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Search Results: 1 - 10 of 239914 matches for " Caridad Pérez Martínez "
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Análisis del tratamiento quirúrgico del glaucoma en Ciudad de La Habana durante el a o 2000 Analysis of the surgical treatment of Glaucoma the City of Havana in 2000
Beatriz Zozaya Aldana,Gildo Pérez Blazquez,Jorge Martínez Ribalta,Caridad Suárez Pérez
Revista Cubana de Oftalmolog?-a , 2008,
Abstract: La trascendencia de cualquier enfermedad está en función de su gravedad y prevalencia. En el caso del glaucoma, la gravedad viene determinada por el hecho de que su evolución natural es hacia la ceguera, y en cuanto a su prevalencia se estima en un 2 % de la población mayor de 40 a os. El glaucoma es el causante de entre 10 y 15 % de la ceguera mundial, y representa la segunda causa de ceguera en países en desarrollo. Se realizó un estudio descriptivo retrospectivo transversal del tratamiento quirúrgico del glaucoma en Ciudad de La Habana durante el a o 2000. Se revisaron las historias clínicas e informes operatorios de 1 046 pacientes operados de glaucoma con diferentes técnicas. No se encontraron diferencias en cuanto al sexo, y sí un predominio de la raza blanca y de las edades entre 51 y 70 a os. El tipo de glaucoma que más se intervino quirúrgicamente fue el glaucoma crónico simple. Se encontró, un descenso de los casos leves al intervenirse con respecto al momento del diagnóstico. La causa más frecuente para decidir el tratamiento quirúrgico fue el descontrol de la presión ocular, a pesar del tratamiento médico, la técnica más utilizada fue la trabeculectomía, y se encontró un porcentaje de cirugías con uso de antimetabolitos. Se observó como principal complicación el cierre de bulas; existió un bajo porcentaje de reintervenciones. The importance of any illness depends on its severity and prevalence. In the case of Glaucoma, severity is determined by its natural evolution into blindness, and as for prevalence, it is found in 2 % of the population aged over 40 years. Glaucoma accounts for 10 to 15 % of blindness worldwide and represents the second cause of blindness in developing countries. A retrospective cross-sectional and descriptive study about the surgical treatment of glaucoma in the City of Havana in 2000 was carried out. The medical histories and surgical reports of 1 046 patients operated on by several techniques were reviewed. No difference was found in terms of sex, but Caucasians and 51-70 y age group were predominant. The main type of glaucoma in these surgeries was Simple Chronic Glaucoma; there was less non-serious cases at the time of surgery than at the time of diagnosis. The most frequent cause to decide upon the surgical treatment was lack of control of ocular pressure in spite of the medical treatment, the most used technique was Trabeculectomy and a percentage of surgeries used anti-metabolites. The main complication found was the bule closing. The percentage of re-operated cases was low.
Cardiopatía congénita. Diagnóstico e interrupciones en nuestra provincia, 1994-1999
Martínez González,Luis Raúl; Valladares Hernández,Marta; Pérez Martínez,Caridad;
Revista Cubana de Obstetricia y Ginecolog?-a , 2001,
Abstract: a retrospective analytical study of the diagnoses and induced abortions due to congenital heart defect was conducted at “justo legón padilla” and at the provincial genetics department of pinar del río, from january, 1994, to december, 1999. the fetal echocardiography was preferably made between the 21st and the 26th week of gestation. during these 6 years, 499 malformations were diagnosed and there were 102 (20.5 %) induced abortions due to heart defect accompanied or not by other major or minor malformations or associated chromosomopathies. it was found that the most frequent heart defect was the common trunk. there was no statistical significance (p < 0.05) between the maternal age and the low or high alpha fetoprotein with the heart defect associated or not with malformations or chromosome abnormalities. the prenatal diagnoses by echocardiography were correlated with the department of pathological anatomy.
