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Search Results: 1 - 10 of 25401 matches for " ángel Mario; Vila Morales "
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El consentimiento informado en el tratamiento integral del ni o con fisura labio-alveolo-palatina Informed consent in the comprehensive treatment of children with labial-alveolar-palatal clefts
Georgia Garmendia Hernández,Dadonim Vila Morales,ángel Mario Felipe Garmendia,ángel Felipe Alfonso
Revista Cubana de Estomatolog?-a , 2013,
Abstract: Introducción: el Servicio de Cirugía Maxilofacial del Hospital Pediátrico Universitario "Juan Manuel Márquez" de La Habana adoleció de un proceso estandarizado de consentimiento informado. Se tuvo además como propósito el analizar los criterios de los representantes válidos sobre la información que le brindaría el consentimiento informado. Métodos: se estudió a los 32 integrantes del equipo multidisciplinario y a 9 representantes válidos de los pacientes para así constatar el grado de conocimiento sobre los principios de ética Médica y Bioética. Resultados: se mostró que la mayoría tuvo un nivel bajo en cuanto a ética Médica y niveles medio o alto en la Bioética. Los representantes válidos presentaron un nivel bajo. Se confirmó el reconocimiento de la necesidad e importancia del consentimiento informado aunque el equipo de salud refirió que no lo utiliza adecuadamente. Se elaboró una propuesta metodológica del proceso de consentimiento informado. Conclusiones: el nivel de conocimiento sobre los principios de la ética Médica y la Bioética de los profesionales no se correspondió con la percepción que ellos tuvieron ni con la expresión práctica de dichos elementos. Introduction: the Maxillofacial Surgery Service at Juan Manuel Marquez Children's University Hospital in Havana did not have a standardized informed consent procedure. Another purpose was to analyze the opinions of valid representatives about the information to be provided by such informed consent. Methods: a study was conducted of the 32 members of the multidisciplinary team and 9 valid representatives of the patients to verify their awareness of the principles of medical ethics and bioethics. Results: most showed low awareness of medical ethics, and medium to high awareness of bioethics. Valid representatives showed a low level of awareness. Acknowledgement of the importance of and need for informed consent was confirmed, but the medical team admitted that they do not use it appropriately. A methodological proposal was developed for the process of informed consent. Conclusions: awareness of the principles of medical ethics and bioethics by professionals was not consistent with their perception of such principles or their implementation.
Propuesta de una metodología de tratamiento en la atención multidisciplinaria del paciente fisurado labio-alveolo-palatino
Garmendía Hernández,Georgia; Felipe Garmendía,ángel Mario; Vila Morales,Dadonim;
Revista Cubana de Estomatolog?-a , 2010,
Abstract: the aim of present paper is to propose a treatment methodology for children maxillofacial surgeons in primary multidisciplinary care for patients presenting with cleft palate to unify the treatment criteria and to systematize the care to this type of patient in our country. a bibliographic review in the internet was carried out in search of original articles approaching this subject matter founding that in some health institutions in mexico, chile, colombia and brazil there are treatment protocols for the multidisciplinary care of cleft palate.
Osteogénesis por distracción en defectos mandibulares y su estabilidad esquelética a los 2 a?os de tratados
Vila Morales,Dadonim; Garmendia Hernández,Georgia; Felipe Garmendia,ángel Mario;
Revista Cubana de Estomatolog?-a , 2011,
Abstract: to show the results of the skeletal stability after 2 years of to be operated on from the first patients presenting with mandibular hypoplasias treated with osteogenic distraction in our country. eleven hemi-mandibles in 7 patients using mandibular osteogenic distraction with leibinger distraction device. latency period was of 72 hours, mandibular distraction was applied at a rate of 1,0 mm each 12 hours and fixation was of 8 weeks. then, postsurgical orthodontic treatment was started. there were significant postoperative skeletal changes. results were assessed by cephalometry studies before intervention, after and at 2 years of treatment. also, there were significant postoperative skeletal changes in snb and anb with p< 0,05. the arithmetic mean of the osteodistraction achieve in branch was of 7,5 mm and in the body it was of 8,0 mm. at 2 years there remain a mandibular bone stability of 88,8 % qualified as good. occlusal changes were favorable. there were not complications involving the good course of patients treated. it was shown that the bone distraction is an effective method for treatment of mandibular defects.
