RESUMO
Dear Editor, We have read the article "The usefulness of the genetic panel in the classification and refinement of diagnostic accuracy of Mexican patients with Marfan syndrome and other connective tissue disorders", recently published in your esteemed journal. We are a team dedicated to diagnosing, approaching, and managing patients with connective tissue disorders, particularly hypermobile spectrum disorders (HSD) and Ehlers-Danlos syndromes (EDS). We appreciate the research group's effort to address the complexity of connective tissue disorders using a multi-panel genetic approach and their analysis of genotype-phenotype associations in a cohort of Mexican patients. However, we would like to express our concern regarding two specific points that we consider crucial for the comprehensive understanding and management of these disorders. Read more in the PDF.
Assuntos
Doenças do Tecido Conjuntivo , Síndrome de Marfan , Humanos , Síndrome de Marfan/genética , Síndrome de Marfan/diagnóstico , México , Doenças do Tecido Conjuntivo/genética , Doenças do Tecido Conjuntivo/diagnóstico , Testes Genéticos/métodos , Estudos de Associação Genética/métodosRESUMO
This study aims to (i) propose a demand forecast model for special nutrition materials in the context of health services, and (ii) comparatively evaluate three inventory management and control systems (periodic review, continuous review and mixed) for special nutrition materials. For that, we carried out a case study in a Brazilian public teaching hospital where data and information collection were conducted over a span of 22 months (from January 2018 and were consolidated until October 2019). A six-step approach was followed to propose the demand forecasting models and, later, evaluate the inventory control systems for special nutrition materials. Results indicate that if the organization implements the proposed inventory management method, there could be savings of up to 33% in the stock values managed by the healthcare organization. This research shows the planning and control of special nutrition materials in an integrated manner. Demand forecasting methods have been combined with inventory management to promote systemic improvements to healthcare organization.
Assuntos
Necessidades e Demandas de Serviços de Saúde , Serviços de Saúde , Brasil , Previsões , Hospitais PúblicosRESUMO
Se presentaron 8 casos de pacientes intervenidos quirúrgicamente por presentar heridas cardiopericardicas abiertas, recibidos y operados por el Servicio de Cirugía y Emergencia del Hospital Municipal de Morón, entre los años de 1980 y 1990. En estos se compara el estado preoperatorio, tipo de herida lesiones asociadas a las mismas tácticas quirúrgicas y morbimortalidad. Se hacen consideraciones sobre la historia de la cirugía cardiopericárdica por traumatismo abiertos en precordio
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Traumatismos Cardíacos , Ferimentos e Lesões , Traumatismos Cardíacos/cirurgiaRESUMO
Se presentaron 8 casos de pacientes intervenidos quirúrgicamente por presentar heridas cardiopericardicas abiertas, recibidos y operados por el Servicio de Cirugía y Emergencia del Hospital Municipal de Morón, entre los años de 1980 y 1990. En estos se compara el estado preoperatorio, tipo de herida lesiones asociadas a las mismas tácticas quirúrgicas y morbimortalidad. Se hacen consideraciones sobre la historia de la cirugía cardiopericárdica por traumatismo abiertos en precordio(AU)