RESUMEN Los docentes de las escuelas pedagógicas de la especialidad Maestro Primario que imparten las asignaturas de las Didácticas Particulares, necesitan prepararse sistemáticamente para desarrollar la habilidad profesional pedagógica dirigir el proceso educativo en general y el de enseñanza-aprendizaje en particular, por lo que conciben la práctica laboral de cada año en una secuencia lógica, sistémica y como nodo interdisciplinario. La preparación se enmarca en el Consejo Técnico a nueve docentes responsables de asignaturas. Dada la insuficiente formación didáctica que poseen, porque proceden de diversos planes y modalidades de titulación, se potencian los objetivos gradados desde el primer al cuarto año de la especialidad. El contenido se sistematiza con el empleo de métodos del nivel teórico. Es propósito de este artículo ofrecer las consideraciones que sustentan la definición de formación didáctica continua, los requerimientos de la misma, la concepción de la práctica laboral de los estudiantes de las escuelas pedagógicas como nodo interdisciplinario y las potencialidades del trabajo metodológico a través del Consejo Técnico y las visitas a clases a los docentes de las escuelas pedagógicas de la especialidad Maestro Primario.

ABSTRACT The teachers of the pedagogical schools of the Primary Teacher specialty that teach the subjects of the Private Didactics, need to be systematically prepared to develop the pedagogical professional ability to direct the educational process in general and the teaching-learning process in particular, for which they conceive the practice work of each year in a logical, systemic sequence and as an interdisciplinary node. The preparation is part of the Technical Council to nine teachers responsible for subjects. Given the insufficient didactic training that they have, because they come from different plans and modalities of degree, the graduated objectives are promoted from the first to the fourth year of the specialty. The content is systematized with the use of theoretical level methods. It is the purpose of this article to offer the considerations that support the definition of continuous didactic training, its requirements, the conception of the work practice of students of pedagogical schools as an interdisciplinary node and the potential of methodological work through the Technical Council and class visits to teachers of the pedagogical schools of the Primary Teacher specialty.

Resumen Un puerto trasciende la actividad que se realiza en sus instalaciones o en su condición de nodo físico y geopolítico en el que se desarrollan tareas esencialmente económicas, ya que también es un espacio que otorga significado a la red de relaciones sociales, formales e informales, que se construyen al interior del puerto y en torno a él. En este sentido, el presente trabajo analiza los aportes historiográficos que han contribuido a enriquecer distintos aspectos de la historia portuaria argentina; reflexiona sobre las potencialidades que ofrecen los estudios regionales e interdisciplinarios a esta temática, y propone líneas de acción tendientes a revalorizar, preservar y conservar el patrimonio portuario.

Abstract A port transcends the activity that takes place in their installations or in their condition of physical and geopolitical node in which essentially economic tasks are developed, since it is also a space that gives meaning to the network of social relations, formal and informal, that are built inside the port and around it. In this sense, this paper analyses the historiographical contributions that have helped to enrich different aspects of Argentine port history; it reflects on the potential of regional and interdisciplinary studies on this subject and proposes lines of action aimed at revaluing, preserving and conserving port heritage.

Resumo: Introdução: O câncer do colo do útero (CCU) representa um problema de saúde pública. No Uruguai, ocupa o terceiro lugar em incidência em mulheres, causando 133 mortes por ano. O acometimento dos linfonodos é um dos principais fatores prognósticos e condiciona o tratamento. O linfonodo sentinela (LS) em estágios iniciais do câncer do colo do útero é uma técnica segura que permite o estadiamento adequado e reduz a morbidade associada à linfadenectomia convencional. Objetivo: Validar o uso da técnica de biópsia por LS em estágios iniciais do CCU como tratamento padrão para a detecção de metástases linfonodais no Hospital da Mulher. Materiais e métodos: Foi realizado um estudo de caso prospectivo e longitudinal. Trinta usuárias com LS em estágio inicial foram incluídas no período de janeiro de 2018 a novembro de 2022. A marcação foi realizada com Tc99. A linfadenectomia pélvica sistemática foi realizada no mesmo ato cirúrgico. Resultados: O LS foi detectado bilateralmente em 29 das 30 usuárias, com uma taxa de detecção por região de 98,3%. Em 5 pacientes foram detectados LS metastáticos e não foram encontrados nódulos não-sentinela positivos. 1 deles correspondia a uma micrometástase detectada por ultrassonografia. A sensibilidade foi de 100% CI 95% (56,55,100) com NPV 100% CI 95% (86,68, 100). Conclusões: Com base nos resultados do estudo, a equipe interdisciplinar do Hospital da Mulher está em condições de usar a biópsia de LS cervical como padrão de tratamento no câncer cervical em estágio inicial.