Osteogénesis por distracción en defectos mandibulares y su estabilidad esquelética a los 2 a os de tratados Osteogenesis by distraction in mandibular defects and skeletal stability after two years of treatment
Dadonim Vila Morales,Georgia Garmendia Hernández,ángel Mario Felipe Garmendia
Revista Cubana de Estomatolog?-a , 2011,
Abstract: El presente estudio tiene como objetivo mostrar los resultados de la estabilidad esquelética a los 2 a os de operados, de los primeros pacientes con hipoplasias mandibulares tratados con distracción osteogénica en nuestro país. Se trataron 11 hemimandíbulas en 7 pacientes con distracción osteogénica mandibular, con distractores marca Leibinger. El periodo de latencia fue de 72 horas, la distracción mandibular se aplicó a razón de 1,0 mm cada 12 horas y la contención fue de 8 semanas. Luego se inició el tratamiento ortodóncico posquirúrgico. Se evaluaron los resultados a través de estudios cefalométricos antes de la intervención, luego y a los 2 a os del tratamiento hubo cambios esqueléticos posoperatorios significativos en las mediciones angulares cefalométricas SNB y ANB, con p< 0,05. La media aritmética de la osteodistracción obtenida en rama, fue de 7,5 mm y en el cuerpo de 8,0 mm. A los 2 a os existió una estabilidad ósea mandibular de 88,8 % evaluada de buena. Los cambios oclusales fueron favorables. No existieron complicaciones que afectaran la buena evolución de los pacientes tratados. Se demostró que la distracción ósea es un método eficaz para el tratamiento de defectos mandibulares. To show the results of the skeletal stability after 2 years of to be operated on from the first patients presenting with mandibular hypoplasias treated with osteogenic distraction in our country. Eleven hemi-mandibles in 7 patients using mandibular osteogenic distraction with Leibinger distraction device. Latency period was of 72 hours, mandibular distraction was applied at a rate of 1,0 mm each 12 hours and fixation was of 8 weeks. Then, postsurgical orthodontic treatment was started. There were significant postoperative skeletal changes. Results were assessed by cephalometry studies before intervention, after and at 2 years of treatment. Also, there were significant postoperative skeletal changes in SNB and ANB with p< 0,05. The arithmetic mean of the osteodistraction achieve in branch was of 7,5 mm and in the body it was of 8,0 mm. At 2 years there remain a mandibular bone stability of 88,8 % qualified as good. Occlusal changes were favorable. There were not complications involving the good course of patients treated. It was shown that the bone distraction is an effective method for treatment of mandibular defects.
Propuesta de una metodología de tratamiento en la atención multidisciplinaria del paciente fisurado labio-alveolo-palatino Proposal for a treatment methodology in multidisciplinary care of patient presenting with cleft palate
Georgia Garmendía Hernández,ángel Mario Felipe Garmendía,Dadonim Vila Morales
Revista Cubana de Estomatolog?-a , 2010,
Abstract: El presente trabajo tiene como propósito proponer a los cirujanos maxilofaciales dedicados a la cirugía maxilofacial pediátrica una metodología de tratamiento en la atención multidisciplinaria al paciente fisurado labio alveolo palatino, de manera tal que se unifiquen los criterios de tratamiento y sistematice la atención a este tipo de paciente en todo el país. Se realizó una revisión bibliográfica en la Internet, en la búsqueda de artículos originales que abordaron esta temática y se encontró que en algunas instituciones de salud en México, Chile, Colombia y Brasil existen protocolos de tratamiento para la atención multidisciplinaria del fisurado labio-alveolo-palatino. The aim of present paper is to propose a treatment methodology for Children Maxillofacial Surgeons in primary multidisciplinary care for patients presenting with cleft palate to unify the treatment criteria and to systematize the care to this type of patient in our country. A bibliographic review in the Internet was carried out in search of original articles approaching this subject matter founding that in some health institutions in Mexico, Chile, Colombia and Brazil there are treatment protocols for the multidisciplinary care of cleft palate.
Tumor odontógeno adenomatoide en región mandibular Adenomatoid odontogenic tumor in mandibular region
Ernesto Sánchez Cabrales,Dadonim Vila Morales,ángel Mario Felipe Garmendia,Alain Serra Ortega
Revista Cubana de Estomatolog?-a , 2010,
Abstract: El tumor odontogénico adenomatoide es un tumor poco frecuente derivado del epitelio odontontogénico, que contiene estructuras canaliculares con modificaciones inductivas de intensidad variable en el tejido conjuntivo. Es una lesión de crecimiento lento y poco invasiva pero que se puede asemejar a otras lesiones odontógenas de mayor agresividad como el quiste dentígero y el ameloblastoma entre otros. Su localización clásica (área de caninos superiores) nos orienta al diagnóstico y su patrón histológico ductiforme es muy propio de este tumor. Otros tumores que se encuentran dentro de este grupo son el fibroma ameloblástico, el odontoameloblastoma, el quiste odontógeno calcificante y los odontomas compuesto y complejo. Este grupo de lesiones puede o no tener formaciones de tejido duro dental dentro de ellos. Por esta razón, se presenta un paciente con este tipo de tumor, al que se le realizó estudio histopatológico, se revisó la literatura acerca de este tumor odontogénico benigno y sus características clínicas, radiográficas, tratamiento, así como los diagnósticos diferenciales que se deben tener en cuenta. The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odontogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area) guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account.
