF INTERNATIONAL IMPACT <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox">Promoting Research in Medical Students and increasing scientific production in the universities of Peru and Latin America is a priority and a necessity. It is an honor to share with you that we recently published in the prestigious journal Educación Medica, of Elsevier, indexed in Scopus, the scientific article that summarizes the experience and the success model of the Thesis Workshop Course that is given in the Faculty of Human Medicine of the Ricardo Palma University: Promoting research in medical students and increasing scientific production in universities: Experience of the Undergraduate Thesis Workshop Course.<br>The undergraduate thesis represents academic work with scientific rigor, considered as the first serious step of university students in the field of research, which according to the new university law 30220 in force in Peru, is an essential requirement to obtain the university degree .</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox">&nbsp;</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1787</strong></a></p> Jhony Alberto De La Cruz Vargas, Lucy Elena Correa Lopez, María del Socorro A. Gutiérrez Vda. de Bamabaren, Hugo H. Sánchez Carlessi ##submission.copyrightStatement## Sat, 19 Jan 2019 14:19:38 +0000 CHARACTERISTICS OF THE CERVICUTERINE CANCER SCREENING AT 08 HEALTH INSTITUTIONS, METROPOLITAN LIMA 2017 <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><strong>Introduction:</strong><br>The use of Papanicoloau Conventional Cytology (CC) versus Liquid Base (CBL), the professional who performs the extraction, first reading and diagnosis of the sample; the use of the Bethesda classification, the detection of HPV DNA and the follow-up of ASCUS findings are links in the screening of Uterine Cervical Cancer (CCU) little studied in our environment.<br><strong>Objective:</strong><br>To determine the characteristics of the CCU cancer screening in 08 health facilities (EESS) of Metropolitan Lima, the headquarters of the Medical Board of the FAMURP in 2017.<br><strong>Methods:</strong><br>Descriptive, transversal. Sampling for convenience. The Chiefs of Pathology Services were interviewed.<br><strong>Results:</strong><br>8 EESS of Level III of the MINSA, EsSalud and FFAA participated. All performed the CC, none CBL. The samples are taken by the Gynecologist or the Obstetrician, and in 1 case by nursing, the first reading is performed by the Medical Technologist and in one case by the Pathologist Analyst; the diagnosis, by the Anatomopathologist. The Bethesda System is used for the Final Report. Screening tests for HPV DNA are not used. In 8, follow-up is done for ASCUS findings.<br><strong>Conclusion:</strong><br>CBL, automated reading, and identification of HPV DNA are not implemented. It is recommended to carry out cost-effective studies to propose their future implementation, and to carry out studies regarding the phases of the screening process.</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox">&nbsp;</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1788</strong></a></p> Aleksandar Cvetkovic -Vega, Carlos León -Nakamura, Alejandro Yábar -Berrocal ##submission.copyrightStatement## Sat, 19 Jan 2019 14:43:11 +0000 FACTORS ASSOCIATED WITH PROGNOSIS AND SURVIVAL IN HOSPITALIZED ADULT PATIENTS DIAGNOSED WITH ACUTE MYELOID LEUKEMIA AT THE HOSPITAL NACIONAL DOS DE MAYO PERIOD 2014 TO 2016 <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><strong>Introduction:</strong><br>Survival in patients diagnosed with Acute Myeloid Leukemia (AML) can be affected by various clinical, cytogenetic and immunophenotypic factors.<br><strong>Objective:</strong><br>To determine the characteristics of the CCU cancer screening in 08 health facilities (EESS) of Metropolitan Lima, the headquarters of the Medical Board of the FAMURP in 2017.<br><strong>Methods:</strong><br>An observational, transversal, retrospective and analytical study was carried out, based on the review of stories<br>Clinics of all adult patients diagnosed with Acute Myeloid Leukemia, diagnosed in April 2014 to December 2016 and followed up to determine its final outcome at 2 years, associating it with the presence of mortality conditions factors. The final sample was 39 patients.<br><strong>Results:</strong><br>Of the 39 patients, 16 (41%) were older than 60 years, 23 (59%) were younger than 60 years, 13 of the patients (33%) had a Leukocyte count greater than 50,000 at diagnosis and 26 (77%). ) presented a figure of less than 50,000. 