Abstract: Introduction: Cervical cancer (CC) is a public health problem. In Uruguay, it ranks third in incidence in women, causing 133 deaths annually. Lymph node involvement is one of its main prognostic factors and determines treatment. The sentinel lymph node (SLN) in early stages of cervical cancer is a safe technique that allows for adequate staging and reduces morbidity associated with conventional lymphadenectomy. Objective: To validate the use of the SLN biopsy technique in early stages of CC as the standard treatment for detecting lymph node metastases at the Women’s Hospital. Method: A prospective, longitudinal case study was conducted. Thirty patients with early-stage cervical cancer between January 2018 and November 2022 were included in the study. The marking was done with Tc99. Systematic pelvic lymphadenectomy was performed in the same surgical procedure. Results: Sentinel lymph nodes were detected bilaterally in 29 out of 30 patients. With a detection rate per region of 98.3%, metastatic SLNs were detected in 5 patients, with no positive non-sentinel nodes found. One of them corresponded to a micrometastasis detected by ultra-staging. Sensitivity was 100% (95% CI 56.55,100) with a negative predictive value of 100% (95% CI 86.68, 100). Conclusions: According to the results of the study, the interdisciplinary team at the Women’s Hospital is in a position to use cervical SLN biopsy as the standard treatment for early-stage cervical cancer.

Resumen: Introducción: el cáncer de cuello (CC) uterino representa un problema de salud pública. En Uruguay ocupa el tercer lugar en incidencia en mujeres, provocando 133 fallecimientos anuales. La afectación ganglionar es uno de sus principales factores pronósticos y condiciona el tratamiento. El ganglio centinela (GC) en estadios precoces de cáncer cervicouterino es una técnica segura que permite una adecuada estadificación y reduce la morbilidad asociada a la linfadenectomía convencional. Objetivo: validar la utilización de la técnica de la biopsia GC en estadios precoces de CC como estándar de tratamiento para la detección de metástasis ganglionares en el Hospital de la Mujer. Material y método: se realizó un estudio prospectivo, longitudinal, de casos. Se incluyó a 30 usuarias con CC en estadios iniciales, en el período comprendido entre enero de 2018 y noviembre de 2022. La marcación se realizó con tecnecio 99m (99mTc). En el mismo acto quirúrgico se realizó la linfadenectomía pélvica sistemática. Resultados: se detectó GC de forma bilateral en 29 de 30 pacientes. Con una tasa de detección por región de 98,3%. En cinco pacientes se detectaron GC metastásicos, no encontrando ganglios no centinela positivos. Una de ellas correspondió a una micrometástasis detectada por ultraestadificación. La sensibilidad fue de 100%: IC95% (56,55 -100) con VPN 100% IC95% (86,68 - 100). Conclusiones: de acuerdo con los resultados arrojados por el estudio, el equipo interdisciplinario del Hospital de la Mujer está en condiciones de utilizar la biopsia de GC de cérvix como estándar de tratamiento en el CC uterino en estadio precoz.

