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Search Results: 1 - 10 of 7728 matches for " Georgia; Felipe Garmendia "
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El consentimiento informado en el tratamiento integral del ni o con fisura labio-alveolo-palatina Informed consent in the comprehensive treatment of children with labial-alveolar-palatal clefts
Georgia Garmendia Hernández,Dadonim Vila Morales,ángel Mario Felipe Garmendia,ángel Felipe Alfonso
Revista Cubana de Estomatolog?-a , 2013,
Abstract: Introducción: el Servicio de Cirugía Maxilofacial del Hospital Pediátrico Universitario "Juan Manuel Márquez" de La Habana adoleció de un proceso estandarizado de consentimiento informado. Se tuvo además como propósito el analizar los criterios de los representantes válidos sobre la información que le brindaría el consentimiento informado. Métodos: se estudió a los 32 integrantes del equipo multidisciplinario y a 9 representantes válidos de los pacientes para así constatar el grado de conocimiento sobre los principios de ética Médica y Bioética. Resultados: se mostró que la mayoría tuvo un nivel bajo en cuanto a ética Médica y niveles medio o alto en la Bioética. Los representantes válidos presentaron un nivel bajo. Se confirmó el reconocimiento de la necesidad e importancia del consentimiento informado aunque el equipo de salud refirió que no lo utiliza adecuadamente. Se elaboró una propuesta metodológica del proceso de consentimiento informado. Conclusiones: el nivel de conocimiento sobre los principios de la ética Médica y la Bioética de los profesionales no se correspondió con la percepción que ellos tuvieron ni con la expresión práctica de dichos elementos. Introduction: the Maxillofacial Surgery Service at Juan Manuel Marquez Children's University Hospital in Havana did not have a standardized informed consent procedure. Another purpose was to analyze the opinions of valid representatives about the information to be provided by such informed consent. Methods: a study was conducted of the 32 members of the multidisciplinary team and 9 valid representatives of the patients to verify their awareness of the principles of medical ethics and bioethics. Results: most showed low awareness of medical ethics, and medium to high awareness of bioethics. Valid representatives showed a low level of awareness. Acknowledgement of the importance of and need for informed consent was confirmed, but the medical team admitted that they do not use it appropriately. A methodological proposal was developed for the process of informed consent. Conclusions: awareness of the principles of medical ethics and bioethics by professionals was not consistent with their perception of such principles or their implementation.
Osteogénesis por distracción en defectos mandibulares y su estabilidad esquelética a los 2 a?os de tratados
Vila Morales,Dadonim; Garmendia Hernández,Georgia; Felipe Garmendia,ángel Mario;
Revista Cubana de Estomatolog?-a , 2011,
Abstract: to show the results of the skeletal stability after 2 years of to be operated on from the first patients presenting with mandibular hypoplasias treated with osteogenic distraction in our country. eleven hemi-mandibles in 7 patients using mandibular osteogenic distraction with leibinger distraction device. latency period was of 72 hours, mandibular distraction was applied at a rate of 1,0 mm each 12 hours and fixation was of 8 weeks. then, postsurgical orthodontic treatment was started. there were significant postoperative skeletal changes. results were assessed by cephalometry studies before intervention, after and at 2 years of treatment. also, there were significant postoperative skeletal changes in snb and anb with p< 0,05. the arithmetic mean of the osteodistraction achieve in branch was of 7,5 mm and in the body it was of 8,0 mm. at 2 years there remain a mandibular bone stability of 88,8 % qualified as good. occlusal changes were favorable. there were not complications involving the good course of patients treated. it was shown that the bone distraction is an effective method for treatment of mandibular defects.