33 patients presented a Novo Leukemia (84%) and 6 (16%) presented a Leukemia secondary to a Dysplastic Myel Syndrome or some previous history of chemotherapy. Data were not obtained for all patients according to the British American British classification (FAB), Immunophenotype and Karyotype. Survival was evaluated in 3 times, at 6 months, at one year and at 2 years from the date of diagnosis, while at 6 months the overall survival of the 39 patients had been 69% (25), at 49 % (18) and at 2 years remained in the same range. Survival at 1 year and 2 years after diagnosis was obtained with the same Odds Ratio (OR) of 4.5 for the variable Leukocytes at diagnosis greater than 50 000 (95% CI: 1,008 - 20,507), considering it as a risk factor for mortality. In the survival analysis of the same variable mentioned with one year survival and two years survival was significantly lower in the group of patients with leukocytes at diagnosis greater than 50,000.<br><strong>Conclusion:</strong><br>In our study population, statistical significance was found when evaluating the Leukocyte variable at diagnosis greater than 50,000, finding it as a factor associated with 2-year mortality, with a significantly greater survival than the group of patients with Leukocytes at diagnosis less than 50. 000.</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox">&nbsp;</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1789</strong></a></p> Nicolás J. Higueras -Bromley, Luis A. Cano -Cárdenas, Nancy E. Loayza -Urcia, Jhony Alberto De La Cruz Vargas ##submission.copyrightStatement## Sat, 19 Jan 2019 14:43:37 +0000 ASSOCIATION BETWEEN AGE AND TYPE OF LESION FOUND BY LOW ENDOSCOPY IN PATIENTS WITH LOW GASTROINTESTINAL HEMORRHAGE ATTENDED AT SANTA ROSA HOSPITAL. JANUARY-DECEMBER 2015 <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><strong>Objective:</strong><br>To determine the association between age and the types of lesions found in patients with a diagnosis<br>of low digestive hemorrhage undergoing low endoscopy in the Gastroenterology service of the Santa Rosa hospital.<br><strong>Methods:</strong><br>Observational, analytical, retrospective study, information was collected from the lower digestive endoscopy reports and the medical history files of the Gastroenterology service. The variables: age, sex, type of injury and anatomical location of the lesion; they were summarized to cards for their statistical use using the SSPS version 22 and Excel programs for the graphs and tables, the Chi square test was used, with a value of p &lt;0.05 as statistically significant.<br><strong>Results:</strong><br>Significant sample of 180 patients with an average age of 62 years, divided into G1: (18-34 years) with 10% of the sample, the endoscopic examination predominates without evidence of injury, followed by hemorrhoids, G2: (35-64 years) with 38% of the sample, external hemorrhoids predominate, G3: (65 to more) with 52% of the sample, internal hemorrhoids predominate, with respect to sex 60% are female; The most frequent anatomic location was found at the level of the rectum-anus. In addition, the association between patients &lt;35 years and 35 years of age with respect to the presence or absence of endoscopic injury, generated an OR of 18,514 which was statistically significant.<br><strong>Conclusion:</strong><br>It is concluded that there is an association between age and / or age group with the type of endoscopic lesion found, predominantly the age group GIII corresponding to adults over 65 years, in which the highest number of internal and external hemorrhoids was found ; there being an association between the age of the patient and the presence of endoscopic lesion, with an OR of 18.5; which indicates that there is 18.5 times more risk than an older patient with low digestive hemorrhage found by endoscopy<br>low, so this relationship was statistically significant.</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox">&nbsp;</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1790</strong></a></p> María Elena Sandoval -Pereda ##submission.copyrightStatement## Sat, 19 Jan 2019 14:44:02 +0000 DIABETIC NEPHROPATHY AS RISK FACTOR ASSOCIATED WITH URINARY TRACT INFECTION, MEDICAL SERVICE OF THE HOSPITAL ULDARICO ROCCA FERNANDEZ, 2011 - 2015 <p><strong>Introduction:</strong> Diabetes mellitus is one of the most prevalent pathologies, affecting up to 9% of the world population until 2014 and in Peru, 4.3% of the adult population is already diabetic. These patients are more susceptible to infectious diseases, being the urinary tract the most frequent, considering complicated, which means that they must receive hospital management, leading to a decrease in their quality of life.