Telemedicina en cirugía maxilofacial / Telemedicine in maxillofacial surgery

En nuestra especialidad el cáncer oral, debido a su elevada mortalidad,así como otras patologías de menor gravedad pero de gran morbilidady presión asistencial como la cirugía oral y la patología de la articulacióntemporomandibular, nos obligan a minimizar las demoras optimizandolos recursos de que disponemos. Dentro de estos recursos, la aplicaciónde las nuevas tecnologías a la medicina se está imponiendo en todaslas especialidades. Entre estas nuevas tecnologías, está adquiriendo un papelprotagonista la telemedicina. Creemos que ésta nos puede servir como sistemaóptimo y eficaz de cribado y derivación de pacientes desde atenciónprimaria (AP) hasta el nivel hospitalario. En el presente artículo describimostodos los detalles relacionados con el desarrollo, la utilización y las ventajasde una teleconsulta como herramienta integrante de una unidad degestión clínica para el proceso diagnóstico y terapéutico de la patología dela articulación temporomandibular valorando de esta forma su aplicabilidaden otros ámbitos de la cirugía oral y maxilofacial(AU)

There is a group of pathologies that tolerate little delayand require optimal use of the resources available to us in our dailywork as oral and maxillofacial surgeons. For instance, oral cancerhas a high mortality and other pathologies, which otherwise arenot serious, have a high morbidity and care burden, e.g., oral surgeryand temporomandibular joint dysfunction.Among these resources, the use of new technologies in medicinehas become routine practice in every specialty. Among thesetechnologies, telemedicine is becoming prominent. We believe thattelemedicine could be an optimal system for screening patientsfor referral from primary care to hospitals. The development, use,and advantages of teleconsultation as a tool used in a clinicalmanagement unit for the diagnosis and treatment oftemporomandibular joint disorders is described. The potential useof teleconsultation in other fields of oral and maxillofacial surgeryis evaluated(AU)

Mortalidad innecesariamente prematura y sanitariamente evitable en un Hospital General Básico / Unnecessary and avoidable healthcare-wise premature death in a basic general hospital

No disponible

[Evaluation of the Andalusia Vaccination Program in the Sierra de Cádiz Sanitary District]. / Evaluación del Programa de Vacunación de Andalucía (PVA) en el distrito sanitario Sierra de Cádiz.

One of the foundations for good child care is the application of a vaccination program. With this report we evaluate the vaccination coverage (January 1991) of a group of children (1319), born during 1988 between January 1st and October 1st, in the Sierra of the District of Cadiz. Our results show that 87.64% participated in the Vaccination Program. The first vaccination was received by 80.06% of these children. This rate decreased as we advanced through the vaccination calendar, reaching 76.34% for the measles/mumps/rubella vaccination and 66.71% for the vaccination at 2 years of age. Therefore, one-third of this child population did not complete the vaccination schedule. The most frequently found complication was a local reaction, whereas the counter-indication most frequently observed was an acute infectious illness.