Micro-elimination of Hepatitis C in Low- and Middle-Income Settings: Challenges and Windows of Opportunity.

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THE EVOLVING HISTORY OF THE REVISTA DE INVESTIGACIóN CLíNICA.

The Revista de Investigación Clínica (RIC) was established in 1948. It has been published continuously for 73 years. Until 2009, it was the journal of the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (formerly Hospital de Enfermedades de la Nutrición, and later named Instituto Nacional de la Nutrición), and thereafter it became the official journal of the Mexican National Institutes of Health. The history of this journal may be divided into four eras or periods, each distinctly characterized by the trends, and particular editorial policies imposed by the Editor-in-Chief and Editorial Committee in turn. The RIC, since 2015 known as RIC -Clinical and Translational Investigation-, is currently a nationally and internationally recognized scientific journal. This article briefly reviews the most outstanding historical features of the RIC since its foundation.

Robotic surgery at ABC Medical Center: first 500 procedures experience.

BACKGROUND: Robotic surgery is a technological advance that is used in multiple surgical specialties in the world. Its acceptance in various areas has been supported by comparative studies with laparoscopic surgery and open surgery. OBJECTIVE: To document the robotic surgery program initial experience in a private hospital of Mexico City by analyzing its results and complications. MATERIAL AND METHOD: The first 500 robotic surgeries practiced at ABC Medical Center were included, covering a three-year period (January 2017 to December 2019). The following was documented: specialties involved, surgeries broken down by specialty and type of surgery, surgical times, complications and number of doctors involved in the initial experience. RESULTS: Out of 500 patients, 367 (73.4 %) were males and 133 (26.4 %) were females. The three most common surgeries were radical prostatectomy (269), hysterectomy (64) and inguinal repair (33). Average age was 58 years (range: 18 to 90 years). A total of 40 certified surgeons from five specialties performed all the procedures. CONCLUSIONS: Starting a program in a private medical center has several implications. The creation of a robotic surgery committee made up of certified robotic surgery specialists from each specialty and hospital authorities for the accreditation of guidelines for both certification and recertification of their doctors can benefit programs like ours by creating a center of excellence in robotic surgery and thus reduce complications and improve results.

ANTECEDENTES: La cirugía robótica se utiliza en múltiples especialidades quirúrgicas a nivel mundial. OBJETIVO: Documentar la experiencia inicial del programa de cirugía robótica en un hospital de práctica privada. MATERIAL Y MÉTODO: Se incluyen las primeras 500 cirugías robóticas realizadas en el Centro Médico ABC, abarcando un periodo de tres años. Se documentan especialidades involucradas así como datos transoperatorios principales. RESULTADOS: De 500 pacientes, 367 (73.4%) fueron de sexo masculino y 133 (26.4%) de sexo femenino. Las tres cirugías más realizada fueron prostatectomía radical (269), seguido de histerectomía (64) y plastia inguinal (33). Un total de 40 médicos certificados de cinco especialidades realizaron la totalidad de los procedimientos. CONCLUSIONES: El iniciar un programa en un centro médico privado tiene diversas implicaciones. La creación de un comité de cirugía robótica integrado por médicos especialistas certificados en cirugía robótica de cada especialidad y autoridades del hospital para la acreditación de lineamientos tanto para la certificación como la recertificación de sus médicos puede beneficiar a programas como el nuestro por crear un centro de excelencia de cirugía robótica, disminuyendo complicaciones y mejorando resultados.

Cirugía robótica en el Centro Médico ABC: experiencia en los primeros 500 procedimientos realizados / Robotic surgery at ABC Medical Center: first 500 procedures experience

Resumen Antecedentes: La cirugía robótica se utiliza en múltiples especialidades quirúrgicas a nivel mundial. Objetivo: Documentar la experiencia inicial del programa de cirugía robótica en un hospital de práctica privada. Material y método: Se incluyen las primeras 500 cirugías robóticas realizadas en el Centro Médico ABC, abarcando un periodo de tres años. Se documentan especialidades involucradas así como datos transoperatorios principales. Resultados: De 500 pacientes, 367 (73.4%) fueron de sexo masculino y 133 (26.4%) de sexo femenino. Las tres cirugías más realizada fueron prostatectomía radical (269), seguido de histerectomía (64) y plastia inguinal (33). Un total de 40 médicos certificados de cinco especialidades realizaron la totalidad de los procedimientos. Conclusiones: El iniciar un programa en un centro médico privado tiene diversas implicaciones. La creación de un comité de cirugía robótica integrado por médicos especialistas certificados en cirugía robótica de cada especialidad y autoridades del hospital para la acreditación de lineamientos tanto para la certificación como la recertificación de sus médicos puede beneficiar a programas como el nuestro por crear un centro de excelencia de cirugía robótica, disminuyendo complicaciones y mejorando resultados.

