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Search Results: 1 - 10 of 481793 matches for " Leopoldo López-Rosés "
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ERCP and pregnancy CPRE y embarazo
Leopoldo López-Rosés
Revista Espa?ola de Enfermedades Digestivas , 2012,
Abstract:
ERCP in a low-volume hospital: Arguments "for" and "against" this type of practice CPRE en un hospital con bajo volumen: argumentos "a favor" y "en contra" de este tipo de práctica
Leopoldo López-Rosés,Sarbelio Rodríguez-Mu?oz,Enrique Vázquez-Sequeiros,J. Enrique Domínguez-Mu?oz
Revista Espa?ola de Enfermedades Digestivas , 2013,
Abstract:
Esofagitis eosinofílica por sensibilización a proteínas de leche de cabra y oveja
Armisén,M.; Vidal,C.; López-Rosés,L.; Rodríguez,V.; Bartolomé,B.;
Revista Espa?ola de Enfermedades Digestivas , 2008, DOI: 10.4321/S1130-01082008000100011
Abstract: eosinophilic esophagitis is an inflammatory disease of the esophagus characterized by the presence of high numbers of eosinophils in the esophageal mucosal layer (> 20 high-power field). it is uncommon in adults but in such cases intermittent dysphagia and food impaction are the most common presenting symptoms. we report the case of a male with long-standing intermittent dysphagia after eating selected goat and sheep cheese types, who required medical help following the impaction of an ibuprofen pill in the esophagus. a biopsy demonstrated the presence of eosinophilic inflammation, and allergy testing showed specific ige against proteins in the milk of goats and sheep. topical steroid therapy with oral fluticasone, and the elimination of these dairy products from the diet induced complete symptom resolution, and biopsy specimens taken 4 months later showed no eosinophils.
Esofagitis eosinofílica por sensibilización a proteínas de leche de cabra y oveja Eosinophilic esophagitis due to allergy to sheep and goat milk proteins
M. Armisén,C. Vidal,L. López-Rosés,V. Rodríguez
Revista Espa?ola de Enfermedades Digestivas , 2008,
Abstract: La esofagitis eosinofílica, entidad caracterizada por la infiltración de la mucosa esofágica por más de 20 eosinófilos por campo de gran aumento, se suele presentar en forma de disfagia intermitente de larga evolución, pudiendo estar asociada a sensibilización alérgica a aeroalérgenos y/o alimentos. Presentamos el caso de un varón con clínica de disfagia intermitente coincidiendo con la toma de quesos curados de oveja y cabra que precisó asistencia urgente tras la impactación de un comprimido de ibuprofeno a 30 cm de la arcada dentaria. El estudio practicado demostró la existencia de estenosis en el esófago a ese nivel con infiltración eosinofílica difusa y sensibilización a proteínas de la leche de cabra, oveja y vaca, con especial relevancia para la IgG bovina, lactoferrina y albúmina sérica. Tras tratamiento con fluticasona deglutida y medidas de evitación se consiguió la resolución del cuadro clínico y la desaparición de los eosinófilos en la mucosa. Eosinophilic esophagitis is an inflammatory disease of the esophagus characterized by the presence of high numbers of eosinophils in the esophageal mucosal layer (> 20 high-power field). It is uncommon in adults but in such cases intermittent dysphagia and food impaction are the most common presenting symptoms. We report the case of a male with long-standing intermittent dysphagia after eating selected goat and sheep cheese types, who required medical help following the impaction of an ibuprofen pill in the esophagus. A biopsy demonstrated the presence of eosinophilic inflammation, and allergy testing showed specific IgE against proteins in the milk of goats and sheep. Topical steroid therapy with oral fluticasone, and the elimination of these dairy products from the diet induced complete symptom resolution, and biopsy specimens taken 4 months later showed no eosinophils.
