Abstract The familial chylomicronemia syndrome (FCS) is characterized by very high levels of circulating triglycerides. FCS is caused by lipoprotein lipase (LPL) deficiency resulting from homozygous or biallelic loss-of-function variants in the LPL or other related genes. Here, we report a case of severe hypertriglyceridemia refractory to conventional therapy in a male patient diagnosed at 33 years of age. LPL activity was below 20%. During the clinical course, the patient developed severe acute pancreatitis in addition to other complications. Two heterozygous variants (c.984G>A and c.1139+6T>C) which had not been previously reported in the major databases were identified in the LPL gene. Treatment with volanesorsen was proposed based on its approved indication as an adjunct to diet in adult patients with confirmed FCS and at high risk for pancreatitis. Volanesorsen was effective and well-tolerated, and the patient did not experience abdominal pain or any other manifestations. The assessment of genetic characterization is essential to guide treatment decisions during follow-up, in addition to the patient’s history, their comorbidities and clinical stigmas.

Abstract On October 5, 2019, an individual from Catharus fuscescens was captured, as part of the monthly sampling of the project Monitoring of birdlife populations in the department of Loreto - Peru conducted by the Loreto Bird Observatory - LBO in the San Rafael community, Indiana district, department of Loreto. This capture represents the first documentation of C. fuscescens for the department of Loreto, confirming the suggested condition of a rare migrant in the northeastern end of Peru as it moves south as its migration season to South America.

Resumen El 5 de octubre del 2019 se capturó un individuo de Catharus fuscescens, como parte de los muestreos mensuales del proyecto Monitoreo de las poblaciones de avifauna en el departamento de Loreto - Perú realizado por el Observatorio de Aves Loreto - LBO en la comunidad de San Rafael, distrito de Indiana, departamento de Loreto. Esta captura representa el primer registro documentado de C. fuscescens para el departamento de Loreto, confirmando la condición sugerida de migrante raro en el extremo noreste del Perú en su paso hacia el sur durante su migración hacia Sudamérica.

Introduction. Identity in students configures their self-recognition with the profession and involves the personal, family, cognitive, institutional and sociocultural. Objective. Know the components of the construction of the professional identity and the main phenomena that interact in said construction, in students of human medicine of the National University of San Marcos. Methods. A quantitative and qualitative study was carried out. 136 students from the sixth year of study participated in the study and were given a professional identity questionnaire. Sixteen students underwent an open interview. The processing of the data was done with the JMP V7 Software. Results. Of the 136 students evaluated, 63.2% had a favorable opinion regarding professional identity; 34.6%, intermediate; and 2.2%, unfavorable. From the qualitative analysis it was found that the early identification with the profession, the support provided by the family, as well as the affective, social and economic support, were present components in the students interviewed. Conclusions. The professional identity in sixth-year students of human medicine was mostly favorable. The construction of the professional identity had as components to the early identification with the profession, the family, and the affective, social and economic support.

Introducción. La identidad en los estudiantes configura su autorreconocimiento con la profesión e involucra lo personal, familiar, cognitivo, institucional y sociocultural. Objetivo. Conocer los componentes de la construcción de la identidad profesional y los principales fenómenos que interactúan en dicha construcción, en estudiantes de medicina humana de la Universidad Nacional Mayor de San Marcos. Métodos. Se realizó un estudio cuantitativo y cualitativo. Participaron del estudio 136 estudiantes del sexto año de estudios a quienes se les aplicó un cuestionario de identidad profesional. A 16 estudiantes se realizó entrevista abierta. El procesamiento de los datos se realizó con el software JMP V7. Resultados. De los 136 estudiantes evaluados, 63,2% tuvieron opinión favorable respecto a la identidad profesional; 34,6%, intermedia; y 2,2%, desfavorable. Del análisis cualitativo se encontró que la identificación temprana con la profesión, el apoyo brindado por la familia, así como el soporte afectivo, social y económico, fueron componentes presentes en los estudiantes entrevistados. Conclusiones. La identidad profesional en estudiantes de sexto año de medicina humana fue mayoritariamente favorable. La construcción de la identidad profesional tuvo como componentes a la identificación temprana con la profesión, la familia, y el soporte afectivo, social y económico.

During the Viceroyalty of Peru, hospitals and universities were developed by Christian charity. Rote learning process, ecclesiastical hegemony, and poor organization frustrated innovative ideas about sciences by absence of a civilian elite capable of formulating higher education policies. The arrival of the Royal Philanthropic Expedition of the Vaccine, in 1806, spread the knowledge and the basis of sanitary organization. The Departmental Vaccination Boards were established, whose management occurred within contradictions in the first public policies of sanitary control. This situation remained until the Anatomical Amphitheater was founded.

En el Virreinato del Perú, los hospitales y universidades se desarrollaron por caridad cristiana. La enseñanza memorística, la hegemonía eclesiástica y la escasa organización frustraron las ideas innovadoras sobre las ciencias por la ausencia de una élite civil capaz de formular las políticas de una educación superior. La llegada de la Real Expedición Filantrópica de la Vacuna, en 1806, difundió conocimientos y las primeras formas de organización sanitaria. Se instauraron las Juntas Departamentales de Vacunación, cuya conducción ocurrió en contradicciones en las primeras políticas públicas de control sanitario. Esta situación se mantuvo hasta la fundación del Anfiteatro Anatómico.

Proteins and peptides present in fresh whey and after fermentation to be transformed in a fluid base appropriate to prepare functional beverages were studied. With the SDS-PAGE technique (sodium dodecyl sulfate polyacrylamide gel electrophoresis) it was observed total digestion of high molecular weight proteins such as lactoferrin and serum albumin. Immunoglobulin heavy chains suffered a partial digestion and the light chains were not affected. The major proteins β-lactoglobulin and α-lactalbumin did not experience any change. The peptide analysis of the cool whey and base fluid showed a profound change in the post-fermentation profile, with a distribution of 1.000 to 6.000 Dalton. The range of pre-fermentation peptides was 1.500 to 18.000 Dalton. The fermentation process caused a decrease in pH to 3.5 and increased the thermal stability of proteins. The results suggest that whey transformed by this method is a suitable fluid base for designing functional beverages.

Se estudiaron proteínas y péptidos presentes en el lactosuero fresco y luego de su procesamiento para transformarlo en una base fluida apta para preparar bebidas funcionales. Con la técnica SDS-PAGE (electroforesis en gel de poliacrilamida con dodecilsulfato sódico) se halló una digestión total de proteínas de alto peso molecular como lactoferrina y seroalbúmina. Las cadenas pesadas de inmunoglobulinas sufrieron una digestión parcial y las cadenas livianas no fueron afectadas. Las proteínas mayoritarias β-lactoglobulina y α-lactoalbúmina tampoco sufrieron modificaciones. El análisis peptídico del lactosuero fresco y la base fluida mostró un profundo cambio del perfil post fermentación, con una distribución de 1.000 a 6.000 Dalton. El rango de péptidos pre-fermentación fue de 1.500 a 18.000 Dalton. El proceso de fermentación provocó un descenso de pH a 3.5 y aumento la estabilidad térmica de las proteínas. Los resultados permiten concluir que el lactosuero transformado por este método es una base fluida apta para diseñar bebidas funcionales.