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Search Results: 1 - 10 of 212705 matches for " Miosotis Pérez Orta "
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Manejo hospitalario de la meningoencefalitis bacteriana por S. Neumoniae
Roberto álvarez Fumero,Dania Luisa Manresa Gómez,Bertha Lidia Castro Pacheco,Miosotis Pérez Orta
Revista Cubana de Pediatr?-a , 2003,
Abstract: La actitud terapéutica ante la meningitis bacteriana (MEB) es uno de los retos más importantes a los que se enfrenta el pediatra, pues de su oportuno y adecuado manejo depende el pronóstico. Los cambios en la epidemiología de los síndromes neurológicos infecciosos bacterianos observados en Cuba a partir del a o 2000, promovieron la implementación de modificaciones al régimen terapéutico antibiótico convencional. En este artículo, sin olvidar que el tratamiento ideal es el preventivo, se expone una revisión actualizada del manejo hospitalario de las MEB por S.pneumoniae, que incluye: adopción de medidas generales, instauración temprana de acciones dirigidas a atenuar los efectos perjudiciales de la respuesta inflamatoria sistémica, conducta específica contra el agente (antibioticoterapia) y finalmente la identificación precoz e inicio de la rehabilitación de secuelas. Se hace énfasis en las modificaciones al esquema antibiótico adoptadas recientemente por la Comisión Nacional de SNI. Se exponen consideraciones sobre la introducción de la vancomicina en esquema antimicrobiano de las MEB por S.pneumoniae. The therapeutic attitude to face bacterial meningitis (BME) is one of the most important challenges for pediatricians, since the prognosis depends on its timely and adequate management The changes in the epidemiology of the bacterial infectious neurological syndromes ocurred in Cuba from 2000 on, promoted the implementation of modifications in the conventional therapeutical antibiotic regimen. In this article, without forgetting that the ideal treatment is the preventive one, it is exposed an updated review of the hospital management of BME due to S.Pneumoniae that includes: adoption of general measures, early establishment of actions directed to alleviate the harmful effects of the systemic inflammatory reponse, specific conduct against the agent (antibiotic therapy) and, finally, the identification and beginning of the rehabilitation of sequelae. Emphasis is made on the modifications of the antibiotic scheme recently adopted by the National Commission of the National System of Information. Considerations are made on the introduction of vancomycin in the antimicrobial scheme of the BME caused by S. pneumnoniae.
Manejo hospitalario de la meningoencefalitis bacteriana por S. Neumoniae
álvarez Fumero,Roberto; Manresa Gómez,Dania Luisa; Castro Pacheco,Bertha Lidia; Pérez Orta,Miosotis; Rojo Casares,Ibis; Quintana Jardines,Ibrahim;
Revista Cubana de Pediatr?-a , 2003,
Abstract: the therapeutic attitude to face bacterial meningitis (bme) is one of the most important challenges for pediatricians, since the prognosis depends on its timely and adequate management the changes in the epidemiology of the bacterial infectious neurological syndromes ocurred in cuba from 2000 on, promoted the implementation of modifications in the conventional therapeutical antibiotic regimen. in this article, without forgetting that the ideal treatment is the preventive one, it is exposed an updated review of the hospital management of bme due to s.pneumoniae that includes: adoption of general measures, early establishment of actions directed to alleviate the harmful effects of the systemic inflammatory reponse, specific conduct against the agent (antibiotic therapy) and, finally, the identification and beginning of the rehabilitation of sequelae. emphasis is made on the modifications of the antibiotic scheme recently adopted by the national commission of the national system of information. considerations are made on the introduction of vancomycin in the antimicrobial scheme of the bme caused by s. pneumnoniae.
Una Responsabilidad Básica del Auditor: El Control de Calidad de la Auditoria
Guillermo Sierra Molina,Manuel Orta Pérez
Revista de Contabilidad : Spanish Accounting Review , 1997,
Abstract: El objetivo del trabajo de investigación es definir el control de calidad de la auditoria y delimitar a quién corresponde la responsabilidad de que ese control sea llevado a la práctica en cualquier auditoria. En su contenido identificamos las dos perspectivas que existen para realizarlo, esto es, por un lado países que se autorregulan y, por otro, aquellos cuyo control está asignado a algún ente dependiente de su estructura de administración pública. A continuación analizamos cómo se lleva a cabo desde cada una de ellas con la intención de iniciar una reflexión conducente a la posibilidad de un cambio de mentalidad que incorpore nuevas posibilidades dirigidas a mejorar la calidad del trabajo de los auditores cuyo control técnico está asignado al Instituto de Contabilidad y Auditoria de Cuentas. The object of this paper is to define the quality control of the audit and to define who is responsible for the control being carried out in any audit. Here we identify the two perspectives that exists. On one hand countries that have self-regulation and, on the other, those whose control is allotted to some dependent body of their public administration structure. Below we analyse how each is carried out in order to give rice to a consideration of the possibility of an exchange of ideas incorporating new possibilities directed at improving the quality of the work of the auditors whose technical control is assigned to the Accounting and Audit Institute of Spain.
