31 research outputs found
Improving plan to optimize the outpatient office waiting list in an urology clínical unit
La lista de espera, es un problema que existe en la mayoría de los sistemas nacionales de salud que
aseguran a los ciudadanos la cobertura universal y la financiación pública. Además, constituye una de las
principales causas de insatisfacción de los pacientes con el sistema nacional de salud.
Una de las mayores preocupaciones de las autoridades sanitarias, ha sido buscar alternativas para
solucionar esta problemática. Por ello, es necesario gestionar las listas de espera a través de una política
integral, implicando a la administración, los centros sanitarios, los profesionales y la sociedad en general.
En particular desde el ámbito del centro asistencial y los profesionales, la mejora de las listas de espera
pasa ineludiblemente por la gestión clínica, la cual permite potenciar actividades asistenciales que
mejoren resultados en niveles de salud, eficiencia, uso de tecnologías y utilización de recursos humanos.
El objetivo principal de este trabajo fue identificar posibles problemas en el sistema de citación, derivación
y tiempo de espera, y establecer propuestas de mejora que permitan optimizar la lista de espera de
consultas externas en una unidad de gestión clínica de urología.The waiting list is a problem that exists in most national health systems which ensure universal coverage
of citizens and public funding. It also constitutes one of the leading causes of patient dissatisfaction with
the national health system.
A major concern of health authorities has been to seek alternatives to solve this problem. Therefore, it is
necessary to manage the waiting lists through a comprehensive and complete policy involving the
administration, health centers, professionals and society.
Particularly since the scope of health center and professionals, improving waiting lists inevitably passes
for clinical management, which allows to increase care activities that improve health levels outcomes,
efficiency, use of technology and human resource utilization.
The main objective of this study was to identify potential problems in the appointment system, referral
and waiting time, and to establish proposals to improve the waiting list in outpatient in a management
urology clinic
Medullary nephrocalcinosis, distal renal tubular acidosis and polycythaemia in a patient with nephrotic syndrome
Usefulness of measuring renal papillae in Hounsfield units in stone - forming patients
What is the presentation of renal angiomyolipomas?
Renal angiomyolipomas (AMLs) are commonly benign tumours formed by fat, blood vessels and non-striated muscle, which tend to be associated with neuroendocrine syndromes,
or turn up sporadically.Ye
Nephrocalcinosis in a patient with complete distal renal tubular acidosis.
Sección: Image en MedicineA 35-year-old patient, diagnosed with distal renal tubular
acidosis (dRTA), presented with metabolic acidosis (pH =7.1)
together with hypokalaemia (2.8 meq/l), hyperlipidaemia and
renal insuffi ciency (creatinine clearance = 60.8 ml/min). A 24 h
urine examination showed an alkaline pH (7.5), hypercalciuria,
hyperkaliuria hypocitraturia (1, 2 ,3). The patient was treated
with potassium, citrate supplements and simvastatin . A typical
renal colic occurred and an image study revealed considerable
bilateral nephrocalcinosis, radio-opaque lithiasis in the left distal
lumbar ureter and the right mid lumbar ureter with severe left
ureter-hydronephrosis. Ureteroscopy and laser lithotripsy of left
lumbar fragments were performed, continuing with the medical
treatment (4).Ye