[Characteristics of mistreatment in medical students of a public university in Peru]. / Características del maltrato hacia estudiantes de medicina de una universidad pública del Perú.

OBJECTIVES: To determine the characteristics of mistreatment among medical students at a public university in the province Ica, Peru. MATERIALS AND METHODS: This cross-sectional study was performed in 2012, and used a probability sample of medical students (freshman to sixth year) at the Universidad Nacional San Luis Gonzaga. A 23-item survey with a Likert scale was used to measure the students' perceptions of psychological, physical, academic and sexual mistreatment. Univariate and bivariate statistical analysis were performed. RESULTS: A total of 281 students were surveyed. The perception of psychological mistreatment was 96.8%; academic, 86.8%; physical, 62.6% and sexual, 20.6%. Physical abuse increased during the clinical-surgical study cicle (p = 0.001). Medical doctors and residents were the main aggressors. Male students reported of receiving assignments as a punishment, not receiving credits for their work, physical mistreatment, verbal threats, insults, or being teased because of their etnic background. Female students were more likely to have experienced sexual abuse. Report of sexual abuse frequently ocurred at the university (45.3%, p=0.002) and hospital (45.0%, p=0.046). Women frequently reported not knowing to whom or where to denounce the abuse (54.6%, p=0.042) and not reporting it because it stopped (56.9%, p=0.048). CONCLUSIONS: There is a high prevalence of abuse among students in which their characteristics as sex, level of study and aggressor allow to identify the types of abuse that they receive.

Características del maltrato hacia estudiantes de medicina de una universidad pública del Perú / Characteristics of mistreatment in medical students of a public university in Peru

Determinar las características del maltrato hacia estudiantes de Medicina de una universidad pública en la provincia de Ica, Perú. Materiales y métodos. Investigación transversal realizada el 2012 en una muestra probabilística de estudiantes de Medicina de primer a sexto año de la Universidad Nacional San Luis Gonzaga. Se elaboró una encuesta con un total de 23 ítems en una escala likert, para medir la percepción de maltrato de tipo psicológico, físico, académico y sexual; se usaron análisis estadísticos univariados y bivariados. Resultados. Se encuestaron 281 estudiantes. La percepción de maltrato psicológico fue 96,8%, académico 86,8%, físico 62,6% y sexual 20,6%; el maltrato físico se incrementó durante el ciclo de estudio clínico-quirúrgico (p=0,001). Los médicos docentes y médicos residentes fueron los principales agresores. Estudiantes hombres reportaron con mayor frecuencia haber recibido tareas como castigo, no recibir los créditos por su trabajo, maltrato físico, amenazas verbales, insultos o recibir burlas con respecto a su etnia; mientras que el maltrato sexual fue mayor en mujeres. El reporte de maltrato sexual fue más frecuente en la universidad (45,3%, p=0,002) y el hospital (45,0%, p=0,046). Las mujeres reportaron con mayor frecuencia no saber a quién o dónde acudir para denunciar el maltrato (54,6%, p=0,042) y no denunciarlo porque se detuvo el maltrato (56,9%, p=0,048). Conclusiones. Existe una alta prevalencia de maltrato, donde las características de los estudiantes según el sexo, los ciclos de estudio y el agresor permiten identificar los tipos de maltrato que reciben los estudiantes de medicina...

To determine the characteristics of mistreatment among medical students at a public university in the province Ica, Peru. Materials and methods. This cross-sectional study was performed in 2012, and used a probability sample of medical students (freshman to sixth year) at the Universidad Nacional San Luis Gonzaga. A 23-item survey with a Likert scale was used to measure the students' perceptions of psychological, physical, academic and sexual mistreatment. Univariate and bivariate statistical analysis were performed. Results. A total of 281 students were surveyed. The perception of psychological mistreatment was 96.8%; academic, 86.8%; physical, 62.6% and sexual, 20.6%. Physical abuse increased during the clinical-surgical study cicle (p = 0.001). Medical doctors and residents were the main aggressors. Male students reported of receiving assignments as a punishment, not receiving credits for their work, physical mistreatment, verbal threats, insults, or being teased because of their etnic background. Female students were more likely to have experienced sexual abuse. Report of sexual abuse frequently ocurred at the university (45.3%, p=0.002) and hospital (45.0%, p=0.046). Women frequently reported not knowing to whom or where to denounce the abuse (54.6%, p=0.042) and not reporting it because it stopped (56.9%, p=0.048). Conclusions. There is a high prevalence of abuse among students in which their characteristics as sex, level of study and aggressor allow to identify the types of abuse that they receive...

Morbimortalidad por cáncer de recto operado con técnica de miles en el Hospital EsSalud de Ica, Perú 1993-2003 / Morbimortality from rectal cancer surgery with thousands technique at the Hospital EsSalud de Ica, Peru 1993-2003

El cáncer de colon y recto, es una enfermedad frecuente, cuyo tratamiento indicado es la cirugía con carácter de curativa. La operación aceptada a nivel mundial es la resección abdominalûperineal (Miles). Se han operado 29 pacientes, 15 hombres y 14 mujeres, con edades entre 43 y 84 años. No hemos tenido ninguna muerte post operatoria y la tasa de complicaciones es de 20,6% (6/29) infecciones de la herida operatoria, la estancia hospitalaria fue de 9 a 11 días, el tiempo operatorio promedio de 3 a 4 horas, 24 pacientes sobreviven más de 5 años (82,7%) el tipo histológico más frecuente fue adenocarcinoma concordante con otros estudios publicados.

The colon and rectum cancer is a common disease, this treatment is indicated through the surgery with curative character. The surgery accepted globally is the perineal - abdominal (Miles). 29 patients have been operated, 15 men and 14 women, their ages ranged between 43 and 84. There were not any death after surgery but the rate of complications was 20.6% (6/29) infections in surgical wounds. The stay in hospital was 9 to 11 days. The average time of these operations was 3 to 4 hours, 24 patients survived more than 5 years (82.7%). The most frequent histological type was adenocarcinoma which is concordant with another published studies.