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Search Results: 1 - 10 of 4252 matches for " Tania Leyva Mastrapa "
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Aportes y modificaciones de técnicas quirúrgicas en cirugía craneofacial pediátrica
Vila Morales,Dadonim; Leyva Mastrapa,Tania; Alonso Fernández,Luis;
Revista Cubana de Estomatolog?-a , 2010,
Abstract: most of he craniofacial deformities are caused by development and growth alterations, traumata and neoplasms. to describe the integral surgical treatment of above deformities and the modifications and contributions carried out to traditional craniofacial techniques, a cross-sectional and descriptive study was conducted in 46 patients seen by the craniofacial surgery multidisciplinary staff from "juán manuel máquez" university children hospital from may, 2003 to march, 2007. mean age of the patients operated on was of 6.3 years. twenty surgical tehniques were performed where the more used was he coronal suturectomy with a mask hemi-advance and frontal cranioplasty for the 15.2 %, followed by the coronal suturectomy with the two above techniques for te 10.9 %. the 8.9 % of patients need lefort iii osteotomy for distraction of half-third. the contributions included: radiate plication of dura mater with the bipolar type in the 75.0 % of craniotomy patients, punctiform incision of dura mater to decompress a transoperative encephalic hypertension or to retract the encephalon for osteotomies on skull base in the 64.3 % of craniotomy patients, greenstick fracture at level of pterion in the mask flap for the marshal's techniques used in the 83.3 % of the brachycephalous or plagiocephaly with advance only of inolved side in the 100 % of plagiocephalies with a modification of marshall's technique among others, for a total o 9 modifications to surgical procedures. there weren't complications associated with these procedures and more than two years of posoperative course.
Aportes y modificaciones de técnicas quirúrgicas en cirugía craneofacial pediátrica Contributions and modifications of surgical techniques in pediatric craniofacial surgery
Dadonim Vila Morales,Tania Leyva Mastrapa,Luis Alonso Fernández
Revista Cubana de Estomatolog?-a , 2010,
Abstract: Las deformidades craneofaciales se deben en su mayoría a alteraciones del crecimiento y desarrollo, traumatismos y neoplasias. Con el objetivo de describir el tratamiento quirúrgico integral de estas y las modificaciones y aportes realizados a las técnicas craneofaciales tradicionales, se realizó un estudio descriptivo transversal en 46 pacientes tratados por el equipo interdisciplinario de cirugía craneofacial del Hospital Pediátrico Universitario "Juan M. Márquez", en el período comprendido entre mayo de 2003 a marzo de 2007. La edad promedio de los pacientes intervenidos fue de 6,3 a os. Se realizó una veintena de técnicas quirúrgicas. La más utilizada fue la suturectomía coronal con hemiavance en antifaz y craneoplastia frontal, para el 15,2 %; seguida de la suturectomía coronal con avance en antifaz y craneoplastia frontal, para el 10,9 %. El 8,9 % de los pacientes necesitó osteotomía Le Fort III para distracción del tercio medio. Los aportes introducidos fueron: la plicatura radiada de la duramadre con bipolar en el 75,0 % de los craneotomizados, incisión puntiforme de la duramadre para descomprimir hipertensión encefálica transoperatoria o retraer encéfalo para osteotomías de base de cráneo en el 64,3 % de los craneotomizados; fractura en tallo verde a nivel del pterium, en el colgajo en antifaz para las técnicas de Marshall, usada en el 83,3 % de los braquicéfalos o plagiocéfalos; el avance sólo del lado afectado en el 100 % de las plagiocefalias, con modificación de la técnica de Marshall, entre otras, para un total de 9 modificaciones a los procederes quirúrgicos. Hubo ausencia de complicaciones asociadas a éstas, con más de 2 a os de evolución posoperatoria. Most of he craniofacial deformities are caused by development and growth alterations, traumata and neoplasms. To describe the integral surgical treatment of above deformities and the modifications and contributions carried out to traditional craniofacial techniques, a cross-sectional and descriptive study was conducted in 46 patients seen by the craniofacial surgery multidisciplinary staff from "Juán Manuel Máquez" University Children Hospital from May, 2003 to March, 2007. Mean age of the patients operated on was of 6.3 years. Twenty Surgical tehniques were performed where the more used was he coronal suturectomy with a mask hemi-advance and frontal cranioplasty for the 15.2 %, followed by the coronal suturectomy with the two above techniques for te 10.9 %. The 8.9 % of patients need LeFort III osteotomy for distraction of half-third. The contributions included: radiate plication of dura
