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Search Results: 1 - 10 of 365651 matches for " Ramón; de Dios Vidal "
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Resultados del tratamiento quirúrgico de la patología nodular tiroidea en el Hospital “Hermanos Ameijeiras” (1995-2004) RESULTS OF THE SURGICAL TREATMENT OF THYROID NODULAR PATHOLOGY IN "HERMANOS AMEIJEIRAS HOSPITAL (1995-2004)
Ramón González Fernández,José M de Dios Vidal,Jorge René Salinas Graham,Adalberto Infante Amorós
Revista Cubana de Cirugía , 2004,
Abstract: Se realizó un estudio prospectivo que incluyó a 340 pacientes afectos de enfermedad nodular tiroidea, diagnosticada y tratada en el Hospital Clínicoquirúrgico. “Hermanos Ameijeiras” en el período de mayo de 1995 a mayo de 2004, y se evaluó el resultado del tratamiento adoptado. El mayor número de pacientes se encontraba en la 5. década de la vida (25,2 %); el sexo femenino fue el más frecuente, para el 88,2 %. El bocio multinodular (46,4 %) y el adenoma folicular (20,5 %) fueron las patologías benignas más frecuentes. Con relación al tratamiento preoperatorio encontramos que el 59 % recibió tratamiento supresivo previo y el 5 %, tratamiento antitiroideo. La hemitiroidectomía fue la intervención más frecuente para el 52,9 %; seguida por la tiroidectomía casi total y la total con el 17,3 y 15,8 % respectivamente. No presentó complicaciones el 96,1 % de los casos. El tratamiento posoperatorio más usado fue la terapia sustitutiva de hormona tiroidea (76,7 %). El resultado de la terapéutica fue satisfactorio; no hubo mortalidad perioperatoria. A prospective study was conducted among 340 patients suffering from thyroid nodular disease, diagnosed and treated in “Hermanos Ameijeiras” Clinical and Surgical Hospital from May 1995 to May 2004. The result of the treatement was also evaluated. Most of the patients were in the fifth decade of life (25.2 %). It was more frequent in females (88.2 %). The multinodular goiter (46.4 %) and the follicular adenoma (20.5 %) were the commonest benign pathologies. As to the preoperative treatment, we found that 59 % received previous suppressive treatment and 5 % antithyroid treatment. Hemithyroidectomy was the most common surgery, accounting for 52.9 %, followed by partial and total thyroidectomy with 17.3 and l5.8 %, respectively. 96.1 % of the cases had no complication. The most used postoperative treatment was the thyroid hormone replacement therapy (76.7 %). The result of the therapeutics was satisfactory. No perioperative mortality was reported.
Protocolo de diagnóstico y tratamiento del cáncer tiroideo
González Fernández,Ramón; Infante Amorós,Adalberto; López Soto,María Victoria; De Dios Vidal,José M;
Revista Cubana de Cirug?-a , 2004,
Abstract: in this paper, the management of patients with thyroid cancer is dealt with taking into account the use of the diagnostic tools and, in particular, the importance of the use of fine-needle aspiration biopsy for the early diagnosis. in the last decades, there have been more conservative criteria regarding the sufficiency in the extension of surgery in the well differentiated cancers, motivated by the greater knowledge of tumor biology, the development of immunohistochemical tests, adjuvant treatment and a closer follow-up. this has led to the appearance of certain controversial criteria. a protocol of diagnosis and treatmemt is exposed taking into consideration an adequate staging and definition of the risk groups, an important and novel parameter in this entity
Resultados del tratamiento quirúrgico de la patología nodular tiroidea en el Hospital “Hermanos Ameijeiras” (1995-2004)
González Fernández,Ramón; de Dios Vidal,José M; Salinas Graham,Jorge René; Infante Amorós,Adalberto; López Soto,María Victoria;
Revista Cubana de Cirug?-a , 2004,
Abstract: a prospective study was conducted among 340 patients suffering from thyroid nodular disease, diagnosed and treated in “hermanos ameijeiras” clinical and surgical hospital from may 1995 to may 2004. the result of the treatement was also evaluated. most of the patients were in the fifth decade of life (25.2 %). it was more frequent in females (88.2 %). the multinodular goiter (46.4 %) and the follicular adenoma (20.5 %) were the commonest benign pathologies. as to the preoperative treatment, we found that 59 % received previous suppressive treatment and 5 % antithyroid treatment. hemithyroidectomy was the most common surgery, accounting for 52.9 %, followed by partial and total thyroidectomy with 17.3 and l5.8 %, respectively. 96.1 % of the cases had no complication. the most used postoperative treatment was the thyroid hormone replacement therapy (76.7 %). the result of the therapeutics was satisfactory. no perioperative mortality was reported.
