RESUMO
Bariatric surgery can facilitate weight loss and improvement in medical comorbidities. It has a profound impact on nutrition, and patients need access to follow-up and aftercare. NICE CG189 Obesity emphasized the importance of a minimum of 2 years follow-up in the bariatric surgical service and recommended that following discharge from the surgical service, there should be annual monitoring as part of a shared care model of chronic disease management. NHS England Obesity Clinical Reference Group commissioned a multi-professional subgroup, which included patient representatives, to develop bariatric surgery follow-up guidelines. Terms of reference and scope were agreed upon. The group members took responsibility for different sections of the guidelines depending on their areas of expertise and experience. The quality of the evidence was rated and strength graded. Four different shared care models were proposed, taking into account the variation in access to bariatric surgical services and specialist teams across the country. The common features include annual review, ability for a GP to refer back to specialist centre, submission of follow-up data to the national data base to NBSR. Clinical commissioning groups need to ensure that a shared care model is implemented as patient safety and long-term follow-up are important.
Assuntos
Assistência ao Convalescente/métodos , Cirurgia Bariátrica/efeitos adversos , Obesidade Mórbida/cirurgia , Guias de Prática Clínica como Assunto , Assistência ao Convalescente/psicologia , Cirurgia Bariátrica/métodos , Densidade Óssea , Fármacos Cardiovasculares/uso terapêutico , Diabetes Mellitus Tipo 2 , Dislipidemias/tratamento farmacológico , Feminino , Humanos , Hipolipemiantes/uso terapêutico , Masculino , Saúde Mental , Gravidez , Vitamina D/administração & dosagem , Vitamina D/farmacologiaRESUMO
OBJETIVO: Determinar el nivel de conocimiento sobre métodos anticonceptivos de estudiantes de Medicina Humana del 1er a 3er año de estudios. MATERIAL Y MÉTODOS: se elaboró una encuesta de autollenado en forma anónima que se entregó a los estudiantes de medicina; 91 de 1ero, 100 de 2do y 91 3er año, respectivamente. RESULTADOS: El 29,5% de los estudiantes tuvo un conocimiento aceptable, el 51,7% un conocimiento regular y en el 18,8% fue deficiente. CONCLUSIONES: El nivel de conocimiento sobre métodos anticonceptivos en estudiantes de medicina de Ciencias Básicas fue insuficiente. Se plantea la aplicación de programas y cursos referentes a planificación familiar por parte de la universidad.
OBJETIVE: To determine the knowledge level of knowledge in 1st to 3rd year medical students about contraceptive methods. MATERIALS AND METHODS: An auto filling survey was given in anonymous form to medical students; 91 of 1st year, 100 of 2nd year and 91of 3rd year respectively. RESULTS: 29.5% of the students present an acceptable knowledge, 51.7% have regular and 18.8% poor knowledge about contraception. CONCLUSIONS: Level of knowledge of medical students about contraceptive methods was insufficient. Therefore, it is necessary to implement programs and courses relating to contraception and family planning by the university.
