[From tutorial teaching to long-distance learning].
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Education, Continuing↗
Biomedical subjects
José Narro-Robles
Publications and source records attributed to José Narro-Robles.
[Ethics and health. Challenges and reflections].
In this essay, the concepts of ethics, bioethics, and professional ethics are reviewed. In addition, we analyzed the relationship between ethics and medicine, the conditions that can be source of ethical dilemmas, and the influence of ethics in the doctor-patient relationship, in the clinical work of the physician, and in an individual and institutional process of decision-making. Some factors that result from the interrelationship between ethics and health care, in particular the need for preserving and increasing the human dimension in medical practice, are discussed. Finally, the idea is supported that to achieve the purpose previously mentioned, three challenges must to be overcome: to defeat reductionism in analysis of medical matters, to accept the uncertainty of medical work and the attempt to reach adequate levels of equity in the development of health services.
Ethics, Clinical↗
[The role of the general physician in present-day medical care in Mexico].
The issue of how medical specialization does not represent a novelty is discussed. The authors also approach the question of how the advantages and shortcomings of medical care provided by both general practitioners and medical specialists have been equally addressed previously by the ancient Greek classics as well as by outstanding Mexican specialists more than 50 years ago. A short review is made of the main current demographic, social, and health-related conditions of Mexico's society and of the public health system built up in the last 60 years. Some relevant data pertaining to the number of physicians and medical specialists and their distribution Mexico's 32 states are presented. The paper also includes a short argumentation of views on medical education in Mexico, and sets forth aproposal regarding the professional profile of the general practitioner and its role within Mexico's health system, as well as the need to enhance and reconsider the role played by general physicians. Authors conclude that within a comprehensive medical assistance model, both general practitioners and medical specialists are required.
Delivery of Health Care↗
[Experience with the use of positron emission tomography (PET) in Mexico].
BACKGROUND: Positron Emission Tomography (PET) is a non-invasive imaging diagnostic tool that allows the study of specific biochemical processes using labeled molecules that closely mimic endogenous molecules. The two radiopharmaceuticals used in our facility are 13N-Ammonia and 18F-2-deoxy-2 fluor D-glucose (18F-FDG). 18F-FDG is the most common radiopharmaceutical used both at our Unit as well as worldwide, as it allows the study of tumor activity, the heart's metabolic activity, distinguish viable from non-viable myocardium and assess cerebral metabolism, among others. OBJECTIVES: Describe the experience in the use of PET scan in our country in the fields of oncology, cardiology and neuropsychiatry. METHODS: We performed an observational, retrospective, cross-sectional, and descriptive study. RESULTS: We analyzed a total of 1,154 studies performed at the UNAM-PET-Cyclotron Unit belonging to the Faculty of Medicine at the National Autonomous University of Mexico (UNAM). From the studies, 72.1% (832) corresponded to oncology, whereas 18.5% (213) and 9.4% (109) belonged to cardiology and neuropsychiatry, respectively. CONCLUSIONS: The studies performed at the UNAM-PET-Cyclotron Unit places it as the site with the largest PET experience in our country.
Adolescent↗