Resultados del diagnóstico de la patología nodular tiroidea
González Fernández,Ramón; De Dios Vidal,José M; Infante Amorós,Adalberto; López Soto,María Victoria;
Revista Cubana de Cirug?-a , 2004,
Abstract: a prospective study that included 204 patients affected by thyroid nodular disease diagnosed at "hermanos ameijeiras" clinical and surgical hospital from may, 1977, to may, 2000, was conducted. most of the patients were in the 4th or 5th decade of life, 53 and 49 %, respectively. females prevailed with 90.7 %. all the patients underwent fine needle aspiration biopsy and ultrasound for their evaluation. the multinodular goiter (41,6 %) and the follicular adenoma (21.1 %) were the most frequent bening affections; whereas the papillary carcinoma was the commonest among the malignant. solid tumors were detected in 66.7 % of the cases. the right lobule was the most affected place, accounting for 41.6 %. fine needle aspiration biopsy showed 90.9 % of sensitivity, 99.1 % of specificity and an efficiency of 98.4 %
Carcinoma papilar quístico y del tiroides: Estudio de 4 casos
Infante Amorós,Adalberto; Argüelles Zayas,Ana del Carmen; González Fernández,Ramón; Cubero Rego,David; De Dios Vidal,José M.;
Revista Cubana de Medicina , 2004,
Abstract: 4 cases of cyst papillary carcinoma in a period of 4 years were presented. all of them underwent physical examination. a firm cervical mass was found in the anterior side of the neck and cervical adenopathies were palpated in 2 of them. imaging techniques (cervical echography and thyroid gammagram) were applied. the study was completed with fnab, which had a diagnostic value in 75 % of the cases. an anatomopathological study of all the pieces obtained was conducted. resection of the cyst and intraoperatory biopsy were performed. in those cases with confirmed diagnosis of cyst papillary carcinoma, total thyroidectomy was carried out and, if necessary, lymphadenectomy. the treatment was concluded with i131 at ablative doses and tsh -supressing hormonal treatment. the role of fnab in the preoperative study was stressed.
Protocolo de diagnóstico y tratamiento del cáncer tiroideo Protocol of diagnosis and treatment of thyroid cancer
Ramón González Fernández,Adalberto Infante Amorós,María Victoria López Soto,José M De Dios Vidal
Revista Cubana de Cirugía , 2004,
Abstract: En este trabajo se plasma el manejo de los pacientes con de cáncer del tiroides, teniendo en cuenta, el uso de los medios diagnósticos, en particular la importancia del uso de la biopsia aspirativa con aguja fina para el diagnóstico precoz. Se sabe que en las últimas décadas han existido criterios más conservadores en lo referido a la suficiencia en la extensión de la operación, en los cánceres bien diferenciados, motivado esto por el mayor conocimiento de la biología del tumor, el desarrollo de pruebas de inmunohistoquímica, tratamiento adyuvante y un seguimiento más estrecho. Por lo que esto ha motivado ciertos criterios controvertidos. Se expone un protocolo de diagnóstico y tratamiento, teniendo en cuenta un adecuado estadiamiento, y definición de los grupos de riesgo, parámetro importante y novedoso en esta entidad In this paper, the management of patients with thyroid cancer is dealt with taking into account the use of the diagnostic tools and, in particular, the importance of the use of fine-needle aspiration biopsy for the early diagnosis. In the last decades, there have been more conservative criteria regarding the sufficiency in the extension of surgery in the well differentiated cancers, motivated by the greater knowledge of tumor biology, the development of immunohistochemical tests, adjuvant treatment and a closer follow-up. This has led to the appearance of certain controversial criteria. A protocol of diagnosis and treatmemt is exposed taking into consideration an adequate staging and definition of the risk groups, an important and novel parameter in this entity
Resultados del diagnóstico de la patología nodular tiroidea
Ramón González Fernández,José M De Dios Vidal,Adalberto Infante Amorós,María Victoria López Soto
Revista Cubana de Cirugía , 2004,
Abstract: Se realizó un estudio prospectivo que incluyó a 204 pacientes afectados por enfermedad nodular tiroidea, diagnosticada en el Hospital Clinicoquirúrgico "Hermanos Ameijeiras", en el periodo de mayo de 1997 a mayo de 2000 y donde se evaluó el resultado de los medios diagnósticos. El mayor número de pacientes se encontraba en la 5ta. y 4ta. década de la vida, 53 y 49 % respectivamente; el sexo femenino fue el más frecuente, para el 90,7%. A todos los pacientes se les realizó para su evaluación la biopsia aspirativa con aguja fina y el ultrasonido. El bocio multinodular (46,1 %) y el adenoma folicular (21,1 %) constituyeron las afecciones benignas más frecuentes y entre las malignas el carcinoma papilar (5,9 %). Al 66,7 % de los casos se les detectó tumoración sólida, y fue el lóbulo derecho el lugar más afectado para el 41,6 %. La biopsia espirativa con aguja fina mostró 90,9 % de