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Estud. pesqui. psicol. (Impr.) ; 18(4): 1175-1194, out.-dez. 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-994982


Este artigo se propõe a analisar a situação da psicanálise nos cursos de psicologia das universidades do Rio de Janeiro, estabelecendo uma comparação com o caso de Buenos Aires. Para tal fim, utiliza um método de análise que implica construção documental, entrevistas e estudo teórico sobre a história e a atualidade da psicologia e da psicanálise nessas cidades. Entende-se que, além da chamada "crise" da psicanálise, ela mantém uma posição predominante nesses cursos. Espera-se que este trabalho contribua para uma discussão contextualizada dos cursos de psicologia em suas revisões curriculares.(AU)

We aim to analyse the situation of psychoanalysis in psychology undergraduate courses from universities of Rio de Janeiro, comparing these with the ones from Buenos Aires. For that purpose, we use a method of analysis that involves documental construction, interviews and theoretical study on the past history and the present reality of psychology and psychoanalysis in those cities. We understand that, besides the so-called "crisis" of psychoanalysis, this theoretical orientation maintains a predominant position in those courses. We expect that this work contributes to a contextualized discussion of psychology undergraduate courses and their curricular revisions.(AU)

Se propone analizar la situación del psicoanálisis en las carreras de psicología de universidades de Rio de Janeiro, estableciendo una comparación con el caso de Buenos Aires. Para tal fin, se utiliza un método de análisis que implica construcción documental, entrevista y estudio teórico, sobre la historia y actualidad de la psicología y el psicoanálisis en esas ciudades. Se entiende que, más allá de la llamada "crisis" del psicoanálisis, éste mantiene una posición predominante en esos cursos. Se espera que este trabajo contribuya a una discusión contextualizada de las carreras de Psicología y sus revisiones curriculares.(AU)

Humanos , Psicanálise , Psicologia , Argentina , Universidades , Brasil
Estud. pesqui. psicol. (Impr.) ; 18(4): 1323-1347, out.-dez. 2019.
Artigo em Espanhol | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-995102


El presente artículo se propone sistematizar desde una perspectiva histórica los debates más significativos que promuevan, desde una posición crítica, la reflexión sobre lo femenino-masculino. En el marco de nuestra investigación se postula el enfoque histórico-social, como uno de los modos de comprensión de los procesos de producción de la subjetividad de género y de abordaje de lo femenino, a fin de contribuir a los debates actuales sobre la diversidad sexual, los feminismos y los estudios del género en general.(AU)

O presente artigo propõe sistematizar, a partir de uma perspectiva histórica, os debates mais significativos que promovem, desde uma posição crítica, a reflexão sobre o feminino-masculino. No marco de nossa pesquisa, a abordagem histórico-social é postulada como uma das formas de entender os processos de produção da subjetividade de gênero e de abordagem do feminino, a fim de contribuir para os debates atuais sobre a diversidade sexual, os feminismos e os estudos de gênero em geral.(AU)

The present article proposes to systematize, from a historical perspective, the most significant debates that promote, from a critical position, the reflection on the feminine-masculine. Within the framework of our research project, the socio-historical approach is proposed as the way to understand the process of gender subjectivity production and to approach the feminine, in order to contribute to the currents debates on sexual diversity, feminisms, and gender studies in general.(AU)

Argentina , Psicologia , Mulheres/psicologia , Feminismo , História
An Acad Bras Cienc ; 91(3): e20171028, 2019 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-31482992


Aplectana hylambatis is a nematode with a wide geographic distribution and low host specificity. In spite of numerous reports, until this moment, the morphological variations between different hosts and localities have not been studied. We studied 401 specimens collected from five host species from seven localities in Argentina, and examined the following morphological characters: mamelon-like cuticular protuberances anterior to the vulva, structure of the gubernaculum and the spicules, number and arrangement of caudal papillae, and the measurements of twelve characters in females and eleven characters in males. The results showed that mamelon-like protuberances and caudal papillae varied in number and arrangement between different hosts and localities. The metrical study revealed that five characters in males and six in females contributed to variability; nine characters showed significant differences between host species and localities. Specimens of A. hylambatis collected from R. arenarum formed a group clearly differentiated from the rest of the specimens. The results from this study highlight the importance of examining as many specimens as possible from different host samples and from several localities to cover the intraspecific variations.

