BACKGROUND: Stress and unhealthy lifestyle are serious problems in public health and education, particularly due to their significant relevance in the context of the COVID-19 pandemic. OBJECTIVES: To determine the correlation between stress and lifestyle in teachers at some schools in Lima, Peru, during telework in 2020. METHODS: This observational, quantitative, analytical, cross-sectional study was conducted in 217 school teachers from Lima. Lifestyle was measured using the FANTASTIC questionnaire; stress was measured using the Teaching Stress Scale (ED-6), comprised of the anxiety, depression, maladaptive beliefs, work pressure and poor coping dimensions. The Spearman correlation between numerical variables, and the difference of the FANTASTIC score according to the categorical variables, were analyzed with the Mann–Whitney U test or Kruskal–Wallis test, as necessary. Multivariable analysis was done with a multiple linear regression model to find raw and adjusted β (βa). RESULTS: The median of the ED-6 scale was 81 (RI: 64–105). Sixty-four percent of the teachers had a good-excellent lifestyle; 27.2%, regular; and 8.49%, bad-dangerous. The FANTASTIC score had an inverse correlation with ED-6 (β a: –0.16, 95% ; CI: –0.20 to –0.12) adjusted for age and cohabitation with children. Likewise, teachers between 40 and 49 years old (β a: 2.89, 95% ; CI: 0.17 to 5.62) had a better lifestyle; and teachers who lived with children (βa: –5.48, 95% ; CI: –7.89 to –3.06), a worse lifestyle. CONCLUSIONS: As stress increased, the lifestyle quality worsened in teachers at some schools in Lima, Peru, during telework in 2020.

PURPOSE OF STUDY The primary objective of this study will be to determine the association between NLR and OS in patients with breast cancer in the gynecology department of Hospital Nacional Hipólito Unanue (HNHU), Lima, Peru between 2012 and 2014.

Background: Breast cancer is a disease of high mortality globally. Inflammatory markers have been proposed as prognostic indicators. Therefore, we seek to find an association between the neutrophil-lymphocyte ratio (NLR) and overall survival (OS) of patients with breast cancer in a Latin-American hospital. Methods: An observational, analytical, longitudinal survival study was conducted in 241 female patients with breast cancer, between 2012 and 2014. The dependent variable was OS, the independent variable was the NLR, and the intervening variables were age, clinical stage, and molecular subtype. The Kaplan–Meier method was applied to generate OS functions, and the Cox regression to find crude and adjusted hazard ratio (HR). Results: The mean age was 56.1 years and59.8% of patients had an NLR≥3.According to the Kaplan–Meier estimator, NLR≥3 (p<0.001), age>55 years (p=0.039), and clinical stage (p<0.001), were associated with a lower OS. In the multivariate analysis, the factors significantly associated to a lower OS were NLR≥3 (HRa: 2.00; CI 95%: 1.36–2.95), age>55 years (HRa: 1.64; CI 95%: 1.10–2.44), and clinical stage IV (HRa: 68; CI 95%: 2.28–20.20).   Conclusions: The inflammatory marker NLR≥3 was independently associated with a lower OS. Additionally, advanced stage and older age were associated with a lower OS.

El infarto de médula espinal es una entidad poco común que puede ser causada por procedimientos intervencionistas, como la quimioembolización aplicada a los tumores de mama, a pesar de su alto nivel de seguridad. Se presenta el caso de una mujer de 51 años con dolor torácico y hemorragia por lesión neoplásica friable de mama bilateral sin mejoría tras medidas conservadoras. Después de la embolización de las arterias tumorales, el paciente desarrolló paraparesia crural e hiporreflexia global de las extremidades inferiores. La resonancia magnética mostró hiperseñal en la médula espinal anterior, lo que sugiere isquemia / infarto de la médula espinal en el territorio de la arteria espinal anterior. Si bien la quimioembolización se considera un procedimiento seguro, es necesario reconocer sus riesgos inherentes, como el infarto de médula espinal, para evitar riesgos innecesarios en el paciente. A pesar de ser una complicación extremadamente rara, su incidencia aumenta gradualmente y es necesario estudiar sus causas, puesto que es potencialmente fatal.

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