Técnicas microquirúrgicas usadas en la reparación de los nervios periférico: revisión de la literatura
Freinkel Rodrigues,Flávio; Orta Pérez,Rafael;
Revista argentina de neurocirug?-a , 2009,
Abstract: the authors present a literature and database pubmed and lilacsreview of the usual microsurgical techniques in peripheral nerves operation. the authors conclude that this type of operation depends on the correct use this technique and also on other factors.
Técnicas microquirúrgicas usadas en la reparación de los nervios periférico: revisión de la literatura
Flávio Freinkel Rodrigues,Rafael Orta Pérez
Revista Argentina de Neurocirugía , 2009,
Abstract: Los autores hacen una revisión de la literatura y de las bases de datos PubMed y Lilacs acerca de las principales técnicas microquirúgicas usadas en las operaciones de los nervios periféricos. Concluyen que este tipo de intervención quirúrgica depende del uso correcto de la técnica y también de otros factores. The authors present a literature and database PubMed and Lilacsreview of the usual microsurgical techniques in peripheral nerves operation. The authors conclude that this type of operation depends on the correct use this technique and also on other factors.
CóMO PRESERVAR LA OBJETIVIDAD DEL AUDITOR INTERNO [doi: 10.5329/RECADM.20040302003]
José ángel Pérez López,Manuel Orta Pérez,Aurora Virginia Pérez López
Revista Eletr?nica de Ciência Administrativa - RECADM , 2004, DOI: 10.5329/410
Abstract:
La metoclopramida y sus reacciones adversas sobre el sistema nervioso central
Alfonso Orta,Ismary; Jiménez López,Giset; Chao Cardeso,Ashley; ávila Pérez,Jenny;
Revista Cubana de Medicina General Integral , 2011,
Abstract: introduction: metoclopramide from 2000 to 2006 years became the drug with higher frequency of association with late dyskinesia seen. in a analysis carried out by food and drug administration (fda) it is noticed that the 20 % of patients with a prescription of metoclopramide use it drug for more than 3 months. objective: to characterize the adverse reactions reported of metoclopramide and its relation to the notification of a late dyskinesia in our country. methods: a cross-sectional, descriptive, observational study related to pharmacosurveillance using the method of spontaneous notification of reports on drug adverse reactions and the database of the national coordination unit of pharmacosurveillance. authors analyzed all reports of drug adverse react ions from 2003 to 2008 from all country. results: a total of 1 119 notifications of drug adverse reactions. the organic system more involved were the central nervous system (43,2 %) followed by the cardiovascular one (14,2 %). there was predominance of probable drug adverse reactions (73,6 %) and slights (51,7 %), a 0,4 % accounted for severe adverse reactions, whereas the more frequent were: extrapyramidal syndrome (29,0 %), dizziness (18,2 %) and shaking (9,9 %). the predominant temporary sequence between the occurrence of adverse reaction and drug ingestion was in hours (53,8 %). conclusions: it was evidenced that children and elderly populations show a great relation with the predominance of drug adverse reactions of central nervous system, however, the adult population must not to be excluded, since more than a half of above mentioned reported reactions were in this age group. that system was the more involved even though there was not a link with high doses. the reported dyskinesias may be classified as early or acute and the adverse reactions predominant were the slight and probable ones.
