Thursday, December 31, 2009
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PARTNERS HAPPY 2010!!
Beyond any religious orientation, and blessings to all your wishes come true, let's work together to tackle this third year. Exitos
to coworkers leave for rehearing and sufficiency. You can even have much time to study.
"Every success we achieve demands greater efforts to preserve and develop them. We need full cooperation and social discipline "
Wednesday, December 30, 2009
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Pictures Congress Colonia (Uruguay) 2009 Black River
Part of the large delegation from the Province of Rio Black (Argentina)
(Australia) - Dr. Eduardo Guarnera
(Head of Parasitology Malbrán)
Closing Hydatidology XXIII World Congress by the President (elected for a further period) Dr. Antonio Menezes da Silva (Portugal) with the new authorities (Dr. Ciro Ferreyra (Uruguay) Vice-Chairman Dr. Edmundo Larrieu (Argentina)
Secretary General)
Mercapide and Dr. Hugo Garcia (Peru).
and Dr. Christine Budke (USA)
Dr. Carlos Franco (Avila - Spain) and Dr. Malika Kachani (Morocco)
Larrieu and William Eddy Mujica (Jacobacci ) with the group Health Care Workers who traveled to Colonia del Sacramento.
(Viedma), Dr. Julio Gonzalez (Rio Cuarto), Dr. Graciela Santillán (Capital), Dr. Edmundo Larrieu (Viedma), Dr . Juan Carlos Salvitti (Bariloche).
sing the theme of The Grapes Of Wrath "Puerto Montt"
Wednesday, December 23, 2009
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Year 2
Medical Partners sophomore 2009
End the year 2009 and we are pleased to know that we are indeed larger. As Salvadorans, we took part in a series of events that will be recorded in the history of our country: radical political changes both domestically and internationally controversial deaths, epidemics, a desperate economic situation, natural disasters that left widespread destruction, yet an experience invaluable for future situations.
As a group, also face situations difficult: Closures of our faculty, academic load and stress as never before have we had, and many other massive reproaches situations you probably remember. However, despite the hurdles and obstacles we went ahead with it.
Many of our colleagues and friends, unfortunately, not be with us so closely in the remainder of the road. But you need to know that they are still part of this promotion, of this group to a greater or lesser extent is always united and support and hope you will not fall back and prepare as much-needed doctors in those days.
The invitation is for everyone, be worthy of Doctors call the University of El Salvador. Keep in mind the work and the weight we carry on our shoulders and motivémonos to always go further, lift up your name and next to us on your behalf. Congratulations
, is completing a great year, a year that will surely mark our lives, we receive with dedication and energy in 2010, our third year in the race. Are comparatively more cohesive than in our first year of college, but we still have a lot of work.
We parted wishing happy holidays to each of you strive to be an example of strength and unity, so that together we bring education and health to all corners of our land
Partners Come! Representatives
2nd year in Medicine 2009
Medical Partners sophomore 2009
End the year 2009 and we are pleased to know that we are indeed larger. As Salvadorans, we took part in a series of events that will be recorded in the history of our country: radical political changes both domestically and internationally controversial deaths, epidemics, a desperate economic situation, natural disasters that left widespread destruction, yet an experience invaluable for future situations.
As a group, also face situations difficult: Closures of our faculty, academic load and stress as never before have we had, and many other massive reproaches situations you probably remember. However, despite the hurdles and obstacles we went ahead with it.
Many of our colleagues and friends, unfortunately, not be with us so closely in the remainder of the road. But you need to know that they are still part of this promotion, of this group to a greater or lesser extent is always united and support and hope you will not fall back and prepare as much-needed doctors in those days.
The invitation is for everyone, be worthy of Doctors call the University of El Salvador. Keep in mind the work and the weight we carry on our shoulders and motivémonos to always go further, lift up your name and next to us on your behalf. Congratulations
, is completing a great year, a year that will surely mark our lives, we receive with dedication and energy in 2010, our third year in the race. Are comparatively more cohesive than in our first year of college, but we still have a lot of work.
