No abstract

No abstract

No abstract

A 51-year-old female was admitted to the hospital due to malnutrition secondary to logical and progressive dysphagia for five months. Upper endoscopy, esophagogram (Fig. 1), computed tomography of thorax, abdomen and pelvis (CT-TAP) (Fig. 2) and positron emission tomography (PET-CT) showed an esophageal stricture at 21 cm of the dental arcade, 8.4 cm long and with no evidence of malignancy in the histological and metabolic study. In addition, diffuse thickening of the proximal jejunal wall was observed, suggestive of Crohn's disease (CD).Conservative treatment was not effective and a transthoracic subtotal esophagectomy was performed. Pathologic analysis of the specimen revealed the presence of erosions and mucosal fissuring ulcers, with fibrosis and obliteration of the submucosal layer, accompanied by transmural inflammatory infiltrate (Fig. 3). All these findings were compatible with esophageal involvement by CD as the first diagnostic option.

En este trabajo hemos estudiado el estrés organizacional de estudiantes de medicina de la Universidad de Murcia. Se trata de un diseño transversal por medio de una encuesta autocumplimentada que consta de datos sociodemográficos y un cuestionario de estrés organizacional. Este cuestionario es una adaptación de otro empleado en Reino Unido para estudiar el estrés organizacional en varias facultades de medicina del país. Obtuvimos una tasa de participación del 25.8 %. En relación con el estrés organizacional, se calculó la media de los distintos apartados: equilibrio vida-trabajo, adquisición de conocimientos y habilidades, cultura, apoyo académico percibido, apoyo personal y sanitario percibido. Al comparar con la puntuación media de las facultades de otros países, se obtuvieron diferencias significativas en los dominios “apoyo académico percibido”, “adquisición de conocimientos y habilidades” y “equilibrio vida-trabajo”. En el resto de dominios del cuestionario de estrés organizacional no hubo diferencias significativas entre la UMU y la media de las facultades de Reino Unido. Las puntuaciones en el cuestionario de estrés organizacional indican alto estrés en varios apartados estudiados. Los estudiantes también señalan otros aspectos que les resultan estresantes y que no están contemplados en los cuestionarios administrados. Pequeñas intervenciones podrían mejorar las puntuaciones obtenidas en algunos apartados. In this work we have studied the organizational stress of medical students at the University of Murcia. It is a cross-sectional design through a self-completed survey that consists of sociodemographic data and an organizational stress questionnaire. This questionnaire is adapted by another employee in the UK to study organizational stress in various medical schools in the country. We obtained a participation rate of 25.8%. In relation to organizational stress, the average of the different sections was calculated: work-life balance, acquisition of knowledge and skills, culture, perceived academic support, perceived personal and health support. When comparing with the average score of the faculties of other countries, significant differences were obtained in the domains “perceived academic support”, “acquisition of knowledge and skills” and “work-life balance”. In the rest of the domains of the organizational stress questionnaire, there were no significant differences between the UMU and the mean of the UK faculties. Scores on the organizational stress questionnaire indicate high stress in several sections studied. The students also point out other aspects that are stressful for them and that are not covered in the administered questionnaires. Small interventions could improve the scores obtained in some sections.