RESUMO
Procedimientos microneuroquirúrgicos funcionales tienen como prioridad la modificación de la función de agrupamientos neurales o circuitos neurales específicos y no la remoción de las lesiones que colocan en riesgo la viabilidad del sistema nervioso o la vida del paciente. Así de esta manera, está íntimamente asociado al abordaje de la neurocirugía funcional encontrándose el concepto de intratabilidad clínica o farmacológica de la Epilepsia. Este es el aspecto más crucial en la selección de pacientes epilépticos para tratamiento quirúrgico, sin embargo, no es estrictamente excluyente. Nuestro trabajo muestra los criterios, técnicas y resultados en cirugía de epilepsia en 227 pacientes seleccionados por equipo multidisciplinario beneficiados de este procedimiento microenuroquirúrgico.
RESUMO
The health municipios strategy in Latin America is helping to promote new social pacts in the search for solutions to problems affecting health and well-being; to strengthen the principles of solidarity; and, above all, to find a means of achieving equity. Through this movement, the health sector is bolstering its leadership capability by putting health on the political agenda. In the process, the organization services is being improved and the formulation and implementation of healthy poblic policies is being advanced. The political, financial, and technical challenges are great, but is they can be met, the healthy municipios movement will contribute to building a culture of health through the promotion of healthy lifestyles and to strengthening democratic processes and fostering good citizenship
Paper prepared for the Internatonal Conference on Healthy and Ecological Cities, Madrid, 22-25 March 1995
Assuntos
Saúde da População Urbana , Planejamento Estratégico , América Latina , Promoção da SaúdeRESUMO
Taking into account some aspects of the evolution of the health-illness concept, and considering that health depends on four elements--human biology, environment, life styles and health promotion with emphasis on well-being--the intersectorial action, the participation of the population in their own health care and the reorientation of services through the development of local health systems, are evaluated. At the same time mention is made of the importance of the decentralization process and the district's participation in the democratization of the civilian life. Considering all these aspects, the possibility of implementing the healthy district strategy as an alternative and facilitating form of development and well being and as a way to distribute health more equitably, is proposed. To increment the effects of this strategy, support for the creation of a regional movement of healthy districts is suggested.