Anuros/parasitologia , Nematoides/anatomia & histologia , Nematoides/classificação , Animais , Anuros/classificação , Argentina , Feminino , Geografia , Interações Hospedeiro-Parasita , Masculino
Medicina (B Aires) ; 79(4): 251-256, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31487243


Our objective was to evaluate clinical characteristics, results and morbi-mortality in primary angioplasty (PA), of patients treated with PA within 36 hours of a myocardial infarction (MI), included in a prospective, transversal, multicenter and national survey (ARGEN-IAM-ST). A total of 1142 patients treated with PA were registered, 61.2 ± 12 years old, 88% male, 20% diabetics and 58% with hypertension; 77.6% in Killip Kimball I and 6.2% in cardiogenic shock. The time from the onset of pain until admission was 153 (75-316) minutes, and door-balloon of 91 (60-150) minutes. The transferred patients (17%) showed longer delay to admission, 200 minutes (195-420; p = 0.0001) and door-to-balloon 113.5 minutes (55-207); p = 0.099. In 47.6% of the cases, the PA was made in the anterior descending artery, in 36.4% in the right coronary artery, in 14.8% in the circumflex artery and in 1.2% in the left coronary artery; in 95% with stent (29% pharmacological); 95% was successful, 1.3% presented post-infarct angina (APIAM), 1.3% re-infarct, 8.8% shock and 3.2% bleeding. Age > 64 years (OR 6.2 (95% CI: 3.2-12), p <0.001), diabetes (OR 2.5, 95% CI 1.6-3.9, p < 0.001), re-infarction or APIAM (OR 3.3, 95% CI 1.3-8.3, p = 0.011) and shock (OR 29.2 (15.6-54.8), p < 0.001) were independently associated with higher mortality. In-hospital mortality of acute myocardial infarction with ST-segment elevation treated with PA was 7.6%. Transference from other center was associated with delay in the admission and treatment. Cardiogenic shock and post-infarct ischemia were associated with high mortality. There were no procedural variables associated with mortality.

Angioplastia Coronária com Balão , Infarto do Miocárdio com Supradesnível do Segmento ST/terapia , Idoso , Angioplastia Coronária com Balão/mortalidade , Argentina , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Infarto do Miocárdio com Supradesnível do Segmento ST/mortalidade , Resultado do Tratamento
Medicina (B Aires) ; 79(4): 257-264, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31487244


The epidemiology of infectious endocarditis (IE) has undergone changes due to a series of factors such as aging, comorbidities and medical procedures. The aim of this study was to evaluate the main clinical, epidemiological and etiological changes of the IE in the last 25 years in Argentina. A comparative analysis of three observational prospective registries was performed in which cases of definite and possible IE were consecutively included according to the Duke criteria: two multicentre studies (EIRA-1 [1992-1994] and EIRA-2 [2001-2002]) and one study in a reference cardiology center (CRC [2007-2017]). In the 1065 episodes of EI evaluated, there were no differences regarding sex, and the patients were older in each period (p < 0.001). Intracardiac device-associated IE was more frequent in the last decade: pacemaker (5.4 vs. 23% p < 0.0001) and prosthetic valve IE (8.5% vs. 19.2% vs. 47.5% p < 0.0001). On the other hand, IE associated with intravenous drugs (P < 0.0001) and congenital heart diseases (p = 0.001) was significantly less frequent. The etiology changed substantially: Streptococcus viridans group decreased (30.8% vs. 26.8% vs. 15.9%, p < 0.001) and IE by Staphylococcus spp. predominated over other microorganisms, with a statistically significant increase in IE due to coagulase-negative Staphylococcus. Surgical treatment was more frequently implemented in the last decade and was accompanied by a trend towards lower mortality in the CRC (23.5%, 24.3% vs. 17.2% p = 0.058).

