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Search Results: 1 - 10 of 209207 matches for " Adrián;Santiba?es "
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Intraparenchymal intracranial pressure monitoring in patients with acute liver failure
Rabadán, Alejandra T.;Spaho, Natalia;Hernández, Diego;Gadano, Adrián;Santibaes, Eduardo de;
Arquivos de Neuro-Psiquiatria , 2008, DOI: 10.1590/S0004-282X2008000300018
Abstract: background: elevated intracranial pressure (icp) is a common cause of death in acute liver failure (alf) and is determinant for decision-making regarding the timing of liver transplantation. the recommended type icp monitoring device is controversial in alf patients. epidural devices had less risk of hemorrhagic complications, but they are less reliable than intraparenchymal ones. method: twenty-three patients with alf were treated, and 19 of them received a liver transplant. seventeen patients had icp monitoring because of grade iii-iv encephalopathy. all patients received fresh plasma (2-3 units) before and during placing the intraparenchymal device. results: eleven cases (64.7%) had elevated icp, and 6 patients (35.2%) had normal values. one patient (5.9%) had an asymptomatic small intraparenchymal haemorrhage <1cm3 in ctscan, which did not prevent the liver transplantation. conclusion: in our experience, intraparenchymal icp monitoring in patients with alf seems to be an accurate method with a low risk of complications.
Sicker Patients for Liver Transplantation: Meld, Meld Sodium, and Integrated Meld’s Prognostic Accuracy in the Assessment of Posttransplantation Events at a Single Center from Argentina
Federico Pi?ero,Sebastián Marciano,Alejandra Villamil,Juan Bandi,Paola Casciato,Omar Galdame,Sergio Giannasi,Eduardo de Santibaes,Adrian Gadano
ISRN Transplantation , 2013, DOI: 10.5402/2013/102590
Abstract: Background. MELD or MELD sodium promotes sicker patients for earlier liver transplantation (LT); the balance between pre- and post-LT outcomes is still controversial. Aim. To compare MELD and related scores’ risk assessment of short-term morbidity and mortality after LT. Methods. We included only transplanted cirrhotic patients from 6/2005 to 6/2010 ( ). Immediate pre-LT MELD, integrated MELD (iMELD), and two MELD sodium formulas “MELD Na1” and “MELDNa2” were calculated. Results. Pre-LT scores for nonsurvivors were higher than those for survivors: MELD (28 ± 8 versus 22 ± 7, ), MELD Na1 (33 ± 8 versus 27 ± 10, ), and iMELD (51 ± 6 versus 46 ± 8, ). Patient survival assessment was performed by AUROC analysis (95% CI): MELD 0.694 (0.56–0.82; ), MELD Na1 0.682 (0.56–0.79; ), MELD Na2 0.651 (0.54–0.76; ), and iMELD 0.698 (0.593–0.80; ). Patients with MELD ≥25 points had longer intensive care stay (mean 10 versus 7 days, ) and longer mechanical ventilatory support (5.4 versus 1.9 days, ). Conclusions. The addition of serum sodium to MELD does not improve assessment of mortality after LT. Patients with higher MELD may preclude higher morbidity after transplantation. 1. Introduction Organ shortage and waiting list mortality have focused increased attention on improving liver transplants candidates’ stratification. In recent years there has been increasing debate concerning the most appropriate allocation system of organs for liver transplantation. The Model for End-Stage Liver Disease (MELD) score [1] which is a numerical scale, ranging from 6 (less ill) to 40 (gravely ill), has been adopted as the allocation system in the United States in 2002. Argentina has been the second country in the world to adopt this score for organ allocation in July 2005. The MELD score accurately predicts short-term waiting list mortality in approximately 80% of patients with cirrhosis [2]; however, there are approximately 15–20% of patients that are not correctly categorized by MELD [3]. This is why several studies in an attempt to improve MELD’s waiting list performance proposed the addition of other variables such as serum sodium and age to the formula [4, 5]. At the same time, the precise relationship between severity of illness at transplantation and outcome after LT is unclear. There is a need for better pretransplant predictors of pre-LT and post-LT outcomes. It has been argued that the use of MELD or related scores to prioritize patients could result in a decrease in posttransplant survival, as sicker patients will have priority for transplantation. However, neither MELD
Torsadogenic Index: Its Chinese Medical Origin  [PDF]
Adrián ángel Inchauspe
Pharmacology & Pharmacy (PP) , 2013, DOI: 10.4236/pp.2013.47A1001
Abstract: The foundational chronology of Torsadogenic Index is introduced to explain the relationship between impending death situations and drug prescription, combination, self-indication, or abuse of torsadogenic pharmacological products. The pathophysiological basis of Torsade de Pointes is presented with the most frequent causes of Long QT syndrome. Traditional Chinese Medical principles are exposed in order to help people to understand its para-logical sequence, providing another view of medical explanations upon scientific evidence. Development of Torsadogenic Risk Management Project and Torsadogenic Traceability concepts derived from these Chinese Medical perpetual axioms are presented in this paper.
