Aviso de valores de alerta por parte del laboratorio clínico en una red de salud universitaria / Laboratory alert value reporting by the clinical laboratory at an academic medical network

Background: An alert value is a result suggesting that the patient is at imminent danger unless appropriate remedial actions begin promptly. Report of alert values (AV) by the clinical laboratories has taken special relevance in recent years due to its contribution to patient's care. Aim: To report results of AV informed during 2007 within the Health Network of the Pontificia Universidad Católica de Chile. Material and methods: Analysis of AV recorded in a centralized database of the laboratories of the health network, between January and December, 2007. Results: Total number of AV was 5.366, which represented 0.3 percent of total examinations and corresponded mainly to the clinical chemistry area. Potassium levels generated the higher number of AV detected, followed by positive blood cultures. Eighty two percent of AV corresponded to hospitalized patients. The greater number of AV was reported to intermediate and intensive care services. Thirty two percent of AV was informed to the physician or professional in charge of the patient within 5 minutes of obtaining the results and 79 percent within 30 minutes. Conclusions: To obtain a real impact on patient management, it is fundamental to shorten the ¡apse between the obtainment of tests results and the warning, supported on appropriate computerized systems, and to spread the procedure to all personnel involved in patient's care (RevMéd Chile 2009; 137: 1137-44).

O movimento que levou enfermeiros docentes à direção do Centro Biomédico - UERJ (de 1988 a 1996) / The movement tha took nurses to be director of the Biomedical Center - UERJ (from 1988 to 1996)

Trata-se de uma pesquisa cujo objeto de estudo é o movimento que levou Enfermeiros docentes à direção do Centro Biomédico da UERJ no período de 1988 a 1996. Os objetivos baseiam-se em descrever o que levou os Enfermeiros a candidatarem-se ao espaço gerencial acadêmico da UERJ, escolhidos pelo voto direto e descrever a trajetória de mudança de novo espaço/ poder de Enfermeiros na direção do Centro Biomédico da UERJ, identificando os aspectos que contribuíram para essa conquista. O referencial teórico está pautado em Georges Balandier, Pierre Bourdieu e Mário Testa, entre outros autores nacionais e estrangeiros, que abordam o tema. O estudo foi realizado de 2001 a 2002. Trata-se de um estudo de caso com abordagem qualitativa no qual foram utilizadas as seguintes estratégias: análise documental e de depoimentos, colhidos através de entrevistas semi-estruturadas, com os sujeitos que presenciaram este período, num total de nove entrevistados, entre eles 07 enfermeiros, 01 médico e 01 biólogo. Os achados são sustentados pela literatura. Foram constituídas duas categorias através da análise de conteúdo e são: (i) desejo de mudança/quebra da hegemonia e (ii) estruturação/ organização e ação nesse espaço. Os resultados revelam um gerenciamento de vanguarda que delineou um novo rumo para um Centro Setorial que vivenciava o ostracismo. Delineou também, o espaço/poder conquistado, por esses agentes transformadores geradores de mudanças na categoria. Concluímos que alguns fatores contribuíram para que eles chegassem a direção do referido Centro Setorial, como o prestígio político, o saber acadêmico e as suas trajetórias na Universidade, que os credenciaram a disputa e vitória nas eleições para o Centro Biomédico.

integrated curriculum for MBBS

OBJECTIVE: To report the formulation and implementation of an organ system based integrated curriculum for MBBS students at Ziauddin Medical University [ZMU] Karachi. STEPS OF INTEGRATION: The Basic Medical Science Faculty [Anatomy, Physiology and Biochemistry] along with representatives from Medicine, Surgery and Community Health Sciences held joint meetings spread over weeks to design a system based integrated curriculum for the first two years of the MBBS class. Objectives of an integrated course were devised and the duties of term coordinator determined. Horizontal integration of Basic Science subjects can be achieved, with the subject specialists coordinating the teaching of a system based as opposed to subject based curriculum. The basic sciences can also be integrated with Community Health Sciences to achieve partial vertical integration

Management of interstitial lung disease: an audit at a university teaching hospital in Saudi Arabia.

To assess the management of interstitial lung disease (ILD) in relation to the published guidelines 122 consecutive cases were analyzed. Clinical features and non-invasive laboratory tests led to the diagnosis in nearly one sixth of the patients (16%), mainly CTD and a few miscellaneous disorders. In another sixth the diagnosis was reached by means of a transbronchial lung biopsy, particularly in sarcoidosis. Nearly a third had surgical lung biopsies, which were diagnostic in 98%. The diagnoses were reached in 82 patients (67%) and include: cryptogenic fibrosing alveolitis (20), sarcoidosis (16), connective tissue disease (17) and miscellaneous (29). The remaining third were undiagnosed, and this group had a higher mean age and was much less likely to receive immunosuppressive therapy than any group with a specific diagnosis. It is concluded that while physicians reached a specific diagnosis in most cases of ILD, commonly through a lung biopsy. A sizeable proportion (nearly a third), or remained undiagnosed and those were less likely to be treated and had a poorer prognosis. The availability of less invasive techniques should encourage physicians to obtain a biopsy since this is likely to lead to a more active approach to therapy.

Fundación del Centro de Estudiantes de Medicina 8 de mayo de 1906 / Fundation of the Center of Medical Student May 8, 1906

Al atardecer del 8 de mayo de 1906, un grupo de estudiantes de la entonces primera "Facultad de Ciencias Médicas de Bolivia" bajo el lema "La unión hace la fuerza" se congregaron y fundaron el "Centro de estudios Médicos" con gran entuciasmo y de vocación. los tiempos eran difíciles, en la Universidad y la sociedad reinaba un espíritu de rechazo a este tipo de organizaciones, ya que existía la suceptibilidad académica de destruir los pensamientos del "Magister Dei". A un contra las advesidades en Julio del mismo año ya se ven los primeros frutos importantes de este Centro, es asi que el 15 de julio de 1906 circula la "Revista del Centro de Estudios Médicos" en cuyo contenido se ven plasmadas los altos intereses académicos y de servicio para se "un instrumento científico.