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Search Results: 1 - 10 of 215915 matches for " Raúl Cepero Morales "
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Enfoque de los sistemas complejos en seguridad del paciente
Betancourt Betancourt,José A; Cepero Morales,Raúl J;
Revista Archivo M??dico de Camag??ey , 2009,
Abstract: to make the present review, available databases were used at infomed, (ebsco, pubmed and hinari) using "patient safety" as descriptor. abundant up-dated bibliography in the infomed databases exists, which shows international tendency to the use of typical tools of the complexity approach such as the increment of the connections among elements of the system, improvement in the technologies of the information and communication that facilitate the interconnection among these elements. the present review is carried out with publishing purposes and as basis for an investigation project that will undertake between the medicine and complexity center and the university hospital manuel ascunce domenech.
Factores que pueden afectar la seguridad del paciente
Betancourt Betancourt,José A; Cepero Morales,Raúl J; Gallo Borrero,Clara Mirella;
Revista Archivo M??dico de Camag??ey , 2011,
Abstract: abstract background: patient's safety is the guarantee of people to be free of suffering any kind of damage when interacting any of the health services. objective: to determine factors that may affect patient's safety. method: a descriptive study through a bibliographic review on patient's safety was conducted. the study was divided into two stages, in which surveys according to the technique of main components were implemented; this allowed value the coincidence of each question in relation to the possible impact to the patient′s safety. results: the applied survey was appraised of adequate; response variables were grouped into six, with a 62.1 % of explained variance. the survey showed that affectations on labor atmosphere, general level of interconnection and communication, level on knowledge management, the capacity to face accidental facts, technical capacity, fatigue and loss of concentration could affect patient's safety. conclusions: the information was obtained from the final instrument in the last stage. some failures that could affect patient′s safety may be corrected early. the technique of main components was adequate to evaluate the answers as a whole.
Quiste de Baker en el curso de la artritis reumatoidea
Martínez Larrarte,José Pedro; Cepero Morales,Raúl; Molinero Rodríguez,Claudino; Sosa Almeida,Mirtha;
Revista Cubana de Medicina , 2000,
Abstract: a case with diagnosis of seropostive rheumatoid arthritis and a year of evolution was presented. the patients was treated with non-steroidal anti-inflammatories and methotrexate. in spite of this, the inflammatory articular activity was maintained at the level of the carpus and knees and there was a volume increase in the posterior region of both legs, with spontaneous pain and positive homan′s sign. at first, it was evaluated the possibility of a thrombophlebitis of the popliteal region, but, finally, it was considered as a baker′s cyst.
Síndrome de Behcet: Presentación de un caso
José Pedro Martínez Larrarte,Raúl Cepero Morales,Mirtha Sosa Almeida,Claudino Molinero Rodríguez
Revista Cubana de Medicina , 1998,
Abstract: Se presentó un paciente joven masculino que acudió a Consulta de Reumatología por presentar aumento de volumen articular asociado a úlceras en el escroto y aftas orales, se interpretó inicialmente como un síndrome de Reiter. En el curso del ingreso se constató la presencia de foliculitis en piel de miembros superiores, tórax y cara e iridoconjuntivitis bilateral, en los rayos X sólo se observó el aumento de partes blandas en la articulación comprometida, el resto de los exámenes complementarios sólo mostraron de interés una aceleración moderada de la velocidad de sedimentación globular. Se rediscutió nuevamente y se observó que presentaba los 4 criterios mayores para el diagnóstico de síndrome de Behcet completo. A young male patient is presented, who went to Rheumatology Medical Service because he had an increased articular volume caused by scrotum ulcers and aphthous ulcers. This case was initially regarded as Reiter′s Syndrome. In the course of the admission, foliculitis in upper limbs, thorax and face skin as well as bilateral iridioconjunctivitis were found; X-ray test showed increased soft parts in the compromised articulation. The rest of the supplementary tests only showed a moderate acceleration of globular sedimentation speed. The case was re-discussed and it was observed that the four main criteria for the diagnosis of a full Behcet′s Syndrome were present.