Terapia con indometacina en el tratamiento del polihidramnios
Martínez González,Luis Raúl; Valladares Hernández,Marta; Pérez Martínez,Caridad;
Revista Cubana de Obstetricia y Ginecolog?-a , 1998,
Abstract: an study was made on 8 pregnant women having hydramnios, four of them having symptoms of risk for pre-term delivery, or light dyspnea, who were treated with oral indomethacin (100 mg/d) for 7 days in three cycles). the interval between the diagnosis and the beginning of therapy was 27 ± 3 weeks. fetal biometry was made weekly, as well as echocardiography, to analyze the ductus constriction, and there was no evidence that this happened in those cases under treatment. the 8 cases showed that 62.5 % was born after 37 weeks of pregnancy, with low weight (37.5 %) and 1 of them had retarded intrauterine growth. the index was normalized between 50 and 95 percentage in 6 of the cases after the third cycle of treatment. a series-study of fetal bladder was carried out by echographia before and after indomethacin therapy, showing a significant decline of fetal diuresis. in 3 of 8 cases, the cause of hydramnios was detected. it occured a gemellary′s death and a neonatal death too. it is recommended to use this indomethacin therapy for hydramnios, following up strictly the parameters involved in the evolution.
Experiencia con el perfil biofísico fetal en nuestro medio
Martínez González,Luis Raúl; Torres García,Wilfredo; Pérez Martínez,Caridad;
Revista Cubana de Obstetricia y Ginecolog?-a , 1997,
Abstract: a fetal welfare study was conducted among 213 pregnant women at risk in the "justo legón padilla" gynecoobstetric teaching hospital from october, 1993, to may, 1994. it was used the fetal biophysical profile according to the quantification criteria of the variables proposed by manning. 90.60 % of the biophysical profile were normal, 2.30 % abnormal, and 6.60 % suspicious. it was demonstrated that when the biophysical profile is abnormal there is a significant increase of cesarotomies due to acute fetal suffering,of the low apgar the 5th minute of life, as well as of the amount of meconium amniotic fluids. it was proved that the corporal fetal movements was the biophysical parameter of highest predictive value (80). through the evaluation of the biophysical profile it was determined its high sensitivity, (88) specificity (94) and elevated discriminating power with a wilks lambds of 0.2836. the corporal movements, the tone, and the amniotic fluid are the only parameters considered in this method.
Experiencia con el perfil biofísico fetal en nuestro medio Experience with the fetal biophysical profile in our environment
Luis Raúl Martínez González,Wilfredo Torres García,Caridad Pérez Martínez
Revista Cubana de Obstetricia y Ginecolog?-a , 1997,
Abstract: Se realizó un estudio del bienestar fetal a un grupo de 213 embarazadas con riesgo en nuestro Hospital Docente Ginecoobstétrico "Justo Legón Padilla" durante los meses de octubre de 1993 a mayo de 1994, mediante el perfil biofísico fetal, según los criterios de cuantificación de las variables propuestas por Manning. Se encontró el 90,60 % de perfiles biofísicos normales, el 2,30 % fueron anormales y un 6,60 % sospechosos. Se comprobó que cuando el perfil biofísico resulta anormal aumentan significativamente el número de cesáreas por sufrimiento fetal agudo, el apgar bajo a los 5 minutos de vida así como la cantidad de líquidos amnióticos meconiales. Se demostró que el parámetro biofísico movimientos fetales corporales fue el de mayor valor predictivo (80). Se determinó, con la evaluación del perfil biofísico, su alta sensibilidad (88), especificidad (94) y elevado poder discriminante con un Wilk's lambda de 0,2836. Se trata de un método prometedor para detectar riesgos del producto, aún teniendo como parámetros solamente los movimientos corporales, el tono y el líquido amniótico. A fetal welfare study was conducted among 213 pregnant women at risk in the "Justo Legón Padilla" Gynecoobstetric Teaching Hospital from October, 1993, to May, 1994. It was used the fetal biophysical profile according to the quantification criteria of the variables proposed by Manning. 90.60 % of the biophysical profile were normal, 2.30 % abnormal, and 6.60 % suspicious. It was demonstrated that when the biophysical profile is abnormal there is a significant increase of cesarotomies due to acute fetal suffering,of the low Apgar the 5th minute of life, as well as of the amount of meconium amniotic fluids. It was proved that the corporal fetal movements was the biophysical parameter of highest predictive value (80). Through the evaluation of the biophysical profile it was determined its high sensitivity, (88) specificity (94) and elevated discriminating power with a Wilks Lambds of 0.2836. The corporal movements, the tone, and the amniotic fluid are the only parameters considered in this method.
