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Search Results: 1 - 10 of 139546 matches for " Francisco T.;Giron "
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Laparoscopic diagnosis and treatment of nonpalpable testis
Denes, Francisco T.;Saito, Fernando J.;Silva, Frederico A.;Giron, Amilcar M.;Machado, Marcos;Srougi, Miguel;
International braz j urol , 2008, DOI: 10.1590/S1677-55382008000300010
Abstract: introduction: treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. approximately 20% of cryptorchid testicles are nonpalpable. in these cases, the videolaparoscopic technique is a useful alternative method for diagnosis and treatment. materials and methods: we present data concerning 90 patients submitted to diagnostic laparoscopy for impalpable testicles. forty-six patients (51.1%) had intra-abdominal gonads. in 25 testicles of 19 patients, we performed a two stage laparoscopic fowler-stephens orchiopexy. the other 27 patients underwent primary laparoscopic orchiopexy, in a total of 29 testicles. results: we obtained an overall 88% success rate with the 2 stage fowler-stephens approach and only 33% rate success using one stage fowler-stephens surgery with primary vascular ligature. there was no intraoperative complication in our group of patients. in the laparoscopic procedures, the cosmetic aspect is remarkably more favorable as compared to open surgeries. hospital stay and convalescence were brief. conclusions: in pediatric age group, the laparoscopic approach is safe and feasible. furthermore, the laparoscopic orchiopexy presents excellent results in terms of diagnosis and therapy of the impalpable testis, which is why this technique has been routinely incorporated in our department.
A litotripsia extracorpórea no tratamento de cálculos urinários em crian as
Duarte Ricardo J.,Mitre Anuar I.,Dénes Francisco T.,Giron Amilcar M.
Jornal de Pediatria , 2002,
Abstract: Objetivo: cálculos urinários atingem de 5 a 10% da popula o em alguma fase da vida. Destes casos, somente 2 a 3% s o crian as. O tratamento da litíase urinária na faixa pediátrica, com o uso de métodos minimamente invasivos, representa uma alternativa cada vez mais atraente. O presente trabalho objetiva apresentar resultados de litotripsia extracorpórea como tratamento minimamente invasivo de litíase urinária na infancia. Métodos: no período de setembro de 1991 a setembro de 2000, foram tratadas e acompanhadas 87 crian as, sendo que seis delas tinham dois cálculos; portanto foram tratados 93 cálculos urinários. Foi utilizado o equipamento de litotripsia extracorpórea por ondas de choque, da Dornier-Philips. Resultados: os cálculos piélicos, caliciais superiores e médios foram fragmentados e eliminados na porcentagem de 87,7% e 77,8%, respectivamente. Os cálculos localizados no cálice inferior foram eliminados em 64,7%. Dos três casos de cálculo coraliforme, somente um ficou livre do cálculo (33,3%). Os dez pacientes com cálculo ureteral ficaram livres de litíase (100%). Os cálculos vesicais foram tratados e eliminados em 60% dos casos. Conclus o: a litotripsia extracorpórea demonstrou ser uma forma eficiente de tratamento de cálculos piélicos, caliciais, ureterais e vesicais em crian as. Cálculos coraliformes n o tiveram bons resultados quando tratados por meio de litotripsia extracorpórea. Os resultados deste método foram influenciados pela localiza o e tamanho dos cálculos.
A litotripsia extracorpórea no tratamento de cálculos urinários em crian?as
Duarte, Ricardo J.;Mitre, Anuar I.;Dénes, Francisco T.;Giron, Amilcar M.;Koch, Vera;Arap, Sami;
Jornal de Pediatria , 2002, DOI: 10.1590/S0021-75572002000500005
Abstract: objective: urolithiasis affects between five and 10% of the human population during their lifetime, only 2-3% of whom are children. therapy of urolithiasis in the pediatric age group with minimally invasive methodology represents an attractive alternative. this study presents results of extracorporeal shockwave lithotripsy, a minimally invasive methodology, for the treatment of urolithiasis in children. methods: in the period between september 1991 and september 2000, 87 children were submitted to extracorporeal shockwave lithotripsy; as six of them presented with two calculi 93 urinary calculi were treated over that period. the dornier-philips lithotriptor was used in the procedures. results: pelvic, superior and medium caliceal calculi were fragmented and eliminated in 87.7% and 77.8% of cases, respectively. inferior caliceal stones were eliminated in 64.7% of cases. only one of the three patients with staghorn calculi became stone-free after therapy (33.3%). all patients with ureteral calculi were stone-free after therapy. bladder stones were fragmented and eliminated in 60% of cases. conclusions: extracorporeal shockwave lithotripsy is a safe and effective treatment for pelvic, caliceal, ureteral and bladder urolithiasis in children. staghorn calculi have not shown satisfactory results when treated by this method. extracorporeal shockwave lithotripsy results were influenced in our experience by the position and size of the treated calculi.
