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Arch Pathol Lab Med ; 145(2): 222-226, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33501497


CONTEXT.­: The Surveillance, Epidemiology, and End Results (SEER) cancer registry program is currently evaluating the use of archival, diagnostic, formalin-fixed, paraffin-embedded (FFPE) tissue obtained through SEER cancer registries, functioning as honest brokers for deidentified tissue and associated data. To determine the feasibility of this potential program, laboratory policies for sharing tissue for research needed to be assessed. OBJECTIVE.­: To understand the willingness of pathology laboratories to share archival diagnostic tissue for cancer research and related policies. DESIGN.­: Seven SEER registries administered a 27-item questionnaire to pathology laboratories within their respective registry catchment areas. Only laboratories that processed diagnostic FFPE specimens and completed the questionnaire were included in the analysis. RESULTS.­: Of the 153 responding laboratories, 127 (83%) responded that they process FFPE specimens. Most (n = 88; 69%) were willing to share tissue specimens for research, which was not associated with the number of blocks processed per year by the laboratories. Most laboratories retained the specimens for at least 10 years. Institutional regulatory policies on sharing deidentified tissue varied considerably, ranging from requiring a full Institutional Review Board review to considering such use exempt from Institutional Review Board review, and 43% (55 of 127) of the laboratories did not know their terms for sharing tissue for research. CONCLUSIONS.­: This project indicated a general willingness of pathology laboratories to participate in research by sharing FFPE tissue. Given the variability of research policies across laboratories, it is critical for each SEER registry to work with laboratories in their catchment area to understand such policies and state legislation regulating tissue retention and guardianship.

Laboratorios/legislación & jurisprudencia , Neoplasias/patología , Políticas , Investigación/legislación & jurisprudencia , Programa de VERF/legislación & jurisprudencia , Formaldehído , Humanos , Neoplasias/diagnóstico , Adhesión en Parafina , Patología , Fijación del Tejido
Arch Pathol Lab Med ; 145(1): 75-81, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33367659


CONTEXT.­: A novel electronic consult (e-consult) system for a pathology and laboratory medicine service (PLMS) was implemented in 2015 at a high-complexity Veterans Administration health care facility. Consults were previously made through direct provider communication without documentation in the medical record. OBJECTIVE.­: To evaluate the utilization trends of the laboratory e-consult system at the Department of Veterans Affairs Connecticut facility during the first 2 years since inception. DESIGN.­: E-consultation involves pathology and laboratory medicine resident review followed by attending pathologist review and cosignature. E-consults to the pathology and laboratory medicine service from 2015 to 2017 were reviewed to record type of consult, requesting department, patient location, and turnaround time. RESULTS.­: The pathology and laboratory medicine service received 351 e-consults from 2015 to 2017. The volume varied by subsection: hematology and coagulation (215 of 351; 61%), chemistry (109 of 351; 31%), blood bank (19 of 351; 6%), and microbiology/virology (8 of 351; 2%). Hematology and coagulation consults were entirely for peripheral blood smear review (215 of 215; 100%). Chemistry consults were placed for toxicology/drugs of abuse (81 of 109; 74%), test utilization (17 of 109; 16%), or nontoxicology (11 of 109; 10%). Three services placed the majority of consults: primary care (279 of 351; 80%), hematology/oncology (39 of 351; 11%), and psychiatry (27 of 351; 8%). The median turnaround time for completion of e-consults was 1.2 days. Since e-consult implementation, the mean number of consults increased from 8.6/mo in 2015 to 18.1/mo in 2017, peaking in the last quarter of analysis in 2017 with a mean of 25.3 consults/mo. CONCLUSIONS.­: This novel e-consult system improved accessibility to and documentation of answers to laboratory questions and increased the visibility of the pathology and laboratory medicine service. Future goals include development of outcomes-based measures to better assess the clinical impact of e-consults.

