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Search Results: 1 - 10 of 410773 matches for " José G Sanabria Negrín "
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Virus del Papiloma humano
Sanabria Negrín,José G;
Revista de Ciencias M??dicas de Pinar del R?-o , 2009,
Abstract: aimed at updating the current information on human papillomavirus (hpv) evidence-based articles and papers about levels i-ii were reviewed. the articles and papers browsed on line were published in: cochrane, dynamed, evidence-based medicine update, new england journal of medicine, j clinical oncology, medscape, pubmed, iarc and human papilloma virus today, in english, french, portuguese or spanish, from the last 5 years; taking also as reference important original articles from previous years. terms used for the search were: definitions, epidemiology, etiology, hpv, risk factors, clinical features of the hpv infection, clinical implications, mass screening, treatment, primary/secondary prevention and social repercussion. hpv is a sexually-transmitted infection; thus it is preventable and curable. hpv is a dna virus needing for an epithelium for its replication and to accomplish its vital cycle. the expression of the genes varies inside the epithelial tissue, and from one part of it to the other depending on the type of lesion. infection is detected from the childhood, even without sexual intercourse, reaching a climax around 30 years old, and then decreasing. the current alternatives are: the primary prevention by means of the use of barrier methods of contraception and the prophylactic vaccines; mass screening and developing-therapeutic vaccines are used after the infection. in every step of the diagnosis and treatment of the disease social problems may arise from the anxiety burden, the infection and its consequences. a discussion about all these aspects was carried out.
Virus del Papiloma humano Human Papilloma virus (HPV)
José G Sanabria Negrín
Revista de Ciencias M??dicas de Pinar del R?-o , 2009,
Abstract: Con el objetivo de actualizar la información existente sobre el Virus del Papiloma Humano (VPH) se realizó una revisión bibliográfica de artículos basados en la evidencia de nivel I-II. Fundamentalmente fueron revisados los publicados en la biblioteca Cochrane, Dynamed, Evidence-Based Medicine Updates, New England Journal of Medicine, J Clinical Oncology, Medscape, PubMed, artículos de la Agencia Internacional del Cáncer de Francia, y HPV Today, en inglés, francés, portugués o espa ol, de los últimos 5 a os, y se hace referencia a artículos originales de importancia de a os anteriores. Se revisaron los siguientes aspectos: Definiciones, epidemiología, etiología: Virus del Papiloma Humano, factores de riesgo, clínica de la infección por el VPH, implicación clínica, pesquisaje de masas, tratamiento, prevención primaria y secundaria; y problemas sociales derivados. La infección por el VPH es sexualmente transmitida, por lo tanto es prevenible, y puede ser curable. Es un virus ADN que necesita de un epitelio para su replicación y completar su ciclo vital. La expresión de sus genes constituyentes varía dentro del epitelio, y de una parte del epitelio a otra, dependiendo del tipo de lesión. Se ha detectado la infección desde la infancia, aún sin relaciones sexuales, para llegar a un clímax alrededor de los 30 a os, para luego decrecer. Las alternativas actuales son la prevención primaria mediante el uso de anticonceptivos de barrera, el uso de las vacunas profilácticas, y después que está instaurada la infección las vacunas terapéuticas que se están desarrollando. En todos los aspectos se pueden detectar problemas sociales, desde el diagnóstico con el peso de ansiedad, la carga social que proporciona la infección y las consecuencias que de ella derivan. Aimed at updating the current information on Human Papillomavirus (HPV) evidence-based articles and papers about levels I-II were reviewed. The articles and papers browsed on line were published in: Cochrane, Dynamed, Evidence-based Medicine Update, New England Journal of Medicine, J Clinical Oncology, Medscape, PubMed, IARC and Human Papilloma Virus Today, in English, French, Portuguese or Spanish, from the last 5 years; taking also as reference important original articles from previous years. Terms used for the search were: definitions, epidemiology, etiology, HPV, risk factors, clinical features of the HPV infection, clinical implications, mass screening, treatment, primary/secondary prevention and social repercussion. HPV is a sexually-transmitted infection; thus it is preventable and curable. HPV is a DNA
Impacto de la capacitación en la mejora continua de la calidad del diagnóstico citológico
Herrera Pérez,Miguel Angel; Cirión Martínez,Gladys Rafaela; Sanabria Negrín,José G;
Revista de Ciencias M??dicas de Pinar del R?-o , 2010,