Sedation with propofol controlled by endoscopists during percutaneous endoscopic gastrostomy Sedación con propofol controlada por endoscopista durante la realización de gastrostomía percutánea
C. García-Suárez,L. López-Rosés,P. Olivencia,A. Lancho
Revista Espa?ola de Enfermedades Digestivas , 2010,
Abstract: Background: propofol is a hypnotic used with increasing frequency for sedation during endoscopic procedures. Most of the reports published related with its employment by non-anaesthesiologists, refers to basic endoscopy, with little reference to its use in advanced endoscopy. Objective: to evaluate the efficacy and safety of propofol sedation administered by endoscopists, while performing percutaneous endoscopic gastrostomy, an advanced technique that is usually performed in high anesthetic level risk patients. Material and methods: prospective study of a series of endoscopic gastrostomy performed consecutively in our department; the sedation was carried out exclusively with propofol. The staff in the room consisted of two medical gastroenterologists, a nurse and a nursing assistant. Propofol was administered by bolus doses adjusted to patient weight. Arterial oxygen saturation, heart rate and blood pressure were monitored; respiratory activity was monitored visually by observing respiratory excursions of the patient. Results: we included 47 patients, with an average age of 82 years. 87% were ASA III and the rest, ASA IV. The mean dose of propofol was 51 mgr. Complications were recorded: 8 cases of desaturation and two of hypotension, all of them minor and quickly reversible. All procedures were carried out successfully, at a median time of 8 minutes. Conclusion: the propofol sedation carried out by non-anaesthesiologist trained staff, seems to appear as a safe and effective procedure while performing percutaneous endoscopic gastrostomy. Introducción: el propofol es un hipnótico usado cada vez con más frecuencia para la sedación durante procedimientos endoscópicos. La mayor parte de los trabajos publicados en relación con su empleo por personal no anestesista se refiere a exploraciones de endoscopia básica, siendo escasas las referencias a su empleo en endoscopia avanzada. Objetivo: valorar la eficacia y la seguridad de la sedación mediante propofol administrado por endoscopistas, durante la realización de gastrostomía endoscópica percutánea, técnica avanzada y generalmente aplicada sobre pacientes de riesgo anestésico alto. Material y métodos: estudio prospectivo de una serie de gastrostomías endoscópicas realizadas consecutivamente en nuestro servicio; las sedaciones se llevaron a cabo exclusivamente con propofol. El personal presente en la sala consistió en dos médicos gastroenterólogos, una enfermera y una auxiliar de enfermería. El propofol se administró en bolos, ajustando las dosis al peso de los pacientes. Se monitorizaron la saturación arterial
Sedation with propofol controlled by endoscopists during percutaneous endoscopic gastrostomy
García-Suárez,C.; López-Rosés,L.; Olivencia,P.; Lancho,A.; González-Ramírez,A.; Santos,E.; Carral,D.; Castro,E.; ávila,S.;
Revista Espa?ola de Enfermedades Digestivas , 2010, DOI: 10.4321/S1130-01082010000400005
Abstract: background: propofol is a hypnotic used with increasing frequency for sedation during endoscopic procedures. most of the reports published related with its employment by non-anaesthesiologists, refers to basic endoscopy, with little reference to its use in advanced endoscopy. objective: to evaluate the efficacy and safety of propofol sedation administered by endoscopists, while performing percutaneous endoscopic gastrostomy, an advanced technique that is usually performed in high anesthetic level risk patients. material and methods: prospective study of a series of endoscopic gastrostomy performed consecutively in our department; the sedation was carried out exclusively with propofol. the staff in the room consisted of two medical gastroenterologists, a nurse and a nursing assistant. propofol was administered by bolus doses adjusted to patient weight. arterial oxygen saturation, heart rate and blood pressure were monitored; respiratory activity was monitored visually by observing respiratory excursions of the patient. results: we included 47 patients, with an average age of 82 years. 87% were asa iii and the rest, asa iv. the mean dose of propofol was 51 mgr. complications were recorded: 8 cases of desaturation and two of hypotension, all of them minor and quickly reversible. all procedures were carried out successfully, at a median time of 8 minutes. conclusion: the propofol sedation carried out by non-anaesthesiologist trained staff, seems to appear as a safe and effective procedure while performing percutaneous endoscopic gastrostomy.