We parted wishing happy holidays to each of you strive to be an example of strength and unity, so that together we bring education and health to all corners of our land
Partners Come! Representatives
2nd year in Medicine 2009
Wednesday, December 16, 2009
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Delegation at the XXIII World Congress of Hydatid Disease (Colonia del Sacramento - Uruguay) China
In this context, Dr. Carlos Hugo Mercapide of Artemide Zatti Viedma Hospital, spoke on modern strategies for the diagnosis and treatment of asymptomatic carriers, while Dr. Juan Carlos Salvitti , Hospital Ramón Carrillo de Bariloche, was part of the table on Surgical Treatment. In turn, the Doctor of Veterinary Edmundo Larrieu, Provincial Coordinator of Environmental Health, made the presentation of the model Rio Negro in the round table on epidemiology and control in the world.
In the chapter on presentations and posters, Black River presented seven works by various hospitals in the province that included presentations by health workers from hospitals in Sierra Colorada, Los Menucos and Bariloche.
During this Congress also made the annual meeting of the International Association of Hydatid Disease, during which its President, Antonio Menezes Silva, presented the Diploma of Merit to Dr. Mario del Carpio, Jacobacci Hospital Engineering, in recognition of his work hydatidosis.
Doctors also Daniel Araya, Los Menucos and Leonardo Uchiumi, de Viedma, were admitted as members of that international organization based on their background in the field.
Finally, during the Assembly proceeded to elect the new Board of the International Association of Hydatid Disease, where Black River also will participate. Edmundo Larrieu was elected Secretary General and Carlos Hugo Mercapide as Secretary for the Americas within the Executive Committee of the Association.
Exchange
rionegrina regard to participation in this Congress, and that left a positive, Larrieu said that " sharing experiences with people around the world gives an idea of \u200b\u200bwhere we stand, and we're fine, because there is great expectation on the outside to work with us because the Black River program works, and does so with lines of action elsewhere that have not, as evidenced by the visit of Chinese professionals a few days "while
stressed that" ultrasound for diagnosis in children 6 to 14 years is done with general practitioners is a model very interested and that everyone wants to copy. Another example is the structure of health workers available to the Province "
Referring to the above, remarked Larrieu "In the world, almost no programs Hydatid Control who have managed to sustain over time as here. Those who were successful at some point after cut the program "
" We are well positioned and, moreover, is an indisputable fact that proves the importance that the Ministry gives to this issue, and that as a group of people who participated this Congress, unless the same Uruguayans were the most numerous, "he said.
Participation in the World Congress allowed the strengthening of lines of work already undertaken, such as the Ministry of Health of Peru, explained Edmundo Larrieu.
"This year we started an exchange program with Peru, from next year will double. Professionals in the country again to visit our province and, in return, they will receive our two people to do internships. It also secured a job with the University of Texas, so that their technicians will be visiting us, too, in 2010. In addition, it opened the possibility of another with the University of California, where we were asked to make an exchange of medical and veterinary funded by them, "he said.
As part of a cooperative project with the University of Melbourne (Australia), La Pampa, and the National Institute of Microbiology Carlos Malbran, the Ministry of Health will strengthen its Black River Control Program hydatidosis of sheep to vaccination against the disease in rural places where conditions are recorded even in children.
The addition of this new attack strategy, based on preventing infection in sheep and resulting in the dog, could allow greater success in reducing the prevalence and parasite clearance from the environment. Eg95
vaccine is developed and provided by the University of Melbourne, whose professionals will also visit the province to observe the field work of this campaign to start next Monday.
"Both the group Australia, as two U.S. and Peru, there is a strong possibility of exchange, "said Larrieu.
Background The last Congress
global developed in America was in 1999 in San Carlos de Bariloche, organized by the Ministry of Health of the Black River Province. There was attended by more than 600 technicians and professionals from around the world, with subsequent congresses made in Turkey, Kenya and Greece.