Abstract: in our country general indicators to assess the effectiveness of programs for the prevention of cervical cancer keep high. objectives: to evaluate the effects of the technical training for the continuous improvement of cytological diagnosis of the cervical cancer at "abel santamaria cuadrado" university hospital, during 2005-2007. design: an intervention-action research was conducted in order to assess the effectiveness of the technical training process for improving quality in the diagnosis performed by the technicians of the specialty, measured through the correlation between the first diagnosis issued by technical personnel and a second one by the pathologist, taken from a sample of 22864 cytologies. general concordance and the type of lesion were the variables used, applying descriptive statistics for categorical qualitative variables expressed in absolute frequencies and relative percentages. frequency comparisons were verified by means of a chi square test, 95% of confidence and kappa test for the correlation among observers. results: an enhancement of concordance was found in 2007 in relation to the period of 2005-2006, highly significant (x2 = 75.0; gdl =1; p = 0.00000001). concordance regarding the diagnosis increased, except in nic-iii. conclusion: it was proved that technical training process influenced on the continuous improvement of the quality for cytological diagnosis.
Impacto de la capacitación en la mejora continua de la calidad del diagnóstico citológico The effect of technical training for the continuous improvement of the quality in cytological diagnosis
Miguel Angel Herrera Pérez,Gladys Rafaela Cirión Martínez,José G Sanabria Negrín
Revista de Ciencias M??dicas de Pinar del R?-o , 2010,
Abstract: Los indicadores generales de la eficacia en los programas de prevención del cáncer cervical se mantienen altos en nuestro país. Objetivos: Evaluar el impacto de la capacitación técnica en la mejora continua del diagnóstico citológico del cuello uterino en el Hospital "Abel Santamaría Cuadrado", período 2005-2007. Dise o: Se realizó un estudio de intervención-acción para medir el efecto de la capacitación en la calidad del diagnóstico de los citotecnólogos, medido mediante la correlación entre un primer diagnóstico emitido por el personal técnico y un segundo por un especialista en Anatomía Patológica, de una muestra de 22864 citologías. Se utilizaron las variables de concordancia en general y por el tipo de lesión, y aplicó la estadística descriptiva para variables cualitativas categóricas, expresadas en frecuencias absolutas y relativas porcentuales. Las comparaciones de frecuencias se verificaron mediante el estadígrafo de Ji cuadrado al 95 % de confianza y la prueba de kappa para la correlación entre observadores. Resultados. Se encontró un incremento de la concordancia en el 2007 con relación al periodo 2005-2006, resultado altamente significativo (X2 = 75.0; gdl = 1; p = 0.00000001). La concordancia de acuerdo al diagnóstico se incrementó con la excepción del NIC-III. Conclusión. Se comprobó que la capacitación influyó en la mejoría continua de la calidad del diagnóstico citológico. In our country general indicators to assess the effectiveness of Programs for the Prevention of Cervical Cancer keep high. Objectives: To evaluate the effects of the technical training for the continuous improvement of cytological diagnosis of the cervical cancer at "Abel Santamaria Cuadrado" University Hospital, during 2005-2007. Design: An intervention-action research was conducted in order to assess the effectiveness of the technical training process for improving quality in the diagnosis performed by the technicians of the specialty, measured through the correlation between the first diagnosis issued by technical personnel and a second one by the Pathologist, taken from a sample of 22864 cytologies. General concordance and the type of lesion were the variables used, applying descriptive statistics for categorical qualitative variables expressed in absolute frequencies and relative percentages. Frequency comparisons were verified by means of a chi square test, 95% of confidence and Kappa test for the correlation among observers. Results: An enhancement of concordance was found in 2007 in relation to the period of 2005-2006, highly significant (X2 = 75.0; gdl =1; p =
Dosis bajas de aspirina en la preeclampsia leve
Cunill López,María Elena; Sanabria Negrín,José G.; González Pérez,Amarilys;
Revista Cubana de Obstetricia y Ginecolog?-a , 1997,
Abstract: as part of the strategy to reduce the maternal and perinatal morbimortality associated with mild pre-eclampsia, low doses of aspirin were used since the disease was diagnosed until birth, and a comparison was made with a control group. it was demonstrated that among the patients treated with aspirin there was an increase of the referral frequency (p = 0.0493), specially in those groups that received doses of 90 and 120 mg every day. doses of 90 or 120 mg daily were associated with higher gestational age at birth (p = 0.0391). labor duration was longer in the study group. most of the patients had deliveries; however, the birth way was not associated with the treatment received (p = 0.7706). birth weight was significantly lower in the group that was administered 120 mg daily (p = 0.004). there were no differences of hemorrhage frequencies during postpartum among the studied groups. there was neither maternal nor perinatal mortality, and morbidity was not important.