</p> <p><strong>Objective:</strong> To determine if diabetic nephropathy is a risk factor for the prevalence of urinary tract infection in patients hospitalized in the Uldarico Hospital medical service Rocca Fernández</p> <p><strong>Methods:</strong> It is an observational, analytical study of longitudinal section, case and control type; the information was collected through a data sheet using the medical records of the patients hospitalized in the service of medicine of the Uldarico Rocca Fernández Hospital in the 2011-2015 period. The sample was obtained by probabilistic sampling, being the size of this 360, with a proportion of cases and controls 1: 1. Results: The diabetic nephropathy obtained an OR = 8.62 (IC95% 4.78 - 15.57), the macroalbuminuria obtained an OR = 5.75 (IC95% 2.99 - 11.06), the alkaline pH obtained an OR = 5.42 (IC95% 3.22 - 9.13) and the glycemic control obtained an OR = 5.44 (IC95% 3.44 - 8.88).</p> <p><strong>Conclusion:</strong> Diabetic nephropathy is associated with a higher prevalence of UTI in patients hospitalized in the medicine service of the Ulda Rocca Fernández Hospital.</p> <p>&nbsp;</p> <p><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1791</strong></a></p> Martínez P. M. ##submission.copyrightStatement## Sat, 19 Jan 2019 14:44:26 +0000 FACTORS ASSOCIATED WITH ADHERENCE TO HAART, IN PATIENTS WITH HIV / AIDS IN AT THE CENTRAL HOSPITAL OF THE POLICE FORCES <p><strong>Objective:</strong> To determine the associated factors and the degree of adherence to HAART in patients with HIV / AIDS in the Central Hospital PNP "Luis N. Sáenz" in the months of October to December 2015.</p> <p><strong>Methods:</strong> Observational, cross-sectional, analytical and descriptive study where 123 patients were evaluated with a CEAT-HIV questionnaire. The data collection was done in the Microsoft Excel program and the statistical analysis through the SPSS program v.22.</p> <p><strong>Results:</strong> We found that the average age of all the patients evaluated was 40.11 years. The infection time of the patients evaluated was an average of one year and 7 months. The treatment time with the HAART consisted of an average of 20 months. The 52% (64 patients) of the studied population was a family member of the holder, whether wife (or), child (ren) or parents. The gender that prevails in the sample is male with 63.4% (78 patients). And viral load, 77.2% is undetectable (&lt;400 copies /<br>ml). The degree found was an adequate adherence to HAART, with a score of 82.51, and when relating the degree of adherence with the socio-demographic characteristics they are not significant. But if the degree of adherence with viral load was found to be related.</p> <p><strong>Conclusion:</strong> The studied population has an adequate adherence to antiretroviral treatment and the 5 factors that the questionnaire measures: compliance with the treatment, history of lack of adherence, doctor-patient interaction, beliefs of the patient and strategy for taking medications, they have very good influence on adherence to HAART.</p> <p>&nbsp;</p> <p><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1792</strong></a></p> Gustavo Eugenio Orellana -Zanabria, Eduardo Morales-Rezza ##submission.copyrightStatement## Sat, 19 Jan 2019 14:44:48 +0000 LEVEL OF KNOWLEDGE AND SKILLS ON CHRONIC COMPLICATIONS OF DIABETES MELLITUS 2, HOSPITAL NATIONAL PNP LUIS N. SAENZ, 2016 <p><strong>Objective</strong>: To determine the relationship between knowledge and skills in diabetic patients on the<br>Chronic complications of diabetes mellitus 2 in the Endocrinology Service of the PNP National Hospital<br>Luis N. Suárez in 2016.</p> <p><strong>Methods</strong>: Quantitative, descriptive, cross-sectional and correlational study. They were surveyed<br>to 110 diabetic patients with a questionnaire to assess knowledge (10 items with response from<br>multiple selection) and another for skills (modified Lickert type). The knowledge was classified<br>as high, medium and low level and the aptitudes as favorable, unfavorable and indifferent according to the Scale of Estanones.