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Cáncer renal localmente avanzado
Salas Cabrera,René; Sagué Larrea,Jorge; Laurencio Mena,Ariel;
Archivos Espa?oles de Urología (Ed. impresa) , 2007, DOI: 10.4321/S0004-06142007000500010
Abstract: objective: to report the case of a patient with the diagnosis of locally advanced renal carcinoma. methods: we present in the case in a clear and well illustrated way (pictures). we report the case of a female patient with a very big renal carcinoma, with local extension, who underwent nephrectomy through a lumbar approach and received chemotherapy and immunotherapy. results: despite radical surgery, chemotherapy and immunotherapy the tumor had rapid evolution locally and systemically, as a demonstration of its high aggressiveness. conclusions: renal carcinoma is considered the tumor with a high tendency to have metastases. the prognosis depends on size, stage and grade, determining factors for patient survival. although there are new therapeutic options (immunologic), surgery continues being the main therapeutic tool. continuous regular follow-up enable us detection and timely treatment of any event (local or systemic recurrence).
Enfermedad de Behcet: Presentación de un caso
Salas Cabrera,René; Sagué Larrea,Jorge; Laurencio Mena,Ariel;
Archivos Espa?oles de Urología (Ed. impresa) , 2007, DOI: 10.4321/S0004-06142007000100011
Abstract: objective: to report one case of a rare disease. methods: 39-year-old male patient presenting with the suspicion of sexually transmitted disease. we show several pictures of a clinical case diagnosed and treated in our hospital. we performed a bibliographic review on the disease and present its etiology, diagnosis and treatment. results: we concluded it was bechet?s disease because of the past medical history, clinical presentation, and diagnostic tests (positive pathergy test). conclusions: although it is a rare disease, we should always think of the diagnosis of bechet?s disease in a patient with genital ulcers non responsive to treatment
Efecto de dos protocolos de ejercicio físico en parámetros antropométricos y fisiológicos en pacientes con enfermedad coronaria
Araya Ramírez,Felipe; Blanco Romero,Luis; Salas Cabrera,Jorge;
Revista Costarricense de Cardiología , 2011,
Abstract: introduction. exercise is an essential component in cardiac rehabilitation and for secondary prevention in patients with coronary heart disease. there are several physiological exercise-related benefits from participating in a cardiac rehabilitation program that help to improve health and quality of life. objective. the main purpose of the study was to compare two phase-ii cardiac rehabilitation protocols. one protocol followed the guidelines of the american association of cardiovascular and pulmonary rehabilitation (aacvpr), and the second protocol followed a traditionally nonmonitored exercise training (tnet) program. methodology. this was an experimental study with a repetitive measurement design, in patients referred for cardiac rehabilitation. the patients were divided into 2 groups: one followed the aarcp protocol and the second group followed the tnet program. anthropometric variables such as height, body weight and body fat, were measured and body mass index was calculated. physiological variables such as resting heart rate, resting blood pressure, flexibility and peak oxygen consumption were also assessed. blood glucose, total cholesterol, low and high density lipoprotein cholesterol and triglycerides were measured as biochemical variables before and after the 12 weeks of exercise training. results: thirty five patients were divided into two groups. the aacvpr group (n=18) and the tnet group (n=17). the aacvpr group showed significantly better results (p<0.05) in decreasing body weight, body fat and resting heart rate, and in improving flexibility than did the tnet group. both protocols showed similar results for blood pressure and peak oxygen consumption. there was no significant change in any of the biochemical variables in either group after exercise training. conclusion: the aacvpr cardiac rehabilitation protocol showed superior results in anthropometric and physiological variables as compared to the tnet cardiac rehabilitation protocol