Laparoscopic renal surgery in infants and children: is it a feasible and safe procedure for all pediatric age groups?
Denes, Francisco T.;Tavares, Alessandro;Monteiro, Edison D. S.;Bessa Jr., Jose de;Giron, Amilcar M.;Queiroz Filho, Frederico A.;Srougi, Miguel;
International braz j urol , 2008, DOI: 10.1590/S1677-55382008000600009
Abstract: purpose: although laparoscopy is considered the mainstay for most renal procedures in adults, its role in the pediatric population is still controversial, especially for smaller children. we reviewed our experience in pediatric renal laparoscopic surgery in three pediatric age groups in an attempt to identify if age has an impact on feasibility and surgical outcomes. materials and methods: from november 1995 to may 2006, 144 pediatric laparoscopic renal procedures were performed at our institution. the charts of these patients were reviewed for demographic data, urologic pathology and surgical procedure, as well as perioperative complications and post-operative outcomes. the findings were stratified into 3 groups, according to patient age (a: < 1 year, b: 1 to 5 years and c: 6-18 years). results: median age of the patients was 4.2 years (42 days - 18 years). we performed 54 nephrectomies, 33 nephroureterectomies, 19 upper pole nephrectomies, 11 radical nephrectomies, 22 pyeloplasties and 4 miscellaneous procedures. the 3 age groups were comparable in terms of the procedures performed. conversion rates were 0%, 1.4% and 1.9% for groups a, b and c, respectively (p = 0.72). incidence of perioperative complications was 5%, 8.2% and 7.8% for age groups a to c, respectively (p = 0.88). conclusions: most renal procedures can be performed safely by laparoscopy in the pediatric population, with excellent aesthetic and functional outcomes. the morbidity related to the procedure was minimal irrespective of the age group.
Critical appraisal on the use of everolimus in renal transplantation as an immunosuppressant to prevent organ transplant rejection
Fernando Giron, Yenny Baez
Transplant Research and Risk Management , 2010, DOI: http://dx.doi.org/10.2147/TRRM.S5135
Abstract: itical appraisal on the use of everolimus in renal transplantation as an immunosuppressant to prevent organ transplant rejection Review (5059) Total Article Views Authors: Fernando Giron, Yenny Baez Published Date January 2010 Volume 2010:2 Pages 11 - 14 DOI: http://dx.doi.org/10.2147/TRRM.S5135 Fernando Giron, Yenny Baez Kidney Transplant Service, Colombiana de Trasplantes, Bogota, Colombia Abstract: Everolimus is a proliferation inhibitor designed to target chronic allograft nephropathy including prevention of acute rejection. Acute renal allograft rejection incidence varies with the therapy used for immunosuppression. Registry data show that 15% to 35% of kidney recipients will undergo treatment for at least one episode of acute rejection within the first post-transplant year. Everolimus has been used as therapy with full- or reduced-dose cyclosporine A without evidence of increasing the acute rejection incidence. This review will summarize the available clinical trial data on the use of everolimus and its role in preventing acute rejection incidence in renal transplantation.
L'hàbit de l'amor ausiasmarquià: de la gènesi a la destrucció
M. Teresa Gironés
Llengua & Literatura , 2004, DOI: 10.2436/l&l.vi.1139
Abstract:
Critical appraisal on the use of everolimus in renal transplantation as an immunosuppressant to prevent organ transplant rejection
Fernando Giron,Yenny Baez
Transplant Research and Risk Management , 2010,
Abstract: Fernando Giron, Yenny BaezKidney Transplant Service, Colombiana de Trasplantes, Bogota, ColombiaAbstract: Everolimus is a proliferation inhibitor designed to target chronic allograft nephropathy including prevention of acute rejection. Acute renal allograft rejection incidence varies with the therapy used for immunosuppression. Registry data show that 15% to 35% of kidney recipients will undergo treatment for at least one episode of acute rejection within the first post-transplant year. Everolimus has been used as therapy with full- or reduced-dose cyclosporine A without evidence of increasing the acute rejection incidence. This review will summarize the available clinical trial data on the use of everolimus and its role in preventing acute rejection incidence in renal transplantation.Keywords: calcineurin inhibitors, cyclosporine, everolimus, biopsy-proven acute rejection, renal transplantation, acute rejection
Quality Enhancement of Corporate Management Systems: An Overview of Best Management Practices  [PDF]
Giron Kamonja, Yan Liang, Muhammad Tayyab Sohail, Shahzad Ahmad Khan
Journal of Service Science and Management (JSSM) , 2014, DOI: 10.4236/jssm.2014.74027
Abstract:

