RESUMO
After 6 years of operation of a National (autonomous) Board for Certification of Medical Specialists, the number, distribution and training of medical specialists is analyzed. Problems regarding significant differences in the quality of training and imbalance among different specialties are identified. The medical profession has expressed its confidence and feels supported by the activities of the Board. However, health care deliverers and users in general are expected to increase their support and consideration for the information provided by the Board, in order to fulfill the purpose for which it was established.
Assuntos
Medicina/normas , Especialização , Conselhos de Especialidade Profissional/normas , Chile , HumanosRESUMO
A 16 year old man developed progressive swelling at the left hypochondrium over a 3 month period. Non painful splenomegaly was shown by physical examination and confirmed by ultrasonography and scintigraphy. Successful splenectomy disclosed a primary splenic cyst. The patient recovered uneventfully.
Assuntos
Cisto Epidérmico/complicações , Esplenopatias/complicações , Esplenomegalia/etiologia , Adolescente , Cisto Epidérmico/patologia , Cisto Epidérmico/cirurgia , Humanos , Masculino , Esplenectomia , Esplenopatias/patologia , Esplenopatias/cirurgiaAssuntos
Cimetidina/uso terapêutico , Guanidinas/uso terapêutico , Síndrome de Zollinger-Ellison/tratamento farmacológico , Adulto , Feminino , Gastrectomia , Suco Gástrico/metabolismo , Gastrinas/sangue , Humanos , Úlcera Péptica/cirurgia , Radiografia , Síndrome de Zollinger-Ellison/diagnóstico por imagemRESUMO
Whole blood concentrations of selenium were determined in 776 dairy cows and calves from 28 farms located in three States (Aragua, Carabobo and Guárico) of the central zone of Venezuela and in Portuguesa State. Selenium levels largely varied according to both the geographic distribution and animals breed. Cattle from Guárico State showed the lowest average concentration (0.21 ppm) and those from Portuguesa the highest one (0.67 ppm). A group of animals from Turén (a District of Portuguesa State) showed the highest average concentration (1.64 ppm, range 1.02 +/- to 3.24 ppm). Concentrations of this magnitude in animals under grazing conditions could be related to high levels of selenium either in the soil or in the pasture. It is concluded that such animals are localized inaseleniferous zone (Turén). It must be noted that Jaffé et al. (op. cit.) found high levels of selenium in sesame seeds (Sesamum indicum) from this area and in blood and urine samples of children from Villa Bruzual, a little town of Turén. The results of this wok significantly differ from those obtained in other countries (of Europe and North America), where animals are managed under conditions very different from those of the tropical areas like Venezuela. The role this factor is discussed. This is the first report on blood levels in large animals of economical importance in Venezuela.