ABSTRACT
Rectal mucosal prolapse is uncommon in children. While most patients present with rectal bleeding and constipation, the occurrence of osseous metaplasia within the prolapsed mucosa is extremely rare. Overlapping clinical, gross, and histological features between rectal mucosal prolapse polyps and malignancy pose a challenge for diagnoses. We describe a case of a 16-year-old male who had a rectal mucosal prolapsed polyp with osseous metaplasia. He initially presented due to periumbilical pain with a sore throat and fever. Incidentally, during the workup of his periumbilical pain, he was found to have a soft tissue mass in his rectum on a CT scan, with a biopsy confirming the diagnosis. The case was complicated by the development of sepsis. The patient was treated with empiric antibiotics and was discharged without further complications.
ABSTRACT
En 1958 la provincia Pinar del Río contaba con 50 enfermeras, localizadas casi todas en la capital. Se realizó un estudio descriptivo de corte transversal con el objetivo de describir los aspectos más relevantes de medio siglo de la formación de enfermería en la provincia Pinar del Río. La muestra fue seleccionada al azar del total de instructoras con experiencia realizando labores docentes, dirigentes y estudiantes que expresaron sus vivencias, se revisaron documentos existentes en los centros de documentación histórica de la provincia y secretaría docente de la Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna", Pinar del Río. Se pudo constatar que en el período 1961 a 1981 se formaron auxiliares de enfermería, enfermeras plan 2 y 3 años y la inauguración de la primera escuela de enfermería Marina Azcuy y el Politécnico de la Salud Simón Bolívar. En 1982 el inicio de la Licenciatura en Enfermería posibilitó el inicio del curso regular diurno plan 5 años y la formación a través del nuevo modelo pedagógico en el 2004. Otro aspecto importante en los avances alcanzados por la Enfermería en la provincia en los últimos años es la formación de especialistas y másteres en enfermería, pedagogía y otras en maestrías de amplio acceso. En los 50 años transcurridos se formaron profesionales capaces de satisfacer las necesidades de la población sana o enferma en cualquier lugar de Cuba y del mundo(AU)
In 1958, Pinar del Rio province had only 50 female nurses, almost all them living in the capital of the province. A descriptive, cross-sectional study aimed at describing the most relevant aspects of half a century of nursing education in Pinar del Rio province was conducted. The sample was chosen at random from the total of instructors having experience in teaching activities, chiefs of nursing work and students that expressed their experiences, and from the documents existing in the provincial centers of historical documentaries, together with the information in general secretary's office of the medical school; using theoretical and empirical methods to carry out this research. From 1961 to 1981 ancillary nurses were trained, having training courses of 2 and 3 academic years and the opening of Marina Azcuy Nursing School as well as Simon Bolivar Health Polytechnic Institute. The studies of Baccalaureate in Nursing was opened in 1982 having the characteristics of weekly courses, making possible the starting of daytime courses for 5 academic years and the instruction of nursing students supported by the New Pedagogical Model in 2004. Another important development nursing personnel have reached in the province is the formation of Specialists and Master's degree in Nursing, Pedagogy and other Master's Degrees of Comprehensive Access. Stating as a conclusion that during 50 years our nursing professionals have been trained and they are able to take care of the healthy and sick population in Cuba and in other parts all over the world(AU)
