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The Location of Subregional Facilities in Territories with Scattered Population. A Methodological Proposal Based on the Case of Asturias (Spain)
Marcos ORTEGA MONTEQUíN,Benjamin MéNDEZ GARCíA
Journal of Settlements and Spatial Planning , 2012,
Abstract: It is a political and economic problem to place decentralized services in territories with scattered populations such Asturias (Spain). On the basis of applied research, we propose a method to select possible sites; furthermore, we carefully consider the population and the travel time of users. A GIS programme is used for calculations. Besides, another application of the method is proposed for the analysis of pedestrians’ mobility.
Caracterización de ni?os menores de cinco a?os con malnutrición proteico-energética grave atendidos en una clínica de Timor Leste: cefradina, cefalexina, cefadroxilo, cefprozilo y ceftobiprole
Ortega Alvelay,Anagalys; Osorio Pagola,Marcos; Monzón Vega,Denis; Vega Galindo,Mabel;
MediSur , 2010,
Abstract: background: protein-energy malnutrition is a very common condition in third world countries. in children morbidity and mortality associated with it have increased. objective: to characterize children with severe protein-energy malnutrition treated at a clinic in timor leste in the period from january to june 2009. methods: an observational, descriptive, prospective, cross-sectional study conducted in all children under 5 years old who attended consultation during that period. inclusion and exclusion criteria were applied. to obtain the data an examination, a clinical and nutritional assessment and a review of the medical records was performed for each patient. results: the most affected age group was from 0 to 2 years old (61, 3 %) with a predominance of females (57 %). the predominant type of malnutrition was marasmus (66,7 %), which predominated in children from 0 to 2 years old (68,6 %), whereas in children suffering from kwashiorkor the predominant age group was from 3 to 5 years old (53,4 %). the non-measurement at birth was more frequent (50, 6 %), as well as the improper weaning (in 91, 6 % of the cases) and the sustained breastfeeding beyond six months of age observed in 96, 4 % of children. conclusion: the age group from 0 to 2 years old, female sex, improper weaning and breastfeeding maintained after six months of age were predominant. a relationship between age, weaning and breastfeeding for the type of malnutrition with a reliability of 99 % was found.
The rock art of palaeolithic style in the Portalón of Cueva Mayor in the Sierra de Atapuerca (Ibeas de Juarros, Burgos): palaeolithic or contemporary chronology?
García, Marcos,Ortega, Ana Isabel,Martín, Miguel ángel,Hortolà, Policarp
Trabajos de Prehistoria , 2001,
Abstract: The doubts shown in different papers on the chronology of the motif painted in the Portalón of Cueva Mayor have caused its revision. A form of analysis is proposed wherein) by we pay attention to bibliographic, contextual and graphical questions. The results of the work question the assignment to the Paleolithic of the design; on the contrary we propose that the motif was painted at the beginning of the last century. Las dudas manifiestas en las diversas referencias bibliográficas en tomo a la cronología del motivo pintado existente en el Portalón de Cueva Mayor llevaron a la revisión del mismo. Se planteó un protocolo de análisis donde se atendiera a cuestiones historiográficas, contextúales y gráficas. Los resultados del trabajo cuestionan la asignación a momentos paleolíticos de la grafía, planteando, de manera contraria, que la ejecución fue llevada a cabo a inicios del presente siglo.
