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Search Results: 1 - 10 of 62925 matches for " Juan Martínez Villar "
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Assessment of PFA-100 system for the measurement of bleeding time in oral surgery
Arrieta Blanco,Juan José; Bartolomé Villar,Bego?a; Juzgado,Antonio; Mourelle Martínez,Rosa;
Medicina Oral, Patología Oral y Cirugía Bucal (Internet) , 2006,
Abstract: the common diagnostic methods to know primary hemostasis have been classified as invasive, depending on the operator, difficult to reproduce and at times not very reliable. thus, different systems have been proposed to assess bleeding time, one of them being the pfa-100 device, which we present in this paper. objective: compare specificity between the traditional ivy method with the pfa-100 system to measure bleeding time. material and method: we obtained a sample of 33 patients between the age of 24-80 years receiving anti-platelet treatment who needed to undergo oral surgery. bleeding time was obtained by the ivy method, an inr by an analysis done on the same day and a coagucheck one hour before surgery as well as measurement of bleeding time with the pfa-100 system. results: mean value of bleeding time through the ivy method was 406.36 sec.. mean bleeding time with the pfa-100 system for the collagen/epinephrine cartridge was 226.91 sec. and for the collagen/adp cartridge was 110.27 sec.. all these values were within normality. we observed very high standard deviations with the ivy method and more regular ones for the pfa-100 system, indicating its greater specificity. we also obtained a large correlation between collagen/epinephrine cartridge and acetylsalicylic acid. conclusions: we found greater specificity of the analyzer of pfa-100 platelet function for the measurement of bleeding time in relationship with the traditional ivy method.
Incidencia de eventos vasculares mayores después de cirugía no cardiaca: impacto del monitoreo perioperatorio con troponina y electrocardiograma Incidence of major vascular events after cardiac surgery: impact of preoperative monitoring with troponin and electrocardiogram
Sandra M Quiroga,Juan C Villar,Luz X Martínez,María S Chaparro
Revista Colombiana de Cardiología , 2009,
Abstract: Introducción: los cambios demográficos recientes condujeron a un aumento del riesgo de eventos vasculares mayores después de cirugía no cardiaca. El monitoreo con troponina y electrocardiografía identificaría más de estos eventos. Métodos: de manera prospectiva se recolectaron datos de pacientes elegibles (mayores de 45 a os no seleccionados sometidos a cirugía no cardiaca, bajo anestesia regional o general, con estancia hospitalaria prevista mayor o igual a 24 horas en dos hospitales de Bucaramanga), durante dos períodos de tiempo, antes y después de monitoreo diagnóstico post-operatorio (evaluaciones seriadas de troponina T y electrocardiogramas sin conocimiento de datos clínicos). Para el componente de tiempo anterior a la intervención (cuidado clínico convencional), se tomaron historias clínicas de todos los pacientes elegibles de una muestra aleatoria de tres meses correspondientes a 2005. Para el componente de tiempo posterior al monitoreo, se siguieron 100 pacientes elegibles consecutivos. El desenlace primario fue la incidencia de eventos vasculares mayores intrahospitalarios, incluyendo infarto del miocardio (definido como troponina elevada asociada a cambios electrocardiográficos sugestivos, independiente de los síntomas). Resultados: se incluyeron 534 historias clínicas y 100 pacientes quirúrgicos prospectivos (edad media 62,2 a os, DE 12,9; 56% mujeres). El tipo de cirugía más frecuente fue la ortopédica (26,8%) seguida de la intra-abdominal (20,2%). La incidencia de eventos fue 2,8% en historias clínicas, en comparación con una incidencia de 7% en pacientes sometidos a monitoreo (p = 0,071). Los cuatro infartos del miocardio identificados en estos pacientes fueron silentes. Conclusión: el monitoreo diagnóstico post-operatorio con troponina y electrocardiografía, identificó una mayor proporción de eventos vasculares, principalmente infartos silentes del miocardio. Introduction: recent demographic changes have led to an increased risk of major vascular events among patients undergoing non-cardiac surgery. Troponin and electrocardiogram monitoring would further identify these major vascular events. Methods: we prospectively collected data on elegible patients (non-selected individuals aged 45 or older undergoing non-cardiac surgery under general or regional anesthesia in two hospitals in Bucaramanga, with expected length of stay longer than 24 hours) during a time-interrupted series, before and after postoperative diagnostic monitoring (blinded assessment of troponin T and electrocardiograms ignoring clinical data). For the period before the in