Neuroendoscopia pediátrica: análisis preliminar de los primeros 32 casos
Alonso Fernández,Luis; Leyva Mastrapa,Tania; de Jongh Cobo,Enrique;
Revista Cubana de Cirug?-a , 2008,
Abstract: introduction. the endoscopic techniques have been used more frequently in the last years, which is associated with the development of new lens and cameras. in neurosurgery, they are used for the treatment of non-communicating hydrocephaly, biopsy of the intraventricular tumors and the fenestration of intracranial cysts, among other multiple indications. methods. this procedure was carried out in "juan manuel márquez" pediatric teaching hospital from august 2003 to august 2005. the patients were 32 children between 6 days and 15 years old. the basic surgical technique was applied through a hole made by frontal trephination that allowed the access to the ventricular system and the performance of the procedure depending on the diagnosis. the patients were followed up and evaluated by computerized axial tomography at 3, 6 and 12 postoperative months. results. the patients treated mainly suffered from hydrocephaly and intracranial tumors and cysts. the age group 10-15 (13 children, 40 %) predominated. 8 patients were under 1, accounting for 28 % of the total. the most common aetiology was the non-communicating hydrocephaly, which in 15 patients was secondary to an aqueductal stenosis. the most frequent endoscopic procedure was the premammillary ventriculostomy of the third ventricle. it was possible to carry out the communication procedure and the patients's symptoms decreased. the postoperative evolution was successful in 27 patients (84 %) and only 5 patients (16 %) did not resolve. the method did not produce severe complications. conclusions. the neuroendoscopy proved to be an alternative to the derivations in certain patients, specially in children with non-communicating hydrocephaly. it allowed a significant reduction of the expenses in derivative systems and diminished the range of complications, with which the length of hospital stay was considerably shorter
Equipo cubano interdisciplinario de cirugía craneofacial en pediatría: Resultados de un quinquenio Interdisciplinary Cuban staff of craniofacial surgery in Pediatrics: Results from a five-year period
Dadonim Vila Morales,Tania Leyva Mastrapa,Luis Alonso Fernández,Ernesto Sánchez Cabrales
Revista Cubana de Estomatolog?-a , 2010,
Abstract: Las deformidades craneofaciales se deben en su mayoría a alteraciones del crecimiento y desarrollo, traumatismos y neoplasias. Con el objetivo de describir el tratamiento quirúrgico integral de estas, se realizó un estudio descriptivo transversal en 46 pacientes tratados por el Equipo Intertidisciplinario de Cirugía Craneofacial del Hospital Pediátrico Universitario "Juan M. Márquez" en el periodo comprendido entre mayo de 2003 a marzo de 2007. La deformidad más frecuente fue la craneosinostosis (57 %), específicamente la plagiocefalia (17 %). La mayoría de los pacientes fueron de piel blanca (70 %) y se intervinieron entre el 1ro.y 7mo.a os de vida (57 %), con una media de 6,3 a os. En general no hubo predilección por sexo. Se emplearon 18 diferentes técnicas quirúrgicas. Se presentaron cinco complicaciones durante el posoperatorio (11 %), una defunción (2,2 %), una oftalmoplejía (2,2 %), dos salidas de líquido cefalorraquídeo (4,4 %) y una desaturación por depresión del centro respiratorio (2,2 %). Excepto la oftalmoplejía hubo resolución de las complicaciones en un intervalo de 15 días. Los resultados reportados por este equipo, único de su tipo en el país, son relevantes al compararlos con la literatura internacional. Most of the craniofacial deformities are due to alterations of growth, development, traumata and neoplasms. To describe the integral surgical treatment of above deformities, a cross-sectional and descriptive study was conducted in 46 patients treated by the interdisciplinary staff of craniofacial surgery from the "Juan Manuel Márquez" University Children Hospital from May, 2003 to March, 2007. The more frequent deformity was the craniosynostosis (57 %), specifically the plagiocephaly (17 %). Most of patients were of white race (70 %) and were operated don between the first and the seventh year of life (57 %) for a mean of 6,3 years. Generally there wasn't sex predominance. A total of 18 different surgical techniques were used. There were 5 complications during the postoperative period (11 %), a decease (2.2 %), a ophthalmoplegia (2.2 %), two cerebrospinal fluid leakage (4.4 %) and a desaturation by depression of respiratory center (2.2 %). With the exception of ophthalmoplegia there was a resolution of complications in a 15 days interval. Results reported by this unique Cuban staff are outstanding compared with international literature.
