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Search Results: 1 - 10 of 3207 matches for " Pilar Reboto "
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Systemic Thrombolysis for Intraoperative, High Risk Pulmonary Embolism, Clinical Case  [PDF]
Anna Grzanka, Pilar Reboto, Alfredo Plaza, Patricia Gaite
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105411
A 68-year-old woman with intercondylar fracture of the femur suffers massive (high risk) pulmonary embolism (PE) during surgery and is suc-cessfully treated with systemic thrombolysis. After limb exsanguinations with Esmarch bandage, the patient presents with sudden oxygen desaturation (99% to 80%) with subsequent dyspnea and hypotension. She is intubated and requires continuous adrenalin perfusion while the surgery is finished and until she can be transferred to the reanimation ward. We decide to perform transthoracic echocardiogram (her general condition impedes transfer to tomography) which confirms right ventricular overload and pulmonary hypertension. These findings justify systemic thrombolysis, which is performed with good results. Surgery, and in particular orthopedic surgery, increase the risk of PE. When considering high risk PE, guidelines recommend primary reperfusion strategy through systemic thrombolysis (which can be contraindicated in surgery patients) or catheter-assisted thrombus removal (less widely available). Lately, surgical pulmonary embolectomy is being discussed as a treatment option for patients with contraindication to thrombolysis, but this practice is still uncommon.
Acute Respiratory Distress Syndrome (ARDS) Case Report after a Caesarean Section Related to the Immune Reconstitution Inflammatory Syndrome  [PDF]
álvaro Ramiro Ruiz, Pilar Reboto Cortés, Ignacio García Sánchez, Juan Emilio Losa, Miguel Miró Murillo, Santiago García del Valle y Manzano
Open Journal of Anesthesiology (OJAnes) , 2014, DOI: 10.4236/ojanes.2014.48028

During pregnancy, a cellular immunosuppressant status is produced. It is characterized by anti-inflammatory cellular responses that allow embryonic implantation. The reversal of these changes during the postpartum period may result in overt clinical manifestations of otherwise quiescent or latent infections. We present an Acute Respiratory Distress Syndrome (ARDS) case after a caesarean section related to the Immune Reconstitution Inflammatory Syndrome (IRIS) in a Guinean black woman. The patient was treated with large doses of corticosteroids showing a great clinical and radiological improvement.

Collective Action in Common Pool Resource Management, Including Heterogeneity of Opportunities and Exit Options  [PDF]
Pilar Useche
Natural Resources (NR) , 2013, DOI: 10.4236/nr.2013.48059

The mechanism through which exit options and outside opportunities affect cooperation outcomes has not been well studied in the resource management literature, since a deep analysis of the concepts of exit options and outside opportunitiesis missing. This article analyzes these concepts across the common pool resource management literature, investigates the factors that underlie opting out decisions, and reviews potential ways to operationalize these concepts for empirical analysis. It also explores how the relationship of cooperation and exit options may be influenced by broad economic processes, such as economic integration.

