RESUMO
PURPOSE: The SEOM Future Plan is aimed at identifying the main challenges, trends and needs of the medical oncology speciality over the next years, including potential oncologist workforce shortages, and proposing recommendations to overcome them. METHODS: The estimations of the required medical oncologists workforce are based on an updated Medical Oncologist Register in Spain, Medical Oncology Departments activity data, dedication times and projected cancer incidence. Challenges, needs and future recommendations were drawn from an opinion survey and an advisory board. RESULTS: A shortage of 211 FTE medical oncologist specialists has been established. To maintain an optimal ratio of 158 new cases/FTE, medical oncology workforce should reach 1881 FTE by 2035. CONCLUSIONS: Main recommendations to face the growing demand and complexity of oncology services include a yearly growth of 2.5% of medical oncologist's workforce until 2035, and development and application of more accurate quality indicators for cancer care and health outcomes measure.
Assuntos
Necessidades e Demandas de Serviços de Saúde , Oncologia , Neoplasias/prevenção & controle , Oncologistas , Planejamento de Assistência ao Paciente/normas , Humanos , EspanhaRESUMO
Human bocavirus (HBoV) is a respiratory pathogen that affects young children. We screened 511 nasopharyngeal aspirates for hospital-acquired HBoV from infants hospitalised with respiratory infection from January to December 2008. Among 55 children with HBoV infection, 10 cases were hospital-acquired. Compared with the community-acquired cases, coinfection with other respiratory viruses in these patients was uncommon. HBoV should be considered for inclusion in screening protocols for nosocomial childhood respiratory infections, especially in intensive care units.
Assuntos
Infecção Hospitalar/epidemiologia , Bocavirus Humano/isolamento & purificação , Infecções por Parvoviridae/epidemiologia , Comorbidade , Feminino , Hospitais , Humanos , Lactente , Recém-Nascido , Masculino , Nasofaringe/virologiaRESUMO
Se presenta una enfermade 30 años con una lesión prominente en el primer dedo del pie derecho, intensa destrucción osteoarticular a su nivel y estructura histológica típica de granuloma tuberculoide. La tipificación de un M. Tuberculosis plantea la situación de este caso dentro de las tuberculosis clásica o bacilares.