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PubMed1979

[Activities of the general surgeon in a non-university hospital].

There is little difference between the work of the general surgeon as the head of a provincial hospital (B2) or in a central non-university one (A2). The operative statistics of such a service show that the type of operations is varied and requires broad polyvalence. Surgical services in provincial hospitals should not be subdivided into several specialised department. There is a real need for general surgeons in our country. Their quality depends on a broad and adequate training including the majority of surgical specialities. Such an activity requires constant postgraduate training, analysis of the results and ability to self criticism. Frequent contacts should be encouraged with other colleagues and university hospitals. The head surgeon in a provincial hospital should be able to evaluate the majority of the cases which are submitted to him and to decide whether the patient will be operated by him personnally or by a specialized consultant, or whenever he should be transferred to a specialized unit. This type of work has certain advantages: the possibility of independent decisions, a broad ability in the different surgical fields, allowing an easy adaptation when unexpected situations happen during operation.

General Surgery↗
PubMed1983

A coordinated approach to children's health in India: progress report after five years (1975-1980).

The success of an experiment in a coordinated approach to children's health care in India in 33 community blocks led to its expansion to a national programme covering 150 community blocks by 1980. The Integrated Child Development Services (ICDS) scheme has also been successful as a national programme. Acceptance of immunisation and nutrition intervention schemes and improvement in nutritional status were significantly higher in the community served through the integrated approach than in the community receiving health, nutrition, and education services separately. Favourable impact of ICDS services was proportionally better in the first year than in the fourth year of the service. The Government of India has declared it a programme of national importance to expand and cover 913 of the 5011 community blocks and 87 urban slum areas by 1985.

Child Care↗
PubMed1983

[Profession and origin of patients with neurosyphilitic diseases in a psychiatric hospital over a 50-year period].

Through informations obtained at the statistical and medical register service, it was done a descriptive study of some epidemiological aspects of neurosyphilis and general progressive paralysis at the Juliano Moreira Hospital, Bahia, Brasil, in a period of 50 years (1930-1979). For this purpose medical dossiers, obituaries, ingoing and outgoing register books, the census and nosocomial bulletin were referred. The distribution of disease was analysed comparing profession and origin according to sex, diagnosis, decade and time before and after penicillin therapy. The results allowed us to conclude that: a) The professions that we found more frequently were: formers, merchants, housewives, stoneworkers, public officials, tailors, soldiers, shoemakers, laborer workers; b) During the periods of war, we observed an increase in the number of ill soldiers; c) Patients coming from the urban zone were more frequently affected by the disease.

Brazil↗