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games and candy, a sweet bet with the name "Sweet Game" is the new project created by Paula Castiñeira, Jose Gutierrez and myself.

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Session (I)-Diagnosis of "drop" without tap joint: is it possible?

Gout is a common diagnosis in reality AP.En requires final confirmation of uric acid crystals in the liquid sinovial.Pero this is not a common practice in our clinics. ACR
The proposed his diagnosis based at least 6 of a list of 12 criteria:

• More an attack of acute arthritis
• The maximum inflammation developed within 1 day
Attack of monoarthritis
• joint Redness
• First metatarsophalangeal joint painful and swollen
• Prime unilateral attack on first metatarsophalangeal joint
• Tophi (tested or suspected) Hyperuricemia
• Asymmetric swelling within a joint (radiology)
• subcortical cysts without erosions (radiology)
• joint fluid culture negative during the acute attack.

But these criteria published in 1977 were not validated by any study.
One of the priorities of primary care research studies on diagnostic tests in our environment.
In the latest issue of the journal Archives ofInternal Medicine published a work studying the validity of the diagnosis of gout in primary care without recourse to examination of synovial fluid.
The proposal for the next session has two objectives:
-discuss the applicability of their results
-Discuss the difficulties in reading and review of the paper.

To help with the reading of the article may refer to this reference Fisterra "Critical reading an article on diagnosis" and Casp Spain page

Although material and methods section seems a bit cumbersome should not panic and remember what a clinical prediction rule and constructed as . For more information English



The article is available in pdf and it can be downloaded from the collection of journals Osakidetza Ovid

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Opinion Study on Natural Protected Areas

VI Under the Provincial Congress of Tourism, the Department of Natural Resources of the Ministry of Environment, conducted a survey of the congress to determine the degree of knowledge and opinion of the ANP ( Natural Protected Areas) of the province Mendoza.
For present were asked about:

• ANP have been visited by those attending the Congress of Tourism
• Services deemed necessary in the ANP
Tourism • Type defined in the ANP
• Topics for future training by the breveted
• Suggestions for the Management of NPA

To view and download the results of the study click on the link "Opinion Survey. Protected Natural Areas" of the right-hand column "Document Downloads."