“Between Heaven and Earth” Scientific Basis of the Action of Shao Yin: Lightning’s Physical-Mathematical Analysis  [PDF]
Adrián Angel Inchauspe
Pharmacology & Pharmacy (PP) , 2014, DOI: 10.4236/pp.2014.52024

In an analytic methodological approach, TCM Shao Yin circuit and Lightning physics are compared in order to provide an academic support to relate these phenomena. The aim of this work is to offer a scientific description contrasting both events, so to find an electrophysiological explanation for the complementary resuscitation maneuver over K-1 Yongquan acupuncture point.

Resuscitation on the K-1 Yongquan: Ethical and Methodological Aspects of Its Pilot Study  [PDF]
Adrián ángel Inchauspe
Health (Health) , 2015, DOI: 10.4236/health.2015.77095
Abstract: K-1 Yongquan complementary resuscitation maneuver, systematized since 1987, has been consistently performed in sudden death and cardiac arrest conditions as a final resource in both basic and advanced CPR failure. Experimental analytical studies identify the prevention, control and assessment of treatments set up as well as the determination of their efficiency offering; in that way, there are more possibilities than risks during the trial period. That type of study refers to the random criterion in order to measure differences and, in that way, it establishes causal associations which may better determine the intervention mechanism. As inferred by this criterion, control groups would not profit from the benefit of providing a second chance by means of the proposed maneuver during rescue. Such determination leaves those included in the control group deserted to their own ill-fate, adding—consequently—a certain lethal risk, which should basic and advanced CPR fail. In view of this panorama, we tried to find a methodology that should ensure the validation process according to the model presented; to that end, we propose the Cohort Retrospective Study. All of the above has given evidence that there is a difference if one takes into consideration as control the group of “deceased patients” instead of considering among them “patients that may be deceased”. Such apparently simple consideration—thanks to the Cohort Retrospective model—manages to efface the high possibility of a “fatal damage”, as proposed by the randomness principle upon a prospective non-intervention group. Beyond the scientific methodology that supports it the efficiency of the maneuver derives mainly from the sustained increase in survival rates presented in the successive statistics published since its application.
Therapeutic Acupunctural Resonance: The Original Research  [PDF]
Adrián ángel Inchauspe
Chinese Medicine (CM) , 2015, DOI: 10.4236/cm.2015.64024
Abstract: The Chinese managed to interpret not only the natural rhythms of cosmic and seasonal cycles but the chrono-biological rhythms present in human body. What since long ago was merely taken to be a pre-scientific tradition has currently become a tangible reality. Nowadays, the specific frequencies pulsating along each meridian can be measured in hertz—according to its own resonance—as Acupuncture determined thousands of years ago. Their effort to establish a taxonomic classification of all environmental and human phenomena is closely related to Mathematics propositions of Euclid Five Regular Polyhedra, in order to consolidate the axiomatic-deductive model which we can now relate to the Chinese Theory of the Five Elements and their constant changes. As presented in OMICS Group Traditional Medicine-2015 Conference in Birmingham, it could be also proved that there also exists an inescapable relationship between Pythagoras and the Mathematical foundation of the Pentatonic Chinese Musical Scale. A simple way to incorporate the ideal frequency rhythm for each channel to correct its unbalanced situation is to insert said frequencies through the needles, by way of “antennae”, restructuring the meridian’s resonance affected and through it, of the Element it belongs to. Therapeutic Acupunctural Resonance therefore finds effective application when pins are used as “resonators”, putting the frequency of said Element of the channel in line, so that they transmit by means of punctures pure vibratory patterns which shall recondition the Qi flow frequency which has been altered by the Chinese syndrome diagnosed to be treated.
