ABSTRACT
Este artículo trata de explicar cómo, desde el punto de vista antropológico, el colectivo médico se comporta como una tribu similar a las que pueblan el Amazonas o la sabana africana. La familia como unidad fundamental de la banda de cazadores define a su vez el centro de salud y a los médicos que lo habitan, como grupo igualitario en el que los miembros trabajan por el bien de la tribu. Los líderes de la tribu, también llamados directores de centro, también son similares a los grandes hombres de la Polinesia o a los aborígenes que lideran la partida de caza. Incluso los enfrentamientos entre médicos, en torno a sus competencias respecto a los pacientes, han sido descritas a lo largo de la historia por los antropólogos y repiten los patrones de los grupos segmentarios. Se concluye con que esta visión de tribus enfrentadas se ha de superar para avanzar hacia la mejora de la salud de la población
In this paper we try to explain, using an anthropological point of view, how the medical community behaves like a tribe like those who inhabit the Amazon forests or the African Savanna. The Family as fundamental unit of a band of hunter-gatherers also defines the Primary Care Centre and the professionals who work there, as an egalitarian group in which every member works for the good of the tribe. The leaders of the tribe, also called "Health Centre Managers", are also comparable to the "big men" of Polynesia or the aborigines, who leads hunting parties. Even the clashes between physicians about the responsibilities as regards patients have been described throughout history in the anthropological literature, and they repeat the patterns of the segmental groups. We finish by concluding that this vision of warring tribes has to be overcome in order to advance towards the improvement of our community's health
Subject(s)
Humans , Physicians/classification , Physicians/organization & administration , Population , Anthropology/organization & administration , Interprofessional Relations , Professional Role , Physicians/trends , Anthropology/trends , Ethnicity , Hospital-Physician RelationsABSTRACT
In this paper we try to explain, using an anthropological point of view, how the medical community behaves like a tribe like those who inhabit the Amazon forests or the African Savanna. The Family as fundamental unit of a band of hunter-gatherers also defines the Primary Care Centre and the professionals who work there, as an egalitarian group in which every member works for the good of the tribe. The leaders of the tribe, also called "Health Centre Managers", are also comparable to the "big men" of Polynesia or the aborigines, who leads hunting parties. Even the clashes between physicians about the responsibilities as regards patients have been described throughout history in the anthropological literature, and they repeat the patterns of the segmental groups. We finish by concluding that this vision of warring tribes has to be overcome in order to advance towards the improvement of our community's health.
Subject(s)
Delivery of Health Care/organization & administration , Physicians/organization & administration , Primary Health Care/organization & administration , Anthropology , Humans , Interprofessional Relations , Professional RoleABSTRACT
La invaginación intestinal es una causa poco frecuente de dolor abdominal en adultos. Ocurre en menos del 1% de obstrucción intestinal de delgado. En adultos la mayoría de los casos son el resultado de una lesión intestinal; la invaginación idiopática es extremadamente rara. Presentamos un caso de obstrucción intestinal diagnosticado mediante tomografía computadorizada de invaginación de intestino delgado secundaria a un tumor. Se discute la etiología, diagnóstico y tratamiento de la invaginación intestinal del adulto (AU)
Intussusception is a rare cause of abdominal pain in adults. It occurs in less than 1% of all cases of adult small bowel obstruction. In adult population, most cases are the result of some type of intestinal lesion; idiopathic intussusceptions are an extremely rare occurrence in adults. This report describes one case of intestinal obstruction caused by an intussusception diagnosed by computed tomography(CT) scan. This report discusses the etiology, diagnosis, and treatment of adult intususcepción (AU)