Characterization of children under five with severe protein-energy malnutrition treated in a clinic in Timor Leste Caracterización de ni os menores de cinco a os con malnutrición proteico-energética grave atendidos en una clínica de Timor Leste
Anagalys Ortega Alvelay,Marcos Félix Osorio Pagola,Denis Monzón Vega,Mabel Vega Galindo
MediSur , 2010,
Abstract: Background: protein-energy malnutrition is a very common condition in third world countries. In children morbidity and mortality associated with it have increased. Objective: to characterize children with severe protein-energy malnutrition treated at a clinic in Timor Leste in the period from january to june 2009. Methods: an observational, descriptive, prospective, cross-sectional study conducted in all children under 5 years old who attended consultation during that period. Inclusion and exclusion criteria were applied. To obtain the data an examination, a clinical and nutritional assessment and a review of the medical records was performed for each patient. Results: the most affected age group was from 0 to 2 years old (61, 3 %) with a predominance of females (57 %). The predominant type of malnutrition was marasmus (66,7 %), which predominated in children from 0 to 2 years old (68,6 %), whereas in children suffering from kwashiorkor the predominant age group was from 3 to 5 years old (53,4 %). The non-measurement at birth was more frequent (50, 6 %), as well as the improper weaning (in 91, 6 % of the cases) and the sustained breastfeeding beyond six months of age observed in 96, 4 % of children. Conclusion: the age group from 0 to 2 years old, female sex, improper weaning and breastfeeding maintained after six months of age were predominant. A relationship between age, weaning and breastfeeding for the type of malnutrition with a reliability of 99 % was found. Fundamento: la malnutrición proteico-energética es una condición muy frecuente en países del tercer mundo. La población infantil incrementa su morbimortalidad asociada a ella. Objetivo: caracterizar a los ni os con malnutrición proteico-energética grave, atendidos en una clínica de Timor Leste en el periodo de enero a junio del 2009. Métodos: estudio observacional, descriptivo, prospectivo y transversal cuyo universo lo constituyeron todos los ni os menores de 5 a os que acudieron durante ese periodo a consulta. Se aplicaron criterios de inclusión y exclusión. Para obtener los datos se realizó a cada paciente interrogatorio, valoración clínica, nutricional, y se revisó su historia clínica. Resultados: el grupo de edad más afectado es el de 0 -2 a os (61,3 %) con un predominio en el sexo femenino (57 %). El tipo de malnutrición predominante fue el marasmo (66,7 %), el cual predominó en ni os de 0-2 a os (68,6 %), mientras que los ni os que eran portadores de kwashiorkor estaban predominantemente en el grupo de edad de 3 a 5 a os (53,4 %). La no mensuración al nacer fue más frecuente (50,6 %), a
Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America
Lopez Stewart,Gloria; Tambascia,Marcos; Rosas Guzmán,Juan; Etchegoyen,Federico; Ortega Carrión,Jorge; Artemenko,Sofia;
Revista Panamericana de Salud Pública , 2007, DOI: 10.1590/S1020-49892007000600002
Abstract: objectives: to better understand how diabetes care and control are being administered by general practitioners/nonspecialists in private practice in nine countries of latin america, and to identify the most significant patient- and physician-related barriers to care. methods: a multicenter, cross-sectional, epidemiological survey was conducted in nine countries in latin america: argentina, brazil, chile, costa rica, ecuador, guatemala, mexico, peru, and venezuela. general practitioners in private practice were asked to provide care and control data for patients 18 to 75 years of age with type 2 diabetes mellitus (t2dm), including demographics, medical and medication history, laboratory exams, and information on the challenges of patient management. results: of the 3 592 patient questionnaires returned by 377 physicians, 60% of the patients had a family history of diabetes, 58% followed a poor diet, 71% were sedentary, and 79% were obese or overweight. poor glycemic control (fasting blood glucose > 110 mg/dl) was observed in 78% of patients. the number of patients with hba1c < 7.0% was 43.2%. glycemic control decreased significantly with increased duration of t2dm. comorbid conditions associated with t2dm were observed in 86% of patients; insulin use and comorbid conditions, especially those associated with microvascular complications, increased significantly disease duration. ensuring compliance with recommended diet and exercise plans was the most-cited patient management challenge. conclusions: blood glucose levels are undercontrolled in t2dm patients in the private health care system in latin america, particularly among those who have had the disease the longest (>15 years). considering the differences between private and public health care in latin america, especially regarding the quality of care and access to medication, further studies are called for in the public setting. overall, a more efficient and intensive program of t2dm control is required, including
Can Heberprot-P change the surgical concepts on treating diabetic foot?
