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Search Results: 1 - 10 of 241458 matches for " Raúl; González Torres "
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Granulomatosis de Wegener con manifestaciones neurológicas: A propósito de 1 caso
Luisa Paz Sendín,Lorenzo Gómez Morales,Gertrudis Hernández González,Raúl González Torres
Revista Cubana de Medicina , 2001,
Abstract: Se presentó el caso de un paciente con cefalea hemicraneal que se hizo muy persistente; apareció secreción nasal serosa, manifestaciones oculares, fiebre, signos focales y, con posterioridad, las manifestaciones de vasculitis en miembros superiores e inferiores. Se investigaron los anticuerpos antineutrófilos citoplasmático (cANCA) con valores de 1:160, y biopsia de mucosa nasal donde se encontró vasculitis necrotizante. Se impuso tratamiento, con ciclofosfamida y prednisona. Se logró remisión total y desaparición de los títulos de cANCA en 8 meses. Se observó, en nuestro paciente, correlación entre la mejoría clínica y los valores de cANCA The case of a patient with hemicranial headache that became very persistent, serous nasal secretion, ocular manifestations, fever, focal signs and, later, with manifestations of vasculitis in the upper and lower limbs, is presented. The anti-neutrophile cytoplasmatic antibodies (cANCA) with values of 1:160 were investigated as well as the biopsy of the nasal mucosa, where necrotizing vasculitis was found. Treatment with cyclophosphamide and prednisone was indicated. The total remission and the dissapearance of the titres of cANCA was attained in 8 months. A correlation between the clinical improvement and the cANCA values was observed in our patient
Helicobacter pylori en pacientes con diferentes enfermedades gastroduodenales
Martínez Echavarría,María Teresa; Ferreira Capote,Raúl; González Torres,Maximino;
Revista Cubana de Medicina , 2008,
Abstract: the role played by helicobacter pylori in the development of different digestive diseases has been widely studied and discussed. the presence of this bacterium in biopsy samples obtained by endoscopy was studied. 69 patients with duodenal ulcer, gastric ulcer, chronic gastritis and dyspepsia were investigated. the diagnoses of gastric ulcer and chronic gastritis were histologically confirmed. 27 duodenal ulcers, 12 gastric ulcers, 24 chronic gastritis and 6 dyspepsias were analyzed. the presence of helicobacter pylori was detected through the amplification of a fragment of the ure a gene by polymerase chain reaction in 100 % of the duodenal ulcers, in 100 % of the gastric ulcers, in 83 % of the dyspepsias and in 92 % of chronic gastritis, for a total prevalence of 95.7 %.
Experiencia con el perfil biofísico fetal en nuestro medio
Martínez González,Luis Raúl; Torres García,Wilfredo; Pérez Martínez,Caridad;
Revista Cubana de Obstetricia y Ginecolog?-a , 1997,
Abstract: a fetal welfare study was conducted among 213 pregnant women at risk in the "justo legón padilla" gynecoobstetric teaching hospital from october, 1993, to may, 1994. it was used the fetal biophysical profile according to the quantification criteria of the variables proposed by manning. 90.60 % of the biophysical profile were normal, 2.30 % abnormal, and 6.60 % suspicious. it was demonstrated that when the biophysical profile is abnormal there is a significant increase of cesarotomies due to acute fetal suffering,of the low apgar the 5th minute of life, as well as of the amount of meconium amniotic fluids. it was proved that the corporal fetal movements was the biophysical parameter of highest predictive value (80). through the evaluation of the biophysical profile it was determined its high sensitivity, (88) specificity (94) and elevated discriminating power with a wilks lambds of 0.2836. the corporal movements, the tone, and the amniotic fluid are the only parameters considered in this method.