The participation of the Ministry of Health of Black River in the Thirteenth World Congress of Hydatid Disease, held from 9 to 11 this month in the city of Colonia, Uruguay, allowed the consolidation of lines of work already undertaken with regard to other countries, such as the case of Peru and the Universities of Texas (USA) and Melbourne (Australia), as well as the initiation of new contacts with institutions interested in the Programme of Control of hydatidosis implemented in the province since 1980, such is the case University of California (USA).
rionegrina The delegation consisted of 30 people, including biochemists, physicians, veterinarians and health workers of various hospitals who presented papers relating to the Rio Negro experience in controlling this disease.
rionegrina The delegation consisted of 30 people, including biochemists, physicians, veterinarians and health workers of various hospitals who presented papers relating to the Rio Negro experience in controlling this disease.
In this context, Dr. Carlos Hugo Mercapide of Artemide Zatti Viedma Hospital, spoke on modern strategies for the diagnosis and treatment of asymptomatic carriers, while Dr. Juan Carlos Salvitti , Hospital Ramón Carrillo de Bariloche, was part of the table on Surgical Treatment. In turn, the Doctor of Veterinary Edmundo Larrieu, Provincial Coordinator of Environmental Health, made the presentation of the model Rio Negro in the round table on epidemiology and control in the world.
In the chapter on presentations and posters, Black River presented seven works by various hospitals in the province that included presentations by health workers from hospitals in Sierra Colorada, Los Menucos and Bariloche.
During this Congress also made the annual meeting of the International Association of Hydatid Disease, during which its President, Antonio Menezes Silva, presented the Diploma of Merit to Dr. Mario del Carpio, Jacobacci Hospital Engineering, in recognition of his work hydatidosis.
Doctors also Daniel Araya, Los Menucos and Leonardo Uchiumi, de Viedma, were admitted as members of that international organization based on their background in the field.
Finally, during the Assembly proceeded to elect the new Board of the International Association of Hydatid Disease, where Black River also will participate. Edmundo Larrieu was elected Secretary General and Carlos Hugo Mercapide as Secretary for the Americas within the Executive Committee of the Association.
Exchange
rionegrina regard to participation in this Congress, and that left a positive, Larrieu said that " sharing experiences with people around the world gives an idea of \u200b\u200bwhere we stand, and we're fine, because there is great expectation on the outside to work with us because the Black River program works, and does so with lines of action elsewhere that have not, as evidenced by the visit of Chinese professionals a few days "while
stressed that" ultrasound for diagnosis in children 6 to 14 years is done with general practitioners is a model very interested and that everyone wants to copy. Another example is the structure of health workers available to the Province "
Referring to the above, remarked Larrieu "In the world, almost no programs Hydatid Control who have managed to sustain over time as here. Those who were successful at some point after cut the program "
" We are well positioned and, moreover, is an indisputable fact that proves the importance that the Ministry gives to this issue, and that as a group of people who participated this Congress, unless the same Uruguayans were the most numerous, "he said.
Participation in the World Congress allowed the strengthening of lines of work already undertaken, such as the Ministry of Health of Peru, explained Edmundo Larrieu.
"This year we started an exchange program with Peru, from next year will double. Professionals in the country again to visit our province and, in return, they will receive our two people to do internships. It also secured a job with the University of Texas, so that their technicians will be visiting us, too, in 2010. In addition, it opened the possibility of another with the University of California, where we were asked to make an exchange of medical and veterinary funded by them, "he said.
As part of a cooperative project with the University of Melbourne (Australia), La Pampa, and the National Institute of Microbiology Carlos Malbran, the Ministry of Health will strengthen its Black River Control Program hydatidosis of sheep to vaccination against the disease in rural places where conditions are recorded even in children.
The addition of this new attack strategy, based on preventing infection in sheep and resulting in the dog, could allow greater success in reducing the prevalence and parasite clearance from the environment. Eg95
vaccine is developed and provided by the University of Melbourne, whose professionals will also visit the province to observe the field work of this campaign to start next Monday.
"Both the group Australia, as two U.S. and Peru, there is a strong possibility of exchange, "said Larrieu.
Background The last Congress
global developed in America was in 1999 in San Carlos de Bariloche, organized by the Ministry of Health of the Black River Province. There was attended by more than 600 technicians and professionals from around the world, with subsequent congresses made in Turkey, Kenya and Greece.