Terapia con indometacina en el tratamiento del polihidramnios Indomethacin therapy in the treatment of hydramnios
Luis Raúl Martínez González,Marta Valladares Hernández,Caridad Pérez Martínez
Revista Cubana de Obstetricia y Ginecolog?-a , 1998,
Abstract: : Se estudiaron 8 embarazadas con polihidramnios, 4 de ellas con síntomas de amenaza de parto pretérmino o disnea ligera que fueron tratadas con indometacina oral (100 mg/ diarios por 7 d en 3 ciclos). El tiempo del diagnóstico y comienzo de la terapia fue de 27 ± 3 semanas. Se realizó biometría fetal semanalmente, así como ecocardiografía para valorar constricción del ductus, no se demostró que ocurriera en los casos tratados. Se encontró en los 8 casos que el 62,5 % nació después de las 37 semanas, con 3 bajo peso (37,5 %) y 1 de ellos presentaba crecimiento intrauterino retardado. El índice de bolsones se normalizó entre el 50 y 95 percentil en 6 de los casos después del tercer ciclo de tratamiento. Se realizó el estudio seriado de vejiga fetal por ecografía antes y después de la terapia con indometacina observándose una declinación significativa de la diuresis fetal. En 3 de los 8 casos se pudo determinar la causa del hidramnios. Hubo una muerte anteparto en un gemelar y otra neonatal. Se recomienda esta terapia con indometacina en los hidramnios con un seguimiento estricto de los parámetros expuestos para la evolución. An study was made on 8 pregnant women having hydramnios, four of them having symptoms of risk for pre-term delivery, or light dyspnea, who were treated with oral indomethacin (100 mg/d) for 7 days in three cycles). The interval between the diagnosis and the beginning of therapy was 27 ± 3 weeks. Fetal biometry was made weekly, as well as echocardiography, to analyze the ductus constriction, and there was no evidence that this happened in those cases under treatment. The 8 cases showed that 62.5 % was born after 37 weeks of pregnancy, with low weight (37.5 %) and 1 of them had retarded intrauterine growth. The index was normalized between 50 and 95 percentage in 6 of the cases after the third cycle of treatment. A series-study of fetal bladder was carried out by echographia before and after indomethacin therapy, showing a significant decline of fetal diuresis. In 3 of 8 cases, the cause of hydramnios was detected. It occured a gemellary′s death and a neonatal death too. It is recommended to use this indomethacin therapy for hydramnios, following up strictly the parameters involved in the evolution.
Cardiopatía congénita. Diagnóstico e interrupciones en nuestra provincia, 1994-1999 Congenital heart defect. Diagnosis and induced abortions in our province, 1994-1999
Luis Raúl Martínez González,Marta Valladares Hernández,Caridad Pérez Martínez
Revista Cubana de Obstetricia y Ginecolog?-a , 2001,
Abstract: Se realizó un estudio retrospectivo y analítico en el Hopital Docente Ginecoobstétrico “Justo Legón Padilla” y el Departamento de Genética Provincial de Pinar del Río, desde enero de 1994 a diciembre de 1999, de los diagnósticos e interrupciones por cardiopatía congénita. Los exámenes de ecocardigrafía fetal se realizaron preferentemente entre las 21 y 26 sem de gestación. Se diagnosticaron, en estos 6 a os, 499 malformaciones y se interrumpieron por cardiopatías 102 para el 20,5 %, acompa adas o no de otras malformaciones mayores o menores o cromosomopatías asociadas. Se encontró que la cardiopatía más frecuente fue el tronco común, no hubo significación estadística (p < 0,05) entre la edad materna y la alfafetoproteína baja o alta con la cardiopatía, asociada o no a malformaciones o trastornos cromosómicos. Los diagnósticos prenatales por ecocardiografía fueron correlacionados con el Departamento de Anatomía Patológica. A retrospective analytical study of the diagnoses and induced abortions due to congenital heart defect was conducted at “Justo Legón Padilla” and at the Provincial Genetics Department of Pinar del Río, from January, 1994, to December, 1999. The fetal echocardiography was preferably made between the 21st and the 26th week of gestation. During these 6 years, 499 malformations were diagnosed and there were 102 (20.5 %) induced abortions due to heart defect accompanied or not by other major or minor malformations or associated chromosomopathies. It was found that the most frequent heart defect was the common trunk. There was no statistical significance (p < 0.05) between the maternal age and the low or high alpha fetoprotein with the heart defect associated or not with malformations or chromosome abnormalities. The prenatal diagnoses by echocardiography were correlated with the Department of Pathological Anatomy.
