Modelo Europeo de calidad (EFQM) para una sociedad médico-científica: Caso: Sociedad Venezolana de Gastroenterología

Objetivo: Evaluar la "Gestión 2006-2008. Sociedad Venezolana de Gastroenterología": de acuerdo al modelo EFQM: "Resultados excelentes en rendimiento, satisfacción de personal y clientes e impacto social, lo logra solo un liderazgo que canalice procesos, política & estrategias, personas, alianzas y recursos". Método: Autoevaluación EFQM de la J. Directiva SVG. Agentes: LIDERAZGO: El Plan Estratégico promovió interacción y compromiso social. (90% Fortaleza) POL¸TICA&ESTRATEGIA: Se difundió el marco filosófico. "Captación-Retención de Miembros", "Liderazgo gratificador", "Más Programas de Entrenamiento-Información", "Fortalecimiento Alianzas existentes" ,"Generación de Finanzas" y "Desarrollo de Plataforma Organizacional" (64% Fortaleza). MANEJO DEL PERSONAL: Definición de perfiles "Gastroenterólogo venezolano" y "cargos SVG". Exitosas actividades académicas y beneficios económicos. (82% Fortaleza) RECURSOS: Se introdujo el Plan Operativo SVG a Empresas, fortaleciéndose alianzas estratégicas existentes y nuevas. (90% Fortaleza). PROCESOS: Se implementaron Procedimientos, Formatos, Soportes para archivos físicos & electrónicos. Se evaluaron Proveedores, Eventos y Bienes (82% Fortaleza). Resultados. Satisfacción: CLIENTES: 82% en médicos generales, especialistas y empresas. PERSONAL: 55% (aspecto a mejorar). Se generaron reconocimientos, intercambios internacionales y becas. IMPACTO SOCIAL: 82% Difundir información gastrointestinal fue crucial. SATISFACCION EMPRESARIAL: 82%, medida al finalizar eventos. Nuestra puntuación EFQM es muy buena pero puede ser excelente. Seguiremos planificando continuidad de gestión y difundiendo información a miembros, patrocinadores y comunidad.

Aim: 2006-2008 Venezuelan Gastroenterology Society management evaluation according with EFQM Model: "Excellent results in organization performance, staff &clients satisfaction with community impact can be only accomplished by a leadership able to guide process, strategies alliances, human and economic resources". Method: SVG staff auto evaluation. Agents: LEADEARSHIP: Strategic Plan promoted interaction and social commitment. (90% Strength) POLITICS & STRATEGY: SVG philosophical frame was spread. "Leadership in gratifying way", "Capture & Retain members", "More Training-Information Programs", "Fortify previous Alliances", "Financial Strategies" and "Organizational Platform" (64% Strength):. PERSONNEL: Gastroenterologist and SVG positions´s profiles were defined. Training activities and financial benefits were accomplished. (82% Strength) RESOURCE: Operative Plan was introduced to commercial enterprises. Previous and new alliances were strengthened (90% Strength). PROCESS: Proceedings, Forms and Activities Report were implemented. Providers, Events and Assets summary were evaluated. Physic& electronic files got support (82% Strength). Results: CLIENTS SATISFACTION: 82% in GPs, specialists, and Enterprises. PERSONNEL SATISFACTION: 55% (to be improved.) Awards, International exchanges and Fellowships were generated. SOCIAL IMPACT (82%): Spreading GI information was crucial point. ENTERPRISE SATISFACTION: 82% measured at the end of the events. 2006-2008 SVG EFQM score is good but may be optimized. We will keep planning management continuity, members training and information to community.