Tuesday, December 8, 2009
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SUFI ANATO sufuciente
The review was moved to Monday, January 18, 2010, at 10 00 am.
physio
The final is at 10, on Thursday
and the repo on 19 January. Hey
The review was moved to Monday, January 18, 2010, at 10 00 am.
physio
The final is at 10, on Thursday
and the repo on 19 January. Hey
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interested in hydatidosis contre Rionegrino Plan
A delegation of experts visiting the region. Want to replicate at home the experience of the program already 39 years old. Highlighted the network of health workers and the diagnosis by ultrasound.
A delegation of experts on animal transmitted diseases came to Black River to observe the practices and results of a program that already has 39 years of continuity, said Daniel CHIOZZA, secretary general of the provincial health portfolio.
of the visit emerged, CHIOZZA told that in the Republic of China will take the program against hydatidosis in the province of Black River as a valid model for the development of the plan to eradicate this evil in your country.
"We are proud to take into account our experience to develop the program that will be implemented from next year to cover an important health problem, given the scale of China's population. "
In this regard the official explained that in the Xinjiang region, from where the procession Asian canine population is 5 million dogs with no anti parasite control and recorded 380 000 hydatid patients.
Wenbao biologist Zhang, China head of the delegation, told Telam that "one of the most interesting experiences that we see here is the network of agents health, people who visit the field to take anti parasitic and information on health education.
"Another aspect to consider is the diagnostic method using ultrasound to reduce the number of surgeries to the most serious cases, "said the specialist visitor. sanitarian doctor Wiping Wu, Research Institute of Parasitic Diseases in China, said that" all the practices carried out in Black River are possible to replicate in our country. "" My responsibility is the development of the national program for combating hydatidosis in China and we are in the process of work, "he added.
hydatidosis is transmitted to dogs when ingested raw viscera of sheep, and then a tapeworm parasite eggs are scattered in the country in the feces of dogs. Those eggs orally enter the human body and lodge in soft tissues, producing fluid cysts can be fatal and is only remedied through surgery.
In 1980 there were 146 cases of people with hydatidosis in Black River, but in the statistics of 2008 scored only 33 patients sick. Sources from the health portfolio rionegrina reported that successful outcome is awarded mainly to the continuity of environmental education activities and detection of parasitized dogs.
Chinese professionals arrived on Saturday to the town of Valcheta, in the south, where they met with health officials, and visited the hospital today de Viedma, where surgeries are performed for hydatid cyst removal. Télam
A delegation of experts on animal transmitted diseases came to Black River to observe the practices and results of a program that already has 39 years of continuity, said Daniel CHIOZZA, secretary general of the provincial health portfolio.
of the visit emerged, CHIOZZA told that in the Republic of China will take the program against hydatidosis in the province of Black River as a valid model for the development of the plan to eradicate this evil in your country.
"We are proud to take into account our experience to develop the program that will be implemented from next year to cover an important health problem, given the scale of China's population. "
In this regard the official explained that in the Xinjiang region, from where the procession Asian canine population is 5 million dogs with no anti parasite control and recorded 380 000 hydatid patients.
Wenbao biologist Zhang, China head of the delegation, told Telam that "one of the most interesting experiences that we see here is the network of agents health, people who visit the field to take anti parasitic and information on health education.
"Another aspect to consider is the diagnostic method using ultrasound to reduce the number of surgeries to the most serious cases, "said the specialist visitor. sanitarian doctor Wiping Wu, Research Institute of Parasitic Diseases in China, said that" all the practices carried out in Black River are possible to replicate in our country. "" My responsibility is the development of the national program for combating hydatidosis in China and we are in the process of work, "he added.
hydatidosis is transmitted to dogs when ingested raw viscera of sheep, and then a tapeworm parasite eggs are scattered in the country in the feces of dogs. Those eggs orally enter the human body and lodge in soft tissues, producing fluid cysts can be fatal and is only remedied through surgery.
In 1980 there were 146 cases of people with hydatidosis in Black River, but in the statistics of 2008 scored only 33 patients sick. Sources from the health portfolio rionegrina reported that successful outcome is awarded mainly to the continuity of environmental education activities and detection of parasitized dogs.
