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Search Results: 1 - 10 of 334696 matches for " Carmen Zamora-Amorós "
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Abdominal pain and intestinal malrotation in adults Dolor abdominal y malrotación intestinal en el adulto
Montiel Jiménez-Fuertes,David Costa-Navarro,Carmen Zamora-Amorós
Revista Espa?ola de Enfermedades Digestivas , 2013,
Abstract:
Comportamiento de la densidad mineral ósea en mujeres con artritis reumatoidea
Argüelles Zayas,Ana del Carmen; Infante Amorós,Adalberto; Flores Sánchez,Rosa María; de Armas,Reinaldo Denis;
Revista Cubana de Medicina , 2004,
Abstract: 40 premenopausic female patients under 45 with established diagnosis of rheumatoid athritis according to the criteria of the american college of rheumatology were studied. they were all under treatment with steroids with an equipment of osteal densitometry by ultrasound of the calcaneus. on analyzing the t-score average (as osteoporosis marker), we found that the lowest value was - 4.5 and the maximum -1.5. the t-student statistical test was used to compare the t-score average according to: dose, time of treament with steroids and time of evolution of the disease. osteoporosis was detected in 23 patients that received more than 20 mg of steroids, in 27 with more than 5 years of treatment with steroids, and in 23 with more than 5 years of evolution of the disease. on exploring the antecedent of fracture and relate it to the time of treatment and to the dose of steroids we observed that 9 patients (81-8 %) with more than 5 years of treatment and 6 (54.5 %) with more than 20 mg of steroids had had fractures.
Alteraciones de la prueba ergométrica en pacientes con fibromialgia Alterations of the ergometric test in patients with fibromyalgia
Ana del Carmen Argüelles Zayas,Adalberto Infante Amorós,Marta M. Rivero Varona,Rosa María Flores Sánchez
Revista Cubana de Medicina , 2004,
Abstract: La fibromialgia es uno de los síndromes reumáticos más comunes, caracterizado por dolores musculoesqueléticos y puntos dolorosos sin existir sinovitis ni miositis. Se estudiaron 20 pacientes con diagnóstico de fibromialgia para conocer, mediante la prueba ergométrica, las alteraciones del sistema nervioso autónomo. Se observó, en el grupo control, un incremento normal de la frecuencia al adoptar el ortostatismo lo cual refleja activación del sistema simpático, mientras que en las pacientes con fibromialgia no existió dicho reflejo. Se comprobó incremento adecuado de la tensión arterial en el 87 % de las pacientes con fibromialgia, infradesnivel del ST mayor de 1 mm en el 20 % de las pacientes, ausencia de arritmia y síntomas de cardiopatía en todas las pacientes y disminución de la capacidad física en 4.Se concluyó que las pacientes con fibromialgia presentan una disfunción del sistema nervioso autónomo. Fibromyalgia is one of the commonest rheumatic symptoms, characterized by musculoskeletal pain and painful points with neither synovitis nor myositis. 20 patients with diagnosis of fibromyalgia were studied to know the alterations of the autonomous nervous system by the ergometric test. In the control group, it was observed a normal increase of frequency on adopting orthostatism, which reflects the activation of the sympathetic system. This reflex did not exist among the patients with fibromyalgia. An adequate rise of the arterial pressure in 87 % of the patients with fibromyalgia, an infraunevenness of the ST over 1 mm in 20 % of the patients, an absence of arrhytmia and symptoms of heart disease in all patients, and a reduction of physical capacity in 4, were proved. It was concluded that patients with fibromyalgia present a dysfunction of the autonomous nervous system.
