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Search Results: 1 - 10 of 225078 matches for " Juan Carlos Rodríguez Vázquez "
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Efectividad de un programa de ejercicios respiratorios como tratamiento a pacientes asmáticos severos adultos
Boris Andino,Nuria; Rodríguez Vázquez,Juan Carlos;
Revista Cubana de Medicina , 2007,
Abstract: a retrospective and prospective study was performed with 137 severe asthmatic patients, 77 of them participated in a program of respiratory exercises (experimental group) for 15 days in a row in class sessions from 15 to 60 minutes. they continued doing the exercises at home during the year the investigation lasted, and they were compared with 66 patients that did not carry out this activity (control group). all the patients underwent functional tests at the beginning and a year after concluding the treatment. there was a predominance of female white patients aged 40-55. a reduction of admissions, as well as of the frequency of asthma crises was evidenced among those patients that practiced the respiratory exercises, which was not so in the control group. it was observed an improvement of the night symptoms and the spirometric variables were more evident in the experimental group. it was proved that a year later, most of the patients were still doing the exercises with a very good level of acceptance. it was concluded that a systematic practice of a program of respiratory exercises is very beneficial for asthmatic patients.
Efectividad de un programa de ejercicios respiratorios como tratamiento a pacientes asmáticos severos adultos Effectiveness of a program of respiratory exercises as a treatment for adult severe asthmatic patients
Nuria Boris Andino,Juan Carlos Rodríguez Vázquez
Revista Cubana de Medicina , 2007,
Abstract: Se realizó un estudio retrospectivo-prospectivo con 137 pacientes asmáticos severos. De ellos 77 fueron sometidos a un programa de ejercicios respiratorios (grupo experimental) durante 15 d continuos en sesiones de clases entre 15 y 60 min para realizar después en sus casas durante el a o que duró la investigación y se compararon con 66 pacientes que no realizaron esta actividad (grupo control). A todos los pacientes se les realizaron las pruebas funcionales respiratorias, al inicio y al a o de incorporado al tratamiento. Predominaron los pacientes entre 40 y 55 a os de edad, del sexo femenino y de la raza blanca. Se evidenció disminución de los ingresos así como frecuencia de las crisis de asma en los pacientes que realizaron los ejercicios respiratorios no así en el grupo control, mejoraron los síntomas nocturnos y las variables espirométricas más evidente en el grupo experimental. Se comprobó que al a o la mayor parte de los pacientes continuaban realizando los ejercicios con un nivel de aceptación muy bueno. Se concluyó que un programa de ejercicios respiratorios realizados sistemáticamente es muy beneficioso para los pacientes asmáticos. A retrospective and prospective study was performed with 137 severe asthmatic patients, 77 of them participated in a program of respiratory exercises (experimental group) for 15 days in a row in class sessions from 15 to 60 minutes. They continued doing the exercises at home during the year the investigation lasted, and they were compared with 66 patients that did not carry out this activity (control group). All the patients underwent functional tests at the beginning and a year after concluding the treatment. There was a predominance of female white patients aged 40-55. A reduction of admissions, as well as of the frequency of asthma crises was evidenced among those patients that practiced the respiratory exercises, which was not so in the control group. It was observed an improvement of the night symptoms and the spirometric variables were more evident in the experimental group. It was proved that a year later, most of the patients were still doing the exercises with a very good level of acceptance. It was concluded that a systematic practice of a program of respiratory exercises is very beneficial for asthmatic patients.
Epidemiología de la rotura prematura de membranas en un hospital ginecoobstétrico
Vázquez Niebla,Juan Carlos; Vázquez Cabrera,Juan; Rodríguez,Pablo;
Revista Cubana de Obstetricia y Ginecolog?-a , 2003,
Abstract: a retrospective cohort study of the risk factors for the premature rupture of membranes and of the events of pregnancy, labor, newborn and puerperium was conducted in "américa arias" teaching gynecological and obstetric hospital from march 1998 to march 1999. the general frequency of premature rupture of membranes was 17,2%. of the risk factors studied, there was a significant statistical association with non-caucasians. in pregnancy, there was statistical association with urinary tract sepsis and multiple pregnancy. the premature rupture of membranes was related to fever during labor, induced labor, fetal distress and cesarean section. it is necessary to increase efforts to detect and treat urinary sepsis since this problem poses the major attributable risk as well as those factors associated with the premature rupture of membranes so as to reduce induction rates, preterm delivery and admission of newborns to the neonatal intensive care unit.