Endocardite Bacteriana/epidemiologia , Adulto , Idoso , Argentina/epidemiologia , Endocardite Bacteriana/etiologia , Endocardite Bacteriana/microbiologia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Prevalência
Medicina (B Aires) ; 79(4): 276-279, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31487247


There is limited epidemiological information on AA amyloidosis in Argentina, so the objective of this study was to describe the epidemiological characteristics of this disease in a tertiary hospital in our country. We designed a prospective clinical cohort of all consecutive patients with AA amyloidosis confirmed by immunohistochemistry in tissue from the Institutional Registry of Amyloidosis of the Hospital Italiano de Buenos Aires, in the period 04/01/2012- 12/31/2017. Of the 121 patients in the registry, 18 were included with AA for the analysis. Of the total included, 50% (9) were female, with a median age of 53.5 (interquartile range, RII 46-61) years. The 88.9% (16) of cohort presented renal compromise, all had proteinuria, and 6 required dialysis. Six had amyloid infiltration of the digestive system. The latency between the onset of the underlying disease and the diagnosis of AA had a median of 27 (RII 8-35) years. The underlying disease was of inflammatory origin in 6 cases. In 50% (9) of the patients the cause of AA amyloidosis was unknown. In the remaining 50%, these causes resemble those observed in developed countries. Furthermore, our results highlight the importance of their differential diagnosis to identify the most appropriate treatment or follow-up according to the situation presented by each patient.

Amiloidose/diagnóstico , Proteína Amiloide A Sérica/análise , Adulto , Idoso , Argentina , Estudos de Coortes , Feminino , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos
Stud Health Technol Inform ; 264: 1829-1830, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438364


The availability of statistical information is usually associated with 'better decision making', fundamentally within the paradigm of evidence-based decisions. Thus, it is interesting to understand the demands and expectations, interpretations and effective use of statistical information by decision-makers at the primary health care level, considering the implications of the recently implemented Information System in Public Health (Buenos Aires, Argentina).

Tomada de Decisões , Atenção Primária à Saúde , Argentina , Cidades
Arch Endocrinol Metab ; 63(4): 320-327, 2019 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-31460622


OBJECTIVE: To describe the long term safety and efficacy of pegvisomant (PEGV), and the predictors of treatment response in patients with acromegaly in the real life setting. SUBJECTS AND METHODS: We retrospectively reviewed the clinical, hormonal and radiological data of acromegalic patients treated with PEGV in 17 Argentine centers. RESULTS: Seventy-five patients (age range 22-77, 51 females) with acromegaly have been treated with PEGV for up to 118 months (median 27 months). Before PEGV, 97.3% of patients had been treated with medical therapy, surgery and/or radiotherapy, two patients had no previous treatment. At that time, all patients had an IGF-1 above the upper normal limit (ULN) (mean 2.4 x ULN ± 0.98, range 1.25-7). At diagnosis of acromegaly 84% presented macroadenomas, prior to PEGV only 23,5% of patients remained with tumor remnant > 1 cm, the remaining showed normal or less than 1 cm images. Disease control (IGF-1 ≤ 1.2 x ULN) was achieved in 62.9% of patients with a mean dose of 11.8 mg/day. Thirty-four patients (45%) received PEGV monotherapy, while 41 (55%) received combined therapy with either somatostatin analogues and/or cabergoline. Adverse events related to PEGV were: local injection site reaction in 5.3%, elevated liver enzymes in 9.3%, and tumor size growth in 9.8%. Pre-PEGV IGF-I level was the only predictor of treatment response: 2.1 x ULN vs 2.8 x ULN in controlled and uncontrolled patients respectively (p < 0.001). CONCLUSION: this long term experience indicates PEGV treatment was highly effective and safe in our series of Argentine patients with acromegaly refractory to standard therapies. Arch Endocrinol Metab. 2019;63(4):320-7.

