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Search Results: 1 - 10 of 9426 matches for " Augusto;Dieppa "
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Uma vis?o evidente da prática baseada em evidências na medicina perinatal: ausência de evidência n?o é evidência de ausência
Sola, Augusto;Dieppa, Fernando Dominguez;Rogido, Marta R.;
Jornal de Pediatria , 2007, DOI: 10.2223/JPED.1702
Abstract: objective: to provide valuable elements and some humor in this so-called era of "evidence-based practice" with the aim of helping clinicians make better choices in the care they deliver based on evidence, not simply or exclusively based on a randomized clinical trial (rct) or meta-analysis (which may not be evidence). sources: books and peer-reviewed articles are quoted and listed in the bibliography. evidence of life, learning from our own mistakes and many other evident facts that support this review are not quoted. summary of the findings: 1) "absence of evidence is not evidence of absence" and "lack of evidence of effect does not mean evidence of no effect". 2) rcts with "negative" results and those with "positive" results, but without outcomes that matter, often cannot conclude what they conclude. 3) non-randomized clinical trials and practical trials may be important. 4) research to prove is different than research to improve. 5) clinical choice must assess effects on outcomes that matter to patients and their parents. 6) quantifying adverse outcomes, number needed to damage and to treat is not that simple. conclusions: significant challenges inherent to health service research must be correlated to possible clinical applications using tools to have a more "evident view of evidence-based practice" in perinatal medicine, recalling that absence of evidence is not evidence of absence.
Ventilación de alta frecuencia en neonatología: a quiénes y cómo ventilar
Domínguez Dieppa,Fernando;
Revista Cubana de Pediatr?-a , 2005,
Abstract: in cuba, since the beginning of the present century, the newborn infants started to be ventilated by a method of respiratory assistance called high frequency ventilation, which is still relatively new. the main objective of this review is to determine its indications and contraindications, to explain how to use it and to make reference to some of its complications. high frequency ventilation is a very useful alternative strategy in neonatal respiratory assistance.
85 aniversario de la Sociedad Cubana de Pediatría (1928-2013) 85th anniversary of the Cuban Society of Pediatrics (1928-2013)
Fernando Domínguez Dieppa
Revista Cubana de Pediatr?-a , 2013,
Abstract:
Ventilación de alta frecuencia en neonatología: a quiénes y cómo ventilar High frequency ventilation in neonatology: who should be ventilated and how
Fernando Domínguez Dieppa
Revista Cubana de Pediatr?-a , 2005,
Abstract: En Cuba, desde inicios del presente siglo, los recién nacidos comenzaron a ventilarse con un método de asistencia respiratoria aún relativamente novedoso, que se denomina ventilación de alta frecuencia. Es el objetivo fundamental de esta revisión precisar sus indicaciones, contraindicaciones, orientar como utilizarla y se alar algunas de sus complicaciones. La ventilación de alta frecuencia es ya una estrategia alternativa muy útil en la asistencia respiratoria neonatal In Cuba, since the beginning of the present century, the newborn infants started to be ventilated by a method of respiratory assistance called high frequency ventilation, which is still relatively new. The main objective of this review is to determine its indications and contraindications, to explain how to use it and to make reference to some of its complications. High frequency ventilation is a very useful alternative strategy in neonatal respiratory assistance.
Reanimación neonatal y la medicina basada en la evidencia Neonatal resuscitation and the evidence-based medicine
Fernando Domínguez Dieppa
Revista Cubana de Pediatr?-a , 2011,
Abstract:
ALAPE y su XVI Congreso de noviembre de 2012 ALAPE and its 16th Congress in November 2012
Fernando Domínguez Dieppa
Revista Cubana de Pediatr?-a , 2012,
Abstract:
Tratamiento del dolor agudo posoperatorio
Martín Dieppa,José M; Abreu Fernández,Adalberto F; del Valle Alonso,Orlando;
Revista Cubana de Medicina Militar , 2009,
Abstract: extensive updated literature was reviewed to set forth the importance of treating postoperative pain and the fundamental aspects of controlled analgesic therapy for the patient, its advantages and disadvantages. recent publications and other papers of interest from authors who are specialists in this field were used, together with the personal experience of the authors of this paper regarding the application of novel methods such as patient-controlled analgesia at surgery. the analgesic effectiveness is comparable to those of the most common methods (only 30 % requires analgesic rescue medication compared to 60 % of the other treated patients). the most frequent side effects were nausea and vomit, which can be mostly prevented by a preventive treatment with ondasetrón at a dose of 4-8 mg intravenously. patient-controlled analgesia is an effective method during the first hours after surgery, but disposable pieces of equipment and accessories for this end are very expensive, which makes it difficult for countries like cuba to apply this method on a broad scale. despite this, the development of very painful types of surgeries demand more energetic behaviours on the part of anesthesiologists and surgeons to face a problem that is still pending and is called postoperative pain.