Patología/métodos , Patología/organización & administración , Consulta Remota/métodos , Consulta Remota/organización & administración , Hospitales de Veteranos/organización & administración , Humanos , Laboratorios/organización & administración
Arch Pathol Lab Med ; 145(1): 55-65, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33367663


CONTEXT.­: Autopsy rates have decreased dramatically despite providing important clinical information to medical practices and social benefits to decedents' families. OBJECTIVE.­: To assess the impact of an institutional Office of Decedent Affairs (ODA), a direct communication link between pathology and decedents' families, on hospital autopsy consent rates, autopsy-related communication, practitioner views, and next-of-kin experiences. DESIGN.­: A before and after study involving all hospital decedents whose deaths did not fall within the jurisdiction of the medical examiner's office from 2013 to 2018. A pathology-run ODA launched in May 2016 to guide next-of-kin through the hospital death process (including autopsy-related decisions) and serve as the next-of-kin's contact for any subsequent autopsy-related communication. Critical care and hematology/oncology practitioners were assessed for their autopsy-related views and decedents' next-of-kin were assessed for their autopsy-related experiences. Autopsy consent rates for non-medical examiner hospital deaths, autopsy-related communication rates, practitioner views on the role and value of autopsy, and next-of-kin autopsy experiences and decisions factors were compared prior to and after ODA launch. RESULTS.­: Autopsy consent rates significantly increased from 13.2% to 17.3% (480 of 3647 deaths versus 544 of 3148 deaths; P < .001). There were significant increases in the rate of autopsy-related discussions and bereavement counseling provided to decedents' families. Practitioner views on the positive role of autopsy for any hospital death and those with advanced stage cancer also significantly increased. Next-of-kin indicated more consistent autopsy-related discussions with the potential benefits of autopsy discussed becoming key decision factors. CONCLUSIONS.­: An ODA improves hospital autopsy consent rates, autopsy-related communication, providers' autopsy-related views, and next-of-kins autopsy experiences.

Autopsia , Administración Hospitalaria , Consentimiento Informado , Patología/organización & administración , Relaciones Profesional-Paciente , Familia/psicología , Humanos , Consentimiento Informado/estadística & datos numéricos
Braz. dent. sci ; 24(1): 1-5, 2021. tab
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1145383


Objective: One of the most important alterations in elderly is the destruction and loss of teeth and oral mucosal lesions. The aim of this study was to determine the frequency of biopsed pathologic lesions in elderly registered in the pathology department of Isfahan University of Medical Sciences during 1989 to 2018 years. Material and Methods: This cross-sectional descriptive-analytic study was performed on pathologic lesions in elderly archived in Faculty of Dentistry, Isfahan University of Medical Sciences. In this study, all archived information of elderly over 65 years including gender, age, location of lesion, clinical diagnosis, pathology diagnosis, and diagnosis year were evaluated in last three decades, and were analyzed statistically. Results: The age range of elderly patients was 65 to 90 years with a mean of 72.8 ± 4.9. The highest frequency for location of lesions was related to mandibular vestibule (21.1%). The most clinical diagnosed lesions were squamous cell carcinoma (24.5%) and Epulis Fissuratum (13.4%). The highest pathologic diagnosed lesions were related to reactive lesions group (35.6%). The squamous cell carcinoma malignancies and other malignancies were increased significantly in elderly patients with high age. Conclusion: According to the considerable frequency of oral lesions in elderly and increased frequency of squamous cell carcinoma and other malignancies, attention to oral lesions in elderly and periodic examinations are important to early diagnosis and treatment. (AU)

Objetivo: Uma das alterações mais importantes no idoso é a destruição e perda de dentes; e lesões da mucosa oral. O objetivo deste estudo foi determinar a frequência de lesões patológicas biopsiadas em idosos registrados no departamento de patologia da Universidade de Ciências Médicas de Isfahan durante os anos de 1989 a 2018. Material e métodos: Este estudo transversal descritivo-analítico foi realizado em lesões patológicas em idosos arquivadas na Faculdade de Odontologia da Universidade de Ciências Médicas de Isfahan. Neste estudo, todas as informações arquivadas de idosos com mais de 65 anos, incluindo sexo, idade, localização da lesão, diagnóstico clínico, diagnóstico patológico e ano do diagnóstico foram avaliadas nas últimas três décadas e foram analisadas estatisticamente. Resultados: A faixa etária dos pacientes idosos foi de 65 a 90 anos, com média de 72,8 ± 4,9. A maior frequência de localização das lesões foi relacionada a região vestibular da mandíbula (21,1%). As lesões mais diagnosticadas clinicamente foram carcinoma espinocelular (24,5%) e Epulis Fissuratum (13,4%). As maiores lesões patológicas diagnosticadas foram relacionadas ao grupo de lesões reativas (35,6%). As neoplasias do carcinoma de células escamosas e outras neoplasias aumentaram significativamente em pacientes idosos com alta idade. Conclusão: Devido à considerável frequência de lesões orais em idosos e ao aumento da frequência de carcinoma espinocelular e outras neoplasias, a atenção às lesões orais em idosos e os exames periódicos são importantes para o diagnóstico e tratamento precoces. (AU)