Chinese professionals arrived on Saturday to the town of Valcheta, in the south, where they met with health officials, and visited the hospital today de Viedma, where surgeries are performed for hydatid cyst removal. Télam
Monday, December 7, 2009
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Anatomy Physiology
will TRY enough to move the examination of anatomy, we will apply for the January 18, those who want AND ARE IN SUFI , arrive tomorrow to sign at 10 00 am at the 1st floor.
Those who did the test repo, speak to me urgently: Karla Tanya
Quevedo Gloria Lozano and Castro
79406116.
Those who did the test repo, speak to me urgently: Karla Tanya
Quevedo Gloria Lozano and Castro
79406116.
Saturday, December 5, 2009
Friday, December 4, 2009
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Final Reports Fisio
As a second year, he donated to the Department of Anatomy (with manual purchases , and q to payments in the two cycles): EPSON Projectors
3 ..............$ 850 ..............$ 850
.
.............$ 887 ..............$ 34.90 1 Printer Canon
1 Rhodes Chair ........... ... $ 89.90 Compaq Laptop
1 ..............$ 599
TOTAL: $ 3,309.9
It is recognized that the unique anatomy that right now we detailed in holding the money we give, the last cycle it was also community, we hope to do it again.
We meet as year proposal, and to evaluate the 4 subjects taken this year, make constructive criticism that we could leave the department, also recognized in some way good teachers we've had ... is only a proposal for now, we advise then
As a second year, he donated to the Department of Anatomy (with manual purchases , and q to payments in the two cycles): EPSON Projectors
3 ..............$ 850 ..............$ 850
.
.............$ 887 ..............$ 34.90 1 Printer Canon
1 Rhodes Chair ........... ... $ 89.90 Compaq Laptop
1 ..............$ 599
TOTAL: $ 3,309.9
It is recognized that the unique anatomy that right now we detailed in holding the money we give, the last cycle it was also community, we hope to do it again.
We meet as year proposal, and to evaluate the 4 subjects taken this year, make constructive criticism that we could leave the department, also recognized in some way good teachers we've had ... is only a proposal for now, we advise then
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anato move application was rejected on Monday because the letter bore signatures of people had nothing q q see, q and had passed. That will upset the annatto, because they wanted to see it as q deceive.
q had already told us if we told the cartel q q paste some people saw it, but when the Doc look over the letter, he was removed and put theirs.
Fisio if it is on Thursday, at 10.
The only problem is that of Sufi q anatomy is the same day at 8, we can not move more, perhaps enough to advance on Tuesday or Wednesday.
need to contact: Karla Quevedo
Genoves
Vanessa Marylin
Tanya Lozano
today came as no review of anatomy, then q must urgently discuss with the doc Monterrosa, but that they are going to make one that of sufi.Si the know Tell him Tell him or q talk to me 79406116 or 70370450.
Apologies for posting late.
Wednesday, December 2, 2009
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Thursday dates are the same !!!!!! Slide Show Slide Show
We were going to try to change the dates of the repos, but what happens is q q Doc James, the coordinator of Physiology, q we had said we would move the final exam for Wednesday 9 and Thursday 10 and the ael repo and enough torque for another year, now says it can no longer q q will remain on Monday, 7.
Tomorrow we are all representatives to talk to him, he may as we had done our plan dates for final exams given srei q 9 and not 7.
q is why the biocide (repo) is due tomorrow, and annatto for Friday ... q physio if we move the discussion for Wednesday, we annatto for Monday ....
If physio leaves the exam on Monday afternoon, not even if they wanted to move so anatomy to that day in the morning ... I will be at the U tomorrow around 9 40, for say q PC and talk to the Doc
then until now: the 7 final physio on 4 repo
annatto
We were going to try to change the dates of the repos, but what happens is q q Doc James, the coordinator of Physiology, q we had said we would move the final exam for Wednesday 9 and Thursday 10 and the ael repo and enough torque for another year, now says it can no longer q q will remain on Monday, 7.
