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Search Results: 1 - 10 of 326067 matches for " Infante Amorós "
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Hipertiroidismo Hyperthyroidism
Adalberto Infante Amorós,Silvia Elena Turcios Tristá
Revista Cubana de Endocrinología , 2012,
Abstract: El hipertiroidismo se presenta con un cuadro clínico característico por la hiperproducción de hormonas tiroideas por el tiroides, y obedece a múltiples causas. Su forma clínica más frecuente es el bocio tóxico difuso o enfermedad de Graves Basedow. Es un síndrome caracterizado por manifestaciones de tirotoxicosis, bocio y manifestaciones extratiroideas, entre las que se encuentra la orbitopatía, que en ocasiones sigue un curso independiente de la enfermedad tiroidea. El interrogatorio, el examen físico y la determinación de hormonas tiroideas, son suficientes para confirmar el diagnóstico. Los pilares básicos del tratamiento, además de una adecuada orientación higiénico-dietética, son: el medicamentoso, el radioyodo y la cirugía, y su indicación debe ser individualizada para evitar la toma de conductas inadecuadas e innecesarias. Hyperthyroidism has a clinical picture characterized by overproduction of thyroid hormones by the thyroid gland and is derived from a number of causes. The most frequent clinical presentation is toxic diffuse goiter or Graves Basedow's disease. It is a syndrome with thyrotoxicosis, goiter and extrathyroid manifestations such as orbitopathy that occasionally develops regardless of the thyroid disease. Questioning, physical exam and estimation of thyroid hormones are enough to confirm the diagnosis. In addition to adequate hygienic-dietary orientation, the basis pillars of the treatment are drugs, radioiodine and surgery, but indication of treatment should be personalized to avoid inadequate and unnecessary behaviors.
Informe preliminar sobre cirugía tiroidea ambulatoria
Artiles Ivonnet,Joel; Fuentes Valdés,Edelberto; Martín González,Miguel; Infante Amor,Adalberto;
Revista Cubana de Cirug?-a , 2009,
Abstract: introduction: ambulatory surgery of thyroid gland is performed from several years and in addition to the incorporation of the advantages typical of regime, no alteration was registered in complication rates. the aim of present study was to describe the preliminary results achieved in 19 ambulatory patients operated on due to thyroid nodular disease. methods: between october, 2007 and october, 2008, 19 patients underwent 20 surgical interventions to resect of thyroid gland. age varied from 18 to 77 years and all of them underwent hemithyroidectomy with isthmectomy and freezing biopsy. one patient had an ambulatory thyroidectomy for a total of 20 surgeries. cytology diagnosis by fine needle aspiration biopsy (fnab), freezing biopsy and paraffin was similar in 17 patients. results: there were 3 complications: transient recurrent paralysis, wound seroma, and a hematoma. no patient was admitted. all patients were satisfied with ambulatory method. conclusions: ambulatory thyroid surgery is a safe method with a good acceptation by patients.
Nódulo de tiroides Thyroid nodule
Silvia Elena Turcios Tristá,Adalberto Infante Amorós,Levi González Rivero
Revista Cubana de Endocrinología , 2012,
Abstract: En los últimos a os se ha incrementado la frecuencia diagnóstica del nódulo de tiroides. Un adecuado método clínico y algunos exámenes complementarios, serán los factores a tener en cuenta para definir la naturaleza de la lesión y su funcionalidad. En la actualidad se adicionan nuevos elementos en los estudios por imagen que ayudan a predecir, en alguna medida, el riesgo de malignidad de estas lesiones, y se trata de que el resultado citológico sea más uniforme y orientador. Las conductas se adecuan al tipo de enfermedad tiroidea y a sus riesgos, pero es imprescindible la unión de las especialidades que tienen que ver con la enfermedad nodular tiroidea, para unificar criterios que favorezcan un adecuado y eficiente proceso diagnóstico-terapéutico, que reduzcan los riesgos y los costos que implica la adopción de conductas inadecuadas e innecesarias. In the last few years, the frequency of diagnosis of the thyroid nodule has increased. A correct clinical method and some supplementary tests are the factors to be taken into account to define the nature of lesion and functionality. At present, new elements are added to the imaging studies, which help to predict somehow the risk of malignancy of these lesions, and it is intended to reach a more uniform and guiding cytological result. The behaviors should adapt to the type of thyroid disease and to the risks, but the combination of those specialties that have to do with the nodular thyroid disease is indispensable in order to uniform criteria favoring adequate and efficient diagnostic and therapeutic processes, and reducing the risks and costs of the adoption of inadequate and unnecessary behaviors.