Osteogénesis por distracción en defectos mandibulares y su estabilidad esquelética a los 2 a os de tratados Osteogenesis by distraction in mandibular defects and skeletal stability after two years of treatment
Dadonim Vila Morales,Georgia Garmendia Hernández,ángel Mario Felipe Garmendia
Revista Cubana de Estomatolog?-a , 2011,
Abstract: El presente estudio tiene como objetivo mostrar los resultados de la estabilidad esquelética a los 2 a os de operados, de los primeros pacientes con hipoplasias mandibulares tratados con distracción osteogénica en nuestro país. Se trataron 11 hemimandíbulas en 7 pacientes con distracción osteogénica mandibular, con distractores marca Leibinger. El periodo de latencia fue de 72 horas, la distracción mandibular se aplicó a razón de 1,0 mm cada 12 horas y la contención fue de 8 semanas. Luego se inició el tratamiento ortodóncico posquirúrgico. Se evaluaron los resultados a través de estudios cefalométricos antes de la intervención, luego y a los 2 a os del tratamiento hubo cambios esqueléticos posoperatorios significativos en las mediciones angulares cefalométricas SNB y ANB, con p< 0,05. La media aritmética de la osteodistracción obtenida en rama, fue de 7,5 mm y en el cuerpo de 8,0 mm. A los 2 a os existió una estabilidad ósea mandibular de 88,8 % evaluada de buena. Los cambios oclusales fueron favorables. No existieron complicaciones que afectaran la buena evolución de los pacientes tratados. Se demostró que la distracción ósea es un método eficaz para el tratamiento de defectos mandibulares. To show the results of the skeletal stability after 2 years of to be operated on from the first patients presenting with mandibular hypoplasias treated with osteogenic distraction in our country. Eleven hemi-mandibles in 7 patients using mandibular osteogenic distraction with Leibinger distraction device. Latency period was of 72 hours, mandibular distraction was applied at a rate of 1,0 mm each 12 hours and fixation was of 8 weeks. Then, postsurgical orthodontic treatment was started. There were significant postoperative skeletal changes. Results were assessed by cephalometry studies before intervention, after and at 2 years of treatment. Also, there were significant postoperative skeletal changes in SNB and ANB with p< 0,05. The arithmetic mean of the osteodistraction achieve in branch was of 7,5 mm and in the body it was of 8,0 mm. At 2 years there remain a mandibular bone stability of 88,8 % qualified as good. Occlusal changes were favorable. There were not complications involving the good course of patients treated. It was shown that the bone distraction is an effective method for treatment of mandibular defects.
QUEILONASO Y ESTAFILORRAFIA PRECOZ EN UN TIEMPO QUIRURGICO: RESULTADOS POSTOPERATORIOS. 1990-2006
Garmendía Hernández,Georgia; Felipe Garmendia,Angel Mario; Vila Morales,Dadonim;
Revista Habanera de Ciencias M??dicas , 2008,
Abstract: the combined cleft palate fissures are among the most difficult to treat morph physiological abnormalities. in the last decades, there has been a valuation in whether to treat precociously the soft palate along with the lip with the purpose to obtain better aesthetical and functional results. this investigation has the reason to evaluate the results of the application of palatorrhaphy in patients with cleft lip (plap) or their combinations, who were treated in our service in the last 15 years, regarding: sample presentations, maxillary growth and development, occlusion, phonetic and aesthetic results. a descriptive study was performed in a universe of 207 patients with cleft lip and palate fissures (clpf) that were surgically intervened in our service, the sample was made out of the 122 who were submitted to such technique. the 40,2% of the patients had clpf out of which the 69,4% was unilateral and the rest bilateral. the 56, 5%, isolated non syndromic palate fissure and only the rest were complete. the total of the sample had a normal growth and development. the 97% of the sample were evaluated as aesthetically satisfactory and the 91% was phonetically evaluated as favorable. results speak in favor of this technique for the treatment of these fissures.
