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Search Results: 1 - 10 of 227305 matches for " David; De Dios Vidal "
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Carcinoma papilar quístico y del tiroides: Estudio de 4 casos
Infante Amorós,Adalberto; Argüelles Zayas,Ana del Carmen; González Fernández,Ramón; Cubero Rego,David; De Dios Vidal,José M.;
Revista Cubana de Medicina , 2004,
Abstract: 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.
Resultados del tratamiento quirúrgico de la patología nodular tiroidea en el Hospital “Hermanos Ameijeiras” (1995-2004) RESULTS OF THE SURGICAL TREATMENT OF THYROID NODULAR PATHOLOGY IN "HERMANOS AMEIJEIRAS HOSPITAL (1995-2004)
Ramón González Fernández,José M de Dios Vidal,Jorge René Salinas Graham,Adalberto Infante Amorós
Revista Cubana de Cirugía , 2004,
Abstract: Se realizó un estudio prospectivo que incluyó a 340 pacientes afectos de enfermedad nodular tiroidea, diagnosticada y tratada en el Hospital Clínicoquirúrgico. “Hermanos Ameijeiras” en el período de mayo de 1995 a mayo de 2004, y se evaluó el resultado del tratamiento adoptado. El mayor número de pacientes se encontraba en la 5. década de la vida (25,2 %); el sexo femenino fue el más frecuente, para el 88,2 %. El bocio multinodular (46,4 %) y el adenoma folicular (20,5 %) fueron las patologías benignas más frecuentes. Con relación al tratamiento preoperatorio encontramos que el 59 % recibió tratamiento supresivo previo y el 5 %, tratamiento antitiroideo. La hemitiroidectomía fue la intervención más frecuente para el 52,9 %; seguida por la tiroidectomía casi total y la total con el 17,3 y 15,8 % respectivamente. No presentó complicaciones el 96,1 % de los casos. El tratamiento posoperatorio más usado fue la terapia sustitutiva de hormona tiroidea (76,7 %). El resultado de la terapéutica fue satisfactorio; no hubo mortalidad perioperatoria. A prospective study was conducted among 340 patients suffering from thyroid nodular disease, diagnosed and treated in “Hermanos Ameijeiras” Clinical and Surgical Hospital from May 1995 to May 2004. The result of the treatement was also evaluated. Most of the patients were in the fifth decade of life (25.2 %). It was more frequent in females (88.2 %). The multinodular goiter (46.4 %) and the follicular adenoma (20.5 %) were the commonest benign pathologies. As to the preoperative treatment, we found that 59 % received previous suppressive treatment and 5 % antithyroid treatment. Hemithyroidectomy was the most common surgery, accounting for 52.9 %, followed by partial and total thyroidectomy with 17.3 and l5.8 %, respectively. 96.1 % of the cases had no complication. The most used postoperative treatment was the thyroid hormone replacement therapy (76.7 %). The result of the therapeutics was satisfactory. No perioperative mortality was reported.
Enfriadores evaporativos, humectadores y otras instalaciones. Presentan un menor riesgo de legionelosis tal y como contempla su clasificación en el Real Decreto 865/2003? Evaporative coolers, humidifiers and other systems, have less risk of legionella proliferation as it show their classification in the Spanish law (RD 865/2003)?
Gregorio de Dios de Dios
Revista de Salud Ambiental , 2006,
Abstract: El Real Decreto 865/2003 por el que se establecen los criterios higiénico-sanitarios para la prevención y control de la legionelosis establece una clasificación de las instalaciones que son objeto del mismo separándolas en dos grupos, las de mayor probabilidad de proliferación y dispersión de Legionella y las de menor probabilidad. Entre éstas últimas se incluyen los equipos de enfriamiento evaporativo y los humidificadores. Esta clasificación o separación y el hecho de que para todas ellas no exista un Anexo específico en el Real Decreto que desarrolle los programas de mantenimiento a llevar a cabo, puede crear la falsa imagen de que todos los sistemas que pertenecen a este segundo grupo, tienen un menor riesgo técnico de proliferación de legionellosis y que por tanto la importancia del cumplimiento estricto. RD 865/2003 laying down the health and hygiene standards for prevention and control of legionellosis establishes a classification of facilities that are subject to the same separated into two groups, those most likely to proliferation and spread of Legionella and the lowest probability. Among the latter are included evaporative cooling equipment and humidifiers. This classification or separation and the fact that for all of them there is no specific Annex to RD to develop programs to perform maintenance, you can create the false impression that all systems that belong to this second group have lower technical risk of proliferation of legionellosis and therefore the importance of strict compliance.