Acromegalia/tratamento farmacológico , Cabergolina/uso terapêutico , Agonistas de Dopamina/uso terapêutico , Hormônio do Crescimento Humano/análogos & derivados , Somatostatina/análogos & derivados , Adulto , Idoso , Argentina , Cabergolina/administração & dosagem , Agonistas de Dopamina/administração & dosagem , Quimioterapia Combinada , Feminino , Seguimentos , Hormônio do Crescimento Humano/administração & dosagem , Hormônio do Crescimento Humano/uso terapêutico , Humanos , Fator de Crescimento Insulin-Like I/análise , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Estudos Retrospectivos , Somatostatina/administração & dosagem , Somatostatina/uso terapêutico , Resultado do Tratamento , Adulto Jovem
Stud Health Technol Inform ; 264: 903-907, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438055


While medications can improve the health of patients, the prescription process is complex and prone to errors. The structured medical order entry systems (CPOE) with clinical decision support (CDS) are increasingly implemented to improve patient safety, however the organizations that decide to implement them will have several challenges: understanding which classes of CDS can admit their systems, ensure that clinical knowledge is adequate and design tools for proper monitoring. We share our experience of over ten years of development and implementation of clinical decision support tools during drugs prescription process and tools that have allowed us to monitor them correctly.

Sistemas de Apoio a Decisões Clínicas , Prescrições de Medicamentos , Sistemas de Registro de Ordens Médicas , Argentina , Humanos , Erros de Medicação
An Acad Bras Cienc ; 91(3): e20180493, 2019 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-31411257


Leptoglossus occidentalis Heidemann is a conifer seed bug, native to North America. This species is considered invasive and has reached several countries in the Northern Hemisphere and most recently Chile in South America. This work reports the first detection of this species in Argentina, with specimens from the Rio Negro province, in 2017. Ecological traits and its potential rapid spread were also discussed.

Heterópteros/anatomia & histologia , Espécies Introduzidas , Adaptação Fisiológica , Animais , Argentina , Coniferophyta , Florestas , Heterópteros/crescimento & desenvolvimento
An Acad Bras Cienc ; 91(3): e20180507, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31365650


We used skeletochronology to compare age, size, reproductive parameters and growth patterns of two related, anuran amphibians from Northern Argentina: Leptodactylus bufonius (n=69) and L. latinasus (n=56), in order to better understand their coexistence in syntopy. Previous studies showed that the two species overlap in their dietary requirements and utilize the same habitats for feeding and breeding. We found that their life-history patterns are significantly different, L. bufonius being larger, and having a higher reproductive output and lifespan, compared to the smaller and shorter-living L. latinasus. Since none of the species exhibited sexual size dimorphism, and both acquired sexual maturity after the first year of life, we suggest that the differences in the observed life-history parameters must appear during early stages of development, during larval and/or juvenile stages.

Anuros/fisiologia , Animais , Anuros/anatomia & histologia , Anuros/classificação , Argentina , Ecossistema , Feminino , Masculino , Reprodução/fisiologia , Caracteres Sexuais
Rev Fac Cien Med Univ Nac Cordoba ; 76(3): 148-153, 2019 08 29.
Artigo em Espanhol | MEDLINE | ID: mdl-31465181


Introduction: It is recommended to limit the consumption of sodium to 2 g / day and consume 25 g / 2000 kcal of fiber. Baked and cookies are the key food-vehicle to achieve these recommendations. x Objective: To evaluate the acceptability of the optimal healthy bread with nutritional information in a breakfast, teatime or snack (DMC) in real consumption situation. Methodology: In the offices of the Faculty of Medicine, a tray was delivered with: infusions, sweeteners, milk powder, jams, healthy bread, commercial orange juice and nutritional information to be consumed by participants as DMC. 100 students, teachers and non-teachers performed the acceptance test of different components of the tray using a scale of 1 (dislike very much) to 10 (like very much), they answered demographic data, what was your DM C, amount of bread consumed and the price they would pay for it. Results: 43.4% consumed the tray for teatime. Most consumed infusion: coffee. 100% consumed the bread and 91% accompanied it with jam. The average value of acceptability was 8.57 ± 1.44 without significant differences by age, sex or Body Mass Index. 76% consumed at least 3/4. The average price they were willing to pay was $ 54.65 / kilo ±12.32 (reference French bread $ 50 / kilo). The average scores of acceptability were: 8.82±1.27 for presentation of the tray, 8.53±1.43 of the DMC consumed and 8.17±2 of the commercial orange juice. Conclusions: The acceptability of the bread in real situation of consumption was very good, being an effective strategy to reduce the ingestion of NaCl and increase the fiber.