Efecto de dos protocolos de ejercicio físico en parámetros antropométricos y fisiológicos en pacientes con enfermedad coronaria
Felipe Araya Ramírez,Luis Blanco Romero,Jorge Salas Cabrera
Revista Costarricense de Cardiología , 2011,
Abstract: Introducción. El ejercicio físico es esencial para la prevención, tratamiento y rehabilitación de la enfermedad cardiaca, ya que proporciona una serie de beneficios fisiológicos que mejoran la salud y la calidad de vida del paciente. Objetivo. Realizar una comparación entre dos protocolos de rehabilitación cardiaca de fase II, uno bajo las normas de la Asociación Americana de Rehabilitación Cardio-pulmonar (AACRP) y el otro tradicionalista, basado en movimiento básico, sin principios regulados de entrenamiento físico. Metodología. Es un estudio experimental con un dise o de medidas repetidas, en pacientes cardiópatas remitidos a un programa de rehabilitación cardiaca. Se dividieron en dos grupos: el grupo 1 que trabajó con el protocolo recomendado por la AARCP y el grupo 2, que trabajó con un protocolo tradicional. Se evaluaron parámetros antropométricos (peso, porcentaje de grasa corporal e índice de masa corporal), fisiológicos (frecuencia cardiaca y presión arterial de reposo, consumo máximo de oxígeno y flexibilidad) y bioquímicos (glucemia y perfil lipídico) antes y después del programa de ejercicios cuya duración fue 12 semanas. Resultados. Se reclutaron 35 pacientes, 17 en el grupo 1 y 18 en el grupo 2. El grupo 1 mostró resultados significativamente superiores (p<0,05) en las variables peso corporal, porcentaje de grasa corporal, flexibilidad y frecuencia cardiaca de reposo; con ambos protocolos se registraron cambios significativos (p<0,05) en la presión arterial de reposo y el consumo máximo de oxígeno. No se encontraron cambios significativos en el perfil bioquímico con ningún protocolo. Conclusión: El protocolo de ejercicio recomendado por la AARCP mostró resultados superiores al protocolo de ejercicio no estructurado en variables físicas y fisiológicas, pero no en el perfil bioquímico Introduction. Exercise is an essential component in cardiac rehabilitation and for secondary prevention in patients with coronary heart disease. There are several physiological exercise-related benefits from participating in a cardiac rehabilitation program that help to improve health and quality of life. Objective. The main purpose of the study was to compare two phase-II cardiac rehabilitation protocols. One protocol followed the guidelines of the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), and the second protocol followed a traditionally nonmonitored exercise training (TNET) program. Methodology. This was an experimental study with a repetitive measurement design, in patients referred for cardiac rehabilitation. The patients
DETERMINACIóN DEL CONSUMO MáXIMO DE OXíGENO DEL FUTBOLISTA COSTARRICENSE DE PRIMERA DIVISIóN EN PRETEMPORADA 2008
Braulio Sánchez-Ure?a,Jorge Salas-Cabrera
Revista en Ciencias del Movimiento Humano y Salud , 2009,
Abstract: El objetivo de este estudio fue valorar el perfil cardiorrespiratorio (VO2 máx.) de los jugadores de fútbol de la primera división de Costa Rica en pretemporada y comparar el VO2 máx., según puestos. Metodología: en este estudio se evaluó 9 equipos de la primera división del fútbol en Costa Rica, para una muestra de 219 jugadores profesionales entre los 20 y los 36 con una edad promedio de 24.64 a os ± 4.35 de edad; un promedio de peso corporal 73.34 Kg ± 7.34 y un porcentaje de grasa de 9.78 % ± 3.64. Para evaluar el VO2 máx. de los jugadores, se usó un protocolo de rampa en banda sin fin según recomendaciones planteadas por Wilmore y Costill (2007), la prueba fue de carácter máxima. Resultados: se encontró un VO2 máx., promedio de 57.71 ml/kg/min ± 8.8. Por otro lado, no se encontró diferencias estadísticamente significativas (p = .752) entre puestos. Conclusión: no hubo diferencias en el VO2 máx., por puestos.
