ABSTRACT
BACKGROUND: Gastric cancer is the second cause of cancer death worldwide and the first cause in Chile. Management of this pathology is controversial. AIM: To report the results on morbidity, mortality, and long-term survival rates of surgical treatment of gastric cancer, and compare them with those reported in the literature. MATERIAL AND METHODS: Follow up of 423 patients (aged 16 to 88 years, 271 males) operated for a gastric adenocarcinoma between 1996 and 2002. Patients were staged with the 5th edition of TNM staging system, and the 2nd edition in English of the Japanese Classification of Gastric Cancer. Morbidity was assessed using the classification of the Memorial Kettering Cancer Center group. Kapplan-Meier method was used to assay survival, and Log rank Test to compare long-term survivals. RESULTS: Resectability of the lesions was 70.4%, and 88% of them corresponded to a curative-intended surgery. Seventy percent of patients were in stage TNM IIIA or higher at the moment of surgery. Mortality in curative intended operated patients was 4.2%, and morbidity was 33.7%. Overall five years survival rate was 33%: In the group with curative intended surgery it was 52%. Two years survival rate in the non intended curative group was 3.4%. CONCLUSIONS: The reported incidence of complications in our series is similar to that reported in the literature. Five year survival rates, morbidity and mortality were comparable to those reported abroad.
Subject(s)
Adenocarcinoma/surgery , Stomach Neoplasms/surgery , Adenocarcinoma/mortality , Adenocarcinoma/pathology , Adolescent , Adult , Aged , Aged, 80 and over , Chile/epidemiology , Disease-Free Survival , Female , Follow-Up Studies , Gastrectomy , Humans , Male , Middle Aged , Neoplasm Staging , Stomach Neoplasms/mortality , Stomach Neoplasms/pathology , Survival Rate , Treatment OutcomeABSTRACT
Los estudiantes de medicina dedican gran parte del tiempo a estudiar las materias necesarias para su preparación profesional. Así, logran un adecuado desarrollo de conocimientos científicos y competencias médicas. Sin embargo, los médicos necesitan desarrollar habilidades humanísticas.Su objetivo es conocer prevalencias de hábitos, conductas e intereses de alumnos de medicina de distintas escuelas del país, públicas y privadas, en áreas culturales, recreativas, deportivas, actividades comunitarias y de ayuda social, religiosas, políticas, y trabajos remunerados. Se realizó una encuesta anónima a 299 alumnos de medicina de 5 Universidades del país de primero, tercero, y séptimo año; elegidos al azar, en aspectos antes mencionados. Los datos se analizaron con el programa EpiInfo 2002. Fuman: 31,1 por ciento. Bebe alcohol: 73,91 por ciento. Leen periódicos: 75,59 por ciento, priorizan noticias nacionalesy culturales. Actividades recreativas no deportivas y deportivas más de una vez al mes: 51,2 por ciento y 51,51 por ciento. Un 27,09 por ciento realiza actividades comunitarias, considerándolas importante un 79,26 por ciento. Un 61,54 por ciento manifiesta interés por política, sólo un 55,85 por ciento está inscrito en el Servicio Electoral. Un 71,57 por ciento adhiere a alguna religión, un 70 por ciento se declara católico. No trabaja un 77,93 por ciento, la mayoría por no tener tiempo. Los que trabajan, 62,5 por ciento lo hacen para tener dinero extra.Casi la mitad de los estudiantes de medicina dedica parte de su tiempo a actividades culturales, y a pesar de que la mayoría considera importante para su formación la práctica de actividades comunitarias, pocos las realizan. En las escuelas de medicina no hay un claro incentivo para el desarrollo de las artes y letras, por lo que creemos debe impulsarse la integración de las humanidades médicas en la malla curricular de la carrera de medicina.
Most of their time, medical students are engaged in studying the courses needed for their professional training. Thus, they develop an adequate scientific knowledge and acquire medical skills. However, physicians also need to develop humanistic abilities. The purpose of the present work is to assess the prevalence of habits, behaviors and interests among medical students from different public and private medical schools across the country, considering the areas of culture, leisure, sports, community and social care, religion, politics and paid jobs. An anonymous survey was carried out among 299 randomly selected medical students from5 Chilean Universities who were in the first, the third and the seventh year of their career. Data analysis was performed with EpiInfo 2002. The results were as follows: 31,11 percent were smokers; 73.91 percent drank alcohol; 75.59 percent read the newspapers, favoring national and culture news; 51.2 percent and 51.51 percent performed non-sport leisureand sport activities more than once a month; 27.09 percent were involved in community aid, and 79.26 percent considered such activities as important; 61.54 percent expressed interest in politics, and only 55.85 percent were listed on the electoral roll; 71.57 percent adhered to any religion, 70 percent declared themselves Catholics; 77.93 percent did not work, most of them due to lack of time; among those who worked, 62.5 percent did it to obtain extra money. Almost half of medical students spend part of their time in cultural activities, and although most of the students consider community care as an important factor for their training, very few put into practice such activities. Medical schools do not encourage clearly enough the development of arts and letters, therefore the integration of medical humanities to the medical curriculum should be encouraged.
