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Search Results: 1 - 10 of 180108 matches for " Gerardo; Denis de Armas "
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Síndrome metabólico en familiares de primer grado de pacientes con diabetes mellitus tipo 2
Calderín Bouza,Raúl Orlando; Yánez Quesada,Miguel Angel; Márquez Pérez,Ileana; Senra Piedra,Gerardo; Denis de Armas,Reinaldo; Infante Amorós,Adalberto; Argüelles Zayas,Ana del Carmen; Orlando González,Neraldo; Yánez Quesada,Marelis; Albert Cabrera,Marcos;
Revista Cubana de Endocrinolog?-a , 2005,
Abstract: a cross-sectional descriptive study of 340 persons assigned to two groups, with and without family history of diabetes mellitus type 2 (dm2), was carried out. the objective was to detect whether those persons with family history of dm2 had more hyperinsulemia, metabolic syndrome, associated cardiovascular risk factors and target organ lesions, expressed in left ventricle hypertrophy, than subjects without diabetes family history. the result was that hyperinsulemia was present in 96 patients with family history of dm2 (56,5 %) and significance level of p= 0,001. metabolic syndrome was more frequent in subjects with family history of dm2 (90) for 52,9 % of cases and p= 0,000. hypertriglyceridemia was both the most noticeable marker of the metabolic syndrome and the most statistically significant risk factor in subjects with family history of dm2 (96 , 52,9 % of cases and p= 0,000). left ventricle hypertrophy was associated as target organ lesion expression to subjects with family history of dm2 (36: 21,2 % and p=0,043). it was concluded that subjects with family history of dm2 are more likely to have hyperinsulinemia, metabolic syndrome, cardiovascular risk factors and target organ lesions than those persons without such a family history of dm2.
Hernioplastia inguinal de Lichtenstein: la mejor opción
Duménigo Arias,Oscar; de Armas Pérez,Bárbaro; Martínez Ferrá,Gerardo; Gil Hernández,Ailette;
Revista Cubana de Cirug?-a , 2007,
Abstract: las hernias inguinales son un problema frecuente de salud que afecta a ambos sexos en todas las edades. a pesar de la frecuencia de su reparación quirúrgica, los cirujanos aún no logran resultados perfectos y el índice de recurrencias es humillante. se estudiaron 136 pacientes a los cuales se les realizó hernioplastia de lichtenstein entre el 2001 y 2003, y que estuvieron bajo seguimiento médico durante 3 a 5 a?os con el objetivo de determinar la efectividad de dicha técnica. la muestra estuvo constituida fundamentalmente por varones mayores de 45 a?os, en quienes predominaron las hernias del lado derecho, de los tipos 2 y 4 según la clasificación de gilbert modificada por rutkow y robbins y de causa primaria en el 83,12 % de los casos. más de la mitad de los procedimientos se realizó con anestesia local y el material protésico más empleado fue el polipropileno. el 79,87 % de los pacientes se operó de forma ambulatoria y el índice de complicaciones fue de 5,85 %. hasta la fecha sólo hemos tenido una recurrencia (0,65 %). los resultados obtenidos con la técnica de lichtenstein fueron eficaces, con baja morbilidad y recidiva a corto plazo mínima
Hernioplastia inguinal de Lichtenstein: la mejor opción Lichtenstein’s inguinal hernioplasty: the best choicev
Oscar Duménigo Arias,Bárbaro de Armas Pérez,Gerardo Martínez Ferrá,Ailette Gil Hernández
Revista Cubana de Cirugía , 2007,
Abstract: Las hernias inguinales son un problema frecuente de salud que afecta a ambos sexos en todas las edades. A pesar de la frecuencia de su reparación quirúrgica, los cirujanos aún no logran resultados perfectos y el índice de recurrencias es humillante. Se estudiaron 136 pacientes a los cuales se les realizó hernioplastia de Lichtenstein entre el 2001 y 2003, y que estuvieron bajo seguimiento médico durante 3 a 5 a os con el objetivo de determinar la efectividad de dicha técnica. La muestra estuvo constituida fundamentalmente por varones mayores de 45 a os, en quienes predominaron las hernias del lado derecho, de los tipos 2 y 4 según la clasificación de Gilbert modificada por Rutkow y Robbins y de causa primaria en el 83,12 % de los casos. Más de la mitad de los procedimientos se realizó con anestesia local y el material protésico más empleado fue el polipropileno. El 79,87 % de los pacientes se operó de forma ambulatoria y el índice de complicaciones fue de 5,85 %. Hasta la fecha sólo hemos tenido una recurrencia (0,65 %). Los resultados obtenidos con la técnica de Lichtenstein fueron eficaces, con baja morbilidad y recidiva a corto plazo mínima
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.
