ABSTRACT
The clinical research developed in specialised centres and oncologic cooperative groups has permitted various scientific societies to collect recommendations used in the treatment of soft tissue sarcomas (STS) and incorporate them into clinical practice guidelines (CPG). Some studies have been conducted in diverse healthcare ambits to assess the influence of CPG. This revision of the medical literature analyses the impact that healthcare management -centralised or otherwise- and clinical practice in conformity with CPG have on the clinical outcome variables of STS. Eight CPG have been identified, as well as 12 conformity studies or audits. These conformity studies and audits demonstrate that the grade of adaptation of medical interventions with CPG, medical healthcare in reference centres and procedures of referrals to these centres, as well as the process of organising healthcare teams into Sarcoma Committees, have a significant influence on clinical outcome. We can conclude that excellent healthcare of STS implies the adaptation of healthcare practice to CPG, the existence of Reference Centres guided by Sarcoma Committees, and the observance of strict referral procedures within the Healthcare Area (AU)
No disponible
Subject(s)
Humans , Male , Female , Practice Guidelines as Topic , Sarcoma/therapy , Soft Tissue Neoplasms/therapy , Sarcoma/pathology , Soft Tissue Neoplasms/pathologyABSTRACT
La angiodisplasia de colon se ha reportado como una afeccion frecuente y causa de sangrados gastrointestinales inexplicados. Nuestro interes es exponer los elementos diagnosticos angiograficos y anatomopatologicos, a traves de 2 casos. Debe senalarse que el diagnostico se hace casi exclusivamente a traves de la arteriografia mesenterica y su confirmacion anatomo-patologica exige tecnicas especiales y sobre todo una coordinacion entre el Cirujano, Radiologo y Anatomopatologico para el manejo correcto de la pieza anatomica
Subject(s)
Colonic Diseases , Vascular Diseases , Angiography , Gastrointestinal HemorrhageABSTRACT
Se relata el hallazgo de una cepa de bacilos gram-negativos, tipificada como Acinetobacter calcoaceticus (Biotipo iwoffi).en una infeccion post-operatoria de un paciente internado en el servicio de cirugia Toracica del Hosp. Gustavo Saint-Bois. Se destacan aspectos clinicos y bacteriologicos relacionados con este patogeno, que siendo frecuente en infecciones nosocomiales, se aisla en raras oportunidades y con tipificacion solo presuntiva
