RESUMEN
Background: The high emotional burden of physicians working in emergency departments may affect their quality of life perception. Aim: To evaluate health related quality of life among resident physicians performing shifts at an emergency department. Material and Methods: Seventy one physicians aged 26,3 ± 1,7 years (47 women), working as residents in an emergency department, answered the short version of the Short-Form Health Survey Questionnaire (SF-36®). This questionnaire analyses eight domains: physical function, body pain, general health, vitality, social function, emotional role and mental health. Results: Women had a significantly worse perception than a reference population in four dimensions of the SF-36, especially mental health and social functioning. Men had scores similar to the reference population. Among women, vitality is the best predictor of mental health and social functioning. Conclusions: Women working as residents in an emergency department have a worse perception of their quality of life than men performing the same job.
Asunto(s)
Adulto , Femenino , Humanos , Masculino , Medicina de Emergencia , Servicio de Urgencia en Hospital/estadística & datos numéricos , Internado y Residencia/estadística & datos numéricos , Satisfacción en el Trabajo , Cuerpo Médico de Hospitales/psicología , Calidad de Vida/psicología , Factores Sexuales , Chile , Estudios Transversales , Salud Mental , Encuestas y CuestionariosRESUMEN
El adenocarcinoma mucinoso de pulmón con patrón de células en anillo de sello es una entidad infrecuente de diagnóstico fácil. Presentamos el caso de un paciente de 55 años con antecedente de cardiopatía isquémica y diagnóstico actual de adenocarcinoma primario pulmonar con patrón de células en anillo de sello. Es necesario descartar un origen primario extrapulmonar, principalmente de localización digestiva. Las técnicas inmunohistoquímicas son de gran utilidad a la hora de establecer diagnósticos diferenciales.
Mucinous adenocarcinoma of the lung with signet-ring cell pattern is an infrequent entity of easy diagnosis. We report the case of a 55 year-old patient with preexisting ischemic heart disease and recent diagnosis of pulmonary adenocarcinoma with signet-ring cell pattern. It is necessary discard a primary extrapulmonar location (digestive tract). Immunohistochemistry is a useful tool in the differential diagnosis.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Adenocarcinoma/diagnóstico , Carcinoma de Células en Anillo de Sello/diagnóstico , Neoplasias Pulmonares/diagnóstico , Adenocarcinoma/patología , Carcinoma de Células en Anillo de Sello/patología , Diagnóstico Diferencial , Inmunohistoquímica , Neoplasias Pulmonares/patología , Tomografía Computarizada por Rayos XRESUMEN
Tumorlets are pulmonary neuroendocrine tumours smaller than 0.5 cm. They are benign and their diagnosis is histologic as incidental fndings. We report a case of pulmonary tumorlet discussing the polemical points.
Denominamos tumorlet a los tumores neuroendocrinos pulmonares cuyo tamaño no alcanza los 0,5 cm. Se trata de tumores de comportamiento benigno que son diagnosticados histológicamente en el transcurso de estudios justifcados por otras causas. Presentamos un caso de tumorlet y analizamos la polémica en torno al mismo.