Epidemiología de la rotura prematura de membranas en un hospital ginecoobstétrico Epidemiology of the premature rupture of membranes in a gynecological and obstetric hospital
Juan Carlos Vázquez Niebla,Juan Vázquez Cabrera,Pablo Rodríguez
Revista Cubana de Obstetricia y Ginecolog?-a , 2003,
Abstract: Se realizó un estudio de cohorte retrospectivo de los factores de riesgo de la rotura prematura de membranas en el hospital docente ginecoobstétrico "América Arias", desde marzo 1998 a marzo 1999, y de los eventos del embarazo, parto, el recién nacido y el puerperio. La frecuencia general de ruptura prematura de membranas fue de 17,2 %. De los factores de riesgo estudiados, se encontró asociación estadística significativa con el color blanco de la piel. Durante el embarazo hubo asociación estadística con la sepsis urinaria y el embarazo múltiple. La ruptura prematura de membrana se asoció con fiebre intraparto, parto inducido, sufrimiento fetal y operación cesárea. Es necesario incrementar los esfuerzos para detectar y tratar la sepsis urinaria ya que la misma presentó el mayor riesgo atribuible, así como los factores asociados con la ruptura prematura de membrana para reducir las inducciones, el nacimiento pretérmino, y el ingreso de los recién nacidos en la Unidad de Cuidados Intensivos Neonatales. A retrospective cohort study of the risk factors for the premature rupture of membranes and of the events of pregnancy, labor, newborn and puerperium was conducted in "América Arias" teaching gynecological and obstetric hospital from March 1998 to March 1999. The general frequency of premature rupture of membranes was 17,2%. Of the risk factors studied, there was a significant statistical association with non-Caucasians. In pregnancy, there was statistical association with urinary tract sepsis and multiple pregnancy. The premature rupture of membranes was related to fever during labor, induced labor, fetal distress and cesarean section. It is necessary to increase efforts to detect and treat urinary sepsis since this problem poses the major attributable risk as well as those factors associated with the premature rupture of membranes so as to reduce induction rates, preterm delivery and admission of newborns to the neonatal intensive care unit.
Factores psicológicos del asma bronquial
Geidy Rodríguez López,Juan Carlos Rodríguez Vázquez
Revista Cubana de Medicina , 1996,
Abstract:
Lupus eritematoso sistémico: Embarazo y corea
Polo Portes,Carlos; Rodríguez Vázquez,Juan Carlos; Buchaca Faxas,Emilio;
Revista Cubana de Medicina , 1995,
Abstract: se presenta un caso de corea en una mujer de 26 a?os y raza blanca con lupus eritematoso sistémico en el primer trimestre del embarazo. se hace una revisión de la corea en el transcurso del embarazo y de los casos reportados en la literatura asociado al les. la eficaz respuesta a la metilprednisolona aplicada a esta paciente no nos aclara la patogénesis pero nos hace considerarla una pauta a tener en cuenta en relación con el tratamiento.
Lupus eritematoso sistémico: Embarazo y corea
Carlos Polo Portes,Juan Carlos Rodríguez Vázquez,Emilio Buchaca Faxas
Revista Cubana de Medicina , 1995,
Abstract: Se presenta un caso de corea en una mujer de 26 a os y raza blanca con lupus eritematoso sistémico en el primer trimestre del embarazo. Se hace una revisión de la corea en el transcurso del embarazo y de los casos reportados en la literatura asociado al LES. La eficaz respuesta a la metilprednisolona aplicada a esta paciente no nos aclara la patogénesis pero nos hace considerarla una pauta a tener en cuenta en relación con el tratamiento.