Neuroblastoma de la suprarrenal en embarazo gemelar Neuroblastoma of the adrenal gland in twin pregnancy
Luis Raúl Martínez González,Dianelys Pérez Rodríguez,Caridad Pérez Martínez
Revista de Ciencias M??dicas de Pinar del R?-o , 2013,
Abstract: Introducción: las anomalías de la glándula suprarrenal son raramente detectadas en la vida prenatal, y se pueden observar sobre todo a partir de la segunda mitad del embarazo, siendo las más frecuentes los quistes y las hemorragias, y menos los tumores sólidos. Aunque los avances tecnológicos en ecografía hacen posible su detección dentro del útero, su diagnóstico prenatal es todavía infrecuente. Este tipo de tumor tiene una alta tasa de morbilidad y mortalidad debido a su riesgo metastásico. Presentación del caso: se presenta un embarazo gemelar que a las 23 semanas acude a nuestro centro para realizarse una ecografía fetal que fue informada como normal, pero se detecta una masa sólida hiperecogénica por encima del ri ón izquierdo de uno de los fetos. Conclusiones: se plantea un neuroblastoma de la glándula suprarrenal como diagnóstico principal. Se realiza interrupción del embarazo previo consentimiento de la pareja, confirmándose el diagnóstico por anatomía patológica. Introduction: the anomalies of adrenal glands are rarely detected during prenatal life, they can be observed on the second half of pregnancy, cysts and hemorrhages are the most frequent anomalies found; solid tumors are rare. Though, ultrasonographic advances make possible the intrauterine detection, its prenatal diagnosis is not frequent. This kind of tumor presents a high rate of morbidity and mortality due to its metastatic risk. A case report: a fetal ultrasonography to a twin pregnancy at 23 weeks was performed and informed as a normal test, but a solid hyper-echogenic mass was detected above the left kidney of one of the fetus. Conclusions: a neuroblastoma of the adrenal gland was the main diagnosis. Pregnancy was interrupted having the previous consent of the couple, pathological studies confirmed the diagnosis.
Análisis del tratamiento quirúrgico del glaucoma en Ciudad de La Habana durante el a?o 2000
Zozaya Aldana,Beatriz; Pérez Blazquez,Gildo; Martínez Ribalta,Jorge; Suárez Pérez,Caridad; Medina Rodríguez,Isabel;
Revista Cubana de Oftalmolog?-a , 2008,
Abstract: the importance of any illness depends on its severity and prevalence. in the case of glaucoma, severity is determined by its natural evolution into blindness, and as for prevalence, it is found in 2 % of the population aged over 40 years. glaucoma accounts for 10 to 15 % of blindness worldwide and represents the second cause of blindness in developing countries. a retrospective cross-sectional and descriptive study about the surgical treatment of glaucoma in the city of havana in 2000 was carried out. the medical histories and surgical reports of 1 046 patients operated on by several techniques were reviewed. no difference was found in terms of sex, but caucasians and 51-70 y age group were predominant. the main type of glaucoma in these surgeries was simple chronic glaucoma; there was less non-serious cases at the time of surgery than at the time of diagnosis. the most frequent cause to decide upon the surgical treatment was lack of control of ocular pressure in spite of the medical treatment, the most used technique was trabeculectomy and a percentage of surgeries used anti-metabolites. the main complication found was the bule closing. the percentage of re-operated cases was low.
Diagnóstico prenatal ecográfico del Síndrome Klippel-Trenaunay-Weber: a propósito de un caso
Reyes Puentes,Lourdes Milagros; Fuentes Camargo,Maria Julia; Pérez Martínez,Caridad; Martínez González,Luis Raúl;
Revista de Ciencias M??dicas de Pinar del R?-o , 2010,
Abstract: the study of the fetus using the ultrasound in real time is one of the most important technological advances of recent days; which allow collecting information about anatomic and functional integrity as well as establishing the diagnosis of congenital malformations in early stages of pregnancy. klippel-trenaunay-weber syndrome was first reported by maurice klippel and p. trenaunay in 1900, the most frequent clinical finding is the flat angioma or flammeus nevus. an 18 years old primigravida having health records attended to the office presenting hbas. the sonographic study carried out at 22 weeks of pregnancy revealed a marked hypertrophy of the lower fetal limb associated with giant cavernous angioma affecting the pelvis, buttocks and genitals. such findings guided to the diagnosis of klippel-trenaunay-weber syndrome. this is a rare clinical entity and its antenatal diagnosis is little- known, thus the case is presented.
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