Rabdomiosarcoma pleomórfico exofítico del muslo izquierdo: a propósito de un caso.

Introducción: El rabdomiosarcoma es un tumor mesenquimal altamente maligno que se origina a partir de músculo estriado. Los subtipos histológicos de rabdomiosarcoma son: embrionario, alveolar y plemórfico. Reporte: Paciente mujer de 59 años de edad, inicia su enfermedad por una lesión tumoral de 0,5 cm asociada a eritema y prurito en muslo izquierdo. Posteriormente el tumor manifiesta crecimiento rápido de 20 cm en los últimos 6 meses. Discusión: En la biopsia el diagnóstico definitivo fue rabdomiosarcoma pleomórfico exofítico el cual es muy agresiva por lo que requiere diagnóstico y tratamiento oportuno.Introducción: El rabdomiosarcoma es un tumor mesenquimal altamente maligno que se origina a partir de músculo estriado. Los subtipos histológicos de rabdomiosarcoma son: embrionario, alveolar y plemórfico. Reporte: Paciente mujer de 59 años de edad, inicia su enfermedad por una lesión tumoral de 0,5 cm asociada a eritema y prurito en muslo izquierdo. Posteriormente el tumor manifiesta crecimiento rápido de 20 cm en los últimos 6 meses. Discusión: En la biopsia el diagnóstico definitivo fue rabdomiosarcoma pleomórfico exofítico el cual es muy agresiva por lo que requiere diagnóstico y tratamiento oportuno

Religious affiliation and the intention to choose psychiatry as a specialty among physicians in training from 11 Latin American countries

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.The worldwide scarcity of psychiatrists makes the identification of the factors associated with the intention to choose this specialty an important issue. This study aims to evaluate the association between religious affiliation and the intention to choose psychiatry as a specialty among medical students from 11 Latin American countries. We conducted a cross-sectional, multi-country study that included first- and fifth-year students of 63 medical schools in 11 Latin-American countries between 2011 and 2012. The main outcome and measures were the intention to pursue psychiatry as a specialty over other specialties (yes/no) and religious affiliation (without: atheist/agnostic; with: any religion). A total of 8308 participants were included; 53.6% were women, and the average age was 20.4 (SD = 2.9) years. About 36% were fifth-year students, and 11.8% were not affiliated with any religion. Only 2.6% had the intention to choose psychiatry; the highest proportion of students with the intention to choose psychiatry was among students in Chile (8.1%) and the lowest among students in Mexico (1.1%). After adjusting for demographic, family, academic as well as personal and professional projection variable, we found that those who had no religious affiliation were more likely to report the intention to become a psychiatrist [OR: 2.92 (95%CI: 2.14-4.00)]. There is a strong positive association between not having a religious affiliation and the intention to become a psychiatrist. The possible factors that influence this phenomenon must be evaluated in greater depth, ideally through longitudinal research.Revisión por pare