Tomorrow we are all representatives to talk to him, he may as we had done our plan dates for final exams given srei q 9 and not 7.
q is why the biocide (repo) is due tomorrow, and annatto for Friday ... q physio if we move the discussion for Wednesday, we annatto for Monday ....
If physio leaves the exam on Monday afternoon, not even if they wanted to move so anatomy to that day in the morning ... I will be at the U tomorrow around 9 40, for say q PC and talk to the Doc
then until now: the 7 final physio on 4 repo
annatto
Tuesday, December 1, 2009
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Hey who has the diapos exercise and stress, pasemelas to mail me the upload: 79406116
edgardo_1990@msn.com
Louis Piche
Monday, November 30, 2009
Saturday, November 28, 2009
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Community Expo
Here are the directions for community expos: http://www.mediafire.com/?sharekey=5e6391a433a0d7d05a3d773badf21430ae03a1e85a7335d3d9ecd7d091ba63d2
This page should carry 3 copies, one for each juror ... names of the members and the title of the research should preferably be typed on computer or by hand to point you mean this leaf ... We evaluate each jury so it is important!! Remember
defense of the research is Monday 30 November. at 1:00 pm sharp! Each group will have 10 minutes to present and be five minutes for questions!
Refreshments for students will until the end of the activity at 4:00 pm .... only the jury will have his lunch before!
not carry on charged slides!
luck everyone! haganla doubt por el chat del Blog...y espero responderles! : )
F. Clara Ramos
El final de fisio ya no sera el 7 , pero lo mas probable es q sea esa misma semana ... tipo jueves. y q repo y sufi se muevan para el otro año
Here are the directions for community expos: http://www.mediafire.com/?sharekey=5e6391a433a0d7d05a3d773badf21430ae03a1e85a7335d3d9ecd7d091ba63d2
This page should carry 3 copies, one for each juror ... names of the members and the title of the research should preferably be typed on computer or by hand to point you mean this leaf ... We evaluate each jury so it is important!! Remember
defense of the research is Monday 30 November. at 1:00 pm sharp! Each group will have 10 minutes to present and be five minutes for questions!
Refreshments for students will until the end of the activity at 4:00 pm .... only the jury will have his lunch before!
not carry on charged slides!
luck everyone! haganla doubt por el chat del Blog...y espero responderles! : )
F. Clara Ramos
El final de fisio ya no sera el 7 , pero lo mas probable es q sea esa misma semana ... tipo jueves. y q repo y sufi se muevan para el otro año
Friday, November 27, 2009
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EYE IMPORTANT! FINAL PART OF ANATOMY
El parcial final de Anatomía será el mismo día lunes 30 de noviembre, pero se realizará a las 7:30AM.
Esto con el fín de no afectar la retroalimentación de Fisiología del Grupo A, que será de 9:00AM en adelante.
El parcial final de Anatomía será el mismo día lunes 30 de noviembre, pero se realizará a las 7:30AM.
Esto con el fín de no afectar la retroalimentación de Fisiología del Grupo A, que será de 9:00AM en adelante.
Monday, November 23, 2009
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El control de Fisio se movio para la otra semana, para liberar un poco esta semana. Tendremos los dos juntos.
Hablando con el Lic. Contreras le explique q muchos we were far behind in research work, I can not comment extending q, q q pass he has asked the tutors to work on Friday. Tutors to deliver it on Wednesday, for q on Thursday to review it and give it to Mr Friday. There he is in
tutors, q talk to them if we can deliver on Thursday or Friday morning ... note this is not official!! It depends on each one of us and our tutors.
Saturday, November 21, 2009
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Fisio and Communications Package for partial
Hello comrades
s! I leave here the full package of community-slide! componenentes except for the participatory appraisal, community, strategic, socio-epidemiological, as this issue gave it Exmeralda Dr Rivera and perhaps common diapos not: S. .. so q others leave them here: Hello comrades
Sanitation (x being annoying. I leave aside: S): http://www.mediafire.com /? odumgnmimwm
diapos Other (PAI, ERAS, IDAS, IMCI, MRRC): http://www.mediafire.com/?ewt0ntzouma
Att. Dee: D! Remember
is practically the entire contents of the cycle with the exception of scientific research topic! ... Q is always recommended based on the book, are just a herrameinta diapos. Take care and good luck!
