Kaoma - Lambada

"Kaoma - Lambada (Official Video) 1989 HD" (Watch on YouTube)

https://www.youtube.com/watch?v=iyLdoQGBchQ

  а это оригинальная версия,  от авторов- боливийской группы фольклорной музыки Los Kjarkas

https://www.youtube.com/watch?time_continue=33&v=6H3QwNrk_WU

"Llorando se fue" is a Bolivian folk song recorded by Los Kjarkas in 1981 on the album Canto a la mujer de mi pueblo and released as a B-side of the "Wa ya yay" single in 1982. The song has been very popular in Latin America since the 1980s and has been covered several times. It obtained international fame with artists such as Wilkins in 1984, Argentine singer Juan Ramón in 1985, Brazilian singer Márcia Ferreira in 1986 and the French pop group Kaoma in 1989. Kaoma's cover "Lambada" was an unauthorized translation of the song and based on the music of Cuarteto Continental group and Márcia Ferreira's Portuguese version that led to a successful lawsuit against Kaoma's producers Olivier Lorsac and Jean Karakos

Тернии диагностики

Ну вот, выходит, что "верно" ставят диагноз только примерно каждому десятому. 60% дигноз становится более определенным-уточненным или детализированным после направления к специалисту. А каждый пятый больной  (21%),  получает ошибочный диагноз (согласно данным исследований клиники Майо, США).
Так  выходит, что  "второе мнение" очень важно, как и некоторые дополнительные обследования.  Страховая медицина, однако, не поощряет подобные "лишние" растраты (зачем с одной и той же болячкой- к разным докторам? вам в этом году делали общий анализ крови, зачем еще один?  и т. д.)

Rationale, aims and objectives

Diagnostic uncertainty is often encountered in a medical practice. Patients with ambiguous, uncertain, and undiagnosed problems are frequently referred for second opinions. Comparing referral diagnoses to final diagnoses provides an opportunity to determine how frequently final diagnoses vary and changes the direction of medical care.

Results

In 12% (36/286) of cases, referral diagnoses were the same as final diagnoses. Final diagnoses were better defined/refined in 66% (188/286) of cases; but in 21% of cases (62/286), final diagnoses were distinctly different than referral diagnoses. Total costs for cases in category 3 (different final diagnoses) were significantly higher than costs for cases in category 1 (P = .0001) and category 2 (P = <.0001).

Conclusion

Referrals to advanced specialty care for undifferentiated problems are an essential component of patient care. Without adequate resources to handle undifferentiated diagnoses, a potential unintended consequence is misdiagnoses resulting in treatment delays and complications leading to more costly treatments.