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Search Results: 1 - 10 of 5801 matches for " Orlando; Toledo Dieppa "
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Influencia de aspectos bioéticos en la planificación familiar en Santos Suárez
Prendes Labrada,Marianela de la C; Guibert Reyes,Wilfredo; Lescay Megret,Orlando; Toledo Dieppa,Olga;
Revista Cubana de Medicina General Integral , 1999,
Abstract: a descriptive cross-sectional study of 151 patients from the family planning department of the "santos suárez" polyclinic was conducted between april and june, 1997, aimed at showing how some bioethical aspects influence on the selection, and continuity of the use of contraceptive methods, and on the satisfaction of the individual?s needs. a survey was done and patients were followed up for a year. data were processed by percent calculation. it was concluded that the adequate technical training of the multidisciplinary team, the reported selection, the appropiate counseling, and the respect of the individual and sociocultural beliefs, and of the moral principles influenced on the positive results of the selection and continuity of the utilization of the contraceptive methods as well as on the satisfaction of the patients? needs at the family planning department.
Influencia de aspectos bioéticos en la planificación familiar en Santos Suárez
Marianela de la C Prendes Labrada,Wilfredo Guibert Reyes,Orlando Lescay Megret,Olga Toledo Dieppa
Revista Cubana de Medicina General Integral , 1999,
Abstract: Se realizó un estudio descriptivo de corte transversal en 151 pacientes de la consulta de Planificación Familiar en el Policlínico Santos Suárez entre abril y junio de 1997, con el objetivo de mostrar cómo influyen algunos aspectos bioéticos en la selección, así como en la continuidad del uso de los métodos anticonceptivos y en la satisfacción de las necesidades del individuo. Se aplicó una encuesta y se siguió a los pacientes durante un a o. Los datos se procesaron según el cálculo porcentual. Se concluyó que la adecuada capacitación técnica del equipo multidisciplinario, la selección informada, asesoramiento adecuado y respeto de las creencias individuales, socioculturales y de los principios morales, influyeron en los resultados positivos de la selección y continuidad del uso de los métodos anticonceptivos y en la satisfacción de las necesidades del individuo en la consulta de Planificación Familiar. A descriptive cross-sectional study of 151 patients from the Family Planning Department of the "Santos Suárez" Polyclinic was conducted between April and June, 1997, aimed at showing how some bioethical aspects influence on the selection, and continuity of the use of contraceptive methods, and on the satisfaction of the individual’s needs. A survey was done and patients were followed up for a year. Data were processed by percent calculation. It was concluded that the adequate technical training of the multidisciplinary team, the reported selection, the appropiate counseling, and the respect of the individual and sociocultural beliefs, and of the moral principles influenced on the positive results of the selection and continuity of the utilization of the contraceptive methods as well as on the satisfaction of the patients’ needs at the Family Planning Department.
Prevalencia de anemia en gestantes en un área de salud
Prendes Labrada,Marianela de la C; Ba?os Rodríguez,Alberto F; Toledo Dieppa,Olga; Lescay Megret,Orlando;
Revista Cubana de Medicina General Integral , 2000,
Abstract: a descriptive cross-sectional study was conducted between january and september, 1998, in the area of the "santos suárez" polyclinic in order to determine the prevalence of anemia in pregnant women, its relatioship with age, maternal nutritional state and birth weight. the sample was composed of 209 pregnant women that were caught in this period. the obstetric medical histories were reviewed and the data were collected in forms created to this end. the percentage calculstion was used for their processing. the prevalence of anemia among the studied expectants was of 64. 59 %. 83.74 % were between 20 and 35 years old. those pregnant women with initial weighted assessment (iwa) considered as low weight i-ii-iii-iv an adequate weight developed anemia with higher frequency. haemoglobine from 109 to 100 g/l predominated during the 3 trimesters of pregnancy independently of i.w.a. most of the anemic expectants ( 80.74 %) were treated with prenatal tablets only and delivered newborns with a weight under 3 000 g
Prevalencia de anemia en gestantes en un área de salud
Marianela de la C Prendes Labrada,Alberto F Ba?os Rodríguez,Olga Toledo Dieppa,Orlando Lescay Megret
Revista Cubana de Medicina General Integral , 2000,
Abstract: Se realizó un estudio descriptivo de corte transversal en el período comprendido entre enero y septiembre de 1998 en el área del Policlínico Santos Suárez con el objetivo de determinar la prevalencia de la anemia en gestantes, su relación con la edad, el estado nutricional materno y el peso al nacer. La muestra estuvo constituida por las 209 gestantes que se captaron en este período. Se realizó revisión de las historias clínicas obstétricas y los datos se recogieron en planilla confeccionada al efecto, se utilizó el cálculo porcentual para su procesamiento. La prevalencia de la anemia en las embarazadas estudiadas fue del 64,59 %, el 83,74 % tenían entre 20 y 35 a os. Las gestantes con valoración ponderal inicial (V.P.I.) peso bajo I-II-III-IV y peso adecuado desarrollaron anemia con mayor frecuencia. Predominó la hemoglobina entre 109-100 g/l en los 3 trimestres de la gestación independientemente de la V.P.I. La mayoría de las gestantes anémicas (80,74 %) se trataron con tabletas prenatales solamente y aportaron recién nacidos con un peso menor de 3 000 g A descriptive cross-sectional study was conducted between January and September, 1998, in the area of the "Santos Suárez" Polyclinic in order to determine the prevalence of anemia in pregnant women, its relatioship with age, maternal nutritional state and birth weight. The sample was composed of 209 pregnant women that were caught in this period. The obstetric medical histories were reviewed and the data were collected in forms created to this end. The percentage calculstion was used for their processing. The prevalence of anemia among the studied expectants was of 64. 59 %. 83.74 % were between 20 and 35 years old. Those pregnant women with initial weighted assessment (IWA) considered as low weight I-II-III-IV an adequate weight developed anemia with higher frequency. Haemoglobine from 109 to 100 g/L predominated during the 3 trimesters of pregnancy independently of I.W.A. Most of the anemic expectants ( 80.74 %) were treated with prenatal tablets only and delivered newborns with a weight under 3 000 g
