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On the 25th Aniversary of the Cardiology Center "Ernesto Che Guevara" in Villa Clara, Cuba A propósito del 25 aniversario del Cardiocentro “Ernesto Che Guevara” de Villa Clara, Cuba  [cached]
Roberto Bermúdez Yera,Alberto Morales Salinas,Raúl Due?as Fernández
MediSur , 2011,
Abstract: . El Cardiocentro “Ernesto Che Guevara” de Santa Clara está próximo a celebrar el 25 aniversario de fundado. En esta institución, que ha recibido varios reconocimientos, se realizan casi todos los procedimientos relacionados con la cirugía cardiovascular, la cardiología intervencionista y la electrofisiología. Específicamente en la cirugía cardiovascular se han ejecutado hasta la fecha aproximadamente 7 000 intervenciones con una media de supervivencia quirúrgica del 95 %, mientras que en la cardiología intervencionista se realizan anualmente más de 1 500 estudios y entre 400 y 500 intervencionismos. Este sencillo artículo tiene la intensión de exponer algunos de los más importantes resultados de esta institución en el cuarto de siglo de existencia.
LAS PRIMERAS VALVULOTOMíAS MITRALES PERCUTáNEAS EN EL CARDIOCENTRO ERNESTO CHE GUEVARA / The first percutaneous mitral valvotomies at the Ernesto Che Guevara Cardiology Hospital  [PDF]
Francisco L Moreno-Martínez,Leonardo H. López Ferrero,Luis Felipe Vega Fleites,Iguer Fernando Aladro Miranda
CorSalud , 2009,
Abstract: Los avances en los procedimientos de cardiología intervencionista, unidos al desarrollo de las técnicas de imagen, han favorecido el diagnóstico y tratamiento de los pacientes con estenosis mitral. La valvulotomía o valvuloplastia mitral percutánea constituye una excelente opción terapéutica para estos pacientes. En este artículo presentamos los dos primeros casos sometidos a este procedimiento en la Unidad de Hemodinámica y Cardiología Intervencionista del Cardiocentro “Ernesto Che Guevara”. Ambas pacientes evolucionaron favorablemente y fueron egresadas al siguiente día de la valvulotomía. Con estas dos pacientes iniciamos la era de la valvulotomía mitral percutánea en el mencionado hospital, que representa un nuevo servicio de salud a la población.
RESISTENCIA MICROBIANA EN EL CARDIOCENTRO ERNESTO CHE GUEVARA. ESTUDIO DE 5 A OS / Microbial resistance at the “Ernesto Che Guevara” Cardiology Hospital. A five year study  [PDF]
Nérida Rodríguez Oliva,Rafael Gómez Marrero
CorSalud , 2009,
Abstract: Introduction and Objectives: The appearance of nosocomial bacterial resistance represents a problem of growing concern because it largely affects the evolution of patients and the health resources devoted to it. The objective of this work was to determine the most common germs and their microbial resistance. Methods: A descriptive retrospective study was carried out analyzing the result of the isolation of germs from all type of secretions and from the blood cultures of a group ofpatients hospitalized at the Ernesto Che Guevara Cardiology Hospital in a five year period. Results: A total of 397 strains were isolated, 77 Staphylococcus aureus and 320 Enterobacteriaceae. The former presented 100% resistance to penicillin. The Staphylococcus sensitive to methicillin presented 4.9 % resistance to cotrimoxazole and gentamicin. The strains resistant to methicillin or oxacillin had a high resistance to gentamicin (87.5 %) and ciprofloxacin (81.2 %), a medium resistance to cefazolin and oxacilline (20.5 %), and just 12.5 percent resistance to cotrimoxazole. Conclusions: the Staphylococcus aureus and the Enterobacteriaceae were the most common germs. The preoperative prophylaxis in these patients must not be done with cefazolin as a routine because the staphylococci resistant to methicillin or oxacillin have influence on other antimicrobials.