La reconfiguración del tiempo en la narración historiográfica según Paul Ricoeur
Gilardi, Pilar;
Estudios de historia moderna y contemporánea de México , 2011,
Abstract: this article seeks to deal with the issue of historical time in the thinking of paul ricoeur, particularly within the horizon of time and narration. from this point onwards the french philosopher realizes the need to deal with the issue of time in general and historical time in particular through narration. so time is configured through three fundamental phenomena in the historical work on which the author will focus: calendar, generation and traces. this analysis of historical time forces one to distinguish it from the time configured in the narration characteristic of fiction, regarding which the author will show his differences and possible confluences.
Rupturas e continuidades na política social Chilena
Vergara, Pilar;
Lua Nova: Revista de Cultura e Política , 1994, DOI: 10.1590/S0102-64451994000100004
Abstract: how diferent is the social policy of the chilean democratic government as compared with pinochet's government? how much is it possible to conciliate the goals of economic growth and of social equity in a market economy? the aylwin government managed to maintain economic expansion and to increase social expenses. but neither the pure dynamism of the market nor a policy of expanding social expenses have been able to atenuate the dualist and socially regressive character of the welfare model that arose from the neoliberal policies of the authoritarian regime
El tratamiento penitenciario de los cuerpos: México
Cuadernos de antropolog?-a social , 2010,
Abstract: this study is based on foucault's thesis that the analysis of penal practices constitutes an angle for observation of the political anatomy. as consequence, transformations of penal systems under neoliberalism would provide clues to understand some of its political codes. from this perspective, the main characteristics of the current mexican prison system are analyzed, as well as its practices and their effect on individuals subjected to imprisonment. in particular, the impact on bodies and their representation is explored, through material collected in interviews carried out with former prisoners. a comparative analysis is made between prisons of medium and high security, with the hypothesis that although they correspond to different models of state power exercise, they both nevertheless become articulated, configuring a complex and unique system that denotes distinctive features of political power in neoliberal times.
Evolución del tratamiento con radioterapia convencional del cáncer de próstata desde 1984 hasta el 2000
Revista Venezolana de Oncología , 2005,
Abstract: summary introduction: it is a retrospective and descriptive study about the evolution of the treatments schemes used in prostate carcinoma between 1984 and 2000 at the radiotherapy service of the huc. methods: in a period of 16 years, 177 cases of prostate carcinoma were reviewed, reporting stage, treatment schemes, total dose, fraction and type of radiotherapy machine. results: between 1984 and 2000, 51.41 % of the patients belonged to stage d, 24.86 % to stage c, 23.16 % to stage b and 0.56 % to stage a. 42.85 % of the applied treatments were with palliative aims and, 20.51 % with curative aims, it was used cobalto 60 in the 52.80 % of the total treatments applicated and 47.19 % in 4mv linear accelerator (ac 4mv). the pelvic tomography was used for the treatment planning in 100 % of the cases since 1990. the irradiation of the mamilas was used only between 1984 and 1989. the radical radiotherapy to the whole pelvis up to 4500 cgy and boost until 6600-6800 cgy was programmed in 25.08 % of the cases and, the located radical radiotherapy up to 6800-7000 gy in 20.51 %. the scheme of palliative treatment was 3000 cgy in 10 fractions in 76.47 %. conclusion: the radiotherapy service of the huc keeps treatment protocols since 16 years and has proved an excellent effectivity agree with the inclusion of the study methods and the changes of treatments as it is signed for the clinic evidence and the international literature.
La ?Verdad? de la tortura en la Democracias
Revista Venezolana de Economía y Ciencias Sociales , 2008,
Abstract: the present article explores the use of violence by the state as part of the replications and reorganizations of the political power in latin america. it is argue that the state world reorganization tends to "normalize" and extend the state of exception, features that were implemented previously in latin-american countries history. in the 70, it was expressed through military coups, dictatorships and fraudulent governments; currently, without resigning completely these assets, it operates principally by the "deaf? mechanisms of radical exclusion implying similar violent methods. thus, it is proposed to establish a debate on legitimacy, that is, the actual participative bases of democracy, confronting the legalistic but exclusive government discourse that however violated constantly the owned right of disagreement of the excluded ones.
Infección por Dipydilium caninum
Revista Colombiana de Gastroenterologia , 2005,
Abstract: a case of a women infected by dipydilium caninum and treated successfully with prazicuantel is presented. a brief report of the parasite morphology and pharmacology of prazicuantel is related.
Socialization to the Academic Culture: a Framework of Inquiry
Revista de Estudios Sociales , 2008,
Abstract: the purpose of this article is to provide a theoretical framework and methodology for the understanding and study of the academic culture. it is based on previous works on organizational culture with emphasis on sociological and cognitive perspectives and applicable to all types of organizations. in particular, this article describes the application of socialization and sensemaking perspectives to the formation and development of the organizational culture in academic departments with emphasis on how new faculty members socialize and engage in sensemaking as they gain full membership in their entering department. it also provides a specific methodology to systematically assess potential cultural shifts in academic departments as incoming faculty interact with faculty in the entering academic unit.
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