Gac Med Mex
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Comparative Study
[A reconsideration of postoperative fever due to pulmonary atelectasis].
Atelectasis has been reported as a common cause of fever in the first 48 hours after surgery. A group of one hundred patients programmed for elective abdominal surgery were studied with chest roentgenograms, both before and 48 hours after surgery. ⋯ Five cases had unexplained fever, three of them with pulmonary atelectasis. These findings suggest that atelectasis can cause postoperative fever, but it is not the most common cause of fever in the first 48 hours after surgery.
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Specialization courses in the medical area purport the preparation of specialists in various branches of medicine, orienting the students in their search for useful knowledge to resolve daily problems in the specialties and forming them for daily practice. These courses take place in different hospitals of the Health Sector within Mexico. Agreements with the National University (UNAM) have been reached with this purpose. ⋯ The following four elements of the process are emphasized: the students, the teachers, the characteristics of the seat hospitals and the curricula. The programs lead the teaching activities with a tendency to form the expected resources with an establishment of the students and teacher's roles, as well as the teaching methology to be used. The success of these programs is limited because the particular conditions and organization of the hospitals, the characteristics of the teachers and the background of the students.