Comportamiento de la densidad mineral ósea en mujeres con artritis reumatoidea Behavior of the osteal mineral density in women with rheumatoid arthritis
Ana del Carmen Argüelles Zayas,Adalberto Infante Amorós,Rosa María Flores Sánchez,Reinaldo Denis de Armas
Revista Cubana de Medicina , 2004,
Abstract: Se estudiaron 40 pacientes del sexo femenino, premenopáusicas, menores de 45 a os, con diagnóstico establecido de artritis reumatoidea según criterios del Colegio Americano de Reumatología y todas con tratamiento de esteroides, con un equipo de densitometría ósea por ultrasonido del calcáneo. Al analizar el promedio de t-score (como marcador de osteoporosis), encontramos que el valor más bajo de fue de - 4,5 y el máximo de -1,5. Se empleó el test estadístico t -Student para comparar los promedio del t-score según: dosis, tiempo de tratamiento con esteroides y tiempo de evolución de la enfermedad. Se encontró osteoporosis en 23 pacientes que tomaban más de 20 mg de esteroides; en 27 con más de 5 a os de tratamiento con esteroides; y en 23 con más de 5 a os de evolución de la enfermedad. Al explorar el antecedente de fractura y relacionarlo con el tiempo de tratamiento y la dosis de esteroides encontramos que 9 pacientes (81,8 %) con más de 5 a os de tratamiento y 6 (54,5 %) con más de 20 mg de esteroides tienen antecedente de fractura. 40 premenopausic female patients under 45 with established diagnosis of rheumatoid athritis according to the criteria of the American College of Rheumatology were studied. They were all under treatment with steroids with an equipment of osteal densitometry by ultrasound of the calcaneus. On analyzing the t-score average (as osteoporosis marker), we found that the lowest value was - 4.5 and the maximum -1.5. The t-Student statistical test was used to compare the t-score average according to: dose, time of treament with steroids and time of evolution of the disease. Osteoporosis was detected in 23 patients that received more than 20 mg of steroids, in 27 with more than 5 years of treatment with steroids, and in 23 with more than 5 years of evolution of the disease. On exploring the antecedent of fracture and relate it to the time of treatment and to the dose of steroids we observed that 9 patients (81-8 %) with more than 5 years of treatment and 6 (54.5 %) with more than 20 mg of steroids had had fractures.
Osteoporosis en mujeres premenopáusicas con bocio tóxico difuso
Infante Amorós,Adalberto; Argüelles Zayas,Ana del Carmen; Denis de Armas,Reinaldo; Gutiérrez,ángela;
Revista Cubana de Medicina , 2006,
Abstract: 2 women in premenopausal stage diagnosed as diffuse toxic goiter and a control group including 54 healthy women were studied. it was observed that the mean age in group 1 was 35.7 years old, and that in group 2 was 35,29 years old. the mean age for the 106 patients was 35.29. bone mineral density was measured using a bone densitometer by ultrasound (us) of the calcaneus (sonot 2000 medison). it was evident that the number of cases without bone alteration was greater in the control group: 40 cases (74.0 %) versus 8 (15.4 %) of group 1. this group had the greatest percentage of cases with osteopenia (22 [42.3 %]), and osteoporosis (22 [42.3 %]). on using non-parametric studies, such as the range test with wilcoxon's signs, it was found that there is a significant difference between the initial and the final test, according to the results obtained with osteosonometry. osteosonometry was normal a year after treatment in 19 patients over the initial test. osteoporosis disappeared in 10 patients. it was observed that the 16 patients with hyperthyroidism on conducting the final study of osteosonometry, had osteopenia or steoporosis, whereas in the 25 euthyroid patients osteosonometry was normal. finally, 27 subjects had osteosonometry results within the normal range and 19 above the first study. among the subjects that were applied the treatment scheme 3, osteosonometry was normal in 15 of them. it was also the group with less osteoporotic patients (only 2), although in treatment 2, the response was fairly adequate, which was not so in treatment 1
Sustitución ureteral bilateral con asa ileal Bilateral ileal ureteral replacement
Octavio A Castillo C,Araceli Amorós Torres,Laura Velarde R,María del Carmen Navas M
Revista Chilena de Cirugía , 2012,
Abstract: Introducción: La sustitución ureteral por un asa de íleon desfuncionalizada fue descrita hace más de 2 siglos y continúa siendo una alternativa terapéutica en la actualidad. Esta serie describe la técnica de sustitución ureteral bilateral con íleon. Objetivo: Presentar 4 casos de sustitución ureteral ileal bilateral realizados en nuestro centro, indicaciones de la técnica quirúrgica, complicaciones y revisión de la literatura. Material y Método: Presentamos 4 casos de lesión ureteral bilateral extensa, de etiologías diferentes, cuyo tratamiento con intención curativa fue la sustitución de la lesión ureteral por un segmento intestinal isoperis-táltico. Resultados: La técnica quirúrgica empleada fue estándar en todos los casos. No hubo complicaciones intraoperatorias, y sólo una paciente presentó descompensación metabólica por acidosis hiperclorémica. En ningún paciente se ha demostrado pérdida en la función renal. Conclusión: El segmento intestinal de íleon desfuncionalizado es una alternativa terapéutica eficaz, segura y reproducible, para el reemplazo de importantes lesiones ureterales bilaterales, independiente de la causa original. Introduction: Ureteral replacement by a loop of defunctionalized ileum was described more than 2 centuries ago and continues to be a therapeutic option at present. This series describes the technique of bilateral ureteral replacement with ileum. Aim: To report 4 cases of bilateral ileal ureteral replacement performed at our institution, its indications, the surgical technique, complications, and a review of the literature. Material and Method: We report 4 cases of extensive bilateral ureteral injury of different etiologies, whose treatment with curative intent was to replace the damaged ureter with a isoperistaltic small bowel segment. Results: The surgical technique used was standard in all cases. There were no intraoperative complications and only one patient had hyperchloremic acidosis. No patient has shown loss of renal function in the long-term follow up. Conclusion: Is an effective therapeutic, safe and reproducible technique to replacement of major bilateral ureteral injuries, independent of the original cause.