RESUMEN Introducción: Las tecnologías informáticas han irrumpido en la educación y han generado cambios sustanciales. Uno de ellos es la gestión de procesos formativos de manera online en forma de cursos virtuales que han marcado pautas en las ofertas educativas. Sin embargo, están concebidos para una estructura modular que no favorece la interdisciplinariedad. Objetivo: Elaborar una propuesta de cursos virtuales que permita establecer las relaciones interdisciplinarias en los espacios virtuales de enseñanza y aprendizaje para la formación en salud. Métodos: El método de investigación utilizado es el análisis documental basado en la búsqueda de artículos publicados en las bases de datos Google Académico, SciELO y Scopus. Se incluyen estas tres bases de datos para lograr abarcar la mayor cantidad de artículos posibles. Resultados: No se detectan documentos científicos que revelen modificaciones estructurales en los cursos virtuales que sustenten la interdisciplinariedad. Se propone una estructura de los cursos virtuales en forma de sistema, utilizando los mapas conceptuales donde cada nodo posee los contenidos, recursos didácticos digitales, y métricas para evaluar el aprendizaje. De la misma manera, se propone estructurarse las carreras en forma de sistemas de cursos conceptuales, estableciendo nexos interdisciplinarios. Conclusiones: La estructura conceptual de los cursos virtuales y las carreras potencia la interdisciplinariedad a partir del acceso a los conceptos y las evaluaciones obtenidas por los estudiantes en ellos. La estructura reticular de los mapas conceptuales permite el acceso a los nodos y las dificultades de los estudiantes desde otra asignatura, curso o nodo del mapa.

ABSTRACT Introduction: Information technologies have burst into education and have generated substantial changes. One of them is the management of training processes online in the form of virtual courses that have set standards in educational offerings. However, they are conceived for a modular structure that does not favor interdisciplinarity. Objective: To draw up a proposal for virtual courses that will allow establishing interdisciplinary relationships in virtual teaching and learning spaces for health training. Methods: The research method used is documentary analysis based on the search for articles published in the databases Google Scholar, SciELO and Scopus. These three databases are included to cover as many articles as possible. Results: No scientific documents are detected that reveal structural modifications in virtual courses that support interdisciplinarity. A structure of virtual courses is proposed in the form of a system, using concept maps where each node has the contents, digital teaching resources, and metrics to evaluate learning. In the same way, it is proposed to structure the degree courses in the form of conceptual course systems establishing interdisciplinary links. Conclusions: The conceptual structure of virtual courses and degree courses enhances interdisciplinarity from the access to concepts and evaluations obtained by students in them. The reticular structure of the concept maps allows access to the nodes and the students' difficulties from another subject, course or node of the map.

RESUMO Pela importância do ensino e aperfeiçoamento da linguagem escrita no Ensino Superior, por constituir um macroeixo transversal ao currículo da formação e um nó interdisciplinar nos processos cognitivo-comunicativos que ocorrem em todas as disciplinas da formação inicial processo, é realizada esta investigação. O seu objectivo é conceber um sistema de tarefas didácticas para a didáctica da construção de textos escritos do projecto educativo do ano com uma abordagem social, cultural e profissional e com uma marcada natureza interdisciplinar, multidisciplinar e transdisciplinar. É uma questão atual, com o objetivo de garantir uma graduação em correspondência com o que é exigido no modelo profissional da carreira e da sociedade. Na investigação foram utilizados os métodos do nível teórico: análise histórico-lógica, sistematização, análise-síntese e indução-dedução; as do nível empírico: análise documental, pesquisa, entrevista, observação, teste pedagógico, consulta a especialistas; e o método matemático, na aplicação das técnicas da estatística descritiva. A experiência proposta permitiu corroborar a natureza interdisciplinar da didática da construção do texto escrito desde sua concepção no projeto educacional do ano e sua contribuição para solucionar problemas dos diferentes componentes do processo de formação profissional em cada uma de suas dimensões e cenários; cuja eficácia foi verificada e corroborada em seus resultados e os critérios expressos pelos especialistas que participaram desta pesquisa.