Experiencia con el perfil biofísico fetal en nuestro medio Experience with the fetal biophysical profile in our environment
Luis Raúl Martínez González,Wilfredo Torres García,Caridad Pérez Martínez
Revista Cubana de Obstetricia y Ginecolog?-a , 1997,
Abstract: Se realizó un estudio del bienestar fetal a un grupo de 213 embarazadas con riesgo en nuestro Hospital Docente Ginecoobstétrico "Justo Legón Padilla" durante los meses de octubre de 1993 a mayo de 1994, mediante el perfil biofísico fetal, según los criterios de cuantificación de las variables propuestas por Manning. Se encontró el 90,60 % de perfiles biofísicos normales, el 2,30 % fueron anormales y un 6,60 % sospechosos. Se comprobó que cuando el perfil biofísico resulta anormal aumentan significativamente el número de cesáreas por sufrimiento fetal agudo, el apgar bajo a los 5 minutos de vida así como la cantidad de líquidos amnióticos meconiales. Se demostró que el parámetro biofísico movimientos fetales corporales fue el de mayor valor predictivo (80). Se determinó, con la evaluación del perfil biofísico, su alta sensibilidad (88), especificidad (94) y elevado poder discriminante con un Wilk's lambda de 0,2836. Se trata de un método prometedor para detectar riesgos del producto, aún teniendo como parámetros solamente los movimientos corporales, el tono y el líquido amniótico. A fetal welfare study was conducted among 213 pregnant women at risk in the "Justo Legón Padilla" Gynecoobstetric Teaching Hospital from October, 1993, to May, 1994. It was used the fetal biophysical profile according to the quantification criteria of the variables proposed by Manning. 90.60 % of the biophysical profile were normal, 2.30 % abnormal, and 6.60 % suspicious. It was demonstrated that when the biophysical profile is abnormal there is a significant increase of cesarotomies due to acute fetal suffering,of the low Apgar the 5th minute of life, as well as of the amount of meconium amniotic fluids. It was proved that the corporal fetal movements was the biophysical parameter of highest predictive value (80). Through the evaluation of the biophysical profile it was determined its high sensitivity, (88) specificity (94) and elevated discriminating power with a Wilks Lambds of 0.2836. The corporal movements, the tone, and the amniotic fluid are the only parameters considered in this method.
Helicobacter pylori en pacientes con diferentes enfermedades gastroduodenales Helicobacter pylori in patients with different gastroduodenal diseases
María Teresa Martínez Echavarría,Raúl Ferreira Capote,Maximino González Torres
Revista Cubana de Medicina , 2008,
Abstract: El papel que desempe a Helicobacter pylori en el desarrollo de diferentes enfermedades digestivas ha sido ampliamente investigado y discutido. Se estudió la presencia de esta bacteria en muestras de biopsia obtenidas mediante endoscopia. Se tomaron 69 pacientes con úlcera duodenal, úlcera gástrica, gastritis crónica y dispepsia. Los diagnósticos de úlcera gástrica y gastritis crónica fueron confirmados histológicamente. Se analizaron 27 úlceras duodenales, 12 úlceras gástricas, 24 gastritis crónicas y 6 dispepsias. Se detectó la presencia de Helicobacter pylori a través de la amplificación de un fragmento del gen Ure A mediante la reacción en cadena de la polimerasa, en el 100 % de las úlceras duodenales, en el 100 % de las úlceras gástricas, en el 83 % de las dispepsias y en el 92 % de las gastritis crónicas, para una prevalencia total del 95,7 %. The role played by Helicobacter pylori in the development of different digestive diseases has been widely studied and discussed. The presence of this bacterium in biopsy samples obtained by endoscopy was studied. 69 patients with duodenal ulcer, gastric ulcer, chronic gastritis and dyspepsia were investigated. The diagnoses of gastric ulcer and chronic gastritis were histologically confirmed. 27 duodenal ulcers, 12 gastric ulcers, 24 chronic gastritis and 6 dyspepsias were analyzed. The presence of Helicobacter pylori was detected through the amplification of a fragment of the Ure A gene by polymerase chain reaction in 100 % of the duodenal ulcers, in 100 % of the gastric ulcers, in 83 % of the dyspepsias and in 92 % of chronic gastritis, for a total prevalence of 95.7 %.