Tratamiento del dolor agudo posoperatorio
Martín Dieppa,José M; Abreu Fernández,Adalberto F; del Valle Alonso,Orlando;
Revista Cubana de Medicina Militar , 2009,
Abstract: extensive updated literature was reviewed to set forth the importance of treating postoperative pain and the fundamental aspects of controlled analgesic therapy for the patient, its advantages and disadvantages. recent publications and other papers of interest from authors who are specialists in this field were used, together with the personal experience of the authors of this paper regarding the application of novel methods such as patient-controlled analgesia at surgery. the analgesic effectiveness is comparable to those of the most common methods (only 30 % requires analgesic rescue medication compared to 60 % of the other treated patients). the most frequent side effects were nausea and vomit, which can be mostly prevented by a preventive treatment with ondasetrón at a dose of 4-8 mg intravenously. patient-controlled analgesia is an effective method during the first hours after surgery, but disposable pieces of equipment and accessories for this end are very expensive, which makes it difficult for countries like cuba to apply this method on a broad scale. despite this, the development of very painful types of surgeries demand more energetic behaviours on the part of anesthesiologists and surgeons to face a problem that is still pending and is called postoperative pain.
Tratamiento del dolor agudo posoperatorio Treatment of postoperative acute pain
José M Martín Dieppa,Adalberto F Abreu Fernández,Orlando del Valle Alonso
Revista Cubana de Medicina Militar , 2009,
Abstract: Se revisó una amplia bibliografía actualizada con el objetivo de exponer la importancia del tratamiento del dolor posoperatorio, así como aspectos fundamentales en el uso de la analgesia controlada por el paciente, sus ventajas y desventajas. Se utilizaron textos recientes y otros de interés de autores especializados en este tema, así como la experiencia personal de los autores en la aplicación de métodos tan novedosos como la analgesia controlada por el paciente en cirugía. La efectividad analgésica resulta comparable con los métodos comúnmente utilizados (solo un 30 % requiere medicación de rescate analgésico, por un 60 % en los otros pacientes tratados). Las reacciones secundarias más comunes son las náuseas y vómitos, las cuales pueden ser evitadas en su mayor parte por el tratamiento preventivo con Ondasetrón 4 u 8 mg por vía endovenosa. La analgesia controlada por el paciente es un método eficaz de analgesia en las primeras horas del posoperatorio, pero los equipos y accesorios desechables para su uso resultan muy costosos, lo cual dificulta en países como Cuba ser aplicados de forma generalizada. Pese a ello, el desarrollo de cirugías muy dolorosas exigen una conducta más enérgica de anestesiólogos y cirujanos ante una problemática que continúa siendo una asignatura pendiente, el dolor posoperatorio. Extensive updated literature was reviewed to set forth the importance of treating postoperative pain and the fundamental aspects of controlled analgesic therapy for the patient, its advantages and disadvantages. Recent publications and other papers of interest from authors who are specialists in this field were used, together with the personal experience of the authors of this paper regarding the application of novel methods such as patient-controlled analgesia at surgery. The analgesic effectiveness is comparable to those of the most common methods (only 30 % requires analgesic rescue medication compared to 60 % of the other treated patients). The most frequent side effects were nausea and vomit, which can be mostly prevented by a preventive treatment with Ondasetrón at a dose of 4-8 mg intravenously. Patient-controlled analgesia is an effective method during the first hours after surgery, but disposable pieces of equipment and accessories for this end are very expensive, which makes it difficult for countries like Cuba to apply this method on a broad scale. Despite this, the development of very painful types of surgeries demand more energetic behaviours on the part of anesthesiologists and surgeons to face a problem that is still pending and is cal
Análisis de los resultados de eficiencia y promoción de la disciplina Matemática durante el periodo 2003- 2010 para las carreras de Mecanización Agropecuaria e Ingeniería Agrícola
Toledo Dieppa,Vilma; Sabín R,Yolanda; Cordovés A,Madelín; del Valle M,Juan; Salguero Santana,Francisco;
Revista Ciencias T??cnicas Agropecuarias , 2011,
Abstract: in this paper, the author makes an analysis of the results of efficiency and promotion in the teaching - learning process of the mathematics discipline, during the period 2003 - 2010, for the first and second year of agricultural mechanization career and agricultural engineering discipline where it is provided almost entirely, as it also analyzes the results of the optional subject experimental design, third year career agricultural engineering. it is also discussed the strengths and weaknesses that the discipline has had throughout the period under review, and some of the mistakes made by the students in first and second years are illustrated.