ABSTRACT Due to the importance of the teaching and improvement of the written language in Higher Education, as it constitutes a transversal macro-axis of the training curriculum and interdisciplinary node in the cognitive-communicative processes that take place in all the subjects of the initial training process; this investigation was carried out which aims to design a system of teaching tasks for the didactics of the construction of written texts from the educational project of the year with a social, cultural and professional approach and with a marked interdisciplinary, multidisciplinary and transdisciplinary character. It is a current issue, in order to guarantee a graduate in correspondence with what is required in the professional model of the career and society. In the investigation the methods of the theoretical level were used: historical - logical, analysis, systematization, analysis - synthesis and induction - deduction; those of the empirical level: documents analysis, the survey, the interview, the observation, the pedagogical test, the consultation of specialists; and the mathematical method in the application of descriptive statistics techniques. The proposed experience allowed to corroborate the interdisciplinary nature of the didactics of the construction of the written text from its conception in the educational project of the year and its contribution to solve problems from the different components of the professional training process in each of its dimensions and scenarios; whose effectiveness has been verified and corroborated in its results and the criteria expressed by the specialists who participated in this research.

RESUMEN Debido a la importancia que tiene la enseñanza y perfeccionamiento de la lengua escrita en la Educación Superior, por constituir macroeje transversal del currículo de formación y nodo interdisciplinar en los procesos cognitivo-comunicativos que tienen lugar en todas las asignaturas del proceso de formación inicial, se llevó a cabo esta investigación. Tiene como objetivo diseñar un sistema de tareas docentes para la didáctica de la construcción de textos escritos desde el proyecto educativo del año con un enfoque social, cultural y profesional y con un marcado carácter interdisciplinario, multidisciplinario y transdisciplinario. Es una temática de actualidad, en función de garantizar un egresado en correspondencia con lo exigido en el modelo del profesional de la carrera y la sociedad. En la investigación se emplearon los métodos del nivel teórico: análisis histórico-lógico, sistematización, análisis-síntesis e inducción-deducción; los del nivel empírico: análisis documental, la encuesta, la entrevista, la observación, la prueba pedagógica, la consulta de especialistas; y el método matemático, en la aplicación de las técnicas de la estadística descriptiva. La experiencia propuesta permitió corroborar el carácter interdisciplinar de la didáctica de la construcción del texto escrito desde su concepción en el proyecto educativo del año y su contribución para resolver problemas desde los diferentes componentes del proceso de formación profesional en cada una de sus dimensiones y escenarios; cuya efectividad ha sido constatada y corroborada en sus resultados y los criterios expresados por los especialistas que participaron en esta investigación.

Resumo O linfoma não-Hodgkin representa um grupo de células malignas linfoides, que se manifestam em áreas nodais ou extranodais, atingindo, em proporção muito menor, a região maxilofacial. A sua prevalência cresce cerca de 3% ao ano, sendo a terceira neoplasia mais frequente em escala mundial e representando, na região de cabeça de pescoço, 5% de todas as neoplasias malignas. O linfoma não-Hodgkin não apresenta diferenças significativas na predileção por género e a idade média de acometimento é por volta de 71 anos. Clinicamente, manifesta-se de forma nodular, afetando o linfonodo por inteiro ou uma área extranodal. As regiões intrabucais mais afetadas são o palato mole e o fundo do vestíbulo. Radiograficamente pode observar-se rarefação e destruição óssea. A quimioterapia é o tratamento de escolha e, dependendo da extensão e do estadiamento clínico, pode associar-se a radioterapia. O correto diagnóstico e o trabalho interdisciplinar são fatores importantes para um melhor prognóstico da doença e vida do paciente. O objetivo deste estudo foi relatar um caso de linfoma não-Hodgkin, no palato de uma paciente do género feminino, leucoderma, de 54 anos.