La metoclopramida y sus reacciones adversas sobre el sistema nervioso central The metoclopramide and its adverse reactions on the nervous central system
Ismary Alfonso Orta,Giset Jiménez López,Ashley Chao Cardeso,Jenny ávila Pérez
Revista Cubana de Medicina General Integral , 2011,
Abstract: Introducción: la metoclopramida ha pasado a ser entre el a o 2000 y 2006 el fármaco que con mayor frecuencia se asocia con las discinesias tardías atendidas. En un análisis realizado por Food and Drug Administration se advierte que el 20 % de los pacientes a los que se les prescribe metoclopramida, la utilizan por de más de 3 meses. Objetivo: caracterizar las reacciones adversas a la metoclopramida reportadas y su relación con la notificación de discinesia tardía en nuestro país. Métodos: se realizó un estudio observacional, descriptivo, transversal de farmacovigilancia, que utilizó el método de notificación espontánea de reportes de reacciones adversas a medicamentos y la base de datos de la Unidad Coordinadora Nacional de Farmacovigilancia. Se analizaron todos los reportes de reacciones adversas medicamentosas desde el a o 2003 a 2008 procedentes de todo el país. Resultados: se analizaron 1 119 notificaciones de reacciones adversas medicamentosas. Los sistemas de órganos más afectados fueron el sistema nervioso central (43,2 %), seguido del aparato cardiovascular (14,2 %). Predominaron las reacciones adversas medicamentosas probables (73,6 %) y leves (51,7 %), un 0,4 % se correspondió con reacciones adversas graves, mientras que las más frecuentes fueron: extrapiramidalismo (29,0 %), mareos (18,2 %) y temblor (9,9 %). La secuencia temporal entre la ocurrencia de la reacción adversa y la toma del medicamento que predominó fue en horas (53,8 %). Conclusiones: se evidenció que la población pediátrica y geriátrica muestra mayor relación con el predominio de reacciones adversas a medicamentos del sistema nervioso central, no obstante la población adulta no debe quedar excluida, pues más de la mitad de las reacciones adversas a medicamentos del sistema nervioso central reportadas ocurrieron en este grupo de edad. Ese sistema fue el más afectado, aun sin estar relacionadas con dosis elevadas. Las discinesias reportadas pueden ser clasificadas como tempranas o agudas, y las reacciones adversas que predominaron fueron las leves y probables. Introduction: metoclopramide from 2000 to 2006 years became the drug with higher frequency of association with late dyskinesia seen. In a analysis carried out by Food and Drug Administration (FDA) it is noticed that the 20 % of patients with a prescription of metoclopramide use it drug for more than 3 months. Objective: to characterize the adverse reactions reported of metoclopramide and its relation to the notification of a late dyskinesia in our country. Methods: a cross-sectional, descriptive, observational study related
Sarcoma de Kaposi: a propósito de un caso clínico, actualización del tema
Gámez Pérez,Anadely; Díaz Rodríguez,Delia Rosa; Rodríguez Orta,Celia de los A; Fernández Lara,Ana Isabel; Rodríguez Orta,Ibet;
Revista de Ciencias M??dicas de Pinar del R?-o , 2009,
Abstract: kaposi′s sarcoma (ks) is a cancer-like disease. it is most frequent related to hiv infection, present in late stages of the disease and affecting 20 % of hiv infected people having no highly active antiretroviral therapy (haart). since in pinar del rio province a low incidence rate of hiv/aids is observed , kaposi′s sarcoma is very infrequent. a 50 year-old male who after presenting an epigastralgia suffers from hematoma-like skin lesions, in resolution and when palpated the darker center was nodular. these lesions take practically the whole body, observing loss of weight, no fever, no itching, no oral mucosa lesions. determining hb: 112 g/l, hto; 0.34/l, leukocytes: 4.4 x 4x109/l, increase of mononuclear cells, associated to lymphopenia, but erythrocyte sedimentation rate, seric cholesterol, transaminases, kidney function and total proteins were normal. moderated thrombocytopenia and high levels of uric acid were observed. in the bone marrow aspiration atypical lymphocytes and relative depression of the hematopoietic series prevailed. gastroscopy was negative. skin biopsy: compatible with kaposi′s sarcoma. hiv: three exams during the study at 3 months intervals being negative from the beginning. the last viral examination carried out at 7 months after the beginning of the study resulted positive when western blot technique was used.
La Analgesia electroacupuntural en ginecología
Gazapo Pernas,Raoul; Collado Orta,Roberto; Rigol Ricardo,Orlando; Tanda Herrera,Ramón; Pérez Clavero,María J.;
Revista Cubana de Obstetricia y Ginecolog?-a , 1999,
Abstract: the present paper deals with the use of electroacupuncture as an analgesic in uterine curettages, menstrual regulations, tubal ligation, uterine conizations, and among patients after tubal ligation, hysterectomies, and with acute pain that attend the emergency department. electroacupuncture analgesia was applied to 265 patients at the "eusebio hernández" gynecoobstetric teaching hospital. 47.2 % of them were at anesthetic risk. they were divided into 6 groups that received different treatments. in the curettage i group it was obtained a total control of pain in 53.3 % of the patients, 35.9 % presented mild complaints, and in 10.8 % the control of painful sensations was deficient. in the curettage ii group it was possible to control the pain completely in 61.2 % of the cases, where as 32.8 % had mild complaints, and only in 6 % the control the pain was not efficient. among patients undergoing menstrual regulations 84 % of the results were excellent, 12 % good, and only 4 % suffered from pain. among patients with tubal ligation the total control of the pain was achieved in 60 % of the patients, 20 % had bearable complaints, and the other 20 % also had a bearable pain. in the patients from the curettage ii, menstrual regulation and tubal ligation groups the electrical stimulus and the needles were removed before starting the operation, which is an unpublished experience in our environment. 40 % of the patients with uterine conizations managed to have pain under control with the proposed combination, and 60 % had bearable pain. no complications were observed. 76.9 % of the patients who received postsurgical analgesic treatment obtained excellent results while 23.1 % continued complaining of mild pain.
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