</p> <p>The normality of the scores was determined with the Kolmogorov-Smirnov Test and the<br>associations with chi square, p &lt;0.05 and Pearson's correlation test. Results: The average age was<br>49.85 ± 6.97 years, 74.5% female, 75.5% with sick time between 1-5 years, 67.3% with good<br>adherence to pharmacological treatment. The level of knowledge was: high 28.2%, medium 49.1% and low 22.7%, and the skills were: favorable 23.6%, unfavorable 58.2% and indifferent 18.2%. There is no relationship between knowledge and skills (p = 0.247). Only statistical association was found between knowledge and pharmacological treatment (p &lt;0.05).</p> <p><strong>Conclusion:</strong> Diabetic patients have a level of knowledge about his chronic complications and his aptitudes were predominantly unfavorable. It is necessary to perform educational strategies to improve the knowledge and skills of diabetics.</p> <p><br><strong>Keywords:</strong> Chronic complications; Diabetes mellitus 2; Knowledge; Aptitudes; Correlation. (source: DeCS BIREME).</p> <p>&nbsp;</p> <p><a href=""><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1793</strong></a></p> Aldo Juvenal Calderón-Rivera ##submission.copyrightStatement## Sat, 19 Jan 2019 14:45:12 +0000 ADAPTATION AND VALIDATION OF A QUESTIONNAIRE TO MEASURE ACADEMIC BURNOUT IN MEDICAL UNI-VERSITY STUDENTS <p><strong>Introduction:</strong> Evaluate the validity and reliability of an instrument adapted to Peru to measure pre-presence<br>of Burnout Syndrome in university students of the career of Human Medicine at the University<br>Ricardo Palma, taking as a starting point the Burnout Inventory of Maslach - Student Survey (MBISS).</p> <p><br><strong>Methods:</strong> Cross-sectional analytical study, with level of application research. Validity was evaluated by<br>analysis of factorial structure with the principal components method, Kaiser-Meyer Olkin tests and Varimax rotation were applied; the reliability by the Cronbach alpha value.</p> <p><strong>Results:</strong> 223 students from the Faculty of Human Medicine of the Ricardo Palma University were included, from November to December 2016. The prevalence of academic Burnout found was 28.25% (63); The Kaiser-Meyer Olkin fitness test had a result of 0.813 and Barlett's sphericity test of 1007.5 (p &lt;0.000). The cumulative variance explained by 3 factors was calculated to be 55.4%. The instrument obtained a Cronbach's Alpha coefficient = 0.794, with correlations between the items, Emotional Exhaustion (α =, 855), Cynicism (α = 0.623) and Academic Efficiency (α = 0.744).</p> <p><strong>Conclusion:</strong> The adapted and validated instrument gathers the psychometric properties to be considered a useful and reliable instrument initially in human medicine students of the Ricardo Palma University, presenting an adequate factorial structure and internal consistency to determine the level of Burnout Syndrome Academic.</p> <p>&nbsp;</p> <p><strong><a href="">DOI 10.25176/RFMH.v19.n1.1794</a></strong></p> Lucy E. Correa-López, Joan A. Loayza-Castro, Mariela Vargas, Manuel O. Huamán, Luís Roldán-Arbieto, Miguel Perez ##submission.copyrightStatement## Sat, 19 Jan 2019 14:45:33 +0000 FACTORS ASSOCIATED WITH DEPRESSION IN PATIENTS WITH CANCER DE MAMA <p><strong>Objective:</strong><br>Systematize the findings of studies on the factors associated with depression in patients with breast cancer.<br><strong>Methods:</strong><br>A systematic review of the medical literature was carried out in Medline, SciELO and Google Scholar with the descriptive terms of the Medical Subject Headings: depression, breast cancer. Six articles were selected with the exclusion criteria of articles with a publication period between 2013-2018, written in Spanish or English, which analyzed patients with depression associated with cancer breast and studies with a minimum sample of 80 participants.<br><strong>Results:</strong><br>In this review 6 have been included<br>studies. The factors associated with depression in breast cancer patients we have is the age where<br>it is seen that the population between 40 and 60 years of age, being divorced or single, educational level up to primary school, being unemployed, belonging to a low social class, clinical stage 4 and chemotherapy treatment increases the risk of having depression in patients with breast cancer<br><strong>Conclusion:</strong><br>It is concluded in the present review that more studies on a larger scale are needed regarding the factors associated with depression in patients with breast cancer, especially in Peru, since only one article related to the topic of interest was found. On the other hand, it is necessary to systematize the associated factors well since there are several factors related to depression and with different results depending on the type of hospital and country, to be able to propose a good program of psychological support and education about the disease.