Abstract Non-Hodgkin’s lymphoma consists of a group of malignant lymphoid cells that manifest themselves in nodal or extranodal areas, reaching, to a much lesser extent, the maxillofacial region. Its prevalence has been increasing around 3% per year, being the third most common cancer worldwide and representing 5% of all malignancies in the head region. The frequency of non-Hodgkin’s lymphomas does not differ significantly between genders, and the average age of occurrence is 71 years. Clinically, it manifests itself in a nodular form, affecting the entire lymph node or an extranodal area. The most affected intraoral regions are the soft palate and the vestibular fundus. Radiographically, rarefaction and bone destruction can be observed. Chemotherapy is the treatment of choice and may be associated with radiotherapy, depending on the extent and clinical stage. A correct diagnosis and interdisciplinary work are important factors for a better prognosis of the disease and the life of the patient. The aim of this study was to report a case of non-Hodgkin’s lymphoma in the palate of a 54-year-old white female patient.

ABSTRACT The training of a competent professional requires an organized, scientific and systematic process, which allows the student to solve, gradually, problems of the reality of their field of action, a task in which the discipline Investigative Labor Training in the career Bachelor in Language therapy occupies the central position due to its role in the comprehensive education of the university student and its interdisciplinary nature. Through interdisciplinary work, a system of integrative exercises was established for the development of professional skills in students of the career. During the 2017-2018 school year, the career at Universidad de Oriente had an enrollment of 120 students who were considered as a sample, as well as 15 teachers. Methods such as analysis-synthesis, systemic structure and modeling were used. These methods made it possible to determine the methodological structure of the exercises. The system of integrative exercises was applied evidencing a qualitative and quantitative increase in the results achieved by the students which demonstrates its validity and possibilities of extension and systematization

RESUMEN La formación de un profesional competente requiere de un proceso organizado, científico y sistemático, que permita al estudiante solucionar, de manera gradual, problemas de la realidad de su campo de actuación, tarea en la cual la disciplina Formación Laboral Investigativa en la carrera Licenciatura en Educación Logopedia ocupa la posición central por su función en la formación integral del estudiante universitario y por su carácter interdisciplinario. A través del trabajo interdisciplinario se estableció un sistema de ejercicios integradores para el desarrollo de habilidades profesionales en los estudiantes de la carrera. Durante el curso escolar 2017-2018 la carrera en la Universidad de Oriente contaba con una matrícula de 120 estudiantes los que fueron considerados como muestra, así como 15 profesores. Se utilizaron métodos como análisis-síntesis, sistémico estructural y modelación que posibilitaron determinar la estructura metodológica de los ejercicios. El sistema de ejercicios integradores fue aplicado evidenciándose un aumento cualitativo y cuantitativo en los resultados alcanzados por los estudiantes lo que demuestra su validez y posibilidades de extensión y sistematización

