Percepción de riesgos y consumo de drogas en estudiantes universitarios de enfermería, Arequipa, Perú / Perception of risks and drug use in university nursing students, Arequipa, Peru / Percepção de riscos e uso de drogas em estudantes de enfermagem universitária, Arequipa, Peru

Resumen El objetivo del presente estudio fue tener una primera aproximación sobre la prevalencia de vida, información, percepciones, y comportamientos de riesgo respecto del consumo de drogas lícitas, ilícitas y médicas, según sexo, en estudiantes de enfermería. Se realizó un estudio cuantitativo, descriptivo exploratorio y corte transversal, tipo censo. Se aplicó un cuestionario estandarizado de 241 ítems y previamente aplicado a 86 estudiantes del tercer año de enfermería de una universidad particular de Arequipa Metropolitana. Se encontró altas prevalencias de vida para el consumo de sustancias lícitas, 84,4% en bebidas alcohólicas y 62,8% en tabaco, y para cualquier droga ilícita 31,4%, entre las que destacan la marihuana (17,1%) y cocaína (4,6%), con diferencias de consumo a favor de los hombres, mientras que en las drogas médicas la sustancia más usada corresponde a tranquilizantes (19,8%), con diferencias de consumo a favor de las mujeres. Asimismo, en la universidad más del 93% de los estudiantes recibió información para prevenir el uso de drogas, y el 34,8% declaró haber tenido relaciones sexuales entre una y varias veces bajo los efectos del alcohol y drogas ilícitas. Se concluye que, los resultados evidencian la magnitud de la problemática social del consumo de drogas lícitas, ilícitas y médicas, entre los estudiantes universitarios; además, hay necesidad de desarrollar en la carrera de enfermería estrategias de promoción de la salud y prevención del consumo de sustancias psicoactivas para reducir y evitar que las prevalencias del consumo se incrementen entre los futuros profesionales promotores de estilos de vida saludables, para garantizar una mejor calidad de vida en la población.

Resumo O objetivo do presente estudo foi ter uma primeira aproximação sobre a prevalência de vida, informação, percepções e comportamentos de risco em relação ao consumo de drogas lícitas, ilícitas e médicas, segundo o sexo, em estudantes de enfermagem. Foi realizado um estudo quantitativo, descritivo exploratório e de corte transversal, tipo censo. Um questionário padronizado de 241 itens foi aplicado previamente a 86 estudantes do terceiro ano de enfermagem de uma universidade privada de Arequipa Metropolitana. Elevada prevalência de vida para o consumo de substâncias lícitas em bebidas alcoólicas 84,4% e 62,8% foi encontrada em rapé, e qualquer droga 31,4%, entre os quais marijuana (17,1%) e cocaína (4,6%), com diferenças de consumo em favor dos homens, enquanto em medicamentos mais vulgarmente utilizados substância corresponde a tranquilizantes (19,8%), com diferenças de consumo em favor das mulheres. Além disso, na faculdade mais de 93% dos alunos receberam informações para prevenir o uso de drogas e 34,8% relataram ter tido relações sexuais uma a várias vezes sob a influência de álcool e drogas ilícitas. Conclui-se que os resultados mostram a magnitude da problemática social do consumo de drogas lícitas, ilícitas e médicas entre os universitários; Além disso, há necessidade de desenvolver estratégias de promoção da saúde e prevenção do uso de substâncias psicoativas na carreira de enfermagem para reduzir e prevenir que a prevalência do consumo aumente nos futuros profissionais promovendo estilos de vida saudáveis, a fim de garantir uma melhor qualidade de vida na população.

Abstract The objective of the present study was to have a first approximation about the prevalence of life, information, perceptions, and risk behaviors regarding the consumption of licit, illicit and medical drugs, according to sex, in nursing students. A quantitative, exploratory descriptive and cross-sectional, census-type study was performed. A standardized questionnaire of 241 items was applied and previously applied to 86 students of the third year of nursing at a private university in Arequipa Metropolitana. There were high prevalence of life for the consumption of licit substances, 84.4% for alcoholic beverages and 62.8% for tobacco, and for any illegal drug (31.4%), among which marijuana (17.1%), and cocaine (4.6%), with differences in consumption in favor of men, whereas in medical drugs the most commonly used substance is tranquilizers (19.8%), with differences in consumption favoring women. At the university, more than 93% of students received information to prevent drug use, and 34.8% reported having had sexual intercourse between one and several times under the influence of alcohol and illicit drugs. It is concluded that the results show the magnitude of the social problems of the consumption of licit, illicit and medical drugs among university students; In addition, there is a need to develop strategies for the promotion of health and prevention of psychoactive substances in the nursing career to reduce and prevent the prevalence of consumption among future professionals promoting healthy lifestyles, to ensure a better quality of life in the population.

Fibromatosis mamaria simulando un carcinoma / Breast fibromatosis mimicking a carcinoma

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Vulvar sarcoidosis: case report and review of the literature.

BACKGROUND: Sarcoidosis is a multisystemic disorder of unknown etiology that can affect multiple organs, including the lungs, skin, and eyes. Vulvar sarcoidosis has anecdotally been reported. OBJECTIVE: The aim of this article is to describe a case of vulvar sarcoidosis and review the few cases that have been reported. METHODS: We report the case of a 39-year-old woman who presented to the dermatologist with a 2-year history of vulvar pruritus. RESULTS: Examination revealed infiltrated plaques on the vulva and perianal region. The biopsy demonstrated well-defined, non-necrotizing granulomas in the dermis. Further investigation revealed hilar adenopathy consistent with sarcoidosis. The patient responded well to topical corticosteroids. CONCLUSION: In the presence of granulomatous lesions of the genital region, infectious causes, foreign body reaction, Crohn disease, and sarcoidosis should be part of the differential diagnosis.

Connective tissue nevi in children: institutional experience and review.

BACKGROUND: Connective tissue nevi (CTN) are circumscribed hamartomas of the skin in which there is an abnormal mixture of normal components of the dermis that may be sporadic or associated with syndromes such as Buschke-Ollendorff, tuberous sclerosis, and Proteus. OBJECTIVE: We sought to specify the clinical and histologic features of CTN in childhood and to propose a diagnostic approach and updated classification. METHODS: This was a retrospective study in a tertiary pediatric outpatient population, accessing clinical and histopathological records. RESULTS: We classified 114 cases of CTN from 1980 to 2008. LIMITATIONS: The majority of cases were confirmed by histopathological examination. Therefore, our series excludes many CTN that were not biopsied. In addition, follow-up was variable. CONCLUSION: Our series demonstrates the usefulness of a modified classification for CTN. Biopsy should be done when clinical diagnosis is uncertain, or in multiple lesions. When biopsy is performed it should include normal-appearing skin for comparison and, in Buschke-Ollendorff syndrome, limited anterior-posterior x-rays of the hands, wrists, feet, ankles, knees, and pelvis instead of a full skeletal survey.