QUEILONASO Y ESTAFILORRAFIA PRECOZ EN UN TIEMPO QUIRURGICO: RESULTADOS POSTOPERATORIOS. 1990-2006 Precocious palatorhaphy and staphylorhaphy in one surgical session: Postoperatory results. 1990-2006
Georgia Garmendía Hernández,Angel Mario Felipe Garmendia,Dadonim Vila Morales
Revista Habanera de Ciencias M??dicas , 2008,
Abstract: Las fisuras labio-alveolo-palatina combinadas entre sí, constituyen alteraciones morfofisiológicas y estéticas muy difíciles de tratar. En las últimas décadas se ha valorado la conveniencia de realizar el cierre del paladar blando muy temprano conjuntamente con el cierre del labio con el propósito de obtener mejores resultados estéticos y funcionales. La presente investigación tiene el propósito de evaluar los resultados de la aplicación de Queiloestafilorrafia precoz en los pacientes con fisuras labio-alveolo-palatina (PLAP) o sus combinaciones, tratados en nuestro Servicio, en los últimos 15 a os, en cuanto a: presentación de la muestra, crecimiento y desarrollo maxilar, oclusión, resultados estéticos y foniátricos. Se realizó un estudio descriptivo en un universo de 207 pacientes con FLAP operados en nuestro Servicio, cuya muestra la constituyó los 122 que se sometieron a la mencionada técnica. El 40.2% de la muestra presentó FLAP, de los cuales 69.4% fueron unilaterales y el resto bilaterales. El 56.5% presentó Fisura palatina no sindrómica aislada y sólo la mitad de ellas eran completas. La totalidad de la muestra presentó un crecimiento y desarrollo y oclusiones normales. El 97% de la muestra fueron evaluados como estéticamente satisfactorios y el 91% fue evaluado foniátricamente como favorable. EL empleo de la queiloestafilorrafia precoz constituye un abaratamiento para el Estado, del gasto per cápita en pacientes figurados de $ 6 033.25 MN. Los resultados avalan esta técnica como favorable para el tratamiento de las FLAP. The combined cleft palate fissures are among the most difficult to treat morph physiological abnormalities. In the last decades, there has been a valuation in whether to treat precociously the soft palate along with the lip with the purpose to obtain better aesthetical and functional results. This investigation has the reason to evaluate the results of the application of palatorrhaphy in patients with cleft lip (PLAP) or their combinations, who were treated in our service in the last 15 years, regarding: sample presentations, maxillary growth and development, occlusion, phonetic and aesthetic results. A descriptive study was performed in a universe of 207 patients with cleft lip and palate fissures (CLPF) that were surgically intervened in our service, the sample was made out of the 122 who were submitted to such technique. The 40,2% of the patients had CLPF out of which the 69,4% was unilateral and the rest bilateral. The 56, 5%, isolated non syndromic palate fissure and only the rest were complete. The total of the sample had
Tumor odontógeno adenomatoide en región mandibular Adenomatoid odontogenic tumor in mandibular region
Ernesto Sánchez Cabrales,Dadonim Vila Morales,ángel Mario Felipe Garmendia,Alain Serra Ortega
Revista Cubana de Estomatolog?-a , 2010,
Abstract: El tumor odontogénico adenomatoide es un tumor poco frecuente derivado del epitelio odontontogénico, que contiene estructuras canaliculares con modificaciones inductivas de intensidad variable en el tejido conjuntivo. Es una lesión de crecimiento lento y poco invasiva pero que se puede asemejar a otras lesiones odontógenas de mayor agresividad como el quiste dentígero y el ameloblastoma entre otros. Su localización clásica (área de caninos superiores) nos orienta al diagnóstico y su patrón histológico ductiforme es muy propio de este tumor. Otros tumores que se encuentran dentro de este grupo son el fibroma ameloblástico, el odontoameloblastoma, el quiste odontógeno calcificante y los odontomas compuesto y complejo. Este grupo de lesiones puede o no tener formaciones de tejido duro dental dentro de ellos. Por esta razón, se presenta un paciente con este tipo de tumor, al que se le realizó estudio histopatológico, se revisó la literatura acerca de este tumor odontogénico benigno y sus características clínicas, radiográficas, tratamiento, así como los diagnósticos diferenciales que se deben tener en cuenta. The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odontogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area) guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account.
Children Friendship: The Role of Hope in Attributions, Emotions and Expectations  [PDF]
Georgia Stephanou
Psychology (PSYCH) , 2011, DOI: 10.4236/psych.2011.28133
Abstract: This research aimed to examine a) children’s attributions and emotions for their subjectively perceived friendships with their best friends as positive or negative, b) the role of children’s hope (pathways thinking, agency thinking) in the generation of their perception of their friendships as positive or negative, in the formulation of the subsequent attributions and emotions, and in the impact of attributions on emotions, and c) the effects of hope in the interactive impact of attributions and emotions on friendship expectations. The participants were 322 children, both gender, 5th and 6th grades, representing various parental socioeconomic levels. The results showed that the perceived satisfactory friendships were mainly attributed to internal, and self-friend interactive internal and controllable factors, while the estimated as non satisfactory friendships were predominately attributed to stable, friend’s controllable and internal, and self-friend interactive internal factors. The children experienced intense positive and negative emotions for their perceived satisfactory and non satisfactory friendships, respectively. Hope (mostly, agency thinking) positively influenced the generation of the perceived quality of the friendship, the subsequent attributions (particularly, stability) and emotions, and the impact of attributions on emotions, mainly in the negative friendships group. Also, in the positive friendship group, high-pathway thinking children had higher expectations of positive friendship, whereas, in the non satisfactory friendship group, low-agency thinking children had low expectations of positive friendship. Finally, hope proved formulator of the interactive effect of attributions (mainly, locus of causality) and emotions on friendship expectations. The findings from this study suggest the significant role of good friendship in children’s life, and indicate the importance of examining children friendship along the role of hope in evaluating, attributing causes, experiencing emotions and forming expectations.