Terminology development is an interdisciplinary activity that takes as its point of departure the concepts related to a certain subject area. Terminography practice depends on language development and lexicographical principles and practice. Unique, polythematic terminology products are needed for target user groups that have a specific interest in specific subject areas in different languages, and the needs of such groups should be taken into consideration when terminology is developed. All occupations andfields of knowledge need terms for exact subject-related communication, which explains the slogan of the international terminology organisation TermNet: There is no Knowledge without Terminology. Terminology development occurs in the framework of the language policy of the government of a country. South Africa has excellent legislation aimed at safeguarding the official languages and developing them into fully functional languages. Although this article focuses on Afrikaans, it is important not to deal with Afrikaans in isolation - all terminology-related activities should (where possible) take place in all the official languages, not only for the sake of individual languages, but especially for the sake of (specialised) communication. The development of the indigenous languages took place in consecutive phases. Afrikaans developed from a subservient so-called "kitchen language" to a high-function language that can be used in any field of knowledge. Currently, Afrikaans should be in a maintenance phase, but the language has (again) been relegated to a struggle for survival. At the same time, the African languages are not being properly developed as full-fledged academic languages, despite their official status. English remains the language ofpreference for many South Africans, and the other official languages are subjected to the hegemony of English. It is important to realise that a functional language is a language with a future. The political change in 1994 provided a legislative context for transformation and the redress of imbalances resulting from the previous dispensation. Language, among other issues, is seen as critical in fostering transformation in higher education and in society. Historically, the development of terminology in South Africa was a long and difficult process, but, at the same time, judged from the number of technical dictionaries published, terminology development has been extremely successful. Many technical dictionaries are currently out of print. There were (and still are) many duplications ofterminology projects, despite the existence ofseveral coordinating bodies. The mandate of the national terminology office, i.e. the Terminology Coordination Section, differs from that of its predecessors. In the past, bilingual technical dictionaries were compiled, but currently the mandate of the office requires the compilation of terminology products in all official languages. The office mainly tends to government-related terminology needs. Legislation dictates that government departments, with a view to communicating with the country's citizens, develop the terminology related to their core business in all official languages (at the national level) and, at the provincial and local levels, in at least the three major languages used in the province concerned. The private sector ought to be part of this strategy, seeing that it is an end-user of terminology as well. A recent audit has shown that various language bureaux collect terminology for internal use. Although this invaluable terminology work is being done in various subject areas, the terms are not readily available, the bilingual or multilingual polythematic terminology being available to the relevant institution only. Funds have recently been made available by the Department of Higher Education for the development of terminology at tertiary institutions. The aim is to develop a multilingual open term bank for higher education, with the primary beneficiaries first-year university students with an African language (including Afrikaans) as their mother tongue. The tertiary institutions that are currently actively involved in terminology development should collaborate to avoid duplication; however, the audit has shown that already several projects are being duplicated. Furthermore, terminological research should be made available online for learning and teaching purposes. The terminology should be of a high standard and its effectiveness should be measured frequently. Also, systems should be put in place to make it possible to comment on terminological data and revise and update data. Currently, different institutions keep term data bases, and a variety of data capturing software is used, which, ideally, should be compatible, so as to facilitate sharing terminological data. All available terminology (even out-of-print terminological products) should be accumulated in a central database, and/or a node with links to terminology databases should be established to promote the dissemination of terminology. Data should be digitalised and open-sourced to enable free access. Proper training in the principles and practice of terminography is needed. Currently no in-house terminology training is provided, and at tertiary institutions terminography mainly forms part of lexicography, linguistics, translation or interpreting courses. Tertiary institutions could assist the terminography practice by presenting proper terminology courses and appropriating funds for terminology development at all subject-related faculties. Terminology development is important for both language-related and subject-related departments at tertiary institutions. Collaboration among tertiary institutions should be encouraged, and new terms (neologisms) arisingfrom recent research should be documented and disseminated. It is important to take note of terminology activities by individuals and institutions. Academics, subject specialists and language practitioners (including those who have retired) could provide valuable assistance in defining concepts, and when translations are needed. A list should be kept of all role-players and collaborators (potentially) involved in terminology-related work. Although the publication of technical dictionaries is not regarded as a profitable business, publishing custom-made technical dictionaries aimed at different target groups, such as subject specialists and lay people, should be negotiated with media houses and publishers. Project leaders and the technical committee members currently doing the physical documentation of terminology should be compensated for their work. Grants should be invested, and the proceeds should be used to finance terminology projects. Significant progress would only be possible if terminography projects were properlyfinanced. It is important to realise that trained terminologists and enthusiastic/inspired subject specialists, academics and students are needed to develop multilingual polythematic terminology. Without terminology, exact subject-related communication would not be possible.