Fernández-Montequín,José I; Santiesteban,Llipsy;
Biotecnolog?-a Aplicada , 2010,
Abstract: fourteen patients having diabetic foot ulcers on their limbs and who received amputation criteria at certain degree were included in this study, giving their consent to be treated. they were subjected to traditional medical-dietary and hygienic medical care, together with injections of heberprot-p of 75 μg per vial being administered intralesionally in alternate days. a useful granulation tissue was developed in all the cases. all the patients preserved their limbs, regardless of the previous amputation criteria, following the ambulatory treatment.
Seguimiento evolutivo mediante estudio endoscópico-histológico e infección por Helicobacter pylori en pacientes con úlcera gástrica: una preocupación de todos
Osorio Pagola,Marcos; Moré Pérez,Antonio; álvarez Cáceres,Libán; de Pasos Carrazana,Juan; Ortega Alvelay,Anagalys;
MediSur , 2010,
Abstract: background: endoscopic follow up of gastric ulcers until healing has a great important due to the possibility of a new proliferation. the commonest chronic infection worldwide is caused by helicobacter pylori and it is associated to gastro duodenal diseases. objective: to determine the endoscopic-biopsic follow up and to set the frequency of infection due to helicobacter pylori in those patients who suffer from gastric ulcers . methods: observational, descriptive and prospective study carried out at the university hospital ?arnaldo milián castro?. it included 96 gastric ulcer sufferers diagnosed endoscopically and who fulfilled with the selection criteria. endoscopy and biopsy of the gastric mucosa was done for the histological study of the gastric ulcers and for the diagnosis of infection due to helicobacter pylori through hematoxiline-eosine and giemsa stains respectively. results: 89 patients (92,7 %) healed their ulcers in the first three months of follow up and 5 patients underwent a histological diagnosis of malignant ulcers (5,2 %). surgery was done on the two patients whose ulcers did not heal. (2,1 %). 67,7 % had been infected with the bacteria. there was a greater frequency of patients infected with helicobacter pylori, either with benign or malignant ulcus (93,8 % y 6,2 %) respectively. conclusions: the follow up of benign ulcers was good , almost all of them healed in a three-month follow up. 5 patients suffered from malignant ulcers, being 2 of them diagnosed in their second endoscopy. more than half of the patients were infected with helicobacter pylori.
Desenvolvimento e produtividade da tangerina "Fairchild" sobre quatro porta-enxertos
Espinoza-Nú?ez, Erick;Mour?o Filho, Francisco de Assis Alves;Stuchi, Eduardo Sanches;Ortega, Edwin Moisés Marcos;
Ciência Rural , 2008, DOI: 10.1590/S0103-84782008000600010
Abstract: the vegetative development, fruit yield and quality of 'fairchild' mandarin [('clementine' mandarin (c. clementina hort. ex. tan.) x 'orlando' tangelo (c. paradisi macf. x c. reticulata blanco)] was evaluated on 'rangpur' lime (c. limonia osbeck), 'swingle' citrumelo (p. trifoliata raf. x c. paradisi macf.), 'cleopatra' mandarin (c. reshni hort. ex tan.) and 'orlando' tangelo (c. reticulata blanco x c. paradisi macf.) rootstocks in an experiment installed in bebedouro, sp, brazil in 1997. 'fairchild' trees budded on 'swingle' citrumelo were smaller, had higher cumulative yield in 2005 and 2006 seasons, higher yield efficiency (kgm-3), showed lower alternate bearing index. fruit quality was not affected by the rootstock. 'swingle' citrumelo was considered an adequate rootstock for 'fairchild' mandarin.