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
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 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
Factores de riesgo, manifestaciones clínicas y tratamiento de la insuficiencia cardiaca en mayores de 65 a?os
Negrín Expósito,José Eugenio; Fernández-Britto Rodríguez,José Emilio; Castillo Herrera,José A.; Senra Armas,Gerardo; Gutiérrez Rojas,ángela; Pérez Yn,Mercedes; Rodríguez de Armas,Lissette; Rodríguez,Luis Reinaldo;
Revista Cubana de Investigaciones Biom??dicas , 2007,
Abstract: a population-based study was carried out in ten randomly selected family physician` offices in order to find out the etiology, symptoms, signs and treatment of heart failure in over 65 years-old patients. eight hundred and five cases were surveyed and examined, data on previous diseases, symptoms, signs and therapies at that moment were collected. those patients with two or more symptoms and signs underwent echocardiogram and in case of systolic and/or diastolic dysfunction, they were classified as heart failure cases. the main etiological factors (single or associated) were blood hypertension in 75,7 % of cases and ischemic cardiopathy in 61,3 %; the combination of effort dyspnea and swollen low limbers was the most common (54 %). of the total number of patients, 55,1 % used diuretics; 42,5 % took angiotensin- converting enzyme inhibitors; 18,3 % used beta blockers whereas 43,6 % was prescribed digoxin. hypertension was the main etiological factor. there were cases of heart failure seen at outpatient service, but with few symptoms. most of patients were not being properly treated.
Prevalencia y formas de insuficiencia cardíaca en mayores de 65 a?os
Negrín Expósito,José Eugenio; Fernández-Britto Rodríguez,José Emilio; Castillo Herrera,José A.; Senra Armas,Gerardo; Gutiérrez Rojas,Angela; Pérez Yn,Mercedes; Rodríguez de Armas,Lissette; Rodríguez,Luis Reinaldo;
Revista Cubana de Investigaciones Biom??dicas , 2007,
Abstract: a population-based study was carried out in 10 randomly selected family physician?s offices, with the objective of determining the prevalence and forms of heart failure in patients aged over 65 years seen at "marcio manduley" polyclinics in centro habana municipality. eight hundred and five cases were interviewed and tested to collect heart failure symptoms and signs. echocardiogram was performed in those who presented with two or more symptoms and signs; if there was systolic or diastolic dysfunction or both, these cases were considered positive to heart failure. one hundred and eleven cases showed two or more symptoms and signs, echocardiogram showed heart failure in 87 cases, that is, the total heart failure prevalence was 10.8 %. 18.4 % had systolic dysfunction, 42.5 % diastolic and 39 % both. it was concluded that heart failure prevalence was high. isolated diastolic heart failure should be actively traced.
Weakening of the demographic effect and consolidation of a new party system: evidence for the 2009 Uruguayan elections
De Armas,Gustavo;
Revista Uruguaya de Ciencia Política , 2008,
Abstract: between the elections of 1984 and 2004 the uruguayan party system experienced a gradual but also deep transformation. the new party system that emerged in 2004, constituted by two large -formal or informal- coalitions (a new two-party system), can be explained by long-term trends (the demographic change of the electorate) and electoral conjunctures. the decrease of frente amplio's vote turnout between 2004 and 2009 can be explained by the weakening of the "demographic effect" and by the relatively significant transfer of votes, from the left coalition to the other parties. despite those changes, the recent election seems to have consolidated the party system that emerged from the previous election, which is likely to remain over the next years.
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