In this my present study, I elaborate different types of management, management staffs, types of managers and leaders along with their capacities of work and their roles in any organization or institute to achieve the desired goal with the help of employees. A study found that most of the CEOs of the 62 major US-based companies spent at least 10 percent of their time in quality enhancement efforts. The critical importance of employees’ involvement in the quality process of an organization is based on the belief that the best process innovation ideas come from the people actually doing the job. Employee involvement in quality efforts can only come about when the employees know that the organization cares for them. Best companies do not just confine education and training to their shop floor employees and managers. Top executives are actively involved in the learning process themselves. Training is the key element of management system. For the smooth run of any organization we always need proper training for all employees including leadership authority.

Quality Improvement in Management System: A Case Study of CCTEC Company China  [PDF]
Giron Kamonja, Yan Liang, Muhammad Tayyab Sohail, Shahzad Ahmad Khan
American Journal of Industrial and Business Management (AJIBM) , 2014, DOI: 10.4236/ajibm.2014.44028
Abstract:

Certain difficulties are inherent in the implementation of the improvement of the quality of service, particularly in the Design Management Department. There is often a difference on the issue of translating vision between senior management and Design Department for service improvement into effective, operational QI programs. Middle managers have a key role to play, but often they are overlooked which leads to undermining their efforts to improve the quality programs offered by senior management. This paper describes the first phase of a PhD research project to determine and develop the role of middle management in successful implementation of quality management programs. A framework for quality improvement implementation, including key issues of importance to middle managers regarding their proactive involvement in QI, is suggested. Finally, the initial implementation of the model in a company is discussed.

Research on Metallurgical Project Design and Practices: Case Study CCTEC Co. Ltd.  [PDF]
Kamonja Giron, Liang Yan, Yangping Zhao, Muhammad Tayyab Sohail
American Journal of Industrial and Business Management (AJIBM) , 2014, DOI: 10.4236/ajibm.2014.47042
Abstract:

This paper discerns the socio-economic interests and environmental impacts generated by the projects of an industrial nature. Research has highlighted the traditional approach adoption that neglects the impact assessment of which environmental issues are causing in-depth imbalance between economic growth and environmental disaster threatening human life. The sustainable development principle requires the equitable distribution of the newly created wealth owing to economic growth in social and environmental fields. Hence, a new approach in accordance with the requirements of sustainable development should be recommended from the projects’ design until their terms. This paper discusses the major challenges in the context of reorient to construction projects both in a conception stage than in the execution progress according to the sustainable development principle. An approach to this case study is the research method advocated. Traceability analysis and especially the followed of products sold by CCTEC Co. Ltd. have enabled to bring out on the one hand the four projects induced by products CCTEC Co. Ltd.: residential, public sector, industry and trade the other hand to measure the performance attributed by these projects. Research results show that economic performance is largely award winning without much concern to social and environmental performance. This situation suggests the revision of product design and production traceability in accordance with the sustainability of the project.

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