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p><a href="" target="_blank" rel="noopener"><strong>DOI:&nbsp;&nbsp;10.25176/RFMH.v19.n1.1795</strong></a></p> Ximena Vanessa Arbulú-La Torre ##submission.copyrightStatement## Sat, 19 Jan 2019 14:45:58 +0000 RISK FACTORS ASSOCIATED WITH NOSOCOMIAL PNEUMONIA IN ADULT PATIENTS <p><strong>Objective:</strong> The objective of this article is to carry out a systematic review of several scientific publications<br>about the risk factors associated with nosocomial pneumonia in adult patients.</p> <p><strong>Methods</strong>: The review was conducted through the electronic search of various scientific articles related to the subject. The PEO question was used: Is there an association between risk factors and the development of nosocomial pneumonia in adult patients? The search sources were PubMed and Scielo. The key words were: "nosocomial pneumonia", "hospital - acquired pneumonia" in combination with "risk factors"; "Nosocomial pneumonia", "intrahospital pneumonia" together with "risk factors". Articles published from January 1, 2014 to December 10, 2018 were selected.</p> <p><strong>Results:</strong> Of the 101 articles found, 77 were discarded because they did not comply with our inclusion and exclusion criteria, leaving 24 articles for this review. The significant risk factors for NN were: Age (OR = 1.742, p = 0.000), consciousness disorder (HR: 2.0, P &lt;0.005), CKD (OR: 2.194, P &lt;0.002), COPD (OR: 3.52; p = 0.001), emergency tracheal intubation (OR 1.511, P &lt;0.024) and mechanical ventilation (HR: 8.2, P &lt;0.005), etc.</p> <p><strong>Conclusion:</strong> Various intrinsic and extrinsic risk factors are associated with the acquisition of nosocomial pneumonia in adult patients: Age, consciousness disorder, CKD, COPD, endotracheal intubation, mechanical ventilation and other factors.</p> <p>&nbsp;</p> <p><strong><a href="">DOI 10.25176/RFMH.v19.n1.1796</a></strong></p> Gonzalo Huaman - Junco ##submission.copyrightStatement## Sat, 19 Jan 2019 14:46:22 +0000 THE HOSPITAL TRIAGE IN EMERGENCY SERVICES <p>Hospital Triage is a fundamental part of emergency clinical management when the demand exceeds the availability of human and technical resources. The Emergency Triage is a system that offers a method to assign clinical priority in emergency situations. It is not designed to judge whether patients are properly diagnosed in the emergency setting, but to ensure that those who need urgent care receive it properly and in a timely manner.<br>Through the implementation of triage in emergencies, there has been an improvement in the quality of care, since it is attended in an appropriate manner and in the time necessary to those pathological situations that require rapid assistance.<br>Triage in emergency services has been evaluated in many research projects where they conclude that it is necessary to create, develop and change it according to the demands of better care and increased demand in emergency. This last aspect has been the most important determinant worldwide in the development and creation of different triage scales to deal with emergencies adequately and in the necessary time. In Peru in general and in Lima in particular, there is no systematic development of concepts and uniform implementation of triage in hospital emergency services. It is necessary to know the concepts surrounding the triage of hospital emergency services and in accordance with this, establish the regulations, by the governing bodies in health, necessary to improve initial care and emergency quality.</p> <p>&nbsp;</p> <p><strong><a href="">DOI 10.25176/RFMH.v19.n1.1797</a></strong></p> Rolando Vásquez-Alva, Consuelo Luna-Muñoz, Cleto M. Ramos-Garay ##submission.copyrightStatement## Sat, 19 Jan 2019 14:46:45 +0000 ALCOHOL CONSUMPTION AS A FACTOR ASSOCIATED WITH DEPRESSION IN STUDENTS OF HUMAN MEDICINE OF THE RICARDO PALMA UNIVERSITY OF THE YEAR 2018 <p><strong>Objetivo:</strong> Determinar si el consumo de alcohol es un factor asociado a la depresión en estudiantes de medicina varones de la Universidad Privada Ricardo Palma del Ciclo II (agosto-diciembre) del año 2018.