Romantic Relationships in Emerging Adulthood: Perception-Partner Ideal Discrepancies, Attributions, and Expectations  [PDF]
Georgia Stephanou
Psychology (PSYCH) , 2012, DOI: 10.4236/psych.2012.32023
Abstract: This study aimed to examine 1) emerging adults’ attributions for their subjectively perceived current ro- mantic relationship as good or bad, 2) the role of their perception-partner ideal discrepancies in estimate- ing their current romantic relationship as good or bad, and in the formation of attributions, and 3) the ef- fects of all the three concepts on the generation of the expectations for the quality of the romantic rela- tionship in the future. Undergraduate and postgraduate university students, from various faculties, ages of 18 to 25, both genders, participated in this study. The participants filled in, first, the scale of the romantic partner ideals, and, after one week, the scales of perceived of the quality of the current romantic relation- ship, attributions and expectations. The results regarding attributions revealed that 1) the perceived good romantic relationships were mainly attributed to internal and self-partner internal and controllable factors (love, passion, effective communication, honesty-loyalty, understanding each-other), whereas the per- ceived bad romantic relationships were mainly attributed to personal uncontrollable, external, unstable and partner’s internal factors (untrustworthiness, lack of passion, non honesty-loyalty, lack of love, and ineffective communication), and 2) locus of causality, followed by personal controllability and stability, was the most powerful attributional dimension in discriminating the two groups of the emerging adults. The findings regarding the perception-partner ideal discrepancy showed that 1) the students who had smaller perception-partner ideal discrepancy, compared to students who had larger perception-partner ideal discrepancy, estimated their current romantic relationships more favourable but only trustworthiness accounted for unique variance in it and 2) perception-partner ideal discrepancy in trustworthiness, fol- lowed by warmth/intimacy, and attractiveness/vitality, was the most powerful factor in discriminating the two groups of the participants. The results with respect to effects of partner ideal discrepancy on attributions indicated that 1) the students’ perception-partner ideal discrepancies proved to be a significant and positive factor in the formulation of the attributional dimensions (expect for external controllability), mainly both stability and locus of causality, for the perceived current quality of their romantic relationship and 2) only trustworthiness and warmth/intimacy had unique effects on locus of causality, and only trustworthiness uniquely contributed into
Evaluación de la reforma del sistema de pensiones en Uruguay
Garmendia, Gonzalo;
Perfiles latinoamericanos , 2010,
Abstract: this article evaluates the reform to the system of pensions in uruguay through these variables: coverage, fiscal impact, accumulation of funds, yield, and costs associated to the operation of the administradoras de fondos de ahorro previsional (afaps). the reform is evaluated positively, even though elements are identified, that must be considered in the future: to extend the reform to the rest of the system that was not included before, generate the correct structure to regulate and supervise the system, fit the age of retirement to accede to benefits, and offer alternatives for investments of the afaps.
Evaluación de la reforma del sistema de pensiones en Uruguay / Evaluating Pension System Reform in Uruguay
Gonzalo Garmendia
Perfiles latinoamericanos , 2010,
Abstract: En el presente artículo se evalúa la reforma del sistema de pensiones en Uruguay, a través de variables como la cobertura, el impacto fiscal, la acumulación de fondos, la rentabilidad, y los costos asociados a la operativa de las Administradoras de Fondos de Ahorro Previsional (afap). Dicha reforma se evalúa positivamente, aun cuando se identifican elementos que deben considerarse en el futuro: extender la reforma al resto del sistema previsional que no se incluyó en ésta; generar la institucionalidad adecuada para regular y supervisar todo el sistema previsional; ajustar la edad de retiro para acceder a las prestaciones; y brindar mayores alternativas para las inversiones de las afap.This article evaluates the reform to the system of pensions in Uruguay through these variables: coverage, fiscal impact, accumulation of funds, yield, and costs associated to the operation of the Administradoras de Fondos de Ahorro Previsional (afaps). The reform is evaluated positively, even though elements are identified, that must be considered in the future: to extend the reform to the rest of the system that was not included before, generate the correct structure to regulate and supervise the system, fit the age of retirement to accede to benefits, and offer alternatives for investments of the afaps.
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