The preoperative diagnosis of ovarian masses is essential to provide an appropriate clinical treatment. The introduction of transvaginal ultrasonography has given us the opportunity to obtain preoperative diagnostic parameters which offer extraordinary diagnostic accuracy.

Bukas Palad Foundation Inc., is a non-stock, non-profit and non-government organization. It is established in 1983, to respond to social and health problems of poorest people in Philippines.

The Clinica Sorriso (translated as Smile Clinic) was built in 1993 in the town of Igarassu in northeastern Brazil. It is the result of a solidarity based which was promoted in Italy when I returned from my first trip to Brazil. The clinic was opened in order to meet the health needs of the pupils of Santa Maria School, an activity which was started in 1969 in the city of Santa Maria where the school is located.

Cervical carcinoma is the second most common cancer in women worldwide, but especially in developing countries, where it is the most frequent cause of mortality 1.
The causes of cervical cancer can be attributed to poverty, lifestyle, inaccurate or lack of information that the population has regarding risk factors. There is also a lack of functional medical consultation services and limited access to health care centers

caretta_p.jpgCommunication and relationships in medicine: state of the art

There have been few changes in the life of man as profound as those which have happened in the biomedical sciences and in medical practice in the last few decades.

Enormous developments in the field of technology have brought about unimaginable progress in diagnostic and therapeutic ability and, consequently, the emergence of new branches of specialized disciplines, created to keep up with the rapid increase of knowledge and the ever more sophisticated methods of bio-technology. This has brought about a fragmentation of knowledge.For this reason, on the clinical level, a patient no longer finds him or herself under the care of just one physician, but of several specialists in different disciplines who frequently collaborate.

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Medical professionalism: a GP's perspective

A really good liver

aghadiuno_p_.jpg

I remember when I was a medical student the excitement of going round the wards with a keen doctor who would take us to feel a "really good spleen" or listen to an "interesting cardiac murmur".
Like my fellow students in our new, pristine white coats, I was very excited. However, something in me rebelled and a little voice said, "This isn't quite right".
It was not that we did not greet the patient, ask permission to examine and do all that medical etiquette and politeness required. I felt uneasy and could not articulate why.
One day my group was invited by the professor to examine a "really good liver".
We all trotted behind him, got to the patient's bedside and I recognised her distinctive face immediately.
I thought, "This isn't a liver, she's a person - my old teacher".
She had taught me in primary school. It is a lesson that remained with me throughout the rest of medical school and my practice of medicine. Patients have to be seen in their entirety and not as fragmented parts.

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