Peritonitis en un programa de diálisis peritoneal domiciliaria en el Instituto de Nefrología, 2007-2011 Peritonitis in a program of peritoneal domiciliary dialysis in the Nephrology Institute: 2007-2011
Yanet álvarez González,Raúl Bohorques Rodríguez,Atilano Martínez Torres,Yuliet Ballard álvarez
Revista Cubana de Medicina , 2012,
Abstract: Introducción: en Cuba se introdujo la diálisis peritoneal a finales de los a os 60, la peritonitis es la complicación más temida. Objetivo: determinar la frecuencia y la tasa de peritonitis en un programa de diálisis peritoneal domiciliaria. Métodos: se realizó un estudio observacional, descriptivo y prospectivo desde diciembre de 2007 hasta mayo de 2011. El universo estuvo constituido por 30 pacientes. Se analizaron las variables demográficas y la presencia de peritonitis. Se utilizó el análisis de distribución de frecuencias, además el Kaplan Meier para el tiempo de supervivencia libre de peritonitis. Resultados: del total de pacientes, 17 presentaron 1 episodio de peritonitis, 6 tuvieron un segundo episodio, mientras solo 1, sufrió un tercer evento para un total de 24 episodios de peritonitis; equivalente a un episodio cada 32 meses/paciente, estos se presentaron en 12 enfermos masculinos y 5 femeninos; la edad promedio fue de 46,2 a os. Conclusiones: aunque la incidencia de peritonitis ha venido descendiendo en los últimos a os, continúa siendo la principal complicación de este proceder terapéutico. Introduction: in Cuba the peritoneal dialysis was introduced at the end of the 60s; the peritonitis the was the more fearsome complication. Objective: to determine the incidence rate of peritonitis in a program of peritoneal dialysis at home. Methods: a prospective, descriptive and observational study was conducted in a universe including 30 patients from December, 2007 to May, 2011. Authors analyzed the demographic variables and the peritonitis presence. The distribution of frequency analysis was used as well as the Kaplan Meier for the time of the peritonitis-free survival. Results: from the total of patients, 17 had one episode of peritonitis, 6 had a second episode whereas only one had a third event for a total of 24 episodes of peritonitis; similar to an episode each 32 months/patient, these events occurred in 12 male patients and in 5 female patients; mean age was of 46,2 years. Conclusions: although the incidence of peritonitis became decreasing in past years, it remains as the leading complication of this therapeutical procedure.
APLICACIóN DEL MéTODO SERVQUAL EN LOS SERVICIOS DE ALUMBRADO PúBLICO DE ZAPOPAN, JALISCO [doi: 10.5329/RECADM.20030201002]
Luis Joel Torres Arreola,Ernesto Raúl González Ramírez
Revista Eletr?nica de Ciência Administrativa - RECADM , 2003, DOI: 10.5329/450
Abstract: RESUMO Considerando que el uso de los Sistemas de Calidad en el sector público Mexicano se encuentra en un proceso inicial, este estudio revisa solo un aspecto de la implementación de los Sistemas de Calidad. En este caso, el Sistema de Calidad esta identificado como la certificación de las normas de calidad de la Organización Internacional de Estandarización (ISO, en inglés). El objetivo de esta investigación es medir a través del modelo SERVQUAL el grado en que el personal de la Dirección de Alumbrado Público de Zapopan (D. A. P. Z), Estado de Jalisco, ha asumido una filosofía de calidad con respecto a los servicios que ofrecen a través de su estructura organizacional, tratándose en este caso de una investigación aplicada. Es importante considerar que esta área tiene tres a os de haber implementado un sistema de calidad como lo es la certificación ISO 9002.