Sedation/analgesia guidelines for endoscopy Directrices "guidelines" de sedación/analgesia en endoscopia
L. López Rosés
Revista Espa?ola de Enfermedades Digestivas , 2006,
Abstract:
Colonoscopia Colonoscopy
L. López Rosés,P. Olivencia Palomar
Revista Espa?ola de Enfermedades Digestivas , 2008,
Abstract:
Dose of Paclobutrazol in the Growth of Sugarcane Seedlings in Vitro in the Acclimatization Stage  [PDF]
Tomás Díaz Valdés, Leopoldo Partida Ruvalcaba, Felipe Ayala Tafoya, Carlos Alfonso López Orona, Teresa de Jesús Velázquez Alcaraz
Agricultural Sciences (AS) , 2017, DOI: 10.4236/as.2017.88056
Abstract: Micropropagation has been widely used for the rapid multiplication of many plant species, where the final quality of the plant depends on the acclimatization stage. To obtain compact plants, with desired characteristics and adaptable to field conditions, the use of chemical inhibitors of growth is necessary. In sugarcane of the variety CP 72-2086 the effects caused by the growth regulator paclobutrazol (PBZ) in vitro plants applied in the acclimatization phase are unknown. The objective of this research was to know the effect of paclobutrazol in the acclimatization phase in the growth and development of the vitro plants of sugarcane of the variety CP 72-2086. The research was carried out in the greenhouse of the Faculty of Agronomy of the Autonomous University of Sinaloa, located at 24°37'29\"N and 107°26'36\"W, in Sinaloa, Mexico. Micro-propagated sugarcane seedlings were used by tissue culture; vitro plants were extracted from the flasks 24 hours before being transplanted into the greenhouse. The treatments of PBZ applied were the doses of 0 (control), 100, 150, 200, 250 and 300 mg·L-1. The PBZ was applied when the seedlings had seven true leaves [(31 days after transplant (ddt)], and did not show gutting. At 36 ddt, the vitro plants of the trays were extracted and the variables evaluated were height (cm), stem diameter (mm), root length (cm), root volume (mL), root dry weight (g), aerial biomass dry weight (g), leaf area (cm2) and greenness in spad units. A randomized complete block design with three replicates was used. The results of the study indicated that the dose of 150 g·L-1 of PBZ induced the growth of plants more compact and of better quality for the transplant.
Drug related problems associated with the psychoactive drugs used on geriatric, hospitalized patients
Ortega López Irma Leonor,Verdecia Rosés Miguel Ernesto
Brazilian Journal of Pharmaceutical Sciences , 2012, DOI: 10.1590/s1984-82502012000300012
Abstract: A prospective study was carried out, to identify the drug related problems and to prevent or to solve the negative outcomes associated with medication of the geriatric patients that consumed psychoactive drugs, who were hospitalized. The study was carried out according to the DADER Method of Pharmacotherapy Monitoring, adapted to the Hospital's environment and the theoretical rationale of the Third Consent of Granada was assumed, for the considerations related to the drug related problems and the negative outcomes associated with medication. Thirty five patients were included whose ages ranged between the 60 and 90 years. Thirty six negative associated outcomes were identified, in 34 patients that represented 97.14% incidence. A prevalence of the negative outcomes associated with the necessity was observed, followed by those associated with the security. The inadequate drug uses was the drug related problem that prevailed in the sample. The psychoactive drugs that were related with these results were mainly the anxiolytics, meprobamate and the neuroleptics. Some 82.35% of the interventions were accepted, achieving resolution of 47.06% of the negative outcomes associated with medication. Foi realizada uma pesquisa de interven o, prospectiva, a fim de identificar problemas relacionados aos medicamentos e evitar ou resolver resultados negativos daí decorrentes, em pacientes idosos que faziam uso de medicamentos psicotrópicos e que foram internados. O estudo foi realizado de acordo com o método DADER para o acompanhamento farmacoterapêutico e assumiram-se os pressupostos teóricos do III Consenso de Granada, as considera es relacionadas com os problemas dos fármacos e os resultados negativos associados à medica o. Foram incluídos 35 pacientes com idades entre 60 e 90 anos. Trinta e seis RM foram identificados em 34 pacientes representando incidência de 97,14% e a prevalência foi observada para os resultados negativos associados com a necessidade, seguidos por aqueles relacionados à seguran a. O uso indevido de fármacos foi os problema mais frequente na amostra. Os psicofármacos mais implicados foram os ansiolíticos, meprobamato e neurolépticos. Das interven es, 82,35% foram aceitas, alcan ando 47,06% de resolu o dos resultados negativos associados à medica o.
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