Rese as bibliográficas
Hampe Martínez, Teodoro,Calavia Sáez, óscar,Villarías Robles, Juan J.,Estrade, Paul
Revista de Indias , 1997,
Abstract:
Eficacia de un programa de entrenamiento intradiálisis de fuerza-resistencia en combinación con electroestimulación neuromuscular: mejora en la capacidad funcional, fuerza, y calidad de vida Efficacy of an intradialysis strength-stamina training programme in combination with neuromuscular electrostimulation: improvement in functional capacity, strength, and quality of life
Gustavo Manuel Contreras Martos,Miguel Delgado Rodríguez,Juan Martínez Villar,Inmaculada Parra Mozas
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011,
Abstract: El propósito de este estudio fue determinar la eficacia de un programa de ejercicios de fuerza-resistencia durante la hemodiálisis, en la mejora de la fuerza muscular, calidad de vida y capacidad funcional para la realización de actividades de la vida diaria. Se realizó un estudio cuantitativo y experimental de tipo pretest y postest. Se aplicó un programa de ejercicios de fuerza-resistencia en combinación con electroestimulación neuromuscular a 10 pacientes sometidos a hemodiálisis. Fueron tres ejercicios de sencilla ejecución adaptados a la posición en la que se realizaba la hemodiálisis. Todos los pacientes mostraron una mejoría significativa en la fuerza, medida mediante test funcionales para la realización de las actividades de la vida diaria: caminar (6-MWT) y sentarse-levantarse (10-STS). Estos test fueron medidos antes y después del programa de entrenamiento. También mostraron mejoría en la dimensión física de la calidad de vida medida mediante el cuestionario específico para el enfermo renal, el KDQOL-SF TM. The purpose of this study was to determine the efficacy of a programme of strength-stamina exercises during haemodialysis, in improving muscular strength, quality of life and functional capacity to carry out everyday activities. A quantitative, experimental pre-test and post-test study was carried out. A programme of strength-stamina exercises in combination with neuromuscular electrostimulation was applied to 10 patients undergoing haemodialysis. These were three simple exercises adapted to the position in which haemodialysis was carried out. All the patients showed a significant improvement in strength, measured using functional tests to carry out everyday activities: walking (6-MWT) and sit-to-stand tests (10-STS). These tests were measured before and after the training programme. They also showed an improvement in the physical dimension of the quality of life measured using the specific questionnaire for renal patients, KDQOL-SF TM.
Effects of the use of videogames in a balance improving programme for women of 60 or over
Carlos Salazar Martínez,Manuel Villar Ortega,Juan A. Párraga Montilla,Rafael Moreno
Retos : Nuevas Perspectivas de Educación Física, Deporte y Recreación , 2010,
Abstract: Nowadays the population sector of senior citizens has become very important. For that reason we need to work to increase our knowledge of how to keep and improve the quality of their lives. Among the factors that influence this quality we need to avoid dependency so that these citizens can look after themselves, being falls one of the main causes of their lack of mobility. For that reason we propose a balance training programme that combines floor exercises and videogames practise as a way to foster the positive effects of that training. Apart from bringing new technologies closer to a group of people who have little to do with it, this study shows the usefulness of these new technologies to improve balance. The outcome shows that the use of a videogame console improves the results obtained in a balance training programme based on exercises on wall bars, mats and unstable rubber platforms full of air.