</p> <p><strong>Métodos</strong>: Estudio de tipo no experimental, analítico, transversal, descriptivo, correlacional en la Facultad de Medicina Humana de la Universidad Ricardo Palma, durante el año académico 2018. Una encuesta y un Test validado realizaron a 200 estudiantes varones luego de su consentimiento informado: El Test validado de auto-evaluación de rasgos depresivos de Zung. que consta de 20 preguntas que nos ayudan a determinar el estado depresivo según los criterios diagnósticos CIE-10 y DSM IV.</p> <p><strong> Resultados:</strong> Se encuestaron a 200 estudiantes varones. El 67.5% de los estudiantes tienen entre 18 a 22 años. El 70% de los estudiantes rara vez consume alcohol, y el 9% de los estudiantes consume alcohol 2 a 6 veces por semana, el 48.5% de los estudiantes presenta depresión leve y el 3% de los estudiantes presenta depresión grave , en el grupo de estudiantes que tienen depresión grave el 50% consume alcohol 2 veces a la semana, en la prueba de Chi Cuadrado el valor p (p= 0.000), que permiten establecer que existe relación significativa entre el consumo de alcohol y la depresión en los estudiantes varones, Finalmente se encontró que el Odd Ratio (OR=9.4) para el Consumo de Alcohol establece que los estudiantes varones que consumen más de 1 vez por semana alcohol tienen 9.444 mayor riesgo de presentar Depresión que los estudiantes varones que consumen alcohol 1 vez a la semana o menos.</p> <p><strong>Conclusión:</strong> El consumo de alcohol es un factor de riesgo asociado a la depresión en los estudiantes varones de la Facultad de Medicina de la Universidad Ricardo Palma.</p> <p>&nbsp;</p> <p><a href="" target="_blank" rel="noopener"><strong>DOI 10.25176/RFMH.v19.n1.1801</strong></a></p> Pedro Estrada -Durand, Cecilia Salinas -Salas ##submission.copyrightStatement## Fri, 25 Jan 2019 03:54:02 +0000 CEREBRAL METASTASES IN LUNG CANCER OF NON-SMALL CELLS WITH EGFR MUTATION <p>Lung cancer is one of the tumors that have the ability to metastasize in the brain and have the ability to penetrate the blood-brain barrier, the clinic is varied depending on the affected site, as well as the associated risks of convulsion. Therefore, the choice of treatment is complex, considering the primary, the number of metastases and the affected sites. Radiation therapy has long been the choice of patients who are not candidates for surgery, the presence of mutations have allowed to provide targeted therapies such as tyrosine kinase inhibitors that penetrate the blood-brain barrier and have been key to therapeutic management.</p> <p>&nbsp;</p> <p><a href="" target="_blank" rel="noopener"><strong>DOI 10.25176/RFMH.v19.n1.1798</strong></a></p> Robert Malpartida-Palomino, Rómulo Cárdenas-Agramonte ##submission.copyrightStatement## Sat, 19 Jan 2019 14:47:17 +0000 TONGUE CONDYLOMA: PRESENTATION OF A CASE REPORT AND LITERATURE REVIEW <p>Condyloma acuminatum is a sexually transmitted disease caused by the papilloma virus<br>(HPV) It is frequently found in the ano-genital region and is uncommon in the oral cavity.<br>However, the increase in oral sexual activity has further favored the appearance of HPV in the<br>oral mucosa. This report describes a condyloma in the oral cavity (tongue) of a 43-year-old man with<br>history of oral sexual practice, whose diagnosis was confirmed by a biopsy.</p> <p>&nbsp;</p> <p><a href="" target="_blank" rel="noopener"><strong>DOI 10.25176/RFMH.v19.n1.1799</strong></a></p> Rubén Rozas-Llerena, Raúl Sebastian-Ayala ##submission.copyrightStatement## Sat, 19 Jan 2019 14:47:41 +0000 THE REVOLUTION OF ROBOTIC SURGERY IN LATIN AMERICA AND THE FUTURE IMPLEMENTATION IN THE HEALTHCARE SYSTEM OF PERU <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox">Surgery has marked a milestone in history, from its origins and for many centuries, this specialty a close relationship with the healing of wounded in combat case presented during the beginning of Open Surgery, with the so-called Trepanaciones Craniaas that were made in the 700 a.C. - 200 AD for the Paracas Culture in Peru; with the During the time the techniques that were complemented with the use were perfected of new instruments and the development of technology leading to a revolution in the various Surgical specialties</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox">&nbsp;</p> <p class="_3vFF3xH4Yd" dir="ltr" data-test="textbox"><a href="" target="_blank" rel="noopener"><strong>DOI 10.25176/RFMH.v19.n1.1800</strong></a></p> Jorge A. Cornejo-Aguilar, José Cornejo, Mariela Vargas, Raul Sebastian ##submission.copyrightStatement## Sat, 19 Jan 2019 14:48:06 +0000