La Sanidad Militar Operacional, en el contexto multinacional / Multinational military medical support

El apoyo sanitario constituye una importantísima capacidad a activar en las operaciones militares convencionales, pero incluso más aún en las operaciones en curso y futuras. La aportación del apoyo sanitario suficiente a las operaciones militares es crítica y las deficiencias en las capacidades sanitarias desplegadas han constituido un fuerte factor limitante para las operaciones militares conjuntas multinacionales. Además de la ausencia de proyectos de licitación comunitarios, la disponibilidad de personal sanitario es también una preocupación multinacional que afecta en un alto grado a la factibilidad del despliegue y al sostenimiento de las Formaciones Sanitarias de Tratamiento (FST), de capacidades tipo ROLE 2/3 durante periodos prolongados. Estas son las razones por las que las Organizaciones Internacionales (UE&OTAN) están trabajando, en la actualidad, en los proyectos de ‘Pooling and Sharing’, con el fin de normalizar las capacidades sanitarias nacionales y alcanzar un alto nivel de inter-operatividad para que los diferentes medios sanitarios funcionales (instalaciones, equipos, personal sanitario, procedimientos…) puedan ser integrados en la estructura marco de una Formación sanitaria de tratamiento multinacional (FSTM)

Medical support is a significant capability to activate in conventional military operations, but even more in current and future operations. The provision of sufficient medical support to military operations is critical and deficiencies in deployable medical capabilities have been a force limiter for multinational military joint operations. In addition to lack of common procurements projects, availability of medical personnel is also a common concern that severely affects the feasibility of deploying, and sustaining Medical Treatment Facilities (MTF), ROLE 2/3 capable for prolonged periods. These are the reasons why International Organizations (UE&NATO) are currently working on projects of Pooling and Sharing in order to standardizing national medical capabilities and to achieve a high level of multinational interoperability so that different functional medical means (structures, equipments, personnel, procedures…) can be integrated within the framework structure of a Multinational Medical Treatment Facility (MMTF)

[Study of mast cell, eosinophil and fibroblast activation in bronchoalveolar lavage fluid in patients with lung cancer]. / Estudio de marcadores de activación de mastocitos, eosinófilos y fibroblastos en el lavado broncoalveolar de pacientes con cáncer de pulmón.

To assess the role of some pro-inflammatory cells in inflammatory processes in lung cancer by measuring their respective activation markers in different portions of bronchoalveolar lavage (BAL) fluid. Prospective study in a university hospital. We studied 52 BAL samples, 37 from patients with lung cancer and 15 from a control group, using a radioimmunoassay technique to analyze for tryptase (T), hyaluronic acid (HA) and eosinophil cationic protein (ECP) in separate bronchial and bronchoalveolar samples from BAL fluid. Statistical analysis was performed using the R-SIGMA program. Patients with tumors had significantly higher T and HA levels in BAL fluid than did control patients, in both bronchial and bronchoalveolar portions. Lung cancer patients had higher T and ECP levels in bronchoalveolar portions. Mast cells and fibroblasts, at least, play a part in lung cancer, mainly in the distal portions of the bronchial tree.

[Thymidine kinase: a serum marker in clinical medicine]. / Timidina quinasa: un marcador sérico en medicina clínica.

The need for new seric markers of tumoral or viral activity to enable an early diagnosis or staging has brought about a proliferation of research in new markers. The deoxi-thymidine-kinase (DTK) is an enzyme of DNA synthesis during cellular proliferation. We review the literature, concluding that DTK is a good seric marker in some neoplasias and some viral diseases because of its specificity, low cost and rapid testing in multiple samples.