Incidencia de eventos vasculares mayores después de cirugía no cardiaca: impacto del monitoreo perioperatorio con troponina y electrocardiograma
Quiroga,Sandra M; Villar,Juan C; Martínez,Luz X; Chaparro,María S; Ca?ón,Wilson; Camacho,José L;
Revista Colombiana de Cardiología , 2009,
Abstract: introduction: recent demographic changes have led to an increased risk of major vascular events among patients undergoing non-cardiac surgery. troponin and electrocardiogram monitoring would further identify these major vascular events. methods: we prospectively collected data on elegible patients (non-selected individuals aged 45 or older undergoing non-cardiac surgery under general or regional anesthesia in two hospitals in bucaramanga, with expected length of stay longer than 24 hours) during a time-interrupted series, before and after postoperative diagnostic monitoring (blinded assessment of troponin t and electrocardiograms ignoring clinical data). for the period before the intervention (usual clinical care), two independent reviewers extracted clinical information from clinical histories (of all eligible patients from 3 randomly-selected months of 2005). for the period after diagnostic monitoring, we followed 100 consecutive eligible patients. primary outcome was a composite of major vascular events within hospital, including myocardial infarction (defined as any troponin elevation associated with electrocardiographic changes suggesting ischemia, regardless of symptoms). results: we included 534 clinical charts and 100 prospective surgical patients (mean age 62.2, sd 12.9 years; 56% women). the more frequent surgical procedures were orthopedics (26.8%) followed by abdominal (20.2%). the incidence of major vascular events recorded in clinical charts was 2.8%, compared with 7% among monitored patients (p=0,071). all four myocardial infarctions identified among the later group were silent. conclusion: postoperative monitoring with troponin and electrocardiography identified a higher proportion of major vascular events, mainly silent myocardial infarctions.
Estudio de la eficacia analgésica del Dexketoprofeno Trometamol 25 mg. vs. Ibuprofeno 600 mg. tras su administración oral en pacientes sometidos a una intervención quirúrgica oral
Jiménez Martínez,Esther; Gasco García,Carmen; Arrieta Blanco,Juan José; Gómez del Torno,Javier; Bartolome Villar,Bego?a;
Medicina Oral, Patología Oral y Cirugía Bucal (Ed. impresa) , 2004,
Abstract: -objectives: compare the analgesic efficacy of two non-steroidal anti-inflammatory drugs (nsaids) belonging to the family of propionic acids after oral surgery in order to assess which one is most effective with the minimum side effects and lowest dose. normally, the pain after oral surgery is considered as moderate-intense and nsaids are the first choice when treating post-surgical dental pain. as we know, the great problem of these drugs is found in their undesirable effects. the enantiomer-s(+) component is known to be related with analgesia and need for lower dose of these drugs. -design: the patients are given questionnaires with pain assessment tables and different observations are made: post-surgical pain, pain in the first hour after administration of the analgesic, inflammation, bleeding, hematoma, etc. we assess the effect of the different drugs used in the study based on the efficacy-time coordinates as well as the anti-inflammatory effect and their side effects. -results: it is verified that there is moderate pain after oral surgery and the drugs used are effective in the doses and intervals indicated. during the first hour after taking the analgesic, those patients treated with dexketoprofen trometamol (dkt) presented less pain compared to those who were treated with ibuprofen (ibu). it is verified that there is inflammation in most of the interventions, the extractions of the semi-impacted third molars (sitm) present greater bleeding on the first day and the extractions of impacted third molars (itm) present more bleeding on the third day. these last two interventions (itm also present hematoma. -conclusions: we demonstrate the greater analgesic efficacy of dexketoprofen trometamol in the first hour after the oral surgical intervention and its greater anti-inflammatory effect.
