RESUMO
Se presenta la gran utilidad que ofrece la capacitación de los distintos sectores de la comunidad frente al doble rol de administrar y consumir los recursos hídricos existentes
Assuntos
Educação em Saúde Ambiental , CongressoRESUMO
Seventy one patients with abnormal cervical cytology, were submitted to electrosurgical resection of the transformation zone, as part of diagnostic and therapeutic protocol. The resection was done at the office, on ambulatory basis and with local anesthesia with an average of 10 for its realization. The obtained specimen was 2 x 2 cm in area, and depth of one cm. Morbidity was 9.8%, and considered lesser. Only 2.8% required hospitalization. Procedure acceptability by the patient was more than 95%. It is concluded that it offers diagnostic precision with a technique easily done, and that it may be a therapeutic alternative.
Assuntos
Procedimentos Cirúrgicos Ambulatórios , Eletrocirurgia , Neoplasias do Colo do Útero/cirurgia , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
This paper describes the achievements and problems of a community participation model in health care, developed by the Mexican Social Security Institute since 1985. The health team involved between 10 and 20 percent of the personnel due to the slow adoption this program requires in new of the cultural change it implies. The community's answer has been satisfactory, as it can be seen by the ware of 100 neighbours and school committees, and around the 2,000 housewives and school students who are been working as promoters. This figures stand monthly. The self-care groups on chronic diseases constitute another form of participation. The community activities are progressively focused on causes of health and disease, embracing our 70 per cent of health promotion and disease prevention actions. The work realized by the community over cause one third of that realized by the preventive medicine personnel. This health community participation model represents a valuable and viable alternative.
Assuntos
Serviços de Saúde Comunitária/organização & administração , Participação do Paciente , Previdência Social , Promoção da Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , México , Apoio SocialRESUMO
One hundred and fifty three patients with carcinoma of the cervix, stages IB and IIA, were treated with radical hysterectomy and pelvic lymphadenectomy, during the period from October 1978 to December, 1989; 85.6% were at stages IB and 14.4% at IIA. The most frequent histological type was the epidermoid one in 91.5%. Average age was 48 years; 94 patients out of 107 (87.8%) were followed up during five years at least. Total survival at five years, was 75.7%; with positive lymphatic nodes, 50% and with negative nodes, 77.2%. In 17.6% of the cases post-operative radiotherapy was required. Late morbidity was most frequent as vesical dysfunction (17.6%); there were vesicovaginal fistulae (1.3%); and operative mortality was 0.6%). The present study confirms that this type of surgery is justified, as to survival and morbi-mortality, and it allows a histopathological evaluation that shows risk factors, as to recurrence.