Conducta diagnóstica y pronóstico en pacientes con carcinoma pulmonar de células no peque as en estadios quirúrgicos Diagnostic behavior and prognosis in patients presenting with non-small pulmonary cells carcinoma in surgical stages
Ailema Lima Guerra,Carlos Gassiot Nu?o,Adela Ramos Quevedo,Juan Carlos Rodríguez Vázquez
Revista Cubana de Medicina , 2012,
Abstract: Antecedentes: el cáncer de pulmón es la principal causa de muerte por cáncer en el mundo. La variedad histológica de células no peque as constituye el 70 % de todos los casos. Objetivos: describir el comportamiento del cáncer pulmonar no microcítico en los estadios I, II y IIIA. Métodos: se estudiaron 57 pacientes con diagnóstico de cáncer de pulmón de células no peque as en estadios I, II y IIIA del Hospital Clinicoquirúrgico "Hermanos Ameijeiras" desde enero de 2004 a diciembre de 2005. Se excluyeron los pacientes a los cuales fue imposible determinarles su estatus actual (vivo o fallecido). Resultados: el promedio de edad fue 62 a os, la mayoría eran del sexo masculino y fumadores. El estadio clínico mayoritario fue el IB. La terapéutica quirúrgica se llevó a cabo en 51 pacientes. La insuficiencia respiratoria severa por EPOC fue la causa más frecuente de invalidación del tratamiento quirúrgico. Al culminar el estudio, la mitad de los pacientes había fallecido, principalmente, por metástasis. La supervivencia de los no operados a los 3 a os fue 37,5 % y la media, 19,3 meses. No hubo sobrevivientes al cabo de los 5 a os en este grupo. Mientras que la supervivencia de los pacientes operados a los 5 a os fue 57,1 %, con una media de 47,8 meses. Conclusión: se halló estrecha relación entre tabaquismo y cáncer pulmonar, la CAAF fue el método más utilizado para el diagnóstico. La probabilidad de vivir a los 5 a os fue independiente del tipo histológico y el estadio clínico. Introduction: the lung cancer is the leading cause of death at world scale. The non-small cells as a histological variety account for the 70 % of all cases. Objectives: to describe the behavior of non-microcyte in I, II and IIIA stages. Methods: fifty seven patients were studied, diagnosed with non-small cells lung cancer in I, II, and IIIA stages in the "Hermanos Ameijeiras" Clinical Surgical Hospital from January, 2004 to December, 2005. Patients in whom it was impossible to determine its current status (live or dead) were excluded. Results: the mean age was of 62 years, most of them were of male sex and also smokers. The majority clinical stage was the IB. The surgical treatment was carried out in 51 of the total of patients. The severe respiratory failure due to the chronic obstructive pulmonary disease was the more frequent cause of invalidation of surgical treatment. At the end of study, half of patients died; the metastasis was the leading cause. The 3-years survival of the patients operated on was of 37,5% and the mean of 19,3 months. There was not survivors at 5 years in this g
Tratamiento de la enfermedad pulmonar obstructiva crónica: Conceptos actuales
Pino Alfonso,Pedro Pablo; Rodríguez Vázquez,Juan Carlos; Gassiot Nu?o,Carlos; Rodríguez Fernández,Rolando;
Revista Cubana de Medicina , 1997,
Abstract: the current concepts in the treatment of chronic obstructive pulmonary disease, including chronic bronchitis and pulmonary emphysema are revised. emphasis is made on the fact of giving up smoking as the most important step concerning treatment. recommendations are included for the use of preventive therapy, as well as the best way for instituting bronchodilator therapy by steps with the use of ipratropium bromide in regular dose and beta 2 agonists according to the demand, as well as the use of steroids in advanced stages. also a commentary is made on the poor benefits offered by xantines and finally the improvement of symptoms with the use of oxigen as a therapeutic modality and the important role of education and rehabilitation programs are pointed out.
Tratamiento de la enfermedad pulmonar obstructiva crónica: Conceptos actuales
Pedro Pablo Pino Alfonso,Juan Carlos Rodríguez Vázquez,Carlos Gassiot Nu?o,Rolando Rodríguez Fernández
Revista Cubana de Medicina , 1997,
Abstract: Se revisan los conceptos actuales en el tratamiento de la enfermedad pulmonar obstructiva crónica, incluidos la bronquitis crónica y el enfisema pulmonar. Se hace hincapié en el abandono del hábito de firmar como paso más importante en el tratamiento. Se dan recomendaciones para el uso de la terapia preventiva, así como la mejor manera de establecer el tratamiento broncodilatador, por pasos, a base de bromuro de ipratropiun, en dosis regulares y beta 2 agonistas, a demanda, así como el uso de esteroides en estadios más avanzados. Se comenta sobre los pobres beneficios que ofrecen las xantinas y, por último, la mejoría de los síntomas con la oxigenoterapia y el importante papel de los programas educativos y de rehabilitación. The current concepts in the treatment of chronic obstructive pulmonary disease, including chronic bronchitis and pulmonary emphysema are revised. Emphasis is made on the fact of giving up smoking as the most important step concerning treatment. Recommendations are included for the use of preventive therapy, as well as the best way for instituting bronchodilator therapy by steps with the use of ipratropium bromide in regular dose and beta 2 agonists according to the demand, as well as the use of steroids in advanced stages. Also a commentary is made on the poor benefits offered by xantines and finally the improvement of symptoms with the use of oxigen as a therapeutic modality and the important role of education and rehabilitation programs are pointed out.
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