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Search Results: 1 - 10 of 200236 matches for " Cristóbal; Urrejola N "
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Disección aórtica tipo B y embarazo en un síndrome de Marfán: manejo y resultado
Jorge Hasbun H,Marcelo Llancaqueo V,Cristóbal Ramos G,Carolina Urrejola N
Revista Chilena de Obstetricia y Ginecología , 2012,
Abstract: El síndrome de Marfán es una enfermedad autosómica dominante del tejido conectivo, multisistémica y pronóstico determinado por las complicaciones cardiovasculares. Se presenta una paciente de 32 a os, multípara, con el diagnóstico conocido de cinco a os, posterior a disección aórtica toraco-abdominal (Standford B) y embarazo actual no planificado. Es manejada con betabloqueadores y las imágenes seriadas de aorta muestran disección estable en el segmento entre subclavia izquierda e ilíaca derecha con 41,8 mm en su diámetro mayor, sin comprometer la irrigación de órganos abdominales. Ingresa a las semana 32 para evaluación multidisciplinaria y parto programado. El examen con resonancia nuclear magnética de columna lumbosacra evidenció ectasia dural marcada a nivel de raíz S2. La evaluación fetal demostró un crecimiento en percentil 20 con bienestar hemodinámico y ecocardiografía normal. Previa inducción de madurez pulmonar y con 34+3 semanas, se efectúa cesárea electiva bajo anestesia espinal continua, con nacimiento sin compresión del fondo uterino, esterilización tubaria y postoperatorio inmediato en Unidad Coronaria por 48 horas. La evolución materna es sin incidentes. El recién nacido presentó enterocolitis necrotizante con buena respuesta al tratamiento médico. Marfan syndrome is a multysistemic an autosomal-dominant disorder of connective tissue and cardiovascular complications determine its prognosis. We present a 32 year-old patient diagnosed five years previously after thoraco-abdominal aneurysm Standford B, and a current unplanned pregnancy. She was treated with beta blockers and evaluated with serial images of the aorta showing a stable thoraco-abdominal aneurysm initiated at the left subclavian artery to the right iliac artery of 41.8 mm at maximum diameter. The patient was hospitalized at 32 weeks to be evaluated in a multidisciplinary team planned delivery. Nuclear Magnetic Resonance on maternal spine detected dural ectasia at S2 and fetal evaluation shows growing at 20 percentile, hemodinamical wellbeing and normal echocardiography. After corticosteroids at 34 +3 weeks a cesarean section with tubal sterilization is performed, with continuous spinal anesthesia, without uterus compression and inmediate postoperative care at the Coronary Unit for 48 hours with satisfactory maternal evolution. The newborn presented a necrotizing enterocolitis at 7 days improving with medical therapy.
Cuadro clínico de inicio de la diabetes tipo 1 en el ni?o
Hodgson B,María Isabel; Ossa A,Juan Cristóbal; Velasco F,Nicolás; Urrejola N,Pascuala; Arteaga Ll,Antonio;
Revista médica de Chile , 2006, DOI: 10.4067/S0034-98872006001200007
Abstract: background: type 1 diabetes mellitus (dm1) is a disease of increasing incidence among children. the time elapsed between the beginning of symptoms and the diagnosis of the disease is, in most cases, very extended. aim: to report the clinical picture at onset and laboratory features of children with dm1. material and methods: retrospective review of all medical records of patients admitted to the hospital with a dm1 of recent onset. results: sixty three males aged 95±47 months and 34 females aged 109±51 months, were studied. males were significantly younger than females (p <0.05). the lapse between symptoms onset and the diagnosis of the disease was longer in girls than in boys (46±46 and 26±26 days respectively, p <0.02). there was an inverse correlation between plasma glucose and the lapse between symptoms onset and the diagnosis of disease. the most common clinical picture of the disease was the classical symptoms of diabetes (polyuria, polydipsia, weight loss), in 60% of cases. thirty seven percent had developed ketoacidosis at the time of the diagnosis. ketoacidosis was more common between 1988 and 1995, as compared with the period 1996-2003 (50% and 28.8%, respectively). the onset of symptoms occurred between april and august (winter in the southern hemisphere) in 38% of cases. conclusions: dm1 is a disease of increasing incidence among children, whose diagnosis is delayed, even though symptoms are evident. the lower incidence of ketoacidosis in our patients between 1996 and 2003 is encouraging
Cuadro clínico de inicio de la diabetes tipo 1 en el ni o Clinical picture at the onset of type 1 diabetes mellitus in children
María Isabel Hodgson B,Juan Cristóbal Ossa A,Nicolás Velasco F,Pascuala Urrejola N
