The production of humanized health should consider the individual as a whole, taking into account their particularities and perspectives, in order to promote care with ethical, humanistic and ...clinical quality. The objective of this study is to evaluate, from the perspective of medical students, their perceptions and knowledge regarding humanistic training during medical school. This is a quantitative and qualitative exploratory research in the strict methodological sense of keeping the focus, the object of study, which was made with the students of the Medicine course from the second to the tenth periods of UNIFAMAZ, enrolled in the first semester of 2019. As an instrument of data collection, the structured questionnaire was used, and data obtained transcribed into LibreOffice®, elaborating the corpus for data processing. IRAMUTEQ was used for processing the text corpus. Regarding the absolute frequency of the words within the text corpus, evidence was obtained of the main terms: Patient (frequency of 86), doctor (frequency of 70), care (frequency of 44), empathy (frequency of 48), professional ( frequency of 34), important( frequency of 35), human (frequency of 33), humanized (frequency of 25), relationship (frequency of 17), physical (frequency of 17), health (frequency of 25), treat (frequency of 15), treatment (frequency of 12), In most of the questionnaires these words considered high frequency, were exposed by the students, correlated with the true meaning for him of a good humanized care. In short, the insertion of the teaching of humanized medicine in the undergraduate course exerts on the student and future professional a reflective, motivational and conductive power about the subsequent medical practices.
La ya consagrada clasificación de Angle, agru-pa a las anomalías denominándola con números romanos en Clase I, II y III. De ellas las displasias más difíciles de tratar son las clases III, ya sea ...desde el punto de vista terapéutico como del pronóstico. Generalmente son el resultado de la combinación de varios factores. Estos se agru-pan en alteraciones severas de varias estructu-ras, oseas, dentarias y funcionales, por lo que re-sulta difícil precisar la causa. Sin duda, en un alto porcentaje de casos de clase III, es necesario un tratamiento combinado ortodóntico-quirúrgico. De allí la importancia de su diagnóstico tempra-no y el conocimiento del momento oportuno para su tratamiento1,2.
Antecedentes: En el embarazo se producen variaciones hormonales muy marcadas y estas se asocian con grandes modificaciones del perfil lipídico. Objetivos: Evaluar el perfil lipídico de mujeres ...adultas por trimestre de gestación y comparar el perfil lipídico de un grupo control de mujeres no embarazadas con gestantes del primer trimestre, que consultan al servicio de Maternidad del Hospital Público Provincial "Dr. Ramón Madariaga". Método: Se estudiaron 248 embarazadas, 69 en primer trimestre, 78 segundo y 101 tercero. Además un grupo control de 43 no gestantes con distribución etérea, índice de masa corporal y criterios de exclusión similares al grupo de gestantes. Se extrajo sangre con 12 horas de ayuno para las determinaciones bioquímicas, las cuales fueron realizadas por métodos enzimáticos colorimétricos, con controles de calidad interno y externo. Resultados: Se encontró que colesterol total, triglicéridos, col-VLDL, col-LDL, los índices colesterol total/col-HDL y triglicéridos/col-HDL, fueron aumentando significativamente en cada trimestre, mientras que el c-HDL no presentó diferencias. Los valores de percentilo 95 del tercer trimestre para CT de 321 mg/dl y TG 371 mg/dl, podrían ser utilizados como valores de corte en nuestra población. Cuando se comparó mujeres no gestantes versus embarazadas del primer trimestre no se encontraron cambios significativos. Conclusiones: El seguimiento del perfil lipídico de las gestantes podría convertirse en una herramienta diagnóstica que permita monitorear aumentos que superen lo considerado como fisiológico, llevando a un adecuado control prenatal.Background: In pregnancy hormonal changes occur very marked and these are associated with major changes in the lipid profile. Aims: To evalúate the lipid profile of adult women during normal pregnancy in the first, second and third trimester and to compare the lipid profile of woman who are not pregnant with the lipid profile of woman who are in the first trimester of gestation and who are attended at the Maternity Public and Provincial Hospital "Dr. Ramón Madariaga". Methods: 248 pregnant women were evaluated of which: 69 women were in the first trimester; 78 women were in the second trimester and 101 women were in the third trimester. In addition a control group of 43 non-pregnant women with age distribution, body mass Índex and exclusión criteria similar to the group of pregnant women. Blood was extracted after twelve hours fasting to get the biochemical determinations which results were gotten by enzymatic colorimetric methods, with infernal and external quality control. Results: It was found that total cholesterol; triglycerides, very low density and low density lipoprotein, the total cholesterol index/ high density lipoprotein y triglycerides/ high density lipoprotein were significantly increasing in each period of three trimesters while c-HDL did not show any variation. The values of 95th percentil obtained in the third trimester for CT de 321 mg/dl y TG 371 mg/ di, could be used as cut values for our population. When the group of not pregnant women were compared to the group of first trimester no significantly differences were found. Conclusions: The frequent evaluation of the lipid profile of women in gestation time could become a good way of diagnosis that gives the opportunity to follow the increasing results that are considered superior to what is physiologically acceptable, carrying out a good performance in prenatal control.
The Global Initiative for Childhood Cancer (GICC) aims to increase the cure rate for children with cancer globally by improving healthcare access and quality. The Pan American Health Organization ...(PAHO), St. Jude Children's Research Hospital (St. Jude), and collaborators have joined efforts to improve outcomes of children with cancer in Latin America and the Caribbean (LAC) using the CureAll framework. In this article, we describe the process of developing regional resources aimed at accelerating the GICC implementation in LAC. In March 2021, PAHO formed regional working groups to develop core projects aligned with CureAll pillars and enablers. Seven working groups emerged from regional dialogues: early detection, nursing, psychosocial, nutrition, supportive care, treatment abandonment, and palliative care. PAHO arranged regular online meetings under the mentorship and support of St. Jude regional/transversal programs and international mentors. Between April and December 2021, 202 multidisciplinary experts attended 43 online meetings to promote the dialogue between stakeholders to improve childhood cancer outcomes. Fourteen technical outputs were produced: four regional snapshots, four technical documents, two virtual courses, one set of epidemiological country profiles, one educational content series for parents/caregivers, and two communication campaigns. The ongoing dialogue and commitment of PAHO, St. Jude, LAC working committees, and international collaborators are essential foundations to successfully accelerate GICC implementation. This is achievable through the development of materials of regional and global relevance. Further research and evaluation are needed to determine the impact of these strategies and resources on childhood cancer outcomes in LAC and other regions.
Excessive spending by misuse of clinical laboratory Benítez-Arvizu, Gamaliel; Novelo-Garza, Bárbara; Mendoza-Valdez, Antonia Lorena ...
Revista médica (Mexico : 1983),
2016, Letnik:
54 Suppl 2
Journal Article
Seventy five percent or more of a diagnosis comes from a proper medical history along with an excellent physical examination. This leaves to the clinical laboratory the function of supporting the ...findings, determining prognosis, classifying the diseases, monitoring the diseases and, in the minimum of cases, establishing the diagnosis. In recent years there has been a global phenomenon in which the allocation of resources to health care has grown in an excessive way; the Instituto Mexicano del Seguro Social is not an exception with an increase of 29 % from 2009 to 2011; therefore, it is necessary to set containment and reduction without compromising the quality of patient care.
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