Abstract Background: Robotic surgery is used in different surgical specialties worldwide. Objective: To documents the initial experience in a private hospital in the use robotic surgery in different surgical areas. Material and Methods: We included the first 500 robotic surgeries in our hospital in a 3 year period, documenting specialty and operative information. Results: Of the 500 patients, 367 (73.4%) were male and 133 (26.4%) female. The three most frequent surgeries performed were Radical Prostatectomy (269), Hysterectomy (64) an inguinal repair (33). A total of 40 certified surgeons ranging from 5 specialties performed the total number of surgeries. Conclusions: There are several implications in starting a robotic program in a private hospital setting. The creation of a robotic committee, formed by robotic certified physicians and hospital authorities, has helped in the certification process of its staff, lowering the complication rate and obtaining better surgical results.

El retiro digno del médico.

Retirement of physicians from their professional activity is a subject of global interest. In Mexico, there is no official regulation that determines the age at which physicians should retire from their profession as in other countries. This symposium presents the measures implemented at the ABC Medical Center in recent years about physicians' retirement, with the establishment of a committee. This has been achieved in part also with the creation of group medical practices that integrate doctors in their different specialties, whose interest among other aspects of individual and collective interest, is the establishment of a retirement fund.

El retiro del médico de su actividad profesional es un tema de interés global. En México no existe una regulación oficial que determine la edad a la que el médico debe retirarse de su profesión como sucede en otros países. En este simposio se presentan las medidas realizadas en el Centro Médico ABC en los últimos años en lo que al retiro médico se refiere, con el establecimiento de un comité. Lo anterior se ha logrado en parte también con la creación de prácticas médicas grupales que integran a los médicos en sus distintas especialidades, cuya intención, entre otros aspectos de interés individual y colectivo, es el establecimiento de un fondo para el retiro.

[Priority actions towards a national program for detection, treatment, and monitoring of patients with hepatitis C.] / Acciones prioritarias para un programa nacional de detección, tratamiento y seguimiento de pacientes con hepatitis C.

In the Mexican health scenario, the hepatitis C virus epidemic is present, along with its comorbidities and premature mortality. Acting immediately will allow its containment in short term with the proper implementation of the current available tools for prevention, diagnosis and highly effective pharmacological therapies. The Coalition for the study of hepatitis C in Mexico has developed a position paper that takes advantage of these containment measures and presents the development of a National program for the detection, timely treatment and follow-up of patients with hepatitis C.

En el escenario de la salud mexicana, la epidemia por virus de la hepatitis C se encuentra presente junto con sus comorbilidades y mortalidad prematura. Actuar de manera inmediata permitirá una contención de la misma en el corto plazo dada la existencia de herramientas de prevención, diagnóstico y terapias farmacológicas altamente eficaces. La Coalición para el estudio de la hepatitis C en México ha desarrollado una postura donde aprovecha esas medidas de contención y presenta el desarrollo de un programa nacional para la detección, tratamiento oportuno y seguimiento de pacientes con hepatitis C.

Acciones prioritarias para un programa nacional de detección, tratamiento y seguimiento de pacientes con hepatitis C / Priority actions towards a national program for detection, treatment, and monitoring of patients with hepatitis C

Resumen: En el escenario de la salud mexicana, la epidemia por virus de la hepatitis C se encuentra presente junto con sus comorbilidades y mortalidad prematura. Actuar de manera inmediata permitirá una contención de la misma en el corto plazo dada la existencia de herramientas de prevención, diagnóstico y terapias farmacológicas altamente eficaces. La Coalición para el estudio de la hepatitis C en México ha desarrollado una postura donde aprovecha esas medidas de contención y presenta el desarrollo de un programa nacional para la detección, tratamiento oportuno y seguimiento de pacientes con hepatitis C.

Abstract: In the Mexican health scenario, the hepatitis C virus epidemic is present, along with its comorbidities and premature mortality. Acting immediately will allow its containment in short term with the proper implementation of the current available tools for prevention, diagnosis and highly effective pharmacological therapies. The Coalition for the study of hepatitis C in Mexico has developed a position paper that takes advantage of these containment measures and presents the development of a National program for the detection, timely treatment and follow-up of patients with hepatitis C.