DETERMINATION OF MAXIMAL OXYGEN CONSUMPTION OF COSTA RICAN FIRST DIVISION FOOTBALL PLAYERS DURING 2008 PRESEASON
Braulio Sánchez-Ure?a,Jorge Salas-Cabrera
Revista en Ciencias del Movimiento Humano y Salud , 2009,
Abstract: The objective of this study was to assess the cardiorespiratory profile (VO2max) of Costa Rican first division football players during preseason and compare VO2max by players’ positions. Methodology: A total of 9 Costa Rican first division football teams were evaluated in this study for a total sample of 219 professional players ages 20-36 with an average age of 24.64 ± 4.35 years, average body weight of 73.34 kg ± 7.34, and a fat percentage of 9.78 % ± 3.64. In order to evaluate the VO2max of players, the treadmill protocol was used as recommended by Wilmore and Costill (2007). This was a maximal test. Results: an average VO2max of 57.71 ml/kg/min ± 8.8 was found; however, no statistically significant differences were found (p = .752) between positions. Conclusion: there were no differences in VO2max by positions.
Manejo conservador urológico de una paciente con esclerosis tuberosa compleja (Bourneville)
Sagué Larrea,Jorge; Borrego Pino,Luis; Salas Cabrera,René; Laurencio Mena,Ariel;
Archivos Espa?oles de Urología (Ed. impresa) , 2009, DOI: 10.4321/S0004-06142009000700012
Abstract: objective: to report the clinical and radiological data of a 23-year-woman with bilateral angiomyolipoma and tuberous sclerosis with conservative treatment. methods: the patient underwent conservative urological management, based on clinical and complementary tests' data (ultrasonography, ct scanning, excretory urogram, and laboratory). monitoring was carried out in external consultation by the uroncology group. in some occasions she was hospitalized due to distant geographical factors. results: this patient provides long-term outcome of aml with tuberous sclerosis followed by repeated evaluation to define the conservative management or not. ultrasonound and ct scan were two basic studies to maintain conservative treatment, as well as a good clinical evaluation. conclusions: renal lesions associated with tuberous sclerosis are frequent and serious. monitoring should be based on a careful monitoring since the renal lesions are the second death cause after the lesions of the nervous system. this case report provides long-term outcome of aml with tuberous sclerosis, that can be followed expectantly with repeated evaluations to define the clinical significance.
Varicocelectomía laparoscópica en el adulto
Salas Cabrera,René; Ramírez Torres,Carlos; Sagué Larrea,Jorge; Laurencio Mena,Ariel;
Archivos Espa?oles de Urología (Ed. impresa) , 2008, DOI: 10.4321/S0004-06142008000700008
Abstract: objectives: we performed a study including 120 patients with the diagnosis of varicocele (testicular doppler ultrasound), from june 2004 to july 2006, analyzing the following variables: surgical time, hospital stay, postoperative analgesic requirements, complications and return to social-working activities. results: 120 patients between 18 and 42 years of age underwent surgery. mean surgical time was 25.07 minutes. a minority of the patients were discharged the following day (difficulties with transportation), the rest were treated as outpatient. almost no postoperative analgesic drugs were employed, only three patients required pain treatment. only three minor complications appeared during or after surgery. all patients had a fast recovery back to their social-working activities (between 15 and 21 days). conclusions: we consider laparoscopic ligation of spermatic veins may be considered an effective method for the treatment of patients with varicocele. it is the treatment of choice for bilateral varicocele, obese patients, after the failure of conventional techniques, in patients with history of inguinal surgery, and when simultaneous laparoscopic treatment of other pathologies is necessary. we also emphasize the importance it plays as training in the learning curve for the development of this technique.