Protocolo de diagnóstico y tratamiento del cáncer tiroideo
González Fernández,Ramón; Infante Amorós,Adalberto; López Soto,María Victoria; De Dios Vidal,José M;
Revista Cubana de Cirug?-a , 2004,
Abstract: in this paper, the management of patients with thyroid cancer is dealt with taking into account the use of the diagnostic tools and, in particular, the importance of the use of fine-needle aspiration biopsy for the early diagnosis. in the last decades, there have been more conservative criteria regarding the sufficiency in the extension of surgery in the well differentiated cancers, motivated by the greater knowledge of tumor biology, the development of immunohistochemical tests, adjuvant treatment and a closer follow-up. this has led to the appearance of certain controversial criteria. a protocol of diagnosis and treatmemt is exposed taking into consideration an adequate staging and definition of the risk groups, an important and novel parameter in this entity
Resultados del tratamiento quirúrgico de la patología nodular tiroidea en el Hospital “Hermanos Ameijeiras” (1995-2004)
González Fernández,Ramón; de Dios Vidal,José M; Salinas Graham,Jorge René; Infante Amorós,Adalberto; López Soto,María Victoria;
Revista Cubana de Cirug?-a , 2004,
Abstract: a prospective study was conducted among 340 patients suffering from thyroid nodular disease, diagnosed and treated in “hermanos ameijeiras” clinical and surgical hospital from may 1995 to may 2004. the result of the treatement was also evaluated. most of the patients were in the fifth decade of life (25.2 %). it was more frequent in females (88.2 %). the multinodular goiter (46.4 %) and the follicular adenoma (20.5 %) were the commonest benign pathologies. as to the preoperative treatment, we found that 59 % received previous suppressive treatment and 5 % antithyroid treatment. hemithyroidectomy was the most common surgery, accounting for 52.9 %, followed by partial and total thyroidectomy with 17.3 and l5.8 %, respectively. 96.1 % of the cases had no complication. the most used postoperative treatment was the thyroid hormone replacement therapy (76.7 %). the result of the therapeutics was satisfactory. no perioperative mortality was reported.
Resultados del diagnóstico de la patología nodular tiroidea
González Fernández,Ramón; De Dios Vidal,José M; Infante Amorós,Adalberto; López Soto,María Victoria;
Revista Cubana de Cirug?-a , 2004,
Abstract: a prospective study that included 204 patients affected by thyroid nodular disease diagnosed at "hermanos ameijeiras" clinical and surgical hospital from may, 1977, to may, 2000, was conducted. most of the patients were in the 4th or 5th decade of life, 53 and 49 %, respectively. females prevailed with 90.7 %. all the patients underwent fine needle aspiration biopsy and ultrasound for their evaluation. the multinodular goiter (41,6 %) and the follicular adenoma (21.1 %) were the most frequent bening affections; whereas the papillary carcinoma was the commonest among the malignant. solid tumors were detected in 66.7 % of the cases. the right lobule was the most affected place, accounting for 41.6 %. fine needle aspiration biopsy showed 90.9 % of sensitivity, 99.1 % of specificity and an efficiency of 98.4 %
Protocolo de diagnóstico y tratamiento del cáncer tiroideo Protocol of diagnosis and treatment of thyroid cancer
Ramón González Fernández,Adalberto Infante Amorós,María Victoria López Soto,José M De Dios Vidal
Revista Cubana de Cirugía , 2004,
Abstract: En este trabajo se plasma el manejo de los pacientes con de cáncer del tiroides, teniendo en cuenta, el uso de los medios diagnósticos, en particular la importancia del uso de la biopsia aspirativa con aguja fina para el diagnóstico precoz. Se sabe que en las últimas décadas han existido criterios más conservadores en lo referido a la suficiencia en la extensión de la operación, en los cánceres bien diferenciados, motivado esto por el mayor conocimiento de la biología del tumor, el desarrollo de pruebas de inmunohistoquímica, tratamiento adyuvante y un seguimiento más estrecho. Por lo que esto ha motivado ciertos criterios controvertidos. Se expone un protocolo de diagnóstico y tratamiento, teniendo en cuenta un adecuado estadiamiento, y definición de los grupos de riesgo, parámetro importante y novedoso en esta entidad In this paper, the management of patients with thyroid cancer is dealt with taking into account the use of the diagnostic tools and, in particular, the importance of the use of fine-needle aspiration biopsy for the early diagnosis. In the last decades, there have been more conservative criteria regarding the sufficiency in the extension of surgery in the well differentiated cancers, motivated by the greater knowledge of tumor biology, the development of immunohistochemical tests, adjuvant treatment and a closer follow-up. This has led to the appearance of certain controversial criteria. A protocol of diagnosis and treatmemt is exposed taking into consideration an adequate staging and definition of the risk groups, an important and novel parameter in this entity
