<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492020000300071</article-id>
<article-id pub-id-type="doi">10.18004/anales/2020.053.03.71</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morfina mitos y realidades: Experiencia en dos centros de Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Morphine myths and realities: Experience in two Paraguayan centers]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riveros]]></surname>
<given-names><![CDATA[Miriam Elisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala]]></surname>
<given-names><![CDATA[Silvia Josefina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Catedra de Bioética y Ética Médica]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas Departamento de Oncología]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Encarnación Oncologia clínica y de cuidados paliativos ]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Día Oncologíco Fundación Lazos del Sur Oncologia clínica y de cuidados paliativos]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>53</volume>
<numero>3</numero>
<fpage>71</fpage>
<lpage>80</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492020000300071&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492020000300071&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492020000300071&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La morfina es un alcaloide obtenido del opio. Su conocimiento y aplicaciones son desconocidas en la práctica médica diario. La utilización ineficiente de analgésicos produce que el dolor sea refractario. Entre los médicos existen reticencias al uso de opioides como la morfina por varios mitos que debemos desmentir.  Objetivos:  Evaluar el conocimiento de los médicos de diversas especialidades en el INCAN (Instituto Nacional del Cáncer) y el HRE (Hospital Regional de Encarnación) sobre la morfina, como sus formas de presentación, indicaciones, contraindicaciones y precio en el mercado libre de Paraguay.  Materiales y métodos:  Estudio descriptivo de corte transversal, los datos se recolectaron a través de una encuesta anónima auto administrada. La n fue de 41, entre médicos del INCAN y el HRE. Se utilizó la prueba estadística de Chi2 para el análisis estadístico. SPSS 20 fue utilizado.  Resultados:  El 46,3 % eran médicos del INCAN, el 53,7 % eran médicos del HRE. Edad media fue 30,17 años DE ± 5,56. el análisis estadístico con Chi2 cruzando variables centro y número de respuestas correctas de los integrantes no fue significativa. Los resultados en cuanto a las dosis, indicaciones y efectos secundarios fueron negativas para ambas entidades, reforzando un bajo nivel de conocimiento sobre las generalidades. La gran mayoría de los médicos refiere que su uso produce adicciones y depresión respiratoria.  Conclusión:  Se demuestra que hay desconocimiento sobre el uso de la morfina que imposibilita un tratamiento adecuado del dolor por los mitos y el miedo de los efectos secundarios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Morphine is an alkaloid obtained from opium. Its knowledge and applications are unknown in daily medical practice. The inefficient use of analgesics causes pain to be refractory. Among doctors there are reluctance to use opioids such as morphine for several myths that we must deny.  Objectives:  To evaluate the knowledge of doctors of various specialties at INCAN (National Cancer Institute) and HRE (Regional Hospital of Encarnación) about morphine, as its forms of presentation, indications, contraindications and price in the free market of Paraguay.  Materials and methods:  Descriptive cross-sectional study, data were collected through a self-administered anonymous survey. The number was 41, between INCAN and HRE doctors. The Chi2 statistical test was used for statistical analysis. SPSS 20 was used.  Results:  46.3% were INCAN doctors, 53.7% were HRE doctors. Mean age was 30.17 years SD ± 5.56. The statistical analysis with Chi2 crossing center variables and number of correct answers of the members was not significant. The results regarding doses, indications and side effects were negative for both entities, reinforcing a low level of knowledge about the generalities. The vast majority of doctors report that its use causes addictions and respiratory depression.  Conclusion:  It is shown that there is ignorance about the use of morphine that makes it impossible to properly treat pain due to myths and fear of side effects.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor]]></kwd>
<kwd lng="es"><![CDATA[Morfina]]></kwd>
<kwd lng="es"><![CDATA[Conocimiento.]]></kwd>
<kwd lng="en"><![CDATA[Pain]]></kwd>
<kwd lng="en"><![CDATA[Morphine]]></kwd>
<kwd lng="en"><![CDATA[Knowledge.]]></kwd>
</kwd-group>
</article-meta>
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