Adenovirus in lower respiratory tract infectionsSeventy eight children weie admitted to hospital because of acute lower respiratory tract disease and evidence of infection by adenovirus, in a four year period (1983 through 1986). The presence of adenoviius was detected either by viral isolation, antigen detection in nasopharyngeal aspirates or serum complement fixation reactions or both. Viral isolations were positive in 66/75 cases. Sixtynine percent of patients were under one year of age. Mixed viral infections ocurred in 43.6% of all patients and in a significantly higher proportion of those younger than twelve months (51.9%) as compared with older children (25%). Most common symptoms were cough (93.5%) fever (70.5%) and labored respiration (70.5%). More relevant physical signs were tachypnea (88.4%), coarse wet rales (80.7%) wheezing and crepitant rales (30%) and cianosis (20%). Mean white blood cell counts were 12,900 (range 2,100-71,000) cells/mm 3 and 1 s * hour ESR 29 (range 2-78) mm. At Xray examination images suggesting intersticial pneumonia were seen in 84% of the cases, alveolar densities in 72.4% and over aeration in 63.7% . Pleural densities and atelectasis were detected in only 10.1 and 7.24% of these children. (
El conflicto médico ha estado presente en la historia de la humanidad desde las culturas más antiguas, lo cual ha generado desequilibrio constante en las relaciones médico-paciente, quienes por tradición, tienen que enfrentarse a extensos debates procesales ante las autoridades judiciales para desatar sus controversias. Para nadie es un secreto que los despachos judiciales se encuentran saturados y, muchas ocasiones, no se llega a un resultado favorable que equilibre las relaciones entre las partes, ocasionando un mayor distanciamiento entre el ejercicio de la medicina y la sociedad. Se debe recurrir entonces a otro medio de justicia constitucional, a partir de los Métodos de Resolución de Conflictos, para dar respuesta positiva a las expectativas de las partes en los extremos de la relación conflictiva originada en la actividad médica y prestación de los servicios de salud, que logre descongestionar la administración de justicia y, además, genere la solución definitiva a la problemática mencionada.
Para citar este artículo Chinchilla Oñate, C (2015). Comprensión y alcances de la educación en valores democráticos en los programas de derecho, desde la perspectiva de la diversidad y el pluralismo.
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