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Search Results: 1 - 10 of 6311 matches for " Ernesto; Lazo Montero "
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Equipo cubano interdisciplinario de cirugía craneofacial en pediatría: Resultados de un quinquenio
Vila Morales,Dadonim; Leyva Mastrapa,Tania; Alonso Fernández,Luis; Sánchez Cabrales,Ernesto; Lazo Montero,Juan Carlos;
Revista Cubana de Estomatolog?-a , 2010,
Abstract: most of the craniofacial deformities are due to alterations of growth, development, traumata and neoplasms. to describe the integral surgical treatment of above deformities, a cross-sectional and descriptive study was conducted in 46 patients treated by the interdisciplinary staff of craniofacial surgery from the "juan manuel márquez" university children hospital from may, 2003 to march, 2007. the more frequent deformity was the craniosynostosis (57 %), specifically the plagiocephaly (17 %). most of patients were of white race (70 %) and were operated don between the first and the seventh year of life (57 %) for a mean of 6,3 years. generally there wasn't sex predominance. a total of 18 different surgical techniques were used. there were 5 complications during the postoperative period (11 %), a decease (2.2 %), a ophthalmoplegia (2.2 %), two cerebrospinal fluid leakage (4.4 %) and a desaturation by depression of respiratory center (2.2 %). with the exception of ophthalmoplegia there was a resolution of complications in a 15 days interval. results reported by this unique cuban staff are outstanding compared with international literature.
Modelos para el diagnóstico, tratamiento y seguimiento de pacientes con hipertensión arterial
Alfredo Morales,Raykenler Yzquierdo,Ernesto Medina,Rene Lazo
Revista Cubana de Ciencias Informáticas , 2011,
Abstract: Los objetivos que persiguen estos modelos están dirigidos a ayudar a los médicos en la toma de decisiones en el diagnóstico, tratamiento y seguimiento de pacientes con hipertensión arterial. Para el desarrollo de los mismos se han usado diferentes técnicas de inteligencia artificial que ayudan, con una mayor adaptación de los algoritmos, a los casos reales de esta enfermedad. En el diagnóstico se utiliza un sistema basado en reglas que permite encontrar las patologías del paciente, así como las pruebas complementarias que deben indicarse en algunos casos. En la etapa de indicación y control de tratamiento farmacológico se emplea un sistema híbrido compuesto por un Sistema de Inferencia Borroso (SIB) para la selección del fármaco de forma personalizada en cada paciente y como complemento a este SIB se propone otro modelo inspirado en Métodos de Solución de Problemas. A partir de ambas soluciones se elabora un informe conclusivo. Finalmente, se incluye un modelo de recuperación de casos semejantes, que permite extraer conocimiento extra de una base de datos de pacientes, lo que ayudará al médico en sus decisiones a la hora de indicar un posible tratamiento a una persona con características similares a una ya atendida.
Hemangioendotelioma epitelioide del pene diagnósticado como enfermedad de Peyronies
Orlich-Castelán,Claudio; Jiménez-Montero,Ernesto;
Revista Costarricense de Ciencias Médicas , 2006,
Abstract: we herein report a very rare case of an epitheloid hemangioendothelioma of the penis, initially misdiagnosed as peyronies disease. there have been only twelve cases of this penile malignancy reported in the medical literature. this patient was initially treated with corrective surgery for a penile curvature and in the postoperative period got infected with total loss of the penis and a subsequent biopsy showed this rare malignancy with involvement of the vaginal tunics and spermatic cords on both sides. a total penectomy and oquiectomy had to be performed with placement of a suprapubic tube and of a perineal urethrostomy and he was treated with chemotherapy with a survival of close to four years.
Protocolo POG 9061 en la recaída aislada a sistema nervioso central en pacientes con diagnóstico de leucemia linfoide aguda. Resultados de una serie de casos en el Hospital Universitario de Santander
Rueda,Ernesto; Montero,Liliana Patricia; Díaz,Luis Alfonso;
Revista de la Universidad Industrial de Santander. Salud , 2010,
Abstract: introduction: acute lymphoblastic leukemia (all) is the most frequent neoplasm in children. relapses to central nervous system (cns) appears in 5-10 % of the all patients and is a bad prognostic factor. objective: to describe the results obtained with modified pog 9061 protocol in a pediatric oncology unit. methodology: survival analysis was made and main complications caused by protocol were analyzed in a retrospective cohort with all of patients attended for all with isolated relapse to cns. results: fifteen patients attended from 1993 to 2007 were included; 66.6 % cns relapses were early to 18 mounts following all remission. two patients left protocol, with one death; there were another two deaths among other patients. five year global survival rate was 85.6 % (95 %ci 53.3-96.2 %), and event-free survival rate was 84.9 % (95 %ci 51.2-96.0 %). the most frequent complication was mielosupression; renal function alteration was not observed, with a light elevation of hepatic function tests. infection was the main hospitalization cause. conclusions: survival rates and complications (type and frequency) are similar to the other studies. this finding is relevant because half of the patients had early cns relapse after all remission. salud uis 2010; 42: 7-17.