Dieta Hipossódica/métodos , Comportamento Alimentar/fisiologia , Dieta Saudável/métodos , Valor Nutritivo , Adolescente , Adulto , Argentina , Índice de Massa Corporal , Pão , Estudos de Coortes , Comportamento do Consumidor , Estudos Transversais , Inquéritos sobre Dietas , Fibras na Dieta , Ingestão de Energia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estado Nutricional , Cloreto de Sódio na Dieta , Inquéritos e Questionários , Adulto Jovem
Rev Fac Cien Med Univ Nac Cordoba ; 76(3): 159-163, 2019 08 29.
Artigo em Espanhol | MEDLINE | ID: mdl-31465183


Background: Excess weight (EW) and alterations in lipid metabolism constitute risk factors for cardiovascular disease in adults and children. Prevalence of dyslipidemia in schoolchildren from Jujuy with EW is analyzed in this study. Methods: Cross-sectional descriptive study of 891 schoolchildren 10-14 years old (367 girls; 524 boys) from the province of Jujuy (Northwestern Argentina). Prevalence of dyslipidemia for Overweight (OW) and Obesity (OB) were calculated, according to the International Obesity Task Force cut-off points. Prevalence of lipid alterations were analyzed and 7 dyslipidemic profiles were established. Comparisons and associations between variables were analyzed by Chi-square test. Crude and adjusted odds ratio were estimated from a logistic regressions. Results: Regardless of sex and nutritional status, 13.7%, 21.8%, and 16.5% of schoolchildren showed high values of total cholesterol, triglycerides, and LDL cholesterol, respectively, and 20.3% had low HDL cholesterol. Significantly higher values of HDL cholesterol were found in OW, and of triglycerides in OB. A significant association was recorded between OB and high triglycerides. Schoolchildren with OB have a 54% more chances of showing at least one lipid alteration. Conclusion: EW, and especially OB, constitutes an important risk factor in the development of dyslipidemia in schoolchildren from Jujuy.

Dislipidemias/sangue , Dislipidemias/etiologia , Sobrepeso/complicações , Adolescente , Argentina/epidemiologia , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/etiologia , Criança , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Estudos Transversais , Dislipidemias/epidemiologia , Feminino , Humanos , Masculino , Obesidade/complicações , Sobrepeso/epidemiologia , Prevalência , Instituições Acadêmicas , Triglicerídeos/sangue
Rev Fac Cien Med Univ Nac Cordoba ; 76(3): 164-169, 2019 08 29.
Artigo em Espanhol | MEDLINE | ID: mdl-31465184


Background: The link between upper and lower airways is recognized clinically as a "unique airway". Subclinical spirometric abnormalities have been observed in patients with rhinitis without asthma, which could be proportional to rhinitis severity. Objectives: To investigate possible subclinical alterations in lung function and bronchodilator reversibility in children and adolescents with allergic (AR) and non-allergic rhinitis (NAR) without asthma, according to the clinical grade of rhinitis classified by ARIA (Allergic Rhinitis and Its Impact on Asthma). Methods: In a cross-sectional analytical study, we included patients aged 5 to 18 years with symptoms of AR and NAR without asthma. Spirometry was performed by flow-volume curve and we analyzed the abnormalities in respiratory function and bronchodilator response in relation to clinical grade of rhinitis by ARIA using an adjusted logistic model. Results: We studied 193 patients; 42 (21.7%) had some spirometric abnormalities. Patients with moderate-severe persistent rhinitis had greater impairment of lung function compared to the other grades of rhinitis (p=0.009). This defect was associated with both frequency (p=0.03) and severity of rhinitis (p=0.04) but not with atopic status (p=0.28). A positive bronchodilator response was more frequent in grades moderate-severe of rhinitis than in mild forms (p=0.04). Conclusion: Abnormalities of lung function was more prevalent in moderate-severe persistent rhinitis and was associated with the frequency and severity of rhinitis but not to atopic status. The bronchodilator reversibility was observed in patients with intermittent and persistent moderate-severe rhinitis.