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Community COMMUNITY! Micro
Good day mates!
Clarita Ramos ACS REPRESENTATIVE Gpo IV. "B" is no longer available to open an email where they can find the slides and various cycle ACS:
micro
Good day mates!
Clarita Ramos ACS REPRESENTATIVE Gpo IV. "B" is no longer available to open an email where they can find the slides and various cycle ACS:
mail: estudiantemedic@hotmail.com
Password: Community
Password: Community
Att.
Dee PS: I recall something about the qu Clarita said we have to study everything except for the first issue of "final report of a research project, at least that's the doubt - which, as Clara says, we cleared the day Yesterday Dr. Roxana Ortiz.
Dee PS: I recall something about the qu Clarita said we have to study everything except for the first issue of "final report of a research project, at least that's the doubt - which, as Clara says, we cleared the day Yesterday Dr. Roxana Ortiz.
Tuesday, November 17, 2009
Sunday, November 15, 2009
Is Diabetes Found More Commonly In Certain Groups
Surgical management of liver hydatidosis: a series of 1412 Patients Multicenter
Liver International: full-text article to Be published - the January 2010 issue. CLINICAL STUDIES
Surgical management of liver hydatidosis: a series of 1412 Patients Multicenter
Mario A. Secchi 1, Ricardo Pettinari 2, Carlos H. Mercapide 3 , Ricardo Bracco 4, Carlos Castilla 5, Eduardo
Cassone 6 Paul Sisco 7, Oscar Andriani 8, Leonardo Rossi 9, Jorge Grondona 10, Lisandro Quadrelli 1,
Raul Cabral 2, Nicolás Rodríguez León 1 and Carlos Ledesma 3
1 Department of Surgery, Hospital Italiano Garibaldi IUNIR and Medical School, Rosario, Argentina
2 Department of Surgery, Regional Hospital, C. Rivadavia, Argentina
3 Department of Surgery, Hospital Artemide Zatti, Viedma, Argentina
4 Department of Surgery, Hospital Interzonal, Mar del Plata, Argentina
5 Department of Surgery, Hospital General San Martín, La Plata, Argentina
6 Department of Surgery, Central Hospital of Mendoza, Mendoza, Argentina
7 Department of Surgery, Hospital Pirovano Buenos Aires, Argentina
8 Department of Surgery, Favaloro Foundation, Buenos Aires, Argentina
9 Department of Surgery, Clinical Model Rufino, Santa Fe, Argentina
10 Department of Surgery, Medical Center of San Isidro, Buenos Aires, Argentina Correspondence
Professor Mario A. Secchi, Surgical Clinic I, Medical School IUNIR Service, Surgical Clinic 'B',
Hospital Italiano, Virasoro 1249, 2000 Rosario, Argentina
Tel: +54 341 893 4858
Fax: +54 341 065 4825
e-mail: secchimario@hotmail.com
KEYWORDS
HYDATA echinococcus • • liver disease • surgery •
parasitic cyst ABSTRACT
Background: The management of hydatid liver disease (HLD) includes various nonsurgical and surgical
treatment options.
Methods: The purpose of the present longitudinal study was to report the changes in surgical management and the consequent outcome of HLD patients in 10 referral surgical centres in Argentina from 1975 to 2007. The study result analysis was divided into two study periods (1975–1990 and 1991–2007).
Results: A total of 1412 patients underwent radical (Group 1: 396 patients), conservative (Group 2: 748 patients) or combined (Group 3: 536 interventions in 268 patients) surgical procedures. The overall mortality and complication rate (Clavien I–IV) was 1.8 and 39% respectively. The complication rate was significantly lower in Group 1 (26%) compared with Group 2 (45%) and Group 3 (42%) There was a significant decrease in mortality (2.3 vs. 1%), complication (42 vs. 34%) and early reoperation (12 vs. 6%) rates between the first study part (918 patients) and the second study part (494 patients). During a median follow-up of 7 years, there was a significant decrease in the first part of this study in the late reoperation rate (8.4–3%) and indisease recurrence (9–1.6%).