Vigor, produtividade e qualidade de frutos de quatro tangerineiras e híbridos sobre quatro porta-enxertos
Stuchi, Eduardo Sanches;Espinoza-Nú?ez, Erick;Mour?o Filho, Francisco de Assis Alves;Ortega, Edwin Moisés Marcos;
Revista Brasileira de Fruticultura , 2008, DOI: 10.1590/S0100-29452008000300030
Abstract: plant growth, yield, and fruit quality of 'swatow' (citrus reticulata blanco), 'ellendale' (c. reticulata x citrus sinensis l. osbeck), 'fortune' (citrus clementina hort. ex tan. x citrus tangerina hort. ex tan.) e 'nova' [(c. clementina) x (citrus paradisi macf. x c. reticulata)] mandarins budded on 'rangpur' lime (c. limonia osbeck), 'swingle' citrumelo (p. trifoliata raf. x c. paradisi macf.), 'orlando' tangelo (c. reticulata blanco x c. paradisi macf.), and 'cleopatra' mandarin (citrus reshni hort. ex tan.) were evaluated, from 2000 to 2006. the experiment was installed in bebedouro, sp, brazil, in 1997. data collected included: annual and total accumulated fruit production in all cultivars for all years (2000-2006), fruit quality in 2005 and 2006 (fruit mass, total soluble solids, total acids, ratio), scion volume, scion trunk diameter, yield efficiency (kg fruits/m3 scion), and alternate bearing index. cumulative yield and fruit quality of all cultivars were not influenced by the rootstocks. 'swingle' citrumelo induced reduced size trees in most of scion cultivars. 'nova' tangelo has adequate characteristics and potential as a fresh fruit market cultivar. 'swatow' mandarin had similar fruit quality with those of 'ponkan' mandarin. 'ellendale' tangor and 'fortune' tangerine had low and irregular yield.
Manifestaciones clínicas y paraclínicas de la hepatitis autoinmune en 48 pacientes de la ciudad de Medellín, 1980-2004
Marcos Arango Barrientos,Juan Camilo Díaz Coronado,Juan Carlos Ortega Castrillón,Julio César Restrepo Zapata
Iatreia , 2005,
Abstract: Objetivo: describir las características clínicas, bioquímicas, histológicas, sociodemográficas y de tratamiento de los pacientes con hepatitis autoinmune (HAI). Metodología: estudio descriptivo retrospectivo de una serie de casos con 48 pacientes de la ciudad de Medellín con diagnóstico de HAI según los criterios del Grupo Internacional de Hepatitis Autoinmune. Resultados: la edad promedio al momento del diagnóstico fue 34 a os, 40 pacientes (83.3%) eran mujeres. Los hallazgos clínicos más frecuentes fueron fatiga (89.6%) e ictericia (81.3%). Las medianas de los hallazgos de laboratorio pretratamiento fueron: AST 626 U/L, ALT 547.5 U/L, bilirrubina total 5.64 mg/dL, bilirrubina directa 3.4 mg/dL. Las medianas de los valores de laboratorio postratamiento fueron: AST 40.5 U/L, ALT 44.4 U/L, bilirrubina total 1.1 mg/dL, bilirrubina directa 0.4 mg/dL (p <0.000). El valor promedio de las gamaglobulinas fue 2.2 g/dL; 81.3% de los pacientes tuvieron biopsia hepática y de ellos 97.4% ten ían hallazgos compatibles con HAI. Cuarenta pacientes tenían anticuerpos antinucleares positivos. Se hallaron enfermedades autoinmunes concurrentes en 19 pacientes, la más frecuente fue la tiroiditis. El tratamiento más frecuentemente administrado fue prednisona más azatioprina en 56.3% de los pacientes. Cuarenta y un pacientes (85.4%) respondieron completamente y 12 (25%) recayeron. Conclusiones: las características sociodemográficas de este grupo de pacientes no son comparables con las encontradas en otras series. Los hallazgos clínicos, histológicos y bioquímicos son similares a los reportados en la literatura, lo que no se observó con las enfermedades autoinmunes asociadas. La mayoría de los pacientes pertenecen al subtipo 1 de la enfermedad.
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