Tratamiento laparoscópico y endoscópico de la coledocolitiasis. Nuestra experiencia
Barrera González,Javier Ernesto; Ruiz Torres,Julián; Torres Pe?a,Rafael; Martínez Alfonso,Miguel ángel; Martínez López,Rolando; Brizuela Quintanilla,Raúl; Pernía González,Liliana; Olivé González,Juan Bautista;
Revista Habanera de Ciencias M??dicas , 2012,
Abstract: choledocholithiasis. current options of the laparoscopic and endoscopic treatment. background: the management of symptomatic or incidental discovered choledocholithiasis is still controversial. from the total of patients under- going elective cholecystectostomy for symptomatic cholelithiasis a 5 to 15% will have a choledocholithiasis. options for treatment include preoperative endoscopic retrograde cholan-giopancreatography (ercp) with sphincterotomy (ercp/es) followed by laparoscopic cholecystostomy with intraoperative cholangiogram(lc/ioc), either followed by laparoscopic common bile duct exploration (lcbde) or intraoperative ercp/es. the aim of present study is to assess the results of the treatment for choledocolithiasis at the national centre for minimal access surgery in havana city. methods: a comprehensive review of literature about present management of choledolithiasis with gall bladder in situ was made and the results of these techniques during a period of 17 years at the national centre for minimal access surgery in havana was also assessed.results: during the period studied 421 patients with symptomatic cholelithiasis and choledocholithiasis were operated by either of the treatment options.there was not significant difference in successful duct clearance between endoscopic and laparoscopic groups. conclusion: all the approaches have similar outcomes. the management of this disease at present depends on each surgical team experience and their access to technological advances.
Genotipo cag A+ en cepas de Helicobacter pylori asociadas a úlcera péptica, gastritis crónica y cáncer gástrico
Martínez Echavarría,María Teresa; González Torres,Maximino; Ferreira Capote,Raúl; Mas Páez,Juan Antonio;
Revista Cubana de Medicina , 2008,
Abstract: abstract 171 patients with duodenal ulcer, gastric ulcer, chronic gastritis and gastric cancer were studied. the last 3 were histologically confirmed. 56 cases with duodenal ulcer, 48 with gastric ulcer, 47 with chronic gastritis and 20 with gastric cancer were analyzed. the presence of helicobacter pylori was detected by pcr in 98.2 % of the duodenal ulcers; in 95.8 % of the gastric ulcers; in 95.0 % of the gastric cancers; and in 93.6 % of the chronic gastritis. the cag a genotyping of the strains found proved to be positive in 80.0 % of the duodenal ulcers; in 72.7 % of the chronic gastritis; in 69.6 % of the gastric ulcers; and in 42.1 % of the gastric cancers, for a total prevalence of 70.7 %. both, the ulcers as a whole and the chronic gastritis showed a prevalence of cag a+ strains of helicobacter pylori significantly higher than gastric cancer (p = 0,19).
Síndrome Neuroléptico Maligno
Giroud Benítez,José Luis; Velázquez Velázquez,Marcos; Silva Laureido,Silvestre; González Torres,Raúl;
Revista Cubana de Medicina Militar , 2001,
Abstract: the malignant neuroleptic syndrome is a rare complication associated with the use of antipsychotic agents. the established clinical picture includes taking of consciousness, generalized rigidity and disautonomies associated with rhabdomyolysis with elevated creatine kinase. the case of 3l-year-old male patient with history of delirious hallucinatory episodes at 7, 2l and at present is reported. the first symptoms began 2 months before his admission, with auditive hallucinations. he was treated with haloperidol, but as his psychotic condition did not improve and he was very aggressive, it was decided to administer chlorpromazine, too. a month later, he had fever and respiratory manifestations. after some days, fever increased and axial rigidity and sialorrhoea appeared. he was transferred to the intensive care unit with the diagnosis of malignant neuroleptic syndrome. he received specific treatment and died 3 days later. it was concluded that the malignant neuroleptic syndrome is a rare and very severe neurological complication with a high mortality in those cases that are not treated early.
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