Arteritis de Takayasu y aneurisma gigante en escolar: Reporte de caso Takayasu arteritis and giant aneurysm in a school student: A case report
Ernesto Vallejo,Francisco J Montero,Juan P Rojas
Revista Colombiana de Cardiología , 2012,
Abstract: La arteritis de Takayasu es una vasculitis de grandes vasos que afecta a la aorta y sus ramas principales, llevando a estenosis y trombosis, así como a la formación de aneurismas. Se reporta una incidencia global de 2,6 casos por millón por a o, siendo baja en ni os. La terapia de elección son los corticoides, seguidos de inmunosupresores en casos de resistencia. Se reporta el caso clínico de un paciente con arteritis de Takayasu con formación de aneurisma gigante de la aorta. Takayasu's arteritis is a vasculitis of large vessels that affects the aorta and its major branches, leading to stenosis and thrombosis, as well as aneurysm formation. An overall incidence of 2.6 cases per million per year has been reported, being lower in children. Corticosteroids are the therapy of choice, followed by immunosuppressants in cases of resistance. We report the case of a patient with Takayasu's arteritis with formation of giant aneurysm of the aorta.
Protocolo POG 9061 en la recaída aislada a sistema nervioso central en pacientes con diagnóstico de leucemia linfoide aguda. Resultados de una serie de casos en el Hospital Universitario de Santander POG 9061 protocol to treat isolated central nervous system recurrence in patients with acute lymphoid leukemia at Hospital Universitario de Santander
Ernesto Rueda,Liliana Patricia Montero,Luis Alfonso Díaz
Revista de la Universidad Industrial de Santander. Salud , 2010,
Abstract: Introducción: La leucemia linfoide aguda (LLA) es la neoplasia más común en ni os; el 5-10 % presentan recaídas a sistema nervioso central (SNC), un factor de mal pronóstico. Objetivo: Describir los resultados obtenidos en una unidad de oncología pediátrica con el protocolo POG 9061 modificado, en pacientes con LLA y recaída aislada a SNC. Metodología: Cohorte de los pacientes atendidos en el Hospital Universitario de Santander (HUS). Se estimó la sobrevida libre de evento (SLE) y la sobrevida total (ST), así como las alteraciones resultantes del protocolo. Se incluyeron 15 pacientes atendidos entre enero/93 y marzo/07; el último diagnóstico de recaída al SNC se hizo en noviembre/04. Resultados: El 66,6 % de las recaídas se dieron antes de 18 meses luego de remitir la LLA. Dos pacientes abandonaron el protocolo, uno de los cuales falleció; dos o más fallecieron luego de terminar el protocolo. La ST a cinco a os fue de 85,6 % (IC95 % 53,3-96,2), mientras que la SLE de 84,9 % (IC95 % 51,2-96,0 %). La complicación más frecuente fue mielosupresión; no hubo alteraciones de la función renal y solo una ligera elevación de las pruebas de función hepática. Las causas de hospitalización fueron principalmente infecciones. El coeficiente intelectual de los pacientes posterior a la aplicación del protocolo indicaba deficiencia leve en el 45,4 % de ellos. Conclusiones: La sobrevida, el tipo y la frecuencia de complicaciones, son similares a las encontradas a nivel mundial, lo que es relevante dada la alta proporción de pacientes con recaída precoz luego de remisión de la LLA. Salud UIS 2010; 42: 7-17 Introduction: Acute lymphoblastic leukemia (ALL) is the most frequent neoplasm in children. Relapses to central nervous system (CNS) Appears in 5-10 % of the ALL patients and is a bad prognostic factor. Objective: To describe the results obtained with modified POG 9061 protocol in a pediatric oncology unit. Methodology: Survival analysis was made and main complications caused by protocol were analyzed in a retrospective cohort with all of patients attended for ALL with isolated relapse to CNS. Results: Fifteen patients attended from 1993 to 2007 were included; 66.6 % CNS relapses were early to 18 mounts following ALL remission. Two patients left protocol, with one death; there were another two deaths among other patients. Five year global survival rate was 85.6 % (95 %CI 53.3-96.2 %), and event-free survival rate was 84.9 % (95 %CI 51.2-96.0 %). The most frequent complication was mielosupression; renal function alteration was not observed, with a light elevation of hepat
Jürgen Habermas: Religion, Cultural Diversity and Publicity  [PDF]
Paula Montero
Advances in Anthropology (AA) , 2014, DOI: 10.4236/aa.2014.43022
Abstract:

The aim of this essay is to reflexively consider the particular way in which Jürgen Habermas faces some theoretical challenges that are particularly interesting to contemporary anthropological thought, i.e., the issue of cultural translation and the presence of religion in the public sphere.