Carcinoma papilar quístico y del tiroides: Estudio de 4 casos Tryroid cyst papillary carcinoma: Study of four cases
Adalberto Infante Amorós,Ana del Carmen Argüelles Zayas,Ramón González Fernández,David Cubero Rego
Revista Cubana de Medicina , 2004,
Abstract: Se presentaron 4 casos de carcinoma papilar quístico en el período de 4 a os. Se realizó examen físico de todos los casos; se encontró una masa cervical firme en la cara anterior del cuello y en 2 de ellos, se palparon adenopatías cervicales. Se aplicaron técnicas de imagen (ecografía cervical y gammagrafía tiroidea); se completó el estudio con BAAF, que tuvo valor diagnóstico en el 75 % de los casos. Se realizó un estudio anatomopatológico de todas las piezas obtenidas. Se hizo la resección del quiste, biopsia intraoperatoria y si se confirmó el diagnóstico de carcinoma papilar quístico, se le realizó una tiroidectomía total y si fue necesario, linfadenectomía. Se completó el tratamiento con I131 a dosis ablativa y tratamiento hormonal supresor de la TSH. Se destacó el papel de la BAAF en el estudio preoperatorio. 4 cases of cyst papillary carcinoma in a period of 4 years were presented. All of them underwent physical examination. A firm cervical mass was found in the anterior side of the neck and cervical adenopathies were palpated in 2 of them. Imaging techniques (cervical echography and thyroid gammagram) were applied. The study was completed with FNAB, which had a diagnostic value in 75 % of the cases. An anatomopathological study of all the pieces obtained was conducted. Resection of the cyst and intraoperatory biopsy were performed. In those cases with confirmed diagnosis of cyst papillary carcinoma, total thyroidectomy was carried out and, if necessary, lymphadenectomy. The treatment was concluded with I131 at ablative doses and TSH -supressing hormonal treatment. The role of FNAB in the preoperative study was stressed.
Osteoporosis en mujeres premenopáusicas con bocio tóxico difuso Osteoporosis in premenopausal women with toxic diffuse goiter
Adalberto Infante Amorós,Ana del Carmen Argüelles Zayas,Reinaldo Denis de Armas,ángela Gutiérrez
Revista Cubana de Medicina , 2006,
Abstract: Se estudió un grupo de 52 mujeres en etapa premenopáusica con diagnóstico de bocio tóxico difuso y un grupo control constituido por 54 mujeres sanas. Se encontró que la media para la edad en el grupo 1 fue de 35,7 a os y para el grupo 2, de 34,83 y la media en las 106 pacientes fue de 35,29 a os. Se midió la densidad mineral ósea mediante un equipo de densitometría ósea por ultrasonido del calcáneo (SONOST 2000 Medison). Se evidenció que el número de casos sin alteración ósea fue mayor en el grupo control: 40 casos (74,0 %), contra 8 (15,4 %) del grupo 1, y este grupo tuvo el mayor porcentaje de casos con osteopenia (22 [42,3 %]) y osteoporosis (22 [42,3 %]). Al utilizar estudios no paramétricos como el test de Rangos con signos de Wilcoxon encontramos que existe diferencia significativa entre el estudio inicial y el final, según los resultados de la osteosonometría. La osteosonometría fue normal al a o del tratamiento en 19 pacientes por encima de la realizada inicialmente, y la osteoporosis desapareció en 10 pacientes. Se halló que los 16 que se mantuvieron hipertiroideos al realizarle el estudio final de osteosonometría, presentaban osteopenia u osteoporosis. Mientras que en los 25 pacientes eutiroideos la osteosonometría fue normal. Al final, 27 sujetos tuvieron un resultado en la osteosonometría en el rango normal, 19 por encima del estudio inicial. En los sujetos a los que se les aplicó el esquema de tratamiento 3, en 15 la osteosonometría fue normal, así como que fue el grupo que menos pacientes osteoporóticos tuvo, con 2 solamente, aunque con el tratamiento 2 la respuesta fue bastante adecuada, no así con el tratamiento 1 2 women in premenopausal stage diagnosed as diffuse toxic goiter and a control group including 54 healthy women were studied. It was observed that the mean age in group 1 was 35.7 years old, and that in group 2 was 35,29 years old. The mean age for the 106 patients was 35.29. Bone mineral density was measured using a bone densitometer by ultrasound (US) of the calcaneus (SONOT 2000 Medison). It was evident that the number of cases without bone alteration was greater in the control group: 40 cases (74.0 %) versus 8 (15.4 %) of group 1. This group had the greatest percentage of cases with osteopenia (22 [42.3 %]), and osteoporosis (22 [42.3 %]). On using non-parametric studies, such as the range test with Wilcoxon's signs, it was found that there is a significant difference between the initial and the final test, according to the results obtained with osteosonometry. Osteosonometry was normal a year after treatment in 19 patients