Albuterol/uso terapêutico , Broncodilatadores/uso terapêutico , Pulmão/fisiopatologia , Rinite/complicações , Rinite/tratamento farmacológico , Adolescente , Alérgenos/administração & dosagem , Alérgenos/classificação , Argentina , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Pulmão/efeitos dos fármacos , Masculino , Rinite/diagnóstico , Rinite Alérgica/complicações , Rinite Alérgica/diagnóstico , Rinite Alérgica/tratamento farmacológico , Índice de Gravidade de Doença , Testes Cutâneos , Espirometria
Medicina (B Aires) ; 79(3): 174-184, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31284251


Argentina is a country characterized by a heterogeneous distribution of its population, its economic resources and, consequently, access to health services, which could affect the diagnosis and treatment of patients with myelodysplastic syndromes. Based on the increasing complexity to arrive at the diagnosis, estimate the risk and indicate an adequate treatment, we have conducted a survey of twenty-three questions to evaluate patterns of clinical practice. The questionnaire was distributed among 850 hematologists registered at the XXII Argentine Congress of Hematology, and 195 (22.9%) were answered; 40.0% report that < 75% of their patients access the karyotype, bone marrow histology and flow cytometry. This access decreases significantly due to low health coverage (OR 6.3), in the adult population (OR 3.8), when the cytogenetic study is derived (OR 3.2) and outside the metropolitan area of Buenos Aires (OR 2.4). The respondents avoid oncological terminologies (77.0%) when introducing the diagnosis and use the international prediction system or its review (74.2%) to stage risk. However, they prioritize age when selecting treatment and pediatricians preferentially recommend the transplantation of hematopoietic precursors. Most of the haematologists have prescribed the recommended treatments, whose suspensions were related to lack of response (62.7%), with reduced participation in clinical trials (8.9%). Therefore, they report heterogeneity in the access to complementary diagnostic tools with differences at the time of indicating a treatment, depending on the age of their patients without apparent limitations in their prescription.

Síndromes Mielodisplásicas/diagnóstico , Síndromes Mielodisplásicas/terapia , Prática Profissional , Argentina , Protocolos Clínicos , Inquéritos Epidemiológicos , Humanos , Inquéritos e Questionários
Artigo em Espanhol | PAHO-IRIS | ID: phr-51393


[RESUMEN]. Se presentan los resultados del Plan de calidad en mamografía del Programa Nacional del Cáncer de Mama del Instituto Nacional del Cáncer de la República Argentina, enfocado en mejorar la calidad de la mamografía en el sector público de salud e implementar el tamizaje de cáncer de mama por este método diagnóstico. El Plan se comenzó a ejecutar en 2011 con base en la premisa de que una mamografía de mala calidad impide el diagnóstico temprano del cáncer de mama. En ese momento, en Argentina existía poca conciencia sobre la importancia de los controles de calidad, y los continuos cambios en los niveles jerárquicos del sistema de salud tendían a obstaculizar el desarrollo organizado del programa. El Plan consistió en la revisión y el control de calidad de las instalaciones de mamografía, la capacitación de recursos humanos técnicos y médicos y la puesta en marcha de un sistema de acreditación de los servicios de mamografía por parte del Instituto Nacional del Cáncer. La percepción de la importancia de la calidad en el personal involucrado ha mejorado y se obtuvo un panorama general del estado de la mamografía a nivel nacional en cuanto a la calidad, la tecnología, la cantidad de equipos y las posibilidades de implementación del tamizaje. Se capacitó al personal técnico y médico mediante el uso de diferentes metodologías y se impulsó la unificación de la lectura mamográfica en las provincias intervinientes.