Humanos , Anciano , Anciano de 80 o más Años , Patología , Biopsia , Anciano , Neoplasias de la Boca , Pérdida de Diente
Cient. dent. (Ed. impr.) ; 17(3): 221-224, sept.-dic. 2020. ilus
Artículo en Español | IBECS | ID: ibc-198605


INTRODUCCIÓN: El quiste óseo solitario representa el 1% de todos los quistes maxilares. Es una lesión ósea benigna que aparece de forma fortuita en una radiografía de control en la primera/segunda década de la vida, aunque la lesión carezca de trascendencia en la vida del paciente requiere de abordaje quirúrgico para confirmar el diagnóstico. CASO CLÍNICO: Se presenta un caso clínico de una paciente mujer de 11 años de edad y raza negra, remitida al Servicio de Cirugía Bucal del Hospital Virgen de la Paloma tras observarse imagen radiotransparente apical a nivel de 43 y 44. Una vez realizada la exploración clínica y radiológica se propone cirugía exploratoria ante diagnóstico de presunción de quiste óseo solitario. Bajo anestesia local se procedió al abordaje quirúrgico observándose cavidad vacía en maxilar inferior sin contenido alguno, legrándose profusamente las paredes de la cavidad e introduciendo plasma rico en plaquetas obtenido previamente de la paciente. CONCLUSIONES: La cirugía exploratoria confirma el diagnóstico de presunción de quiste óseo solitario vacío al no poderse mandar a analizar a anatomía patológica

No disponible

Humanos , Femenino , Niño , Quistes Óseos/diagnóstico por imagen , Quistes Óseos/cirugía , Neoplasias de Cabeza y Cuello/diagnóstico por imagen , Quistes Maxilomandibulares/diagnóstico por imagen , Maxilares/diagnóstico por imagen , Maxilares/patología , Procedimientos Quirúrgicos Ortognáticos/métodos , Patología , Radiografía Panorámica , Quistes Maxilomandibulares/cirugía
Cir. plást. ibero-latinoam ; 46(4): 449-454, oct.-dic. 2020. ilus
Artículo en Español | IBECS | ID: ibc-198729


La utilidad del colgajo condrocutáneo del hélix para cubrir defectos menores de 2 cm es ampliamente aceptada. Con esta publicación queremos mostrar el resultado de esta técnica para el manejo de un defecto extenso que incluía el tercio medio del hélix y antihelix. Realizamos la técnica de Antia-Buch con doble colgajo condrocutáneo para reconstruir, en un solo tiempo quirúrgico, un defecto de 40 mm en el tercio medio del pabellón auricular de una paciente de avanzada edad, que había rechazado opciones reconstructivas que requirieran varios tiempos de cirugía, obteniendo un resultado funcional y cosmético adecuado

Usefulness of chondrocutaneous helix flap for defects smaller than 2 cm is widely accepted. This paper attempts to show the outcome of this technique for the management of a large helix and antihelix defect. We performed the Antia-Buch technique, with two chondrocutaneous flaps, to reconstruct in a single surgical stage a 40 mm defect in the middle third of the auricle of an elderly patient who refused more than one surgical time, achieving an appropriate functional and cosmetical outcome

Humanos , Femenino , Anciano de 80 o más Años , Pabellón Auricular/anomalías , Pabellón Auricular/cirugía , Colgajos Quirúrgicos/cirugía , Carcinoma Basocelular/diagnóstico , Carcinoma Basocelular/cirugía , Técnicas de Sutura/métodos , Patología/métodos , Cartílago Auricular/cirugía , Cartílago Auricular/trasplante
PLoS One ; 15(10): e0233198, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33001995