Quiste de Baker en el curso de la artritis reumatoidea
José Pedro Martínez Larrarte,Raúl Cepero Morales,Claudino Molinero Rodríguez,Mirtha Sosa Almeida
Revista Cubana de Medicina , 2000,
Abstract: Se presentó un caso con diagnóstico de artritis reumatoidea seropositiva, de un a o de evolución, que llevó tratamiento con aines y metotrexate, a pesar de lo cual, mantuvo actividad inflamatoria articular en el nivel de carpos y rodillas, que desarrolló un aumento de volumen de la región posterior de ambas piernas, con dolor espontáneo y signo de Homans positivo. Se valoró la posibilidad inicial de una tromboflebitis de la región poplítea y se llegó a la conclusión que se trataba de un quiste de Baker. A case with diagnosis of seropostive rheumatoid arthritis and a year of evolution was presented. The patients was treated with non-steroidal anti-inflammatories and methotrexate. In spite of this, the inflammatory articular activity was maintained at the level of the carpus and knees and there was a volume increase in the posterior region of both legs, with spontaneous pain and positive Homan′s sign. At first, it was evaluated the possibility of a thrombophlebitis of the popliteal region, but, finally, it was considered as a Baker′s cyst.
Consideraciones sobre el control de la calidad en la atención hospitalaria
Cepero Morales,Raúl; Caballería Pérez,Freddy; Ojeda de Pedro,Judith; Olazábal Alfonso,Arturo;
Revista Archivo M??dico de Camag??ey , 2009,
Abstract: a review on the basic aspects of the quality control in hospital institutions is carried out, with the purpose to that leaders and workers of these entities deepen in these topics. the aspects are summarized to take into account for the elaboration of the quality policies and its theoretical sustenance.
Osteoartritis tuberculosa
Cepero Morales,Raúl J.; Martínez Larrarte,José P.; Sosa Almeida,Mirta; Molinero Rodríguez,Claudino;
Revista Cubana de Medicina , 1998,
Abstract: it is presented the case of a male patient complaining of pain on moving the right elbow and of tumefaction over the past two months. he had also noted occasional morning fever, s 10-pound weight loss, and episodes of coughing with expectoration during the last year. inflammatory signs were observed on the right elbow with limitation to flexoextension and pain on palpation over the retro-olecranal grooves. the radiological examinations were compatible with a septic arthritis. the results of the hematological tests were: erythrosedimentation 92 mm/h and hemoglobin 10.0 g/l. the tuberculin test was positive. this led us to the presumptive diagnosis of osteoarticular tuberculosis that was confirmed some weeks later with the result of the bacteriological study of the synovial fluid, where the presence of koch′s bacillus was reported. laboratory tests were negative. the response to the treatment applied according to the national program for the control of pulmonary tuberculosis was effective. seven months after treatment the patient was discharged with no sequela.
Estudio clinicohumoral del síndrome de Reiter
José Pedro Martínez Larrarte,Estrella Expósito Martínez,Raúl Cepero Morales,Claudino Molinero Rodríguez
Revista Cubana de Medicina , 2000,
Abstract: Se realizó un estudio descriptivo-retrospectivo de los pacientes con diagnóstico de síndrome de Reiter tratados en el Servicio Nacional de Reumatología en un período de 2 a os; el grupo inicial estuvo formado por 23 pacientes, del que se excluyeron 6 por no resultar útiles o concluyentes. Se estudiaron los elementos generales de esta artropatía, los signos clínicos más frecuentes del síndrome, las alteraciones de laboratorio y las radiológicas presentes durante el ingreso, la forma de evolución de la enfermedad y la terapéutica empleada. Se comprobó que todos los pacientes fueron hombres con una edad promedio de 22,7 a os, la forma posdisentérica fue la más frecuente y la rodilla, la localización inflamatoria predominante. El antígeno mayor de histocompatibilidad HLA B 27 estuvo presente en 11 de los 14 pacientes en que se indicó. Se resaltó la respuesta satisfactoria con el uso de la indometacina. A descriptive and retrospective study of the patients with diagnosis of Reiter′s syndrome treated at the National Service of Rheumatology during 2 years was conducted. The initial group was composed of 23 patients, of whom 6 were excluded since they were not useful or concluding. The general elements of this arthropathy, the most frequent clinical signs of the syndrome, the laboratory and radiological alterations observed during admission, the evolution of the disease and the therapeutic used were studied. It was found that all patients were males with an average age of 22.7 % yearse old. The postdysenteryc form was the commonest and the knee was the predominant inflammatory localization. The greatest HLA B 27 histocompatibility antigen was present in 11 of the 14 patients that received it. The satisfactory response obtained with the use of indomethacin was stressed.