Conclusion: This large national observational multicentre series shows a significant improvement in surgical management of HLD in Argentina, with a decrease in mortality, morbidity, early and late reoperation and recurrence rates. A recent trend was observed in favour of an earlier diagnosis, less complicated clinical presentation and recent use of minimally invasive approaches.
Received 21 May 2009 at Liver International
Accepted 6 August 2009 : Full text published in the January 2010 issue
DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1478-3231.2009.02116.x About DOI
Liver International: full-text article to Be published - the January 2010 issue. CLINICAL STUDIES
Surgical management of liver hydatidosis: a series of 1412 Patients Multicenter
Mario A. Secchi 1, Ricardo Pettinari 2, Carlos H. Mercapide 3 , Ricardo Bracco 4, Carlos Castilla 5, Eduardo
Cassone 6 Paul Sisco 7, Oscar Andriani 8, Leonardo Rossi 9, Jorge Grondona 10, Lisandro Quadrelli 1,
Raul Cabral 2, Nicolás Rodríguez León 1 and Carlos Ledesma 3
1 Department of Surgery, Hospital Italiano Garibaldi IUNIR and Medical School, Rosario, Argentina
2 Department of Surgery, Regional Hospital, C. Rivadavia, Argentina
3 Department of Surgery, Hospital Artemide Zatti, Viedma, Argentina
4 Department of Surgery, Hospital Interzonal, Mar del Plata, Argentina
5 Department of Surgery, Hospital General San Martín, La Plata, Argentina
6 Department of Surgery, Central Hospital of Mendoza, Mendoza, Argentina
7 Department of Surgery, Hospital Pirovano Buenos Aires, Argentina
8 Department of Surgery, Favaloro Foundation, Buenos Aires, Argentina
9 Department of Surgery, Clinical Model Rufino, Santa Fe, Argentina
10 Department of Surgery, Medical Center of San Isidro, Buenos Aires, Argentina Correspondence
Professor Mario A. Secchi, Surgical Clinic I, Medical School IUNIR Service, Surgical Clinic 'B',
Hospital Italiano, Virasoro 1249, 2000 Rosario, Argentina
Tel: +54 341 893 4858
Fax: +54 341 065 4825
e-mail: secchimario@hotmail.com
KEYWORDS
HYDATA echinococcus • • liver disease • surgery •
parasitic cyst ABSTRACT
Background: The management of hydatid liver disease (HLD) includes various nonsurgical and surgical
treatment options.
Methods: The purpose of the present longitudinal study was to report the changes in surgical management and the consequent outcome of HLD patients in 10 referral surgical centres in Argentina from 1975 to 2007. The study result analysis was divided into two study periods (1975–1990 and 1991–2007).
Results: A total of 1412 patients underwent radical (Group 1: 396 patients), conservative (Group 2: 748 patients) or combined (Group 3: 536 interventions in 268 patients) surgical procedures. The overall mortality and complication rate (Clavien I–IV) was 1.8 and 39% respectively. The complication rate was significantly lower in Group 1 (26%) compared with Group 2 (45%) and Group 3 (42%) There was a significant decrease in mortality (2.3 vs. 1%), complication (42 vs. 34%) and early reoperation (12 vs. 6%) rates between the first study part (918 patients) and the second study part (494 patients). During a median follow-up of 7 years, there was a significant decrease in the first part of this study in the late reoperation rate (8.4–3%) and indisease recurrence (9–1.6%).
Conclusion: This large national observational multicentre series shows a significant improvement in surgical management of HLD in Argentina, with a decrease in mortality, morbidity, early and late reoperation and recurrence rates. A recent trend was observed in favour of an earlier diagnosis, less complicated clinical presentation and recent use of minimally invasive approaches.
Received 21 May 2009 at Liver International
Accepted 6 August 2009 : Full text published in the January 2010 issue
DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1478-3231.2009.02116.x About DOI
Sunday, October 25, 2009
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