Die vertrekpunt van vaktaalontwikkeling is die konsepte onderliggend aan 'n bepaalde vakgebied. Unieke, veeltematiese vaktaalprodukte word benodig vir bepaalde teikengebruikersgroepe met spesifieke belange by bepaalde vakgebiede en tale. Vaktaalontwikkeling in Suid-Afrika geskied binne die konteks van die taalbeleid van die regering. Ten spyte van magtigende wetgewing, en ook die nasionale Grondwet, wat die talebestel beskerm en die bevordering van die amptelike tale behoort te bevorder, is dit vir die ander amptelike tale uiters moeilik om aan die hegemonie van Engels te ontkom. Primêre termskepping geskied in Engels, en termekwivalente word deur sekondêre termskepping in Afrikaans en die Afrikatale bygevoeg. Ondanks die bestaan van verskeie koördinerende vaktaalliggame, was en is daar steeds duplisering van vaktaalprojekte. Die mandaat van die nasionale terminologiekantoor verskil van dié van sy voorgangers, en die kantoor gee slegs aandag aan staatsprojekte. Daarbenewens dokumenteer verskeie taalkantore, sentra, uitgewers en individue terminologie, en is fondse deur die Departement van Hoër Onderwys bewillig om 'n veeltalige oop termbank vir hoër onderwys te vestig, aangesien vaktaalontwikkeling vir sowel taal- as vakgerigte departemente by tersiêre instansies belangrik is. n Verskeidenheid van datavasleggingsprogrammatuur word gebruik, en indien hierdie programmatuur versoenbaar is, kan data maklik uitgeruil en gedissemineer word. Data behoort gedigitaliseer en oop te wees vir vrye toegang en algemene gebruik. Indiens- en tersiêre opleiding in die teoretiese en praktiese begronding van terminologie/ terminografie is noodsaaklik. Die kundigheid van akademici, vakkundiges en taalpraktisyns (ook afgetredenes) behoort by vaktaalontwikkeling benut te word om meertalige en veeltematiese terminologie te ontwikkel. Hierdie medewerkers behoort vir hul werk vergoed te word. Sonder vaktaal kan daar nie sprake wees van behoorlike vakkommunikasie nie.

Background. To determine recommended delays for treatment once there is well-founded clinical suspicion in care processes for breast and colorectal cancer, taking into account resources and the psychological well-being of the patients. Method. A qualitative study among professionals. The study was conducted in two phases. Firstly, during 4 sessions (N=19) we conducted a revision of the care processes of breast cancer and colorectal cancer and fixed desirable times. Secondly, through a modification of the Delphi technique (N=49), the proposed times for each care process were validated. Results. Delphi response rates of 69% and 58% for colorectal and breast processes respectively. The recommended time in the case of non-invasive breast cancer was 5 to 6 weeks. If the cancer was invasive and nuclear medicine was used for sentinel node study or axillary clearance 5 to 7 weeks were recommended. In the case of cancer of the colon and rectum 7 to 13 weeks were considered necessary. Conclusions. Breast cancer treatment should be started before six weeks. In colorectal cancer up to three months could be required. An interdisciplinary review of care processes relying on professionals is useful for establishing realistic quality standards.

Fundamento. Determinar tiempos recomendables para el tratamiento desde la sospecha clínica fundada en los procesos asistenciales de cáncer de mama y colorrectal considerando factibilidad y situación personal del paciente. Método. Estudio cualitativo de búsqueda de consenso entre profesionales. Primero, se revisaron mediante 4 sesiones grupales (N=19), los procesos asistenciales de cáncer de mama y cáncer colorrectal y se fijaron los tiempos deseables de ambos procesos. Segundo, mediante una modificación de la técnica Delphi (N=49), se validó la propuesta de tiempos de atención recomendables para cada proceso asistencial. Resultados. La tasa de respuesta en el estudio Delphi fue del 69% en el proceso de cáncer colorrectal y del 58% en el de mama. El tiempo recomendado entre sospecha clínica y plan terapéutico en el caso de cáncer de mama no infiltrante fue entre 5 y 6 semanas, dependiendo de la vía de acceso: atención primaria, especializada o unidad de prevención de cáncer de mama. Si el cáncer detectado fuese infiltrante y se recurriera a medicina nuclear para el estudio del ganglio centinela o vaciamiento axilar se recomendó de 5 a 7 semanas. En el caso de cáncer de colon y recto se consideró necesario un plazo de respuesta entre 7 a 13 semanas según la vía de acceso, tipo de tumor y curso. Conclusiones. El tratamiento en cáncer mama debe iniciarse antes de transcurrir mes y medio. En cáncer colorrectal podría precisarse hasta tres meses. La revisión de los procesos asistenciales contando con los profesionales y de forma interdisciplinaria favorece establecer criterios de calidad realistas.