Resultados del diagnóstico de la patología nodular tiroidea
Ramón González Fernández,José M De Dios Vidal,Adalberto Infante Amorós,María Victoria López Soto
Revista Cubana de Cirugía , 2004,
Abstract: Se realizó un estudio prospectivo que incluyó a 204 pacientes afectados por enfermedad nodular tiroidea, diagnosticada en el Hospital Clinicoquirúrgico "Hermanos Ameijeiras", en el periodo de mayo de 1997 a mayo de 2000 y donde se evaluó el resultado de los medios diagnósticos. El mayor número de pacientes se encontraba en la 5ta. y 4ta. década de la vida, 53 y 49 % respectivamente; el sexo femenino fue el más frecuente, para el 90,7%. A todos los pacientes se les realizó para su evaluación la biopsia aspirativa con aguja fina y el ultrasonido. El bocio multinodular (46,1 %) y el adenoma folicular (21,1 %) constituyeron las afecciones benignas más frecuentes y entre las malignas el carcinoma papilar (5,9 %). Al 66,7 % de los casos se les detectó tumoración sólida, y fue el lóbulo derecho el lugar más afectado para el 41,6 %. La biopsia espirativa con aguja fina mostró 90,9 % de sensibilidad, 99,1 % de especificidad y una eficacia de 98,4 % A prospective study that included 204 patients affected by thyroid nodular disease diagnosed at "Hermanos Ameijeiras" Clinical and Surgical Hospital from May, 1977, to May, 2000, was conducted. Most of the patients were in the 4th or 5th decade of life, 53 and 49 %, respectively. Females prevailed with 90.7 %. All the patients underwent fine needle aspiration biopsy and ultrasound for their evaluation. The multinodular goiter (41,6 %) and the follicular adenoma (21.1 %) were the most frequent bening affections; whereas the papillary carcinoma was the commonest among the malignant. Solid tumors were detected in 66.7 % of the cases. The right lobule was the most affected place, accounting for 41.6 %. Fine needle aspiration biopsy showed 90.9 % of sensitivity, 99.1 % of specificity and an efficiency of 98.4 %
Myopericarditis: Physiopathological Consideration and Image Diagnosis—A Case Report  [PDF]
Santiago de Dios, Alfonso Jurado, Jaime Fernandez
World Journal of Cardiovascular Diseases (WJCD) , 2014, DOI: 10.4236/wjcd.2014.410061
Abstract: Myocarditis is a disease whose diagnosis is based on the detection of inflammation. It is usually made by the finding of myocardium damage markers (usually troponin and CPK). Inflammation can also be detected in image tests. However, the low sensitivity and specificity of echocardiogram (which can be performed as a routine) make it less useful. We present a case in which the diagnosis was made by image (Cardiac Magnetic Resonance) which helped to clarify the evolution and the prognosis. The aim of this case is to show the importance of image technics in the diagnosis of myocarditis, while biomarkers alone can underestimate the inflammation and therefore the risk.
Adaptación y fiabilidad del cuestionario de red social, versión espa?ola del "Questionario sulla rete sociale", aplicado a personas con trastorno mental severo
García-Cubillana,Pablo; Dios Luna,Juan de; Laviana,Margarita; Fernández,Luís; Perdiguero,David; López,Marcelino;
Revista de la Asociación Espa?ola de Neuropsiquiatría , 2006, DOI: 10.4321/S0211-57352006000100008
Abstract: introduction: the aims of this paper is to present the spanish version of the social network questionnaire -snq-and its reliability that has been analysed on a sample of people with severe mental illness in andalusia (spain). method: the questionnaire was translated into spanish and its inter-rate and test-retest agreement were assessed in a sample of 30 subjects, residents in different sheltered homes. afterwards, the internal consistency was assessed using the answerers of 225 subjects of similar characteristics. for the statistical analysis intraclass and cronbach coefficients were used. results: inter-rate agreement: intraclass from 0.716 to 1.000; test-retest agreement: intraclass from 0.412 to 1.000; internal consistency: alfa=0.723. conclusion: the spanish version of the snq (cures) is an assessment instrument with reasonable reliability to assess the social network of people with severe mental illness in residential facilities.
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