Informe preliminar sobre cirugía tiroidea ambulatoria Preliminary report on ambulatory thyroid surgery
Joel Artiles Ivonnet,Edelberto Fuentes Valdés,Miguel Martín González,Adalberto Infante Amor
Revista Cubana de Cirugía , 2009,
Abstract: INTRODUCCIóN. La cirugía ambulatoria de la glándula tiroidea se practica desde hace varios a os, y además de la incorporación de las ventajas propias del régimen, no se han registrado alteraciones en los índices de complicaciones. El objetivo del presente estudio fue describir los resultados preliminares obtenidos en 19 pacientes operados ambulatoriamente por enfermedad nodular tiroidea. MéTODOS. Entre octubre de 2007 y octubre de 2008, 19 pacientes fueron sometidos a 20 intervenciones quirúrgicas para resección de la glándula tiroidea. La edad varió de 18 a 77 a os, y a todos los pacientes se les practicó una hemitiroidectomía con istmectomía y biopsia por congelación. A una paciente se le completó la tiroidectomía de forma ambulatoria, por lo que se realizaron 20 operaciones en total. El diagnóstico citológico por BAAF, biopsia por congelación y parafina coincidió en 17 enfermos. RESULTADOS. Se presentaron 3 complicaciones: una parálisis recurrente transitoria, un seroma de la herida y un hematoma. No hubo necesidad de ingresar a ninguno de los pacientes. Todos los enfermos mostraron satisfacción con el método ambulatorio. CONCLUSIONES. La cirugía tiroidea ambulatoria es un método seguro y con buena aceptación por parte de los pacientes. INTRODUCTION: Ambulatory surgery of thyroid gland is performed from several years and in addition to the incorporation of the advantages typical of regime, no alteration was registered in complication rates. The aim of present study was to describe the preliminary results achieved in 19 ambulatory patients operated on due to thyroid nodular disease. METHODS: Between October, 2007 and October, 2008, 19 patients underwent 20 surgical interventions to resect of thyroid gland. Age varied from 18 to 77 years and all of them underwent Hemithyroidectomy with isthmectomy and freezing biopsy. One patient had an ambulatory thyroidectomy for a total of 20 surgeries. Cytology diagnosis by fine needle aspiration biopsy (FNAB), freezing biopsy and paraffin was similar in 17 patients. RESULTS: There were 3 complications: transient recurrent paralysis, wound seroma, and a hematoma. No patient was admitted. All patients were satisfied with ambulatory method. CONCLUSIONS: Ambulatory thyroid surgery is a safe method with a good acceptation by patients.
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.
Alteraciones de la prueba ergométrica en pacientes con fibromialgia Alterations of the ergometric test in patients with fibromyalgia
Ana del Carmen Argüelles Zayas,Adalberto Infante Amorós,Marta M. Rivero Varona,Rosa María Flores Sánchez
Revista Cubana de Medicina , 2004,
Abstract: La fibromialgia es uno de los síndromes reumáticos más comunes, caracterizado por dolores musculoesqueléticos y puntos dolorosos sin existir sinovitis ni miositis. Se estudiaron 20 pacientes con diagnóstico de fibromialgia para conocer, mediante la prueba ergométrica, las alteraciones del sistema nervioso autónomo. Se observó, en el grupo control, un incremento normal de la frecuencia al adoptar el ortostatismo lo cual refleja activación del sistema simpático, mientras que en las pacientes con fibromialgia no existió dicho reflejo. Se comprobó incremento adecuado de la tensión arterial en el 87 % de las pacientes con fibromialgia, infradesnivel del ST mayor de 1 mm en el 20 % de las pacientes, ausencia de arritmia y síntomas de cardiopatía en todas las pacientes y disminución de la capacidad física en 4.Se concluyó que las pacientes con fibromialgia presentan una disfunción del sistema nervioso autónomo. Fibromyalgia is one of the commonest rheumatic symptoms, characterized by musculoskeletal pain and painful points with neither synovitis nor myositis. 20 patients with diagnosis of fibromyalgia were studied to know the alterations of the autonomous nervous system by the ergometric test. In the control group, it was observed a normal increase of frequency on adopting orthostatism, which reflects the activation of the sympathetic system. This reflex did not exist among the patients with fibromyalgia. An adequate rise of the arterial pressure in 87 % of the patients with fibromyalgia, an infraunevenness of the ST over 1 mm in 20 % of the patients, an absence of arrhytmia and symptoms of heart disease in all patients, and a reduction of physical capacity in 4, were proved. It was concluded that patients with fibromyalgia present a dysfunction of the autonomous nervous system.
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
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
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.
Carcinoma papilar quístico y del tiroides: Estudio de 4 casos Tryroid cyst papillary carcinoma: Study of four cases
Adalberto Infante Amorós,Ana del Carmen Argüelles Zayas,Ramón González Fernández,David Cubero Rego
Revista Cubana de Medicina , 2004,
Abstract: Se presentaron 4 casos de carcinoma papilar quístico en el período de 4 a os. Se realizó examen físico de todos los casos; se encontró una masa cervical firme en la cara anterior del cuello y en 2 de ellos, se palparon adenopatías cervicales. Se aplicaron técnicas de imagen (ecografía cervical y gammagrafía tiroidea); se completó el estudio con BAAF, que tuvo valor diagnóstico en el 75 % de los casos. Se realizó un estudio anatomopatológico de todas las piezas obtenidas. Se hizo la resección del quiste, biopsia intraoperatoria y si se confirmó el diagnóstico de carcinoma papilar quístico, se le realizó una tiroidectomía total y si fue necesario, linfadenectomía. Se completó el tratamiento con I131 a dosis ablativa y tratamiento hormonal supresor de la TSH. Se destacó el papel de la BAAF en el estudio preoperatorio. 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.
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