Perfil de calidad de vida, sobrepeso-obesidad y comportamiento sedentario en ni os (as) escolares y jóvenes de secundaria guanacastecos / Quality of Life Profile, Overweight-Obesity and Sedentary Behavior in Elementary and High School Children of Guanacaste
Pedro Ure?a Bonilla,Felipe Araya Ramírez,Braulio Sánchez Ure?a,Jorge Salas Cabrera
Revista Electrónica Educare , 2010,
Abstract: Recibido 02 de agosto de 2010 Aceptado 31 de agosto de 2010 Corregido 14 de octubre de 2010 Resumen. El propósito de este estudio fue identificar el perfil de calidad de vida, sobrepeso-obesidad y comportamiento sedentario en un grupo de escolares y colegiales de la provincia de Guanacaste. Se contó con la participación de 635 estudiantes. Los (as) ni os (as) y jóvenes participantes en el estudio cumplieron con un protocolo mediante el cual se les evaluó antropométricamente, también, completaron cuestionarios relacionados con el comportamiento sedentario y calidad de vida. En general, los resultados registrados mostraron una prevalencia del sobrepeso-obesidad del 13,9 %. Las actividades sedentarias más importantes fueron, en orden descendente, la pantalla chica (ver televisión, videojuegos, computadora), las actividades sociales y las culturales. El auto-reporte de calidad de vida mostró valores aceptables, aunque no superiores a 80 puntos en escala de 1 a 100. No se registraron relaciones significativas entre índice de calidad de vida global, sobrepeso-obesidad y comportamientos sedentarios, aunque algunos parámetros antropométricos como el porcentaje de grasa y el peso corporal mostraron correlaciones significativas con el comportamiento sedentario y con dominios específicos del constructo calidad de vida. El estudio brinda información valiosa en relación con aspectos centrales en el desarrollo del ni o (a) o joven, no solo para autoridades en salud, sino también, para los directores (as) de centros educativos y, por supuesto, para padres y madres de familia. Abstract. The purpose of this study was to identify the quality of life profile, overweight-obesity and sedentary behavior in a group of elementary and high school children of Guanacaste. 635 students participated in the study. The participants completed a protocol by which they were anthropometrically evaluated, and also filled up a questionnaire related to sedentary behavior and quality of life. In general, the findings reflected a prevalence of overweight and obesity of 13, 9%. The most important sedentary activities were, in descending order, the small screen (watching TV, video games, computer), and certain social and cultural activities. The self-reported quality of life index was within acceptable limits but not exceeding 80 points on a scale of 1-100. There was no significant relationship between the rate of the overall quality of life, overweight, obesity and some sedentary behaviors, although some anthropometric parameters like percentage of body fat and body weight showed s
TECHNICAL PERFORMANCE PROFILE OF THE FOUR-TIME COSTA RICAN SENIOR BASKETBALL LEAGUE CHAMPIONSHIP TEAM
Luis Blanco Romero,Pedro Ure?a Bonilla,Jorge Salas Cabrera,Braulio Sánchez Ure?a
Revista en Ciencias del Movimiento Humano y Salud , 2011,
Abstract: The purpose of this study was to analyze and compare the technical performance profile of the four-time Costa Rican Senior Basketball League championship team. A total of 142 games was recorded throughout the 2007, 2008 and 2009 seasons. Performance indicators selected were: two and three-point shots (converted, missed, effectiveness rates), free throws (converted, missed, effectiveness rates), points, offensive and defensive rebounds, fouls, turnovers, assists and ball steals. The information was described based on absolute and relative frequency values. Data was compared by season and by playing period based on the following non-parametric techniques: U-test, Friedman test and Chi-square. In all cases, SPSS version 15.0 was used with a significance level of p ≤ 0.05. Results showed a better profile of technical performance in the 2008 season, characterized by better percentages of two-point shots, free throws, fewer turnovers and more ball steals and assists. In relation to the playing period, the team showed a better technical performance profile during the second half of the matches. In general, the effectiveness rate of two-point shots and free throws was above 60% in both playing periods, while the three-point shot percentage ranged between 26.4% and 29.2%. In conclusion, the team showed a similar technical performance profile to that reported in the literature, as well as a clear evidence of the importance of recording and following up on technical performance indicators in basketball.
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