[ABSTRACT]. This paper presents results from the mammography quality plan of the National Breast Cancer Program at Argentina’s National Cancer Institute, which focused on improving mammography quality in the public healthcare sector and on using mammography to implement breast cancer screening. Plan implementation started in 2011, based on the premise that poor quality mammography impedes early diagnosis of breast cancer. At the time, there was little awareness in Argentina of the importance of quality control, and constant changes in lines of authority in the health system tended to hinder organized implementation of the program. The plan consisted of quality review and control of mammography facilities, training of technical and medical human resources, and implementation of an accreditation system for mammography services by the National Cancer Institute. Perception by involved personnel of the importance of quality improved; an overview was obtained of the state of mammography at the national level regarding quality, technology, quantity of equipment, and opportunities for implementation of screening; technical and medical personnel were trained using different methods; and standardization of mammography reading was promoted in the participating provinces.

[RESUMO]. São apresentados os resultados do Plano de qualidade em mamografia do Programa Nacional do Câncer de Mama do Instituto Nacional do Câncer da República Argentina, com o objetivo de melhorar a qualidade da mamografia na rede pública de saúde e implementar a prevenção do câncer de mama por este método diagnóstico. O Plano foi implementado em 2011 baseado na premissa de que a mamografia de má qualidade impede o diagnóstico precoce do câncer de mama. Havia, naquele momento na Argentina, pouca conscientização sobre a importância do controle de qualidade e as constantes mudanças na hierarquia do sistema de saúde eram um obstáculo ao desenvolvimento organizado do programa. O Plano compreendeu a avaliação e o controle de qualidade das instalações para mamografia, a capacitação do pessoal médico e técnico e a implantação de um sistema de credenciamento pelo Instituto Nacional do Câncer dos serviços de mamografia. Houve melhora na percepção da importância da qualidade entre o pessoal envolvido e se obteve um panorama geral da situação da mamografia ao nível nacional quanto à qualidade, recursos tecnológicos, volume de equipamentos e possibilidades de implementação do programa de prevenção. Foi realizada a capacitação do pessoal médico e técnico com o uso de diferentes metodologias e incentivada a uniformização da leitura mamográfica nas províncias consideradas.

Mamografia , Neoplasias da Mama , Garantia da Qualidade dos Cuidados de Saúde , Acreditação , Argentina , Mamografia , Neoplasias da Mama , Garantia da Qualidade dos Cuidados de Saúde , Acreditação , Neoplasias da Mama , Garantia da Qualidade dos Cuidados de Saúde , Acreditação
J Zoo Wildl Med ; 50(2): 330-336, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31260197


Analysis of serum parameters provides information about body condition, nutritional state, and health status of individuals/species, and has broad application in ecological research and veterinary diagnosis. This study establishes baseline values for serum chemistries of the Olrog's gull (Larus atlanticus). Glucose, urea, uric acid, total protein, globulin, albumin, cholesterol, triglyceride, calcium, and phosphorus concentrations were determined, as was the activity of the following enzymes: alkaline phosphatase, creatine phosphokinase, aspartate aminotransferase, and alanine aminotransferase. Thirty nonbreeding gulls (juvenile and subadult individuals) were captured and studied in Mar Chiquita Reserve (Buenos Aires, Argentina) during the wintering periods 2016 (n = 17) and 2017 (n = 13). In general terms, most values for the parameters reported were in line with those previously described for other seabirds. The year had a significant effect on several of the biochemical parameters evaluated, and the sex had a significant effect on the alkaline phosphatase and calcium. This study has defined the serum biochemical reference signatures for free-ranging Olrog's gulls during the nonbreeding period, and contributes to the knowledge of the overall health status of this threatened and endemic species.

