Asleep-awake-asleep craniotomies with IES are associated with an increase in direct costs. However, these initial expenses are ultimately offset by medium and long-term costs averted from a decrease in morbidity and preservation of the patient's professional life. The present study emphasizes the importance to switch to an aggressive and safer surgical strategy in GIIG within eloquent areas.
EHR data indicate that some of the preventative care practices recommended to detect chronic problems in primary care are unevenly implemented across PCUs. Notably, there is less variation in the case of conditions for which evidence-based clinical practice guidelines have been published. The level of monitoring is inadequate for all the conditions studied; particularly in those in which it is less evident that primary care is the right level of the health service to provide this care.
Este trabajo trata de resaltar la importancia de la tomografía oblicua del tórax en el estudio de los hilios pulmonares.
Se muestran los fundamentos técnicos para su realización, describiendo igualmente la anatomía hiliar y comentándose las principales indicaciones.
Como complemento, se presentan algunos casos clínicos en los que esta técnica fue de utilidad diagnóstica.
Programme in the Basque Country: obtaining a good performance by means of professional collaboration Conclusions: The involvement of professionals, active coordination in the multidisciplinary team and IT support were integral to programme results. Lesson Learned: In public health programmes, the active involvement and coordination of staff is necessary to ensure a positive impact. Limitations: Enhancing professional and organizational characteristics in the light off results. Suggestions: Qualitative and quantitative studies are needed to link professional variables and programme results.
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