RESUMO
Objetivo: El objetivo de este estudio es conocer la Calidad Percibida por los enfermos atendidos en el Servicio de Oftalmología del Hospital Clínico Universitario de Barcelona, entre el 1 de Octubre y el 30 de Noviembre de 2000.Material y método: Para la realización de este estudio, los pacientes debían responder una encuesta de opinión de forma voluntaria. Dicha encuesta constaba de una pregunta abierta con el fin de poder recoger posibles comentarios, y 29 preguntas cerradas en relación con la filiación, características del ingreso y permanencia en el hospital, trato e información recibida, habitabilidad y hostelería, así como la valoración general del servicio. Resultados: Se han valorado 66 cuestionarios de un total de 343 encuestas entregadas (19,24 per cent de participación), y se ha objetivado un elevado grado de satisfacción, de manera que más del 90 per cent de los pacientes encuestados han valorado como excelente o buenos los aspectos referentes al trato recibido, habitabilidad y hostelería, siendo este porcentaje ligeramente inferior en los aspectos relativos a la información recibida. El 93 per cent de los encuestados volverían a ingresar en el mismo centro y la puntuación media del servicio recibido ha sido de 7,77.Conclusiones: El aumento de la satisfacción del usuario en un hospital público universitario, está condicionado por la mejora de las condiciones ambientales y de hostelería del centro (AU)
Assuntos
Idoso , Feminino , Masculino , Humanos , Departamentos Hospitalares , Oftalmopatias/terapia , Satisfação do Paciente , Qualidade da Assistência à Saúde , Estudos TransversaisRESUMO
A series of 234 surgically treated flatfoot in children were treated by means of a double incision and by the placing of an orthosis in the sinus tarsi.
Assuntos
Pé Chato/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Métodos , Aparelhos Ortopédicos , Complicações Pós-Operatórias , Próteses e ImplantesRESUMO
Using standard lateral x rays of 32 congenital flat feet (CFF) treated in our institutions, we studied the alignment in the sagittal plane of the tarsal and metatarsal bones. All feet presented with a complete dislocation of the talonavicular joint and a vertical talus. In some cases, however, the alignment of the calcaneocuboid joint was abnormal. In these, both the talus and the calcaneus appeared verticalized with no apparent subtalar joint subluxation (type I). Other cases, by contrast, had a normally aligned calcaneus thus implying subluxation of the subtalar joint (type II). Between the two types, a spectrum of clinical forms combining features from both categories exists. Recognition of the different varieties of CFF is of importance when planning surgery. Type I CFF requires reduction and stabilization of the whole midtarsal joint, while in type II CFF attention must be given to both the subtalar and calcaneocuboid joints.
Assuntos
Pé Chato/diagnóstico por imagem , Adolescente , Adulto , Biometria/métodos , Criança , Pré-Escolar , Feminino , Pé Chato/patologia , Humanos , Lactente , Masculino , RadiografiaRESUMO
During the past 10 years we have operated on 75 feet for Morton's neuroma with a minimal follow up of nine months. Associated anomalies were found in 80%. Pathological studies demonstrated that the lesion was irritative in nature. The clinical results were satisfactory in 94%.
Assuntos
Doenças do Pé/cirurgia , Neuroma/cirurgia , Adolescente , Adulto , Idoso , Feminino , Seguimentos , Doenças do Pé/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Neuroma/patologia , Dedos do Pé/patologia , Dedos do Pé/cirurgiaRESUMO
The authors review a variety of cases and discuss their findings in an attempt to strengthen our knowledge of this disorder.
Assuntos
Osteonecrose/patologia , Ossos do Tarso/patologia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite/patologia , Osteocondrite/patologia , Osteonecrose/cirurgia , Ossos do Tarso/cirurgiaRESUMO
Several different aspects of the subtalar joint are studied. Embryology indicates that it is a recently acquired structure. The anterior subtalar joint does not have a uniform morphology, and it has been subdivided into three anatomical descriptions (ovoid, bean, and two part). To correct the confusion found in other papers, we intend to clearly describe the anatomy of the ligaments. The form and function of the retinacula, cervical ligament, and ligament of the canal are studied. The microscopic anatomy of ligaments is studied, dealing specifically with their innervation and the structure of their fibers.
Assuntos
Articulação do Tornozelo/embriologia , Calcâneo/embriologia , Tálus/embriologia , Articulação do Tornozelo/anatomia & histologia , Calcâneo/anatomia & histologia , Embrião de Mamíferos , Feto , Humanos , Ligamentos Articulares/anatomia & histologia , Morfogênese , Tálus/anatomia & histologiaAssuntos
Cuidado do Lactente , Recém-Nascido , Cuidados de Enfermagem , Feminino , Humanos , Cuidado Pós-Natal , Gravidez , Cuidado Pré-NatalRESUMO
After reviewing the literature the authors discuss the aetiology and pathogenesis of gluteal fibrosis. We believe that the condition occurs more frequently than is thought. If this is borne in mind when dealing with children from four to six years old, presenting with abnormal gaits, an early diagnosis can be made. As regards treatment, we agree with those authors who maintain that if diagnosed early the lesion can be treated successfully by physiotherapy alone. In more advanced cases, Z lengthening of the tendon is indicated.