Trichoptera (Insecta) collected in Mediterranean river basins of the Iberian Peninsula: taxonomic remarks and notes on ecology
Bonada, Núria,Zamora-Mu?oz, Carmen,Rieradevall, Maria,Prat, Narcís
Graellsia , 2004,
Abstract: As a result of the GUADALMED project, undertaken in Iberian Mediterranean basins, to which were added samples taken by the junior author in the area, we collected numerous caddisfly larvae, pupae and adults. Some larvae were also reared in the lab to obtain adults and allow proper identification. A total of 90 species were identified, which accounts for more than a fourth of the species known in the Iberian Peninsula and Balearic Islands. Here we confirm the presence of doubtful species in the Iberian Peninsula (Glyphotaelius pellucidus) and we expand the distribution range of others (Lype reducta, Micrasema minimum, Limnephilus guadarramicus, Sericostoma pyrenaicum). Moreover, because of the unconformity of morphological larval characteristics with present taxonomical keys (Mesophylax aspersus) or lack of larvae descriptions (Allogamus mortoni, Stenophylax espanioli), here we include some relevant taxonomical aspects that are useful to identify larvae. A brief description of the larva of a possible new species of Hydropsyche (from now on H. gr. instabilis) is also given. Como resultado de los estudios realizados en el proyecto GUADALMED en las cuencas de los ríos mediterráneos peninsulares y otros muestreos realizados por la primera autora del trabajo se han recolectado numerosas larvas, pupas y adultos de tricópteros. Algunas larvas fueron criadas en el laboratorio para la obtención de adultos y con ello asegurar su identificación. Se han identificado un total de 90 especies que suponen más de una cuarta parte de las especies actualmente conocidas en la Península Ibérica y Baleares. En este trabajo se confirma la presencia, hasta ahora dudosa en la Península Ibérica, de algunas especies (Glyphotaelius pellucidus) y se amplia el área de distribución de otras (Lype reducta, Micrasema minimum, Limnephilus guadarramicus, Sericostoma pyrenaicum). Además, se incluyen algunos aspectos taxonómicos relevantes para la identificación de algunas larvas en futuros estudios, debido a que las claves ya existentes no describen correctamente la larva (Mesophylax aspersus) o porque se trata de larvas sin describir (Allogamus mortoni, Stenophylax espanioli). Se a ade también una somera descripción de la larva de una posible nueva especie de Hydropsyche (citada aquí como H. gr. instabilis) y que requiere un estudio más detallado.
Alteraciones de la prueba ergométrica en pacientes con fibromialgia
Argüelles Zayas,Ana del Carmen; Infante Amorós,Adalberto; Rivero Varona,Marta M.; Flores Sánchez,Rosa María; Suárez Fleites,Reynaldo;
Revista Cubana de Medicina , 2004,
Abstract: fibromyalgia is one of the commonest rheumatic symptoms, characterized by musculoskeletal pain and painful points with neither synovitis nor myositis. 20 patients with diagnosis of fibromyalgia were studied to know the alterations of the autonomous nervous system by the ergometric test. in the control group, it was observed a normal increase of frequency on adopting orthostatism, which reflects the activation of the sympathetic system. this reflex did not exist among the patients with fibromyalgia. an adequate rise of the arterial pressure in 87 % of the patients with fibromyalgia, an infraunevenness of the st over 1 mm in 20 % of the patients, an absence of arrhytmia and symptoms of heart disease in all patients, and a reduction of physical capacity in 4, were proved. it was concluded that patients with fibromyalgia present a dysfunction of the autonomous nervous system.
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