Fisiopatología de los síndromes coronarios agudos
Almeida Gómez,Javier; álvarez Toledo,Orlando;
Revista Cubana de Medicina , 2006,
Abstract: in the stable chronic angina, the ischemic episodes (anginous or silent) result mainly from a rise of the myocardial demand of oxygen exceeding the capacity of increasing the coronary flow due to a significant stenosis (usually over 70 %) of an epicardial artery, that is, the relation between the offer and the demand of o2 is broken on increasing the myocardial demands in relation to a reduced and relatively fixed offer of coronary flow. on the contrary, in the acute coronary syndromes (unstable angina, acute myocardial infarction and sudden death of ischemic cause) the primary complication is usually an abrupt decrease of the coronary flow secondary to the rupture of an atherosclerotic plaque with the subsequent formation of a thrombus. taking into account that the acute coronary syndrome is the most severe form of the coronary disease,and that it is a very active research field with therapeutic implications and a changing pathogeny, this article was made to understand better the mechanisms involved in the acute coronary syndrome and to attain a more effective control and treatment.
Fisiopatología de los síndromes coronarios agudos Physiopathology of the acute coronary syndromes
Javier Almeida Gómez,Orlando álvarez Toledo
Revista Cubana de Medicina , 2006,
Abstract: En la angina estable crónica, los episodios isquémicos (anginosos o silentes) ocurren fundamentalmente por un incremento de las demandas miocárdicas de oxígeno que exceden la capacidad de aumentar el flujo coronario por una estenosis significativa (usualmente mayor del 70 %) de una arteria epicárdica, o sea, la relación oferta y demanda de O2, se rompe al aumentar las demandas en relación con una oferta de flujo coronario reducida y relativamente fija. Por el contrario, en los síndromes coronarios agudos: angina inestable, infarto agudo del miocardio y muerte súbita de causa isquémica, la complicación primaria es, usualmente, una disminución súbita del flujo coronario secundario a la ruptura de una placa arteriosclerótica con la consecuente formación de un trombo. Teniendo en cuenta que el síndrome coronario agudo constituye la forma más severa de la enfermedad coronaria, que es un campo de investigación muy activo que tiene implicaciones terapéuticas y una patogenia cambiante, se realizó este artículo para comprender mejor los mecanismos involucrados en el síndrome coronario agudo y lograr mejor control y tratamiento. In the stable chronic angina, the ischemic episodes (anginous or silent) result mainly from a rise of the myocardial demand of oxygen exceeding the capacity of increasing the coronary flow due to a significant stenosis (usually over 70 %) of an epicardial artery, that is, the relation between the offer and the demand of O2 is broken on increasing the myocardial demands in relation to a reduced and relatively fixed offer of coronary flow. On the contrary, in the acute coronary syndromes (unstable angina, acute myocardial infarction and sudden death of ischemic cause) the primary complication is usually an abrupt decrease of the coronary flow secondary to the rupture of an atherosclerotic plaque with the subsequent formation of a thrombus. Taking into account that the acute coronary syndrome is the most severe form of the coronary disease,and that it is a very active research field with therapeutic implications and a changing pathogeny, this article was made to understand better the mechanisms involved in the acute coronary syndrome and to attain a more effective control and treatment.
Insuficiencia cardíaca diastólica en el corazón del paciente con hipertensión arterial esencial
Borges Helps,Alexis; Deschapelles Himely,Eulogio; álvarez Toledo,Orlando;
Revista Cubana de Medicina Militar , 2003,
Abstract: one of the first manifestations of the hypertensive heart disease is the modification of the heart function. the diastolic function is the first of these modifications that may be demonstrated by doppler echocardiography. several investigations have proved the existance of a high proportion of patients with heart failure that have a normal systolic function of the left ventricle. this condition is called diastolic heart failure. the classical pattern of the treatment based on digitalis, diuretics and vasodilators may have no effect, or a conter-productive effect on these patients. that's why, it is necessary a definition of heart failure due to ventricular systolic dysfunction and to establish the difference between both to follow a therapeutic conduct. the drugs that have proved to be efficient in the diastolic dysfunction are calcium antagonists (mainly verapamil and ditiagen), the betaadrenergic blockers and the angiotensin- coverting enzime inhibitors.
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