PALABRAS DEL DIRECTOR DEL CARDIOCENTRO “ERNESTO CHE GUEVARA”  [PDF]
Raúl Due?as Fernández
CorSalud , 2009,
Abstract:
MIXOMA BIAURICULAR: PRESENTACIóN DEL PRIMER CASO OPERADO EN EL CARDIOCENTRO ERNESTO CHE GUEVARA / Biatrial myxoma: presentation of the first case operated on at the Ernesto Che Guevara Cardiology Hospital  [PDF]
Roberto Bermúdez Yera,álvaro Lagomasino Hidalgo,Gustavo de Jesús Bermúdez Yera,Yuri Medrano Plana
CorSalud , 2010,
Abstract: Left atrial myxoma is the most common primary cardiac tumor in clinical practice. However, the myxomas that grow at both sides of the interatrial septum are rare. The case of a 65-year-old white patient is presented here. The transthoracic echocardiogram showed a large mass in the right atrium which was compatible with an atrial myxoma; therefore, a surgical treatment was decided. A right atriotomy with resection of the tumor was carried out. The interatrial septum was opened and its pedicle was resected with an oncologic security margin. The presence of the tumor mass, also on the left surface of the septum, was confirmed. The septal defect was closed with a patch of autologous pericardium. The myxoma was polylobulated with arborescent aspect, and measured about 10 x 8 cm, weighing 89 grams. The patient evolved satisfactorily and was discharged 11 days after the surgical intervention.
ERNESTO GUEVARA IDEALISTA, REVOLUCIONARIO Y HUMANO That was Che, an example of doctor, revolutionary and warrior  [cached]
Ariadna Rendueles
Revista Habanera de Ciencias M??dicas , 2008,
Abstract: During his studies in the MedicineSchool, Ernesto Guevara de la Serna, starts a long trip through Latin America. This sets a precedent in his formation as a doctor. He finally arrives to Buenos Aires in August 31st 1952; where he receives a certification as a doctor after he evaluates all the missing subjects. “In Guatemala I want to acquire perfection as an authentic revolutionary” Mario Salazar Mallén. (9) At the beginning of 1955 “Che” finds job as a doctor in the Central Hospital of Mexico City . Fidel said: “When we met, “Che” was an educated revolutionary” Ernesto meets ico López in 1955, through him, he meets Raul and this one introduces him to Fidel. In June 24, 1956, Che is made prisionera long with other cuban comrades. At the end of July, among the lasts , Che is released. Revolution, medicine and society The medical thought of Ernesto Guevara was evident in articles, books and speeches since he started to work as a health professional. He understands the need of the integration of the doctor inside the revolutionary process. Guevara adds to the radical changes of the doctor in health in the new society : being a farmer, to know about the cultivation of new alimentsand the promotion of a new diverse alimentationutilizing the advantages of a country that is mainly agricultural . The doctor must keep being a doctor, but as a revolutionary. That was Che, an example of doctor, revolutionary and warrior.
Automatización del control del cálculo de extracciones en la mina de la empresa niquelera Ernesto Che Guevara  [cached]
Arístides A. Legrá-Lobaina
Minería y Geología , 2010,
Abstract: En el artículo se muestran los elementos fundamentales de un algoritmo cuyo objetivo es establecer el contenido y el orden de los procedimientos necesarios para realizar el control del cálculo de extracciones en la mina de la empresa Ernesto Che Guevara que explota, a cielo abierto, yacimientos lateríticos ferroniquelíferos en la región de Moa, Cuba. Asimismo se presenta el dise o de los diálogos informáticos que han automatizado el algoritmo en la aplicación informática Tierra.