Animais Selvagens , Charadriiformes/sangue , Testes Hematológicos/veterinária , Alanina Transaminase/sangue , Fosfatase Alcalina/sangue , Animais , Argentina , Aspartato Aminotransferases/sangue , Glicemia , Proteínas Sanguíneas , Cálcio/sangue , Charadriiformes/fisiologia , Colesterol/sangue , Creatina Quinase/sangue , Feminino , Masculino , Fósforo/sangue , Estações do Ano , Albumina Sérica , Soroglobulinas , Triglicerídeos/sangue , Ureia/sangue , Ácido Úrico/sangue
Rev. argent. salud publica ; 39(9): 31-34, Julio 2019.
Artigo em Espanhol | LILACS, BINACIS, ARGMSAL | ID: biblio-1007196


OBJETIVO: revisar el desarrollo de las políticas públicas y el marco legal en Argentina para garantizar el acceso a la interrupción legal del embarazo (ILE) sobre la base de los derechos sexuales y los derechos reproductivos. MÉTODOS: Se revisaron las leyes y jurisprudencia que establecen el marco legal para el acceso a la interrupción legal del embarazo, documentos técnicos oficiales y otros materiales bibliográficos que hacen referencia a dicho marco legal. RESULTADOS: Los resultados del análisis bibliográfico mostraron que Argentina cuenta con un marco legal, encabezado por el Código Penal de la Nación (CPN), que permite la ILE por las siguientes causales: peligro para la salud o la vida de la persona gestante o embarazo como producto de violación. El Fallo F., A. L. de la Corte Suprema de Justicia de la Nación estableció una lectura aclaratoria del CPN, propiciando las políticas públicas que garanticen el derecho a la ILE. CONCLUSIONES: Por un lado, a pesar del marco legal vigente en Argentina, todavía se presentan barreras para el acceso a la ILE; por el otro, es necesario reforzar las políticas públicas destinadas a garantizar dicho acceso, lo que implica seguir capacitando a los equipos de salud y continuar con la tarea de gestión de la Dirección de Salud Sexual y Reproductiva de la Secretaría de Gobierno de Salud de la Nación, junto con los ministerios provinciales.

Humanos , Feminino , Gravidez , Política Pública , Aborto Legal/legislação & jurisprudência , Direitos Sexuais e Reprodutivos/legislação & jurisprudência , Argentina , Saúde Pública , Direitos do Paciente/legislação & jurisprudência
Rev. argent. salud publica ; 39(9): 38-41, Julio 2019.
Artigo em Espanhol | LILACS, BINACIS, ARGMSAL | ID: biblio-1007593


: INTRODUCCIÓN: En Argentina desde 1998 ocurrieron brotes de dengue todos los años excepto 2001 y 2005 en diferentes áreas, en 15 jurisdicciones, con identificación de los 4 serotipos. El objetivo de este estudio fue identificar poblaciones con mayor riesgo de desarrollar formas graves de la enfermedad como insumo para la posible introducción de una estrategia de prevención. METODOS: Se realizó un estudio retrospectivo descriptivo de los casos de dengue confirmados autóctonos a partir de publicaciones oficiales, notificaciones al SNVS e información aportada por las áreas de epidemiología provinciales. Se elaboró una estratificación del riesgo de dengue grave por departamento para el período 1998-2018. RESULTADOS: Se elaboraron 5 criterios de estratificación de riesgo: registro de casos autóctonos en al menos 2 de los 5 cinco últimos años, registro de 2 o más serotipos causantes del 10% o más de los casos cada uno, incidencia acumulada mayor a 500 casos por 100 mil habitantes, incidencia acumulada mayor a 5 casos por mil menores de 15 años y registro de casos graves o fallecidos. Se obtuvieron 60 departamentos con 1 criterio, 19 con 2, 8 con 3, 4 con 4, 1 con 5 y 129 no cumplieron criterios. DISCUSION: Solo 13 departamentos sumaron 3 criterios o más, resultado del predominio de DENV-1, la baja incidencia en menores de 15 años y el bajo número de casos graves y fatales. La estratificación del riesgo poblacional con criterios de registro sistemático se orienta a obtener una herramienta de evaluación de los escenarios de dengue que puedan presentarse en el futuro.

Humanos , Dengue/epidemiologia , Sistema de Vigilância Sanitária , Argentina/epidemiologia , Epidemiologia Descritiva , Estudos Retrospectivos , Dengue/prevenção & controle