Revista médica de Chile , 2006,
Abstract: Background: Type 1 diabetes mellitus (DM1) is a disease of increasing incidence among children. The time elapsed between the beginning of symptoms and the diagnosis of the disease is, in most cases, very extended. Aim: To report the clinical picture at onset and laboratory features of children with DM1. Material and methods: Retrospective review of all medical records of patients admitted to the hospital with a DM1 of recent onset. Results: Sixty three males aged 95±47 months and 34 females aged 109±51 months, were studied. Males were significantly younger than females (p <0.05). The lapse between symptoms onset and the diagnosis of the disease was longer in girls than in boys (46±46 and 26±26 days respectively, p <0.02). There was an inverse correlation between plasma glucose and the lapse between symptoms onset and the diagnosis of disease. The most common clinical picture of the disease was the classical symptoms of diabetes (polyuria, polydipsia, weight loss), in 60% of cases. Thirty seven percent had developed ketoacidosis at the time of the diagnosis. Ketoacidosis was more common between 1988 and 1995, as compared with the period 1996-2003 (50% and 28.8%, respectively). The onset of symptoms occurred between April and August (Winter in the Southern Hemisphere) in 38% of cases. Conclusions: DM1 is a disease of increasing incidence among children, whose diagnosis is delayed, even though symptoms are evident. The lower incidence of ketoacidosis in our patients between 1996 and 2003 is encouraging
Disección aórtica tipo B y embarazo en un síndrome de Marfán: manejo y resultado
Hasbun H,Jorge; Llancaqueo V,Marcelo; Ramos G,Cristóbal; Urrejola N,Carolina; Cerda SM,Sergio; Norambuena N,Constanza; Zamorano G,Jaime;
Revista chilena de obstetricia y ginecología , 2012, DOI: 10.4067/S0717-75262012000200010
Abstract: marfan syndrome is a multysistemic an autosomal-dominant disorder of connective tissue and cardiovascular complications determine its prognosis. we present a 32 year-old patient diagnosed five years previously after thoraco-abdominal aneurysm standford b, and a current unplanned pregnancy. she was treated with beta blockers and evaluated with serial images of the aorta showing a stable thoraco-abdominal aneurysm initiated at the left subclavian artery to the right iliac artery of 41.8 mm at maximum diameter. the patient was hospitalized at 32 weeks to be evaluated in a multidisciplinary team planned delivery. nuclear magnetic resonance on maternal spine detected dural ectasia at s2 and fetal evaluation shows growing at 20 percentile, hemodinamical wellbeing and normal echocardiography. after corticosteroids at 34 +3 weeks a cesarean section with tubal sterilization is performed, with continuous spinal anesthesia, without uterus compression and inmediate postoperative care at the coronary unit for 48 hours with satisfactory maternal evolution. the newborn presented a necrotizing enterocolitis at 7 days improving with medical therapy.
Drenaje laparoscópico de Ia diverticulitis aguda complicada Hinchey II y III Laparoscopic peritoneal lavage for acute diverticulitis
GINO CASELLI M,GONZALO INOSTROZA L,CRISTóBAL SILVA C,GONZALO URREJOLA S
Revista Chilena de Cirugía , 2012,
Abstract: Introducción: Tradicionalmente, el manejo quirúrgico de Ia diverticulitis aguda complicada (DAC) ha sido Ia operación de Hartmann. Sin embargo, ésta presenta tasas de morbilidad de 59% y mortalidad hasta de 12%. Han aparecido algunos procedimientos no resectivos con algunas ventajas operatorias y que evitarían Ia confección de una ostomia. Objetivo: Analizar resultados quirúrgicos de una serie de pacientes con DAC sometidos a lavado peritoneal sin resección por via laparoscópica (LPL). Pacientes y Métodos: Serie de registro prospectiva de siete pacientes, que ingresaron con diagnóstico de DAC Hinchey II en que no fue posible el drenaje percutáneo de Ias colecciones y pacientes categorizados como Hinchey III, operados entre octubre de 2008 y noviembre de 2010. Resultados: Cuatro pacientes eran de sexo masculino. La edad media fue de 49 a os, con un IMC de 30,3 kg/m2. Todos Ios pacientes ingresaron con su primer episodio de DA. El tiempo operatorio fue de 55 ± 28 minutos. No hubo necesidad de ostomía ni conversión. Dos pacientes presentaron complicaciones que requirieron de nuevos procedimientos durante su estadía. El tiempo de reposo digestivo fue de 2 ± 1 días y Ia duración del esquema antibiótico fue de 14 ± 4 días. La estadía hospitalaria fue de 8 ± 4 días. Conclusiones: El LPL representa una alternativa al manejo quirúrgico tradicional. Las ventajas teóricas son bajas tasas de morbimortalidad, estadía hospitalaria más corta y sin Ia eventual necesidad teórica de una ostomía. Esta técnica requiere