ESTRATEGIA ANESTéSICA PARA LA CIRUGíA CON EL CORAZóN LATIENDO. CINCO A OS DE EXPERIENCIA EN EL CARDIOCENTRO ERNESTO CHE GUEVARA / Anesthesia strategy for surgery with beating heart. Five years of experience at the “Ernesto Che Guevara” Cardiology Hospital  [PDF]
Ignacio R. Fajardo Egozcue,Osvaldo González Alfonso,José C. Mesa Hurtado,Pedro Hidalgo Menéndez
CorSalud , 2009,
Abstract: Introduction and Objectives: The anesthesia in coronary surgery, using high sustained doses of fentanyl, leads to protracted postoperative extubation and stay. The assessment of an anesthesiastrategy for coronary surgery without extracorporeal circulation, in order to reduce the use of opioids and make possible an early extubation and a shorter post-surgical stay, was the objective of thiswork. Methods: 732 patients who underwent surgical myocardial revascularization without heartlung machine, from February 2003 to December 2007, using general anesthesia with intermittent boluses of fentanyl, with or without associated epidural anesthesia, were studied. Results: 625 surgical operations with general anesthesia in boluses and 107 adding peridural anesthesia were carried out. The average amount of fentanyl was 34.7 ml per patient in the first group and 24.9 ml when adding peridural anesthesia. Twenty seven patients were extubated in the operating room. The total average time was 8.6 hours (8.8 hours in the group where the anesthesia in boluses wasused and 6.7 hours for those with peridural anesthesia associated). The total average stay at the Intensive Care Unit was 40.1 hours. Conclusions: The intermittent anesthesia reduced the amount of fentanyl used in 86.6 percent when compared to the high sustained doses reported in a previous study. This made possible the early extubation of the patients, which increased due to the use of peridural anesthesia, and a decrease in average stay of the patient at the Intensive Care Unit.
CHE, PARADIGMA DEL MéDICO REVOLUCIONARIO: Che, a paradigm of a revolutionary doctor Vigencia del pensamiento médico-social del Dr. Ernesto Guevara de la Serna
Aguiar González de la Pe?a,Nelson; Benítez Pi?ón,Lourdes;
Revista Habanera de Ciencias M??dicas , 2008,
Abstract: ernesto guevara-internationally known as che- has been immortalized in history pages as the collaborator warrior, capable of fighting for freedom and independence of the third world population. in cuba, is created a directive medical organization called minsap. since then, there is an active popular participation in prevention and health education in general: vaccination campaigns and hygienic and sanitary. the rural medical service is created in 1960 and the policlinics were institutionalized (1964). firstly, to develop curative actions which granted a free health access and also geographically accessible; in 1974 it is created the comunitary policlinic which has given an integral attention to population. in a speech, che referred to other ideas such as: “accustom all health professionals towards the responsibilities of social medicine” the family doctor’s and nurse’s program of work has an objective to improve the health status of the population by integral actions directed to the individual, the family , the community and the environment, in close correlation with masses of population having in consideration the doctor-nurse-patient relationship, the humanism sensitivity and love to the rest. undoubtedly, che’s ideas about social medicine, acquire an extraordinary dimension due to their update in the formation of new generations of health professionals and in the conception of public health in our country.
CHE, PARADIGMA DEL MéDICO REVOLUCIONARIO: Che, a paradigm of a revolutionary doctor Vigencia del pensamiento médico-social del Dr. Ernesto Guevara de la Serna  [cached]
Nelson Aguiar González de la Pe?a,Lourdes Benítez Pi?ón
Revista Habanera de Ciencias M??dicas , 2008,
Abstract: Ernesto Guevara-internationally known as Che- has been immortalized in history pages as the collaborator warrior, capable of fighting for freedom and independence of the Third World population. In Cuba, is created a directive medical organization called MINSAP. Since then, there is an active popular participation in prevention and health education in general: Vaccination Campaigns and Hygienic and Sanitary. The rural medical service is created in 1960 and the Policlinics were institutionalized (1964). Firstly, to develop curative actions which granted a free health access and also geographically accessible; in 1974 it is created the Comunitary Policlinic which has given an integral attention to population. In a speech, Che referred to other ideas such as: “accustom all health professionals towards the responsibilities of social medicine” The family doctor’s and nurse’s program of work has an objective to improve the health status of the population by integral actions directed to the individual, the family , the community and the environment, in close correlation with masses of population having in consideration the doctor-nurse-patient relationship, the humanism sensitivity and love to the rest. Undoubtedly, Che’s ideas about social medicine, acquire an extraordinary dimension due to their update in the formation of new generations of health professionals and in the conception of Public Health in our country.
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