Aplicación de distracción osteogénica mandibular en ni os con el síndrome de apnea obstructiva del sue o Application of a mandibular osteogenic distraction in children with sleep obstructive apnea
Dadonim Vila Morales,Georgia Garmendía Hernández,ángel Mario Felipe Garmendía,Fausto Suárez Bosch
Revista Cubana de Estomatolog?-a , 2010,
Abstract: Objetivos: mostrar los resultados de los primeros pacientes con síndrome de apnea obstructiva del sue o (SAOS) de tipo periférico esqueletal tratados en nuestro país con osteogénesis por distracción mandibular. Métodos: se trataron 9 pacientes con distracción osteogénica mandibular bilateral, con distractores marca Leibinger y Synthes. El periodo de latencia fue de 72 horas. La tasa de distracción mandibular, a razón de 1,0 mm cada 12 horas y la contención fue de 8 semanas. Luego se inició el tratamiento ortodóncico posquirúrgico. Se evaluaron los resultados a través de polisomnografía y estudios cefalométricos antes de la intervención, luego y al a o del tratamiento. Resultados: el 89 % de los casos fueron curados, el 11 % tuvo mejoría. Dentro de las complicaciones encontradas, el 55 % de los pacientes presentaron limitación temporal de la apertura bucal, que remitió con fisioterapia, y dos pacientes necesitaron traqueostomía con fines anestésicos. Conclusiones: la osteogénesis por distracción mandibular resultó ser un método terapéutico eficaz para el tratamiento del SAOS de tipo periférico, esqueletal. Objectives: to show the results from the first patients presenting with sleep obstructive apnea syndrome (SOAS) of skeletal peripheral type treated in our country with osteogenesis by mandibular distraction. Methods: Nine patients were treated with bilateral mandibular osteogenic distraction using Leibinger and Synthes distraction devices. Latency period was of 72 hours. Mandibular distraction rate at 1,0 mm each 12 hours and restraint was of 8 weeks. Then, postsurgical orthodontics treatment was started. Results were assessed by polysomnography and cephalometry studies before intervention, after it and at a year of treatment. Results: The 89 % of cases had a good recovery, the 11 % showed an improvement. Complications included: a temporary limitation of mouth opening in 55 % disappearing with physiotherapy and two patients needed tracheostomy for anesthetic purposes. Conclusions: Osteogenesis by mandibular distraction was an effective therapeutical method for treatment of peripheral skeletal SOAS.
Tumor odontógeno adenomatoide en región mandibular
Sánchez Cabrales,Ernesto; Vila Morales,Dadonim; Felipe Garmendia,ángel Mario; Serra Ortega,Alain; Torres Gómez de Cádiz,Alma;
Revista Cubana de Estomatolog?-a , 2010,
Abstract: the adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. it is a slow growth lesion and no much invasive but that may to be similar to other odontogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. its classical location (upper canine area) guides us to diagnosis and its duct histological pattern is very typical of this tumor. other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. this group of lesions may or not to have formations of hard tissue inside. thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account.
Aplicación de distracción osteogénica mandibular en ni?os con el síndrome de apnea obstructiva del sue?o
Vila Morales,Dadonim; Garmendía Hernández,Georgia; Garmendía,ángel Mario Felipe; Suárez Bosch,Fausto; Sánchez Cabrales,Ernesto; álvarez Arredondo,Blanca;
Revista Cubana de Estomatolog?-a , 2010,
Abstract: objectives: to show the results from the first patients presenting with sleep obstructive apnea syndrome (soas) of skeletal peripheral type treated in our country with osteogenesis by mandibular distraction. methods: nine patients were treated with bilateral mandibular osteogenic distraction using leibinger and synthes distraction devices. latency period was of 72 hours. mandibular distraction rate at 1,0 mm each 12 hours and restraint was of 8 weeks. then, postsurgical orthodontics treatment was started. results were assessed by polysomnography and cephalometry studies before intervention, after it and at a year of treatment. results: the 89 % of cases had a good recovery, the 11 % showed an improvement. complications included: a temporary limitation of mouth opening in 55 % disappearing with physiotherapy and two patients needed tracheostomy for anesthetic purposes. conclusions: osteogenesis by mandibular distraction was an effective therapeutical method for treatment of peripheral skeletal soas.
Reproducción de Eisenia foetida en suelos agrícolas de áreas mineras contaminadas por cobre y arsénico
ávila, Gonzalo;Gaete, Hernán;Morales, Mario;Neaman, Alexander;
Pesquisa Agropecuária Brasileira , 2007, DOI: 10.1590/S0100-204X2007000300018
Abstract: the objective of this work was to evaluate copper and arsenic toxicity in agricultural soils, by means of standardized bioassays of chronic and acute toxicity on eisenia foetida, and to relate e. foetida response to copper and arsenic concentrations in soils. the agricultural soils were sampled in the proximity of copper mining industries, in the aconcagua river basin, chile. e. foetida exposed to the studied soils exhibited a low mortality, indicating the absence of acute toxicity. besides, a decrease in the cocoon production and juvenile development was observed, indicating the existence of chronic toxicity. reduction in the cocoon production and juvenile development was related to soil concentrations of copper and arsenic. both copper and arsenic reduced the cocoon production, while only arsenic diminished the juvenile development. agricultural soils from mining areas of the basin have potentially toxic characteristics for the development of soil macrofauna.
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