Dosis bajas de aspirina en la preeclampsia leve Low doses of aspirin in mild preeclampsia
María Elena Cunill López,José G. Sanabria Negrín,Amarilys González Pérez
Revista Cubana de Obstetricia y Ginecolog?-a , 1997,
Abstract: Como parte de la estrategia para reducir la morbi-mortalidad materna y perinatal asociada con la preeclampsia leve, se emplearon dosis bajas de ácido acetil salicílico (aspirina) desde el diagnóstico de la enfermedad hasta el nacimieno y se comparó con un grupo control. Se demostró que en las pacientes tratadas con aspirina la frecuencia de remisión de la enfermedad se incrementó (p = 0,0493), especialmente en los grupos que recibieron dosis de 90 y 120 mg diarias (p = 0,009). dosis de 90 ó 120 mg diarios se asociaron con mayor edad gestacional al nacimiento (p = 0,0391). La duración del trabajo de parto fue superior en el grupo de estudio. La mayoría de las pacientes presentó parto, no obstante el modo de nacimiento no se asoció con el tratamiento recibido (p = 0,7706). El peso de los recién nacidos resultó ostensiblemente inferior en el grupo que recibió 120 mg diarios (p = 0,004). No se detectaron diferencias de frecuencias de hemorragia ante el posparto en los grupos estudiados. No hubo mortalidad materna ni perinatal, y la morbilidad fue insignificante. As part of the strategy to reduce the maternal and perinatal morbimortality associated with mild pre-eclampsia, low doses of aspirin were used since the disease was diagnosed until birth, and a comparison was made with a control group. It was demonstrated that among the patients treated with aspirin there was an increase of the referral frequency (p = 0.0493), specially in those groups that received doses of 90 and 120 mg every day. Doses of 90 or 120 mg daily were associated with higher gestational age at birth (p = 0.0391). Labor duration was longer in the study group. Most of the patients had deliveries; however, the birth way was not associated with the treatment received (p = 0.7706). Birth weight was significantly lower in the group that was administered 120 mg daily (p = 0.004). There were no differences of hemorrhage frequencies during postpartum among the studied groups. There was neither maternal nor perinatal mortality, and morbidity was not important.
Métodos y formas de organización en el proceso de formación profesional de los estudiantes de medicina Methods and ways to organize the professional formation of medical students
Norma Santoyo Reina,Martha Valladares Hernández,Ciro Suárez Blanco,José G Sanabria Negrín
Revista de Ciencias M??dicas de Pinar del R?-o , 2008,
Abstract: En el presente artículo se realiza una valoración del papel que juegan los métodos problémicos en el proceso de ense anza-aprendizaje de los estudiantes de la Carrera de Medicina y por tanto en el proceso de formación profesional estrechamente vinculados con los modos de actuación más generales que deben asumir los egresados en el desempe o profesional. La necesidad de acercar cada vez más el proceso de ense anza-aprendizaje a la realidad cotidiana y a la solución de los problemas reales que se presentan en la sociedad, convierten a este componente didáctico en una verdadera herramienta para desarrollar el proceso de ense anza-aprendizaje, a través de formas organizativas acordes a la dinámica y recursos didácticos de los tiempos actuales. In this article an assessment of the role of problem-solving methods in the teaching-learning process for the academic formation of medical students was conducted. Its close relation to the general ways of behaviour, which should be assumed by the health professionals in their daily working performance, is also analyzed. The need to make a day to day approach to the teaching-learning process with the reality and the solution of the real problems in the society, and the transformation of the didactic components into a tool to develop the teaching-learning process by means of organized ways, being in harmony with the dynamics and the didactic resources of the current times.