ser validada en el contexto de un estudio aleatorizado con claridad en criterios de inclusión y exclusión. Background: The usual surgical management of acute diverticulitis is Hartmann operation that is associated with high rates of complications and mortality. Recently, less invasive procedures, that avoid ostomies have been proposed as treatment, Alm: To analyze the results of laparoscopic peritoneal lavage in patients with acute diverticulitis. Material and Methods: Prospective analysis of seven patients age 25 to 61 years (four males) admitted for a first episode of acute diverticulitis classified as Hinchey II or III, in whom a percutaneous drainage of collections was not possible. All were subjected to a laparoscopic peritoneal lavage and debridement. Results: The mean body mass index of patients was 30.3 kg/m2. Operative time was 55 ± 28 min and there was no need for ostomies or conversion to open surgery. Two patients had complications. One required a percutaneous drainage of a collection and other required an open surgical procedure for peritoneal l
Julie Rovner’s Health Care Policy and Politics A to Z: a review
Cristóbal S Berry-Cabán
Risk Management and Healthcare Policy , 2010, DOI: http://dx.doi.org/10.2147/RMHP.S9509
Abstract: lie Rovner’s Health Care Policy and Politics A to Z: a review Short Report (3421) Total Article Views Authors: Cristóbal S Berry-Cabán Published Date December 2010 Volume 2010:3 Pages 81 - 82 DOI: http://dx.doi.org/10.2147/RMHP.S9509 Cristóbal S Berry-Cabán Womack Army Medical Center, Fort Bragg, NC, USA Abstract: Drawing on her vast experience covering health care policy on Capitol Hill, Julie Rovner has written explanations for over 300 key concepts that demystify the world of United States Government health care policy. In the newest edition of Health Care Policy and Politics A to Z, readers will find updated information on long-term health care spending, abortion, Medicaid and Medicare, health insurance and the uninsured, and the State Children’s Health Insurance Program (SCHIP). New entries reflect important changes in recent years and include the Medicare Modernization Act, abstinence education, electronic health records, health savings accounts, and Project BioShield. The book does have its gaps, especially as it relates to mental health. However, this book should become a standard reference for all health care professionals.
Reflexiones sueltas respecto al escrito: Etnohistoria, Antropología Histórica o simplemente Historia? de Ana María Lorandi
Cristóbal Aljovín de Losada
Memoria Americana , 2012,
Abstract:
Rese a de "Patrimonio divino y capitalismo criollo. El proceso desamortizador de los censos eclesiásticos en el Perú" de Fernando Armas Asín
Cristóbal Aljovín de Losada
Anuario de Historia de la Iglesia , 2011,
Abstract:
Conceptual mappings and neural reuse
Cristóbal Pagán Cánovas
Frontiers in Human Neuroscience , 2014, DOI: 10.3389/fnhum.2014.00261
Abstract:
The Influence of Large-Scale Phenomena on La Paz Bay Hydrographic Variability  [PDF]
Cristóbal Guevara-Guillén, Bernardo Shirasago-Germán, Edgar Leonardo Pérez-Lezama
Open Journal of Marine Science (OJMS) , 2015, DOI: 10.4236/ojms.2015.51012
Abstract: We analyzed the hydrographic variability of La Paz Bay, the largest coastal water body in the Gulf of California, and its relationship with Pacific large-scale phenomena, including the El Ni?o-Southern Oscillation (ENSO), Pacific Decadal Oscillation (PDO), Pacific-North America pattern (PNA), and North Pacific pattern (NP). We used several indices related to these phenomena and the hydrographic variability data of La Paz Bay, consisting of the annual sea surface temperature patterns from satellite imagery from 2000 to 2010 and the mixed layer depths measured with?in situ?data from 1994 to 2009. The results indicate the sea surface temperature fluctuated during the study period, with 2007 as the coldest year and 2009 as the warmest. Two periods were identified in the annual thermal cycle of the bay, one period of warmth from June to November, and one of cold from December to May. The sea surface temperature is primarily influenced by the ENSO. The mixed layer depth analysis showed its absence during August-September, while the deepest ones were in November-March. The unusual 100 m mixed layer depth noted during February 2002 and its absence in March 1996 and 2009 were related to uncommon atmospheric conditions in the annual patterns of the ENSO, PNA, and NP. The variability of the mixed layer depth is primarily related to the variability of the NP. We concluded that the hydrographic conditions of La Paz Bay are most influenced by the NP during the cold phase of its annual cycle, and by the ENSO during the warm phase.
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