Osteoartritis tuberculosa
Raúl J. Cepero Morales,José P. Martínez Larrarte,Mirta Sosa Almeida,Claudino Molinero Rodríguez
Revista Cubana de Medicina , 1998,
Abstract: Se presentó el caso de un paciente masculino, con dolor a la movilización del codo derecho y tumefacción desde 2 meses antes, este cuadro se acompa ó de fiebre vespertina ocasionalmente, pérdida de 10 libras de peso en el último mes y el antecedente de presentar tos y expectoración durante el último a o. Se constataron signos inflamatorios en el codo derecho, con limitación a la flexoextensión y dolor a la palpación de los surcos retroolecraneanos. Los exámenes radiológicos fueron compatibles con una artritis séptica y los hematológicos: eritrosedimentación 92 mm/h y hemoglobina 10.0 g/L, la prueba de la tuberculina fue positiva, lo que nos orientó al diagnóstico presuntivo de tuberculosis osteoarticular, que se confirmó semanas después con el resultado del estudio bacteriológico del líquido sinovial, donde se informó la presencia del bacilo de Koch. Exámenes de laboratorio fueron negativos, se pudo demostrar el foco primario de infección activa. La respuesta al tratamiento aplicado, según el Programa Nacional de Control de la Tuberculosis Pulmonar, fue efectiva. A los 7 meses de iniciado el tratamiento el paciente fue dado de alta sin secuela. It is presented the case of a male patient complaining of pain on moving the right elbow and of tumefaction over the past two months. He had also noted occasional morning fever, s 10-pound weight loss, and episodes of coughing with expectoration during the last year. Inflammatory signs were observed on the right elbow with limitation to flexoextension and pain on palpation over the retro-olecranal grooves. The radiological examinations were compatible with a septic arthritis. The results of the hematological tests were: erythrosedimentation 92 mm/h and hemoglobin 10.0 g/L. The tuberculin test was positive. This led us to the presumptive diagnosis of osteoarticular tuberculosis that was confirmed some weeks later with the result of the bacteriological study of the synovial fluid, where the presence of Koch′s bacillus was reported. Laboratory tests were negative. The response to the treatment applied according to the National Program for the Control of Pulmonary Tuberculosis was effective. Seven months after treatment the patient was discharged with no sequela.
Síndrome de Behcet: Presentación de un caso
Martínez Larrarte,José Pedro; Cepero Morales,Raúl; Sosa Almeida,Mirtha; Molinero Rodríguez,Claudino; Lantigua Martell,María A.;
Revista Cubana de Medicina , 1998,
Abstract: a young male patient is presented, who went to rheumatology medical service because he had an increased articular volume caused by scrotum ulcers and aphthous ulcers. this case was initially regarded as reiter′s syndrome. in the course of the admission, foliculitis in upper limbs, thorax and face skin as well as bilateral iridioconjunctivitis were found; x-ray test showed increased soft parts in the compromised articulation. the rest of the supplementary tests only showed a moderate acceleration of globular sedimentation speed. the case was re-discussed and it was observed that the four main criteria for the diagnosis of a full behcet′s syndrome were present.
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