Comparación entre Andalucía y Catalu?a de la frecuencia de incapacidad laboral durante la gripe (H1N1) 2009
Torá,Isabel; Delclós,Jordi; Martínez,José Miguel; Tobías,Aurelio; Jardí,Josefina; Alberti,Constan?a; Manzanera,Rafael; Dios Villar,Juan de; Delgado,Miguel; Benavides,Fernando G.;
Revista Espa?ola de Salud Pública , 2011, DOI: 10.1590/S1135-57272011000100011
Abstract: background: this study compared surveillance of cases of sickness absence due to illness caused by influenza and reported in andalusia and catalonia in the period 2007-2009. methods: a time series of incident cases of sickness absence due to influenza, by sex and age, in which episodes in andalusia and catalonia in a previous epidemic period (from 01/01/2007 through 30/09/2009) were compared to the pandemic period (last three months of 2009). the weekly number of new cases of sickness absence due to influenza was calculated, and the minimum, median and maximum values were plotted for each of these two periods. results: unexpectedly, women had a higher proportion of new cases of sickness absence due to influenza during the pandemic period (52.2% in catalonia and 49.7% in andalusia). during both periods the 25 to 34 year old age group had a higher number of new cases of sickness absence both in catalonia (37.439 in the epidemic period and 15.379 in the pandemic) and andalusia (20.465 epidemic period and 9.630 pandemic period). the arrival of the pandemic was around november (approximately 10.000 cases in catalonia and 5.000 cases in andalusia), resulting in a significant increase of cases in contrast to the median of the epidemic period. conclusions: during the 2009 pandemic, there was an increase in new cases of sickness absence due to influenza, somewhat greater in catalonia than andalusia, with an earlier peak in november, especially among women in these two autonomous communities.
Eficacia de un programa de entrenamiento intradiálisis de fuerza-resistencia en combinación con electroestimulación neuromuscular: mejora en la capacidad funcional, fuerza, y calidad de vida
Contreras Martos,Gustavo Manuel; Delgado Rodríguez,Miguel; Martínez Villar,Juan; Parra Mozas,Inmaculada; Borrego Utiel,Francisco; Segura Torres,Pilar;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000200006
Abstract: the purpose of this study was to determine the efficacy of a programme of strength-stamina exercises during haemodialysis, in improving muscular strength, quality of life and functional capacity to carry out everyday activities. a quantitative, experimental pre-test and post-test study was carried out. a programme of strength-stamina exercises in combination with neuromuscular electrostimulation was applied to 10 patients undergoing haemodialysis. these were three simple exercises adapted to the position in which haemodialysis was carried out. all the patients showed a significant improvement in strength, measured using functional tests to carry out everyday activities: walking (6-mwt) and sit-to-stand tests (10-sts). these tests were measured before and after the training programme. they also showed an improvement in the physical dimension of the quality of life measured using the specific questionnaire for renal patients, kdqol-sftm.
Impact of a telecare service for psichyatric patients at discharge
Sofía Martínez Villar
NURE Investigación , 2012,
Abstract: Introduction: Suicide and self harm are two of the mental health problems that require more healthcare attention. When psychiatric patients are discharged back to their homes, must face multiple stress factors, which in many cases, are cause of readmissions, self harm and suicide. Objective: The aim of this study to assess whether a program of nursing telecare improves the adaptation of patient with risk of suicide and self harm at home. Methods: The design of this study is an experimental trial type, which generates two cohorts, an intervention one and a control one. The population of the study are patients diagnosed a major depression or borderline, antisocial, or histrionic personality disorder, admitted in the hospital because of symptom decompensation, and with a nursing diagnosis of risk of suicide, risk of self-harming and risk for self-directed violence. To data recollection, the levels of anxiety, suicidal ideation and the confrontation level at discharge and one month after discharge, the number of psychiatric emergency visits, number of readmissions and number of appointments to which the patient attended at the Mental Health Centre during the month at home, as well as the adherence to medication will be assessed. For the data analysis, the homogeneity of the groups will be eveluated, to then undertake a descriptive study of two cohorts, and then an analytical study for comparison.
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