Heidegger: Being and Time and the Care for the Self  [PDF]
Jesús Adrián Escudero
Open Journal of Philosophy (OJPP) , 2013, DOI: 10.4236/ojpp.2013.32047
Abstract: The secret of Being and Time and of its constant cultural and philosophical presence lies in its unusual hermeneutical richness. Being and Time becomes, so to speak, a precise seismometer capable of detecting the slips and falls of the contemporary era with surprising accuracy. It offers us an exact scan of the ethical and moral conscience of our time. Being and Time does not develop a philosophical theory among others, rather it faces the challenge of thoroughly reflecting upon the dilemma that is constantly present in philosophy, namely the question of human being and its relation to being in general. From this point of view, I would like to consider the possibility of reading this fundamental work of Heidegger as an ethics of the care, that is, as book that promotes a cultivation of the self and the other.
La recepción y transformación del pensamiento de M. Heidegger en la teología de R. Bultmann
Bertorello, Adrián;
Signos filosóficos , 2010,
Abstract: bultmann appeals to heidegger's philosophy in sein und zeit in order to justify the right understanding of man's being and thus get an ontological basis for the theological concepts. this can be observed, everytime bultmann talks about man, he repeats the main concepts of heidegger's thought. repetition has its meaning from the distinction heidegger makes in "ph?nomenologie und theologie", between theological knowledge and philosophy. according to this distinction, philosophy moves at a more radical and original level of analysis than theology. however, there are several concepts in bultmann's thought that, implicitly, reverts the relations between both types of knowledge and thus reformulates dasein's original and radical analysis: which is no longer a mere ontological concept but it turns into a theological one.
Las mega-ciudades y las periferias expandidas
Aguilar,Adrián Guillermo;
EURE (Santiago) , 2002, DOI: 10.4067/S0250-71612002008500007
Abstract: this article suggests a line of research about the growth and development of mega-cities, focused in their regional outskirts. specifically, some elements seeking research on peri-urban areas on metropolitan expanded outskirts of the mega-cities are introduced, since it is in these zones where the biggest part of the metropolitan growth is taking place. the most important interests of this article laid both on the metropolitan ciudad de méxico, about wich a urban pattern, more scattered than the ones in most part of the regional territory, is shown, and on the springing up of many a great number of urban sub-centers, wich are reflected on a multinuclear structure, which in turns becomes the basic structure of the metropolitan territories. at the same time, it is stated that the discussed theoretical and methodological aspects are also relevant for other big metropolitan areas, what may contribute to a more systematic analysis of the regional outskirt of the mega-cities, and in particular to its new territorial patterns
Os gêneros "desgenerizados": discursos na pesquisa sobre espanhol no Brasil
Fanjul, Adrián Pablo;
Bakhtiniana: Revista de Estudos do Discurso , 2012, DOI: 10.1590/S2176-45732012000100004
Abstract: in a communication corpus presented in middle-sized congresses in brazil focusing the spanish language, we have selected those which approach genre issues designated "discoursive " and/or "textual". we found that most of them seem to deal with teaching issues. we investigated four issues in those oral presentations: which theoretical articulation is the basis for the work, if it considers or not the peculiarities of a foreign language, if it includes a specific genre as an object for discussion and, in those cases which include it, how this genre or the utterances which represent it relate with other enunciations or different discourse features. we found a disregard for properties which, within the theoretical frameworks mentioned, seem to be central in genre issues, along with an abandonment of the linguistic-discursive materiality as a matter for studies.
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