Slide-free digital pathology techniques, including nondestructive 3D microscopy, are gaining interest as alternatives to traditional slide-based histology. In order to facilitate clinical adoption of these fluorescence-based techniques, software methods have been developed to convert grayscale fluorescence images into color images that mimic the appearance of standard absorptive chromogens such as hematoxylin and eosin (H&E). However, these false-coloring algorithms often require manual and iterative adjustment of parameters, with results that can be inconsistent in the presence of intensity nonuniformities within an image and/or between specimens (intra- and inter-specimen variability). Here, we present an open-source (Python-based) rapid intensity-leveling and digital-staining package that is specifically designed to render two-channel fluorescence images (i.e. a fluorescent analog of H&E) to the traditional H&E color space for 2D and 3D microscopy datasets. However, this method can be easily tailored for other false-coloring needs. Our package offers (1) automated and uniform false coloring in spite of uneven staining within a large thick specimen, (2) consistent color-space representations that are robust to variations in staining and imaging conditions between different specimens, and (3) GPU-accelerated data processing to allow these methods to scale to large datasets. We demonstrate this platform by generating H&E-like images from cleared tissues that are fluorescently imaged in 3D with open-top light-sheet (OTLS) microscopy, and quantitatively characterizing the results in comparison to traditional slide-based H&E histology.

Imagenología Tridimensional/métodos , Microscopía Fluorescente/métodos , Colorantes , Humanos , Patología/métodos , Programas Informáticos , Coloración y Etiquetado
Rev. ORL (Salamanca) ; 11(3): 265-272, jul.-sept. 2020. tab
Artículo en Español | IBECS | ID: ibc-197896


Llamamos nódulo tiroideo a aquella lesión concreta palpable o radiológicamente distinguible del parénquima tiroideo. La enfermedad nodular tiroidea tiene una prevalencia progresivamente creciente a medida que ha mejorado la calidad de las técnicas de imagen, principalmente la ecografía. El objetivo de la presente revisión es señalar cuales son los pasos en la evaluación endocrinológica del paciente con enfermedad nodular tiroidea. Más concretamente, cual es la mejor estrategia coste/efectiva para diagnosticar los nódulos tiroideos malignos. Tras una buena anamnesis y exploración clínica, el estudio se completa con una determinación de TSH y la realización de una ecografía tiroidea, que es la prueba diagnóstica que más criterios aporta para poder hacer la indicación de PAAF. La muestra obtenida se estudiará según el sistema Bethesda

Thyroid nodule is defined as a palpable lesion o radiologically distinguishable from thyroid parenchyma. Its prevalence is increasing with the improvement of the imagine techniques, mainly the ultrasonography. The aim of this review is to indicate the steps for the endocrinology evaluation of the patient with thyroid nodules, particularly to choose the best cost/effective strategy to diagnose the malignant thyroid nodules. After having the anamnesis and physical examination done, a TSH determination and an thyroid ultrasound are needed. The sample obtained will be studied according to the Bethesda system

Humanos , Patología , Enfermedades de la Tiroides/diagnóstico , Enfermedades de la Tiroides/patología , Enfermedades de las Paratiroides/diagnóstico , Enfermedades de las Paratiroides/patología , Enfermedades de la Tiroides/clasificación , Enfermedades de las Paratiroides/clasificación , Glándula Tiroides/anatomía & histología , Glándula Tiroides/patología , Glándulas Paratiroides/anatomía & histología , Glándulas Paratiroides/patología
Rev. cuba. med. mil ; 49(3): e613, jul.-set. 2020. tab, fig
Artículo en Español | LILACS | ID: biblio-1144473