sensibilidad, 99,1 % de especificidad y una eficacia de 98,4 % A prospective study that included 204 patients affected by thyroid nodular disease diagnosed at "Hermanos Ameijeiras" Clinical and Surgical Hospital from May, 1977, to May, 2000, was conducted. Most of the patients were in the 4th or 5th decade of life, 53 and 49 %, respectively. Females prevailed with 90.7 %. All the patients underwent fine needle aspiration biopsy and ultrasound for their evaluation. The multinodular goiter (41,6 %) and the follicular adenoma (21.1 %) were the most frequent bening affections; whereas the papillary carcinoma was the commonest among the malignant. Solid tumors were detected in 66.7 % of the cases. The right lobule was the most affected place, accounting for 41.6 %. Fine needle aspiration biopsy showed 90.9 % of sensitivity, 99.1 % of specificity and an efficiency of 98.4 %
La gestión del desarrollo regional en Cuba. Un enfoque desde la endogeneidad
Ramón González Fontes,Rafael Montejo Véliz,Ana de Dios Martínez
Economía, sociedad y territorio , 2002,
Abstract: Este trabajo examina los elementos centrales de la teoría del desarrollo endógeno a la luz de las condiciones actuales de la economía cubana. De esta singular confrontación emana lo que los autores denominamos gestión del desarrollo regional desde la endogeneidad. La endogeneidad significa una combinación de las condicionantes de desarrollo que surgen de las fuentes nacionales y la más plena utilización del potencial de desarrollo del territorio. Se perfila así un nuevo enfoque de gestión de desarrollo del territorio para el caso de la economía cubana.
Algoritmo para el diagnóstico del infarto miocárdico agudo en el período posoperatorio de la cirugía de revascularización coronaria Algorithm for the diagnosis of acute myocardial infarction in the postoperative period of coronary bypass surgery
Maikel Rodulfo García,Jose Arturo de Dios Lorente,Fredy Eladio Torralbas Reverón,Juan Ramón Castellanos Tardo
MEDISAN , 2013,
Abstract: El infarto agudo del miocardio en el periodo posoperatorio de la cirugía de revascularización coronaria constituye una complicación grave, debido a la elevada mortalidad que provoca. Su diagnóstico resulta esencialmente clínico, enzimático y ecocardiográfico, razón por la cual debe establecerse tempranamente, pues de ello depende el éxito terapéutico y la evolución de los pacientes; por tanto, es de vital importancia, poseer una guía que permita orientarse y reducir el tiempo requerido para este. Se presenta un algoritmo diagnóstico de fácil aplicación, elaborado en el Servicio de Cirugía Cardiovascular del Hospital Provincial Docente Clinicoquirúrgico "Saturnino Lora Torres" de Santiago de Cuba, con vistas a disminuir el tiempo de definición de esta enfermedad y que puede ser empleado en el resto de los centros del país. Acute myocardial infarction in the postoperative period of coronary bypass surgery is a serious complication due to the high mortality it causes. Its diagnosis is essentially clinical, enzymatic and echocardiographic, reason why it should be early established, because the success of therapy and patient outcomes depend on that; therefore, it is of paramount importance to have a guide to get information and to reduce the time required for this. An easily applicable diagnostic algorithm is presented, developed in the Department of Cardiovascular Surgery of "Saturnino Lora Torres" Provincial Teaching Clinical Surgical Hospital of Santiago de Cuba, in order to reduce the time of definition of the disease, which can be used in the rest of centers of the country.
Performance Comparison among Trained Judges and Panels for the Evaluation of “Cuajada” Type Fresh Cheese in Two Regions from Oaxaca in México  [PDF]
Lorena Guadalupe Ramón Canul, Emmanuel de Jesús Ramírez Rivera, Rodrigo Santiago Cabrera, Fátima Karina Delgado Vidal, José Manuel Juárez Barrientos, María Hernández Cervantes, Juliana López Velázquez, Tania Gómez Alvarado
Food and Nutrition Sciences (FNS) , 2011, DOI: 10.4236/fns.2011.210156
Abstract: Four “cuajada” type fresh cheeses were evaluated by two trained panels in different regions from Oaxaca in Mexico (Instituto Tecnológico de Comitancillo (ITC) and Universidad del Mar (UMAR)). Each panel was integrated by six judges. Analysis of variance (ANOVA) in conjunction with principal component analysis (PCA) and the Rv coefficient were used to identify similarities and consensus among trained judges and panels. The ANOVA results revealed that the judges from ITC performed significantly better (P < 0.05) in discrimination and repetitivity, while both panels showed a similar effect in discrimination. The PCA determined some similarities in the position of cheeses in the sensory space, while Rv revealed that judges and panels were consensual. In conclusion, statistical resources determined that both panels were discriminating and that similarities in the positioning of cheeses in the sensory space were found.
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