Estadísticas

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      "titulo" => "Fijación posterior transarticular en la inestabilidad cervical postraumática crónica de origen ligamentario"
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      "titulo" => "La simbiosis neurocirugía-psicología en el origen de la neuropsicología clínica"
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          "titulo" => "The symbiosis between neurosurgery-psychology in the origin of the clinical neuropsychology"
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          "autoresLista" => "Carme Junqué, Maria Mataró"
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    "titulo" => "El rendimiento en un quirófano neuroquirúrgico de la Sanidad Pública Andaluza"
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        "autoresLista" => "M. López-Escobar Fernández"
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        "titulo" => "Efficiency of a neurosurgical operating room of the Andalusian Public Health Service"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se realiza un estudio sobre el funcionamiento del quir&#243;fano principal para la cirug&#237;a programada&#44; durante el a&#241;o 1998&#44; en el Servicio de Neurocirug&#237;a del Hospital Puerta del Mar&#44; de C&#225;diz&#44; integrado en el Servicio Andaluz de Salud &#40;S&#46;A&#46;S&#46;&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A partir de los datos obtenidos en los partes de quir&#243;fano&#44; rellenados por el persnal de Enfermer&#237;a&#44; ci&#241;&#233;ndose a los datos reales &#40;lo que no ocurre con muchos otros Servicios Quir&#250;rgicos del centro&#41;&#44; se presentan distintos aspectos comparativos de la labor realizada&#44; especialmente el aprovechamiento&#44; el tiempo perdido&#44; y el utilizado para otras funciones&#44; como limpieza&#44; etc&#46; Asimismo&#44; se repasa la duraci&#243;n media de los procedimientos operatorios m&#225;s frecuentes y ciertas variaciones que dependen de los diferentes neurocirujanos&#46; Se ha procurado no hacer juicios de valor&#44; pero no se han omitido los aspectos negativos&#44; como las intervenciones suspendidas sin justificaci&#243;n suficiente a juicio del autor&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Parece desprenderse de este estudio que&#44; a pesar de que el Servicio de Neurocirug&#237;a&#44; si nos atenemos a las estad&#237;sticas&#44; es uno de los m&#225;s efectivos del Hospital&#44; se deber&#237;a obtener un mayor aprovechamiento de los recursos&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se intenta suscitar un cambio de opiniones entre los Servicios Neuroquir&#250;rgicos de los distintos Hospitales del pa&#237;s&#44; la mayor&#237;a integrados en sistemas similares a los nuestros&#44; y analizar las posibles ventajas y deficiencias de los diferentes sistemas de gesti&#243;n&#59; en este caso la Sanidad P&#250;blica&#46;</p>"
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        "titulo" => "Summary"
        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The performance of the main neurosurgery operating room for scheduled neurosurgical operations is studied during the 98 period at Puerta del Mar Hospital&#46; This centre is integrated in the S&#46;A&#46;S&#46; &#40;Andalusian Health Service&#41;&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">All data used for calculations are obtained from the reports filled by the nursery personnel after each neurosurgical operation&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Some different aspects are shown trying to evaluate the work done&#44; specially focused on efficiency&#44; wasted time and time spent for different maintenance tasks and cleaning activities&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The article includes also average duration of regular surgical procedures and its deviations as a function of the main surgeon&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">This work does not pretend to establish who does better&#44; but negative aspects like cancelled operations due to wrong decisions &#40;always following author&#39;s criteria&#41;&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">It seems that the neurosurgical service effectiveness is&#44; according to the statistical analysis&#44; one of the best in the group of services of the subject center&#44; but the study also shows that better resource exploitation can be accomplish&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">The article goal is to establish a discussion between the different spanish neurosurgical services &#40;a lot of them integrated in their regional Health Services similar to S&#46;A&#46;S&#46;&#41; in order to compare different management systems and their advantages and obstaeles&#46;</p>"
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