Hipertensión arterial, hipertrigliceridemia y obesidad fundamentales componentes del síndrome metabólico Hypertension, hypertriglyceridemia and obesity the main components in metabolic syndrome. Pinar del Rio
Nohary Fonte Medina,Eduardo Paz Paula,José G Sanabria Negrín,José Ramón Martínez Medina
Revista de Ciencias M??dicas de Pinar del R?-o , 2008,
Abstract: Con el propósito de describir la distribución y frecuencia de los componentes del síndrome metabólico en un grupo de pacientes con dislipoproteinemia se realizó un estudio observacional, transversal con 100 pacientes, que asistieron a la consulta de Dislipoproteinemia, en el período comprendido de julio del 2002 a diciembre del 2003. Se describieron características generales como edad, sexo, antecedentes patológicos familiares, personales y enfermedades asociadas; se determinaron los valores de glicemia, ácido úrico, fibrinógeno y triglicéridos. Se utilizaron los análisis de frecuencias y comparación mediante el estadígrafo Chi-cuadrado al 95 % de confianza. El síndrome metabólico fue más frecuente en el sexo femenino en un 58% y en el grupo de 40-59 a os de edad. Las enfermedades más frecuentes fueron la hipertrigliceridemia en un 100%, la obesidad y la hipertensión arterial en un 78% para ambas y la diabetes mellitus tipo II con un 44%. Se encontró una asociación de tres ó más de los componentes en el 88 % de los pacientes, con mayor incidencia en el sexo femenino, en el grupo de edad de 40-59 a os a los que se debe prestar una atención diferenciada para reducir consecuencias graves. Aimed at describing the distribution and frequency of the components of the metabolic syndrome in a group of patients presenting dislipoproteinemia an observational and cross-sectional study was conducted with 100 patients attending to the Dislipoproteinemia office during July 2002-December 2003. General characteristics such as: age, sex, family medical history, personal features and associated diseases were described. The values of glycemia, uric acid, fibrinogen and triglycerides were determined. The method used to perform the analysis of frequency and comparison of these values was chi-squared (95 % of confidence). Being the metabolic syndrome more frequent in female sex (58%) in the group of 40-59 years old. Hypertriglyceridemia (100%), obesity and hypertension (78% for both) and diabetes mellitus type II (44%) were the most frequent diseases. An association of three o more components in 88% of the patients was observed having a higher incidence in female sex in the group of 40-59 years old; concluding that a special-medical care must be offered to this group of patients in order to reduce the severe consequences of this syndrome.
Historia de la educación médica en Cuba. Artículo de revisión
Rodríguez Ramos,Jorge Félix; Boffill Corrales,Acela Maria; Sanabria Negrín,José G; Fernández Montequín,Zoila;
Revista de Ciencias M??dicas de Pinar del R?-o , 2008,
Abstract: the present university should provide medical students a comprehensive formation on the basis of historical and cultural knowledge; it was the motivation to carry out this study where a current literature revision concerning this topic was offered as a means of complementary support to the teaching of the history. it was aimed at analyzing the emerge and historical evolution of higher medical education in the world and the beginning of the medical teaching in cuba and its development in colonial, republican-bourgeois and revolutionary-socialist periods till nowadays. concluding that, higher medical education in cuba has achieved qualitative and quantitative advances in all aspects of the teaching, medical assistance and investigative processes towards a new stage in the universalization of teaching in the university.
Espondilo artritis anquilosante: presentación de un caso atípico
Hernández Bravo,Bárbara del Rosario; Suárez Junco,Ramón; Sanabria Negrín,José G;
Revista de Ciencias M??dicas de Pinar del R?-o , 2009,
Abstract: ankylosing spondyloarthritis (as) is an uncommon disease in cuba, and very rare in pinar del río province, and much more uncommon in teenagers. a white 16- year-old adolescent student begins with plantar pain and calcaneous spikes. he is admitted to be studied and ankylosing spondyloarthritis is diagnosed. clinical chart, complementary exams and the therapeutics to be used are discussed. medical literature is reviewed.
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