Influencia de aspectos bioéticos en la planificación familiar en Santos Suárez
Prendes Labrada,Marianela de la C; Guibert Reyes,Wilfredo; Lescay Megret,Orlando; Toledo Dieppa,Olga;
Revista Cubana de Medicina General Integral , 1999,
Abstract: a descriptive cross-sectional study of 151 patients from the family planning department of the "santos suárez" polyclinic was conducted between april and june, 1997, aimed at showing how some bioethical aspects influence on the selection, and continuity of the use of contraceptive methods, and on the satisfaction of the individual?s needs. a survey was done and patients were followed up for a year. data were processed by percent calculation. it was concluded that the adequate technical training of the multidisciplinary team, the reported selection, the appropiate counseling, and the respect of the individual and sociocultural beliefs, and of the moral principles influenced on the positive results of the selection and continuity of the utilization of the contraceptive methods as well as on the satisfaction of the patients? needs at the family planning department.
Polisomnografía neonatal en recién nacidos con asfixia severa al nacer
Yolma Ruiz Tellechea,Fernando Domínguez Dieppa,Elia Margarita Pestana Night,Gerardo Robaina Castellanos
Revista Cubana de Pediatr?-a , 2000,
Abstract: Se evaluó la utilidad de la polisomnografía neonatal en 101 neonatos con asfixia severa, nacidos en el Hospital Ginecoobstétrico "Ramón González Coro", en el período comprendido entre octubre de 1988 y agosto de 1994, para lo cual se realizó estudio polisomnográfico en la primera semana de vida, se tuvo en cuenta la presencia o no de encefalopatía hipóxico-isquémica, se estudió la correlación del estudio neurofisiológico con el examen neurológico y con el registro electroencefalográfico de seguimiento y se utilizó el estadígrafo Kappa para medir el grado de concordancia entre las variables. Se concluye que la polisomnografía neonatal resultó ser un buen indicador del estado anatomofuncional del sistema nervioso central en el período de recién nacido. The usefulness sof polysomnography was evaluated in 104 neonates with severe birth asphyxia, who had been born in "Ramón Gónzalez Coro" Gynecologic and Obstetric Hospital from October 1988 to August 1994. To this end, polysomnographic studies were conducted in the first week of life taking into consideration the presence or absence of hypoxic-ischemic encephalopathy, the correlation of neurophysiological study with the neurological examination and the follow-up electroencephalograph register were analyzed; and Kappa stadigraph to measure the level of agreement among variables was used. It was concluded that neonatal polysomnography was a good indicator of anatomic and functional status of the central nervous system in neonatal period.
Polisomnografía neonatal en recién nacidos con peso al nacer inferior a 1 500 gramos
Yolma Ruiz Tellechea,Fernando Domínguez Dieppa,Elia Margarita Pestana Night,Gerardo Robaina Castellanos
Revista Cubana de Pediatr?-a , 2000,
Abstract: Se evaluó la utilidad de la polisomnografía neonatal en 64 recién nacidos con peso al nacer inferior a 1 500 g, nacidos en el Hospital Ginecoobstétrico "Ramón González Coro", en el período comprendido entre octubre de 1988 y agosto de 1994. Se estudió la utilidad de la polisomnografía en la evaluación neurológica del recién nacido de muy bajo peso, también la utilidad de los estudios electroencefalográficos de seguimiento, así como se determinó la relación del polisomnograma con las causas de defunción neonatal. En este grupo de riesgo el polisomnograma al término resultó ser un buen indicador del estado anatomofuncional del sistema nervioso central en el período de recién nacido; quedó demostrada la utilidad del estudio electroencefalográfico de seguimiento y la existencia de una significativa relación entre la polisomnografía y las lesiones anatomopatológicas halladas en recién nacidos de muy bajo peso fallecidos. The usefulness of neonatal polysomnography was assessed in 64 infants weighing under 1 5000 at birth and born at "Ramón González Coro" Gynecologic and Obstetric Hospital from October 1988 to August 1994. The usefulness of this technique for neurologically evaluating very low birth weight neonates and the benefits of followup electroencephalographic studies were studied as well as the association of polysomnography with neonatal mortality was determined. In this risk group, polysomnogram on term pregnancy was a good indicator of the anatomofunctional status of the central nervous system in the neonatal period. The benefits of follow-up electroencephalographic study and the existence of a significant relationship between polysomnography and anatomopathological lesions found in dead very low birth weight infants were proved.
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