Las anomalías vasculares son lesiones típicas de los pacientes pediátricos y se dividen en dos categorías: tumores vasculares y malformaciones vasculares de alto y bajo flujo. Estas últimas pueden tratarse de diversos modos: laserterapia, drenaje, aspiración, cirugía o escleroterapia, dependiendo del tipo de lesión y de su localización. Entre los agentes esclerosantes utilizados, la bleomicina ha demostrado tener buenos resultados en el tratamiento de estas lesiones. En este artículo presentamos nuestra experiencia en el tratamiento de las malformaciones vasculares de bajo flujo mediante escleroterapia con bleomicina intralesional. Desarrollamos un estudio descriptivo retrospectivo sobre 30 pacientes que presentaban malformación vascular de bajo flujo y fueron tratados con bleomicina intralesional. Los resultados fueron buenos o excelentes en 22 pacientes y regulares o malos en los 8 restantes. De acuerdo a nuestra casuística y a la literatura revisada, la escleroterapia con bleomicina es una alternativa terapéutica eficaz y segura en el tratamiento de las malformaciones vasculares de bajo flujo.
In the Canton of Berne, two working groups are currently developing a concept of school health education, in which the individual teacher assumes the principal role. In terms of documentation and availability of teaching aids, he is assisted by three addiction information centers, as well as other health institutions. Teaching goals are being formulated, socio-cultural conditions are being considered, and based on these, age specific lesson plans and exercises are being developed. On the other hand, the opportunity of a general reform of teacher training is being taken advantage of, in order to define main ideas, teaching goals and instructional contents for teacher training in human biology and health. The aim of teacher training in health education is twofold: on the one hand, it is to prepare the future teacher to include health education in his teaching skills; on the other hand, it is to enable the teacher to act appropriately, when faced with diseased or disabled pupils. The latter point becomes particularly important, as disabled children are being integrated into normal classes.
During the last ten years most cantonal educational departments in Switzerland have tackled the problem of sexual education. With the exception of the canton of Schaffhausen all the cantons have decided not to introduce compulsory sexual education. In almost all the cantons the consent of the parents is necessary. They usually have the right to have their children excused from sexual education. Theoretically speaking, sexual education is not confined to a certain age, but actually it is only given in the middle and upper classes. All the cantons accept that the parents should give their own children sexual education; school has only a complementary function. Usually the form master is responsible for sexual education. A close intercantonal cooperation is not the case, because sexual education is too much dependent on local conditions.
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