Biliary peritonitis due to a ruptured amebic liver abscess mimicking a periampullary tumor and liver metastases with the elevation of CA 19-9 and CA 125: a case report

Introduction: An amebic liver abscess is the most common presentation of extraintestinal amebiasis. This condition is the result of a parasite infection caused by Entamoeba histolytica. Materials and Methods: We report a case of a 53-year-old male who presented with abdominal pain in the right upper quadrant, jaundice, and a 10-kg weight loss within a 1-month span. Results and Conclusion: A wide range of symptoms and findings in the imaging tests suggestive of neoplasia, elevated levels of CA 19-9 and CA 125, and the presentation of biliary peritonitis as a complication makes this case a challenge for its approach and management.Revisión por pare

Четыре радиоиндуцированные злокачественные опухоли, ишемическая болезнь сердца, атеросклероз и констриктивный перикардит у больной с лимфомой Ходжкина, получавшей лучевую терапию: клинический случай

Introduction. Radiation therapy (RT) has been widely used since the 1970s in the treatment of Hodgkin’s lymphoma. RT increases the risk of secondary malignancies and heart disease including coronary artery disease, noncoronary atherosclerotic valvular disease, valvular dysfunction, pericardial disease and radiation induced vasculopathy.Case Presentation. We describe a case of a patient with 4 secondary malignancies due to previous RT including parotid mucoepidermoid carcinoma, breast multicentric infiltrating ducta, thyroid papillary microcarcinoma with follicular pattern and lung adenocarcinoma that later presented with severe constrictive pericarditis, which led to an emergency pericardiectomy – all of these were complications of her previous radiotherapy. She received a prompt diagnosis and treatment.\Discussion. Radiation-induced vascular disease (RIVD) occurs due to endothelial injury following RT; patients have up to 3–4 fold increase in risk of myocardial infarction due to CAD, therefore screening of CAD with a CT coronary angiography is recommended to begin 5 years after receiving RT in patients 45 and older and 10 years after RT in patients <45 years old. Radiation induced secondary malignancies (RISM) are seen in 17–19 % of cases and the risk increases by time since last RT session. Many factors contribute to the risk severity of developing RISM such as age of radiation, dosage and size of the area irradiated, and radiation technique. Lung and breast cancer are the most common forms of second malignancy. A prompt screening, diagnosis and treatment of the RT complications are vital and should be prioritized in every control.Актуальность. Лучевая терапия (ЛТ) для лечения лимфомы Ходжкина широко используется с 1970-х гг. ЛТ увеличивает риск развития злокачественных новообразований и заболеваний сердца, включая ишемическую болезнь сердца, некоронарное атеросклеротическое поражение клапанов, дисфункцию клапанов, заболевание перикарда и васкулопатию, индуцированную лучевой терапией.Описание клинического случая. Представлен клинический случай пациентки с 4 злокачественными новообразованиями, возникшими вследствие ЛТ: мукоэпидермоидная карцинома околоушной слюнной железы, мультицентрический инфильтрирующий протоковый рак молочной железы, папиллярная микрокарцинома щитовидной железы с фолликулярным вариантом и аденокарцинома легкого, с разитием последующего тяжелого констриктивного перикардита, что привело к экстренной перикардэктомии. Все эти осложнения были результатом предыдущей лучевой терапии по поводу лимфомы Ходжкина. Пациентка получила своевременную диагностику и лечение.Обсуждение. Радиоиндуцированные сердечно-сосудистые заболевания возникают из-за повреждения эндотелия после лучевой терапии. У пациентов с ИБС риск развития инфаркта миокарда повышается в 3–4 раза, поэтому скрининг ИБС с помощью КТ-коронарографии рекомендуется начинать через 5 лет после ЛТ у пациентов в возрасте 45 лет и старше и через 10 лет после ЛТ у пациентов в возрасте <45 лет. Развитие радиоиндуцированных злокачественных новообразований наблюдается в 17–19 % случаев; риск их развития растет с увеличением времени, прошедшего после завершения лучевой терапии. Многие факторы влияют на риск возникновения злокачественных опухолей: возраст, доза, размер полей и метод облучения. Рак легкого и рак молочной железы являются наиболее частыми локализациями радиоиндуцированных новообразований. Своевременная диагностика и лечение осложнений ЛТ должны быть приоритетом при контрольном обследовании

Association between social media use (Twitter, Instagram, Facebook) and depressive symptoms: Are Twitter users at higher risk?

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.Background: The purpose of this study was to determine the association between social media dependence and depressive symptoms and also, to characterize the level of dependence. It was a transversal, analytical research. Subjects and Methods: The stratified sample was 212 students from a private university that used Facebook, Instagram and/or Twitter. To measure depressive symptoms, Beck Depression Inventory was used, and to measure the dependence to social media, the Social Media Addiction Test was used, adapted from the Internet Addiction Test of Echeburúa. The collected data were subjected for analysis by descriptive statistics where STATA12 was used. Results: The results show that there is an association between social media dependence and depressive symptoms (PR [Prevalence Ratio] = 2.87, CI [Confidence Interval] 2.03–4.07). It was also shown that preferring the use of Twitter (PR = 1.84, CI 1.21–2.82) over Instagram (PR = 1.61, CI 1.13–2.28) is associated with depressive symptoms when compared to the use of Facebook. Conclusion: Excessive social media use is associated with depressive symptoms in university students, being more prominent in those who prefer the use of Twitter over Facebook and Instagram.Revisión por pare

Tuberculosis Treatment and Prevention Center

Un Centro de Tratamiento y Prevención de Tuberculosis es aquel equipamiento arquitectónico que promueve cura y tratamiento de la enfermedad si como la capacitación para la población para evitar la propagación de la tuberculosis en Lima. Mediante el presente proyecto de tesis se presenta la propuesta del primer Centro especializado en el Tratamiento y Prevención de Tuberculosis, proyecto que nace de un previo análisis de la problemática y la fijación de objetivos, y del estudio del lugar donde este se emplazará, para lo que se buscaron referentes existentes a nivel mundial y nacional. Posteriormente, se procederá con el análisis técnico del lote, y con la programación arquitectónica del proyecto.A Tuberculosis Treatment and Prevention Center is that architectural equipment that promotes cure and treatment of the disease and training for the population to prevent the spread of tuberculosis in Lima. Through this thesis project is presented the proposal of the first Center specialized in the Treatment and Prevention of Tuberculosis, a project that is born from a previous analysis of the problem and the setting of objectives, and the study of the place where it will be located, for that existing references were sought at a global and national level. Subsequently, we will proceed with the technical analysis of the lot, and with the architectural programming of the projectTesi

A comment on “Body image and paranoia”

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.Cartas al EditorRevisión por pare

Biliary Peritonitis due to a Ruptured Amebic Liver Abscess Mimicking a Periampullary Tumor and Liver Metastases with the Elevation of CA 19-9 and CA 125: A Case Report

Introduction: An amebic liver abscess is the most common presentation of extraintestinal amebiasis. This condition is the result of a parasite infection caused by Entamoeba histolytica. Materials and Methods: We report a case of a 53-year-old male who presented with abdominal pain in the right upper quadrant, jaundice, and a 10-kg weight loss within a 1-month span. Results and Conclusion: A wide range of symptoms and findings in the imaging tests suggestive of neoplasia, elevated levels of CA 19-9 and CA 125, and the presentation of biliary peritonitis as a complication makes this case a challenge for its approach and management