Introducción: La Organización Mundial de la Salud promueve un compromiso con el envejecimiento saludable. La autopsia constituye el método más completo para el estudio de las enfermedades, y en los fallecidos de la tercera edad se evidencian sus problemas de salud. Objetivo: Mostrar las particularidades en edad, sexo, enfermedades crónicas, en particular los tumores malignos, la sepsis y causas de muerte que se encuentran en las autopsias de fallecidos de la tercera edad. Método: se realizó un estudio retrospectivo, longitudinal, entre los años 1987-2017 de las autopsias en fallecidos de la tercera edad. Se agrupan por edades: edad avanzada, anciana y grande longeva. Se exploran las variables de edad y sexo, enfermedades crónicas, infección y causas de muerte. Resultados: Los fallecidos de la tercera edad constituyen más de las tres cuartas partes de las autopsias en la institución. El sexo femenino muestra mayor longevidad. La hipertensión arterial, diabetes y el cáncer decrecen con la edad, mientras la sepsis se incrementa. Aumentan progresivamente en las causas de muerte directa, la sepsis y el tromboembolismo, mientras disminuyen el choque, edema pulmonar e infarto cardiaco. Aumenta en las causas básicas la aterosclerosis cerebral y generalizada, disminuye la coronaria, la enfermedad hipertensiva y los tumores malignos. La no coincidencia clínico patológica aumenta con la edad, discretamente. Conclusiones: Existen particularidades en el estudio de los pacientes de la tercera edad, evidenciado por los resultados de autopsia, por lo que se recomienda la geriatrización de los servicios(AU)

Introduction: The World Health Organization promotes a commitment to healthy aging. The autopsy is the most complete method for the study of the diseases and in the elderly deceased their health problems are evidenced. Objective: To show the particularities in ages, sex, chronic diseases, in particular malignant tumors, sepsis and causes of death found in the autopsies of the deceased elderly people. Method: A retrospective, longitudinal study was carried out between the years 1987-2017 of autopsies in elderly deceased. They were grouped by age: advanced age, elderly and long-lived. The variables age, sex, chronic diseases, infection and causes of death were explored. Results: The elderly deceased were more than three quarters of the autopsies in the institution. The female sex showed greater longevity. Hypertension, diabetes and cancer decreased with age, while sepsis increased. Sepsis and thromboembolism were progressively increasing in the direct causes of death, while shock, pulmonary edema and cardiac infarction decreased. In basic causes, cerebral and generalized atherosclerosis increased and coronary atherosclerosis, hypertensive disease and malignant tumors decreased. The clinical - pathology no coincidence, increased slightly with age. Conclusions: There are particularities in the studies of elderly patients evidenced by the results of autopsy, so that geriatrification of services is necessary(AU)

Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Patología , Edema Pulmonar , Autopsia , Enfermedad Crónica , Causas de Muerte , Longevidad
Am J Clin Pathol ; 154(5): 585-591, 2020 10 13.
Artículo en Inglés | MEDLINE | ID: mdl-32815530


OBJECTIVES: The coronavirus disease 2019 pandemic has halted in-person medical student education in many large academic centers, including the University of Washington. We identified a unique opportunity to bring comprehensive and targeted anatomic pathology training to large numbers of medical students who would not receive it otherwise but also need credited coursework. METHODS: We developed a comprehensive 2-week remote-learning course encompassing lectures, virtual slides, discussion groups, and unique case-based activities. Activities are tailored to the nonpathologist future clinician, emphasizing basic microscopy and pathology terminology. We employ multiple strategies and technologies to increase engagement while distance learning, including screen annotation, "flipped classroom" slide presentations, and repetition of common themes. RESULTS: Given 13 virtual courses to choose between 13% of students enrolled in our course (70 of our 540 rising third- and fourth-year students), a nearly 10-fold increase in average pathology rotators. CONCLUSIONS: This is an unprecedented opportunity to provide tailored anatomic pathology instruction, both helping our medical students continue training during crisis and illuminating the field of pathology for our future colleagues. Preliminary results have been overwhelmingly positive regarding understanding of pathology concepts as well as attitudes toward pathology.

Educación Médica , Patólogos/educación , Patología/educación , Estudiantes de Medicina , Betacoronavirus/patogenicidad , Infecciones por Coronavirus/diagnóstico , Curriculum , Educación Médica/métodos , Evaluación Educacional , Humanos , Pandemias , Neumonía Viral/diagnóstico , Washingtón
Neurology ; 95(12): 532-536, 2020 09 22.
Artículo en Inglés | MEDLINE | ID: mdl-32759198


Medicine and botany are 2 distinct disciplines of "natural science," one focusing on humans, the other on plants. However, among the life sciences, both were quite close in earlier times. Moreover, the history of neuropathology, especially in the field of the peripheral nervous system, has been marked by many examples of "botanical images" used to describe certain histopathologic structures. We propose to better understand the reasons why neuropathologists used these botanical terms from a number of interesting anecdotes.