[Physician retirement from clinical practice: how and when]. / El retiro clinicoquirúrgico del médico en México.

In Mexico there is no legislation as to when a physician should retire from active practice as it is the case in other countries. The Mexican Social Security for instance, in its global working contract between the authorities and the employees, for the period 2009-2011 clearly stated that after 30 years of service for men and 27 for women the employee may retire but the physician can still work in another institution or in private practice for as long as he or she wants. In this article, the experience of distinguished Mexican surgeons who had written in the past in relation to this topic is acknowledged. A brief description of the retirement of physicians in Spain where the National Health System retire physicians from practice at age 65 and in some cases at age 70 is discussed. The author analyzes what happens in other activities of human mankind such as in the arts, painting, architecture, music, physics and philosophy, where there are plenty of outstanding examples of men and women doing their best work well over the age of 65. The names of some distinguished Mexican physicians past presidents of the Academy of Medicine are mentioned, all of them legends in the field of medicine who worked or continue to work many, many years after the age of 65. The author recognizes the process of accreditation and certification of medical specialists in Mexico that is carried out by the 47 specialty councils that have the recognition of the National Committee for Medical Specialties: CONACEM. Finally he offers his personal thoughts about what a physician may do when he or she is thinking of retiring and urges them not to throw away their personal experiences of many years in medical practice but instead to utilize the social networks such as Twitter or Facebook in order to continue to provide their expertise to young physicians who may benefit greatly.

Discursos e intervenciones del C. Subsecretario de Servicios de Salud, Dr. Enrique Wolpert Barraza, durante el año de 1992 / Dircuses and interventions of the Subsecretary of Health Services, Dr. Enrique Wolpert Barraza, During the year 1992

En este documento se reúnen diversos documentos relativos a: discursos, intervenciones y presentaciones, del Subsecretario de los Servicios de Salud, de la Secretaría de Salud (SSA), Dr. Enrique Wolpert Barraza, con motivo de la realización de diferentes eventos, todos relativos a los servicios de salud, durante el año de 1992. Estos documentos o discursos reflejan la política que en materia de salud desarrolla el Estado Mexicano a través de la SSA

Discursos e intervenciones del C. Subsecretario de Servicios de Salud, Dr. Enrique Wolpert Barraza, durante el año de 1991 / Discurses and interventions of the Subsecretary of Healtl Services, Dr. Enrique Wolpert Barrza, during the year 1991

En este documento se reúnen diversos documentos relativos a: discursos, intervenciones y presentaciones, del Subsecretario de los Servicios de Salud, de la Secretaría de Salud (SSA), Dr. Enrique Wolpert Barraza, con motivo de la realización de diferentes eventos, todos relativos a los servicios de salud, durante el año de 1991. Estos documentos o discursos reflejan la política que en materia de salud desarrolla el Estado Mexicano a través de la SSA

Discursos e intervenciones del C. Subsecretario de Servicios de Salud, Dr. Enrique Wolpert Barraza, durante el año de 1990 / Discouses and interventions of the Subsecratary of Healthl Services, Dr. Enrique Wolpert Barraza, during the year 1990

En este documento se reúnen diversos documentos relativos a: discursos, intervenciones y presentaciones, del Subsecretario de los Servicios de Salud, de la Secretaría de Salud (SSA), Dr. Enrique Wolpert Barraza, con motivo de la realización de diferentes eventos, todos relativos a los servicios de salud, durante el año de 1990. Estos documentos o discursos reflejan la política que en materia de salud desarrolla el Estado Mexicano a través de la SSA

Discursos e intervenciones del C. Subsecretario de Servicios de Salud, Dr. Enrique Wolpert Barraza durante el año de 1989 / Discourses and interventions of the Subsecretary of Health Services, Dr. Enrique Wolpert Barraza, during the year 1989

En este documento se reúnen diversos documentos relativos a: discursos, intervenciones y presentaciones, del Subsecretario de los Servicios de Salud, de la Secretaría de Salud (SSA), Dr. Enrique Wolpert Barraza, con motivo de la realización de diferentes eventos, todos relativos a los servicios de salud, durante el año de 1989. Estos documentos o discursos reflejan la política que en materia de salud desarrolla el Estado Mexicano a través de la SSA