Transplante de órganos e imaginación

Este artículo ilustra cómo las situaciones que no encajan en la estructura del estilo de pensamiento de los operadores sanitarios son dejadas a un lado y excluidas del historial clínico. Corresponde a aquellas zonas grises que suceden a diario y de las cuales es mejor no hablar, aún cuando se considera que actúan como factores condicionantes. Por esta razón deberían ser sacadas a la luz para convertirlas en fuente de nuevas hipótesis de investigación.

Hypertension in the National University of Distance Education’s personnel

The prevalence of Arterial Hypertension (AHT) has increased worldwide and preventive measures areinsufficient since only one third of the population is being treated. AHT is the primary cause of morbidity andmortality in the world. In this article is presented the first study on hypertension levels of personnel of aDistance Education university based on the analysis of all medical consultations in the Costa Rican StateUniversity for Distance Education (Universidad Estatal a Distancia-UNED) as of December 15, 2007 (1,526medical files). The population studied ranges from 20 to 70 years of age and is comprised of residents of theGreater Metropolitan Area (Costa Rica) with varied socioeconomic and academic levels. The StatgraphicsCenturion XV software and the chi-square test were used to analyze variables such as treatment administered,sex, age, and type of work. Only 45 patients knew that they suffered from hypertension prior to theirconsultation with the university medical service and 136 were treated with Enalapril and Hydrochlorothiazide.The number of hypertensive patients is higher among those who have worked at the institution for more than 20years, especially in those holding higher positions. No marked differences were found between men andwomen. It is concluded that the existence of a university medical service has permitted faculty and staff tosatisfactorily control their blood pressure.