Botánica , Microscopía/historia , Patología/historia , Sistema Nervioso Periférico/anatomía & histología , Historia del Siglo XVI , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Plantas/anatomía & histología
Virchows Arch ; 477(4): 475-486, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32833038


Since digital microscopy (DM) has become a useful alternative to conventional light microscopy (CLM), several approaches have been used to evaluate students' performance and perception. This systematic review aimed to integrate data regarding the use of DM for education in human pathology, determining whether this technology can be an adequate learning tool, and an appropriate method to evaluate students' performance. Following a specific search strategy and eligibility criteria, three electronic databases were searched and several articles were screened. Eight studies involving medical and dental students were included. The test of performance comprised diagnostic and microscopic description, clinical features, differential, and final diagnoses of the specimens. The students' achievements were equivalent, similar or higher using DM in comparison with CLM in four studies. All publications employed question surveys to assess the students' perceptions, especially regarding the easiness of equipment use, quality of images, and preference for one method. Seven studies (87.5%) indicated the students' support of DM as an appropriate method for learning. The quality assessment categorized most studies as having a low bias risk (75%). This study presents the efficacy of DM for human pathology education, although the high heterogeneity of the included articles did not permit outlining a specific method of performance evaluation.

Instrucción por Computador , Educación en Odontología/métodos , Educación Médica/métodos , Interpretación de Imagen Asistida por Computador , Microscopía , Patología/educación , Competencia Clínica , Curriculum , Escolaridad , Humanos , Internado y Residencia , Aprendizaje , Estudiantes de Odontología , Estudiantes de Medicina
Educ. med. (Ed. impr.) ; 21(4): 247-250, jul.-ago. 2020. ilus
Artículo en Inglés | IBECS | ID: ibc-195115


INTRODUCTION: Pathology is a discipline that allows students of medicine to integrate their knowledge learned in the initial years of graduation with clinical practice. OBJECTIVE: To report the experience of the "Comunidade de Estudos e Desenvolvimento Técnico-Científico dos Campos Gerais (CEDTEC-CG)". METHODOLOGY: Data were collected from extension testimonials and informational data, focusing on the importance of the project in the academic training, and the potential benefits of the activity for the local community, correlated with the scientific literature. RESULTS AND DISCUSSION: CEDTEC-CG is a project created in 2012, with the main objective of working in university extension, and is an initiative involving teachers, students and researchers in order to generate accessible scientific knowledge and promote health education. The project has several aspects of action, such as the availability of online content, high-level scientific production, and the promotion of health in the community in general, revealing an opportunity for improvement in student learning and social integration. The project tries to better integrate the undergraduate education strand, bringing the student closer to medical practice, increasing scientific production with dissemination of results, and acting directly with the community, bringing improvements in health promotion and production

INTRODUCCIÓN: La patología es una disciplina que permite a los estudiantes de medicina integrar su conocimiento aprendido en los primeros años de graduación con la práctica clínica. OBJETIVO: Informar la experiencia de la «Comunidade de Estudos e Desenvolvimento Técnico-Científico dos Campos Gerais (CEDTEC-CG)». METODOLOGÍA: Datos recopilados de testimonios de extensionistas y datos informativos, centrados en la importancia del proyecto en la formación académica y los beneficios potenciales de la actividad para la comunidad local, correlacionados con la literatura científica. RESULTADOS Y DISCUSIÓN: La CEDTEC-CG es un proyecto creado en 2012, con el objetivo principal de trabajar en la extensión universitaria, es una iniciativa que involucra a docentes, estudiantes e investigadores para generar conocimiento científico accesible y promover la educación para la salud. El proyecto tiene varios aspectos de acción, como la disponibilidad de contenido en línea, producción científica de alto nivel y la promoción de la salud en la comunidad en general, revelando una oportunidad para mejorar el aprendizaje de los estudiantes y la integración social. El proyecto trata de integrar mejor la rama de la educación universitaria, acercando al estudiante a la práctica médica, aumentando la producción científica con la diseminación de resultados, y actuando directamente con la comunidad, trayendo mejoras en la promoción y la producción de la salud

Humanos , Patología/educación , Educación Médica/métodos , Prácticas Interdisciplinarias , Promoción de la Salud/métodos , Servicios de Integración Docente Asistencial