Sindrome de zollinger-ellison: análisis de tres casos / Zollinger-ellison syndrome: analysis of three case

Los gastrinomas están entre los tumores neuroendocrinos pancreáticos más frecuentes, y el 60 por ciento son malignos. Al momento del diagnóstico el 50 por ciento ya presentan matástasis aunque se trata de lesiones de bajo grado de malignidad, y el 60 por ciento de estas lesiones se originan en lugares extrapancreáticos. Los tres casos que se analizaron demostraron la utilidad de los niveles de gastrina seriados, la ecoendoscopia y la sintigrafía para receptores de somatostatina marcados con Indio 111 en la detección de lesiones metastásicas

Caso clínico rotura post parto de aneurisma de la arteria esplénica: presentación de un caso / Clinic case postpartum rupture of aneurism of the splenic artery: presentation of one case

Los aneurismas de la arteria esplénica son entidades patológicas raras, con riesgo de romperse y producir una hemorragia fatal. La rotura de un aneurisma de la arteria esplénica en el embarazo es una causa de emergencia obstétrica de rara presentación. La mortalidad para la mujer es del 69,4 por ciento y 90,8 por ciento para el feto. Estos aneurismas se presentan en el 95 por ciento de los casos de manera asintomática; pero un examen exhaustivo con ultrasonografía puede detectar el defecto. Se describe el caso de una mujer de 22 años, multípara con embarazo de 38 semanas, quien después de un parto eutócico y durante el puerperio inmediato presenta cuadro de shock hipovolémico y fallece. El estudio anatomopatológico macroscopico reveló hemorragia aguda intraabdominal por rotura de aneurisma de la arteria esplénica. Se destaca que la supervivencia de la paciente y el feto depende considerablemente de la detección temprana y rápida intervención

[Malondialdehyde and nitric oxide behaviour in patients with myocardial infarction]. / Comportamiento del malondialdehído y el óxido nítrico séricos en pacientes con infarto de miocardio.

INTRODUCTION AND OBJECTIVES: The aim of this study was to determine the potential usefulness of malondialdehyde and nitric oxide as sensors of metabolic damage produced during acute coronary ischaemics events. METHODS: Serum malondialdehyde and nitric oxide levels were determined as thiobarbituric acid derivative and nitrites respectively in 15 male patients who were admitted to the emergency ward of the Hospital General del Sur de Maracaibo, because of acute stage of myocardial infarction. RESULTS: Our results show, upon follow-up and afterwards 30 days a highly significant increase in the malondialdehyde level during the acute phase of myocardial infarction (1.87 +/- 0.29 vs 45.47 +/- 8.67 mM; p < 2.01 10-5) that returns to normal levels 30 days after myocardial infarction when compared with healthy subjects of the same age (1.87 +/- 0.29 vs 4.58 +/- 1.43 mM). As for nitric oxide, levels also increased significantly during the acute phase of myocardial infarction (41.25 +/- 3.59 vs 164.63 +/- 12.7, p < 2.13 10-10 mM) and diminished significantly when compared with healthy adults of the same age 30 days after the acute event (41.25 +/- 3.59 vs 40.85 +/- 4.50 mM). CONCLUSIONS: Our results show that serum levels of malondialdehyde and nitric oxide increased significantly during acute infarction, coming back to normal levels 30 days after infarction, which suggest that both substances are potential tools to predict cardiac function recovery.

[Colorectal cancer. Experience in 120 patients]. / Cáncer colo-rectal. Experiencia con 120 casos.

The medical records of 120 patients with Colo-Rectal Cancer who were admitted between 1983 and 1990, were reviewed. The clinical, radiologic, epidemiologic, endoscopic and pathologic characteristic were analyzed in all the patients; also their follow up related to Age, CEA, Dukes and treatment. Late stage diagnosis (10.8% of the cases were diagnosed during obstructive episodes, and 48.3% of the cases were Dukes C and D) and the high mortality (34.1% of the patients died within the first year of the diagnosis), are still basic problems to be solved. The high percentage of patients less than 40 years old (25.8%) and the high incidence of rectal localization of the disease (49.1%), must prompt us to attempt to control the disease by means of colonic evaluation in young people with symptoms attributable to Hemorrhoids or Amebiasis.