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    "titulo" => "La entrevista con los familiares del paciente neuroquir&#250;rgico"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La informaci&#243;n de diagn&#243;sticos&#44; conductas terap&#233;uticas e incapacidades es una tarea dif&#237;cil para los neurocirujanos y muy importante para los familiares&#44; si existen riesgos de muerte o invalidez&#46; La entrevista es el mejor instrumento que tiene el neurocirujano para informar integralmente&#59; pero muchos neurocirujanos j&#243;venes no est&#225;n bien preparados para ofrecer informaci&#243;n m&#233;dica y la labor educativa para capacitarlos todav&#237;a es insuficiente&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Proporcionar algunas experiencias generales&#44; organizadas y pr&#225;cticas sobre c&#243;mo desarrollar la entrevista con los familiares del paciente neuroquirurgico&#46;</p> <span class="elsevierStyleSectionTitle">Desarrollo</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La importancia de la entrevista demanda de&#58; a&#41; conocimiento de todos los datos del paciente&#44; b&#41; disponer de una conclusi&#243;n diagnostica-terap&#233;utica&#44; c&#41; selecci&#243;n adecuada de los participantes en la entrevista y d&#41; precisar el momento y lugar adecuado donde se va a realizar&#46; Los familiares prefieren un especialista que mantenga una actitud de confianza y sinceridad&#44; que exprese sus ideas con claridad y lentamente&#46; Las explicaciones deben ser simples y directas&#46; Pueden concertarse entrevistas repetidas y este m&#233;todo se puede aplicar tambi&#233;n en los casos emergentes&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La entrevista debe realizarse lo antes posible y en cuanto est&#233;n disponible los resultados de las investigaciones m&#233;dicas&#46; Debe evitarse el pesimismo y se dar&#225; apoyo&#44; sin perder el contacto con la realidad&#46; El sacrificio de la informaci&#243;n detallada&#44; por dar m&#225;s importancia a la ciencia&#44; origina muchas cr&#237;ticas a los centros neuroquirurgicos y a los neurocirujanos en las dos o tres &#250;ltimas d&#233;cadas&#46; No debemos conformarnos con la firma de un elemental e insuficiente consentimiento informado&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Information of diagnoses&#44; therapeutic managements and inabilities are a very difficult task for neurosurgeons and very important for relatives&#46; The interview is the best instrument that the neurosurgeon has to inform integrally&#59; but many young physicians are not well prepared to deal with medical information and the educational work to achieve it still is insufficient&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">To provide some general&#44; organized and practical experiences on how to develop the interview with the relatives of the neurosurgical patient&#46;</p> <span class="elsevierStyleSectionTitle">Development</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The importance of the interview demands of&#58; a&#41; knowledge of the patient&#39;s data&#44; b&#41; reaching a specific diagnosis and appropriate therapy&#44; c&#41; accurate selection of the participants in the interview and d&#41; specify when and where we will met the relatives&#46; Most families prefer a physician that maintains an attitude of trust and sincerity and expressesclearly and slowly his thought&#46; The explanations should be direct and simple&#46; Repeated interviews can be concerted and we will perform a similar interview in emergent cases&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The interview should be carried out as soon as possible and as soon as results of the medical investigations were available&#46; The pessimism should be avoided and support will be given&#44; without losing the contact with the reality&#46; Information&#44; which is sacrifi-ced frequently in the art of the Medicine to give more importance to the science&#44; indeed germinates much of the criticism to neurosurgeons and neurosurgical centers in the last two or three decades&#46; We should not conform with the signature of an elementary and insufficient informed consent&#46;</p>"
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