Enfoques del análisis de envolvente al procesamiento de vibraciones para el diagnóstico de maquinarias
Hernández-Montero,Fidel Ernesto; Gutiérrez-García,Michel;
Ingenier?-a Mec??nica , 2010,
Abstract: envelope analysis of vibrations is very employed on rolling bearings and gears failure detection due to low cost and high effectiveness of its implementation. this technique can be implemented through two ways: (1) filtering and (2) hilbert transform, not compared one each other yet. in this paper, a mathematical effort, done in order to justify the capability of these approaches to be applied on rolling bearings diagnosis, is shown and a comparison between these two approaches is revealed. the hilbert transform approach applied on envelope analysis was probed to be the most effective technique for rolling bearings failure detection.
Medición de la presión intraabdominal para la vigilancia posoperatoria de la cirugía abdominal
Medrano Montero,Ernesto; Ramírez Pu,Raúl; Medina Meri?o,Carlos; Miranda Lorenzo,Delcio;
Revista Cubana de Cirug?-a , 2007,
Abstract: a case series study that included 286 laparotomized patients that were admitted at the icu of “vladimir ilich lenin” general hospital, in holguin, between march 4, 1999 and january 29, 2003, was conducted. the objective was to describe the behavior of age, sex, diagnosis on admission, frequency of intraabdominal postoperative complications, and the result attained in these patients on discharge. according to apache ii, the prognostic scale of severity was 13.1. the main cause of hospitalization were peritonitis (34.9 %) and polytraumas (19.52 %). postoperative complications were found in 32.5 % of the patients. intraabdominal pressure in the complicated patients was 14.94 ± 4.88 cm h2o; whereas, in those patients without complications it was11.67 ± 4.63 cm h2o (f = 31.4948; p < 0.05). there were 94 deaths (32.8 %) and their intrabdominal pressure was 14.22 ± 5.18 cm h2o. however, the survivors’ pressure was 12.07 ± 4.74 cm h2o (f = 12.2824; p < 0.05). the patients with postoperative complications and unfavorable results on discharge from the icu had a higher intrabdominal pressure than those with a satisfactory evolution.
Medición de la presión intraabdominal para la vigilancia posoperatoria de la cirugía abdominal Measurement of intraabdominal pressure for the postoperative surveillance of abdominal surgery
Ernesto Medrano Montero,Raúl Ramírez Pu,Carlos Medina Meri?o,Delcio Miranda Lorenzo
Revista Cubana de Cirugía , 2007,
Abstract: Se realizó un estudio de serie de casos de 286 pacientes laparotomizados que ingresaron en la Unidad de Cuidados Intensivos del Hospital General Vladimir Ilich Lenin (Holguín), entre el 4 de marzo de 1999 y el 29 de enero del 2003. El objetivo fue describir el comportamiento de la edad, sexo, diagnóstico al ingreso, frecuencia de complicaciones intraabdominales posoperatorias y el resultado al egreso de estos pacientes. Según el APACHE II, la escala pronóstica de gravedad fue de 13,1. Las principales causas del ingreso fueron peritonitis (34,9 %) y politraumatismos (19,52 %). Encontramos complicaciones posoperatorias en el 32,5 % de los pacientes. La presión intraabdominal en los pacientes complicados fue de 14,94 ± 4,88 cm H2O, mientras que en los pacientes que no tuvieron complicaciones fue de 11,67 ± 4,63 cm H2O (F = 31,4948; p < 0,05). Hubo 94 fallecidos (32,8 %) y su presión intraabdominal fue de 14,22 ± 5,18 cm H2O. En cambio, en los sobrevivientes la presión fue de 12,07 ± 4,74 cm H2O (F = 12,2824; p < 0,05). Los pacientes con complicaciones posoperatorias y con resultados desfavorables al egreso de la unidad de cuidados intensivos tienen una presión intraabdominal más alta que los que evolucionan favorablemente. A case series study that included 286 laparotomized patients that were admitted at the ICU of “Vladimir Ilich Lenin” General Hospital, in Holguin, between March 4, 1999 and January 29, 2003, was conducted. The objective was to describe the behavior of age, sex, diagnosis on admission, frequency of intraabdominal postoperative complications, and the result attained in these patients on discharge. According to APACHE II, the prognostic scale of severity was 13.1. The main cause of hospitalization were peritonitis (34.9 %) and polytraumas (19.52 %). Postoperative complications were found in 32.5 % of the patients. Intraabdominal pressure in the complicated patients was 14.94 ± 4.88 cm H2O; whereas, in those patients without complications it was11.67 ± 4.63 cm H2O (F = 31.4948; p < 0.05). There were 94 deaths (32.8 %) and their intrabdominal pressure was 14.22 ± 5.18 cm H2O. However, the survivors’ pressure was 12.07 ± 4.74 cm H2O (F = 12.2824; p < 0.05). The patients with postoperative complications and unfavorable results on discharge from the ICU had a higher intrabdominal pressure than those with a satisfactory evolution.
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