Equipo cubano interdisciplinario de cirugía craneofacial en pediatría: Resultados de un quinquenio
Vila Morales,Dadonim; Leyva Mastrapa,Tania; Alonso Fernández,Luis; Sánchez Cabrales,Ernesto; Lazo Montero,Juan Carlos;
Revista Cubana de Estomatolog?-a , 2010,
Abstract: most of the craniofacial deformities are due to alterations of growth, development, traumata and neoplasms. to describe the integral surgical treatment of above deformities, a cross-sectional and descriptive study was conducted in 46 patients treated by the interdisciplinary staff of craniofacial surgery from the "juan manuel márquez" university children hospital from may, 2003 to march, 2007. the more frequent deformity was the craniosynostosis (57 %), specifically the plagiocephaly (17 %). most of patients were of white race (70 %) and were operated don between the first and the seventh year of life (57 %) for a mean of 6,3 years. generally there wasn't sex predominance. a total of 18 different surgical techniques were used. there were 5 complications during the postoperative period (11 %), a decease (2.2 %), a ophthalmoplegia (2.2 %), two cerebrospinal fluid leakage (4.4 %) and a desaturation by depression of respiratory center (2.2 %). with the exception of ophthalmoplegia there was a resolution of complications in a 15 days interval. results reported by this unique cuban staff are outstanding compared with international literature.
Infección de la derivación ventrículo-peritoneal en recién nacidos con hidrocefalia Infection of ventriculoperitoneal shunt in newborns with hydrocephaly
Manuel Díaz álvarez,Marisol del Rosario Vivas González,Maria Isabel Arango Arias,Tania Leyva Mastrapa
Revista Cubana de Pediatr?-a , 2008,
Abstract: INTRODUCCIóN. En los pacientes hidrocefálicos, la infección es una de las complicaciones más frecuentes de la derivación, y tiene elevada morbilidad y mortalidad. El objetivo de este trabajo fue identificar las características clínico-epidemiológicas de la infección de la derivación ventrículo-peritoneal en neonatos hidrocefálicos. MéTODOS. Se determinaron indicadores de morbilidad y mortalidad, y se identificaron otras características de la infección de la derivación ventrículo-peritoneal en 74 neonatos hidrocefálicos, hospitalizados en el Servicio de Neonatología del Hospital Pediátrico Universitario Juan Manuel Márquez (1992 a 2005). RESULTADOS. Hubo 27/74 neonatos hidrocefálicos operados, con sistemas derivativos infectados (tasa del 36,5 %). En el 48,1 % de los casos, la infección fue causada por Staphylococcus aureus; no hubo diferencias significativas en cuanto al sexo, pero sí en cuanto a la estadía (p < 0,01). Hubo 4 fallecidos, 3 de los cuales estaban infectados (mortalidad 5,4 x 100 operados y letalidad 11,1 x 100 infectados). CONCLUSIONES. Alrededor de la tercera parte de los neonatos hidrocefálicos operados sufren infección de la derivación ventrículo-peritoneal que, y principalmente, es causada por Staphylococcus aureus. Es predominante la supervivencia por infección pero es muy grave. INTRODUCTION. In hydrocephalic patients, infection is one of the most frequent shunt complications and it presents an elevated morbidity and mortality. The purpose of this paper was to identify the clinical and epidemiologic characteristics of the infection of the ventriculoperitoneal shunt in hydrocephalic infants. METHODS. The indicators of morbidity and mortality were determined and others characteristics of the infection of the ventriculoperitoneal shunt were also identified in 74 hydrocephalic newborns admitted in the Neonatology Service of "Juán Manuel Márquez" Children University Hospital (1992-2005). RESULTS. There were 27/74 hydrocephalic newborn infants operated on with infected shunts (rate of 36.5 %). In 48.1 % of the cases, the infection was caused by Staphylococcus aureus; there were no significant differences as to sex, but they were remarkable as regards stay (p < 0,01). There were 4 deaths, 3 of them were infected (mortality was 5.4 x 100 operated on patients, and lethality was 11.1 x 100 infected patients). CONCLUSIONS. Approximately a third of the hydrocephalic newborn infants suffered from infection of the ventriculoperitoneal shunt that is mainly caused by Staphylococcus aureus. Survival from infection is predominant, but it is very se
Infección de la derivación ventrículo-peritoneal en recién nacidos con hidrocefalia
Díaz álvarez,Manuel; Vivas González,Marisol del Rosario; Arango Arias,Maria Isabel; Leyva Mastrapa,Tania; Alonso Fernández,Luis;
Revista Cubana de Pediatr?-a , 2008,
Abstract: introduction. in hydrocephalic patients, infection is one of the most frequent shunt complications and it presents an elevated morbidity and mortality. the purpose of this paper was to identify the clinical and epidemiologic characteristics of the infection of the ventriculoperitoneal shunt in hydrocephalic infants. methods. the indicators of morbidity and mortality were determined and others characteristics of the infection of the ventriculoperitoneal shunt were also identified in 74 hydrocephalic newborns admitted in the neonatology service of "juán manuel márquez" children university hospital (1992-2005). results. there were 27/74 hydrocephalic newborn infants operated on with infected shunts (rate of 36.5 %). in 48.1 % of the cases, the infection was caused by staphylococcus aureus; there were no significant differences as to sex, but they were remarkable as regards stay (p < 0,01). there were 4 deaths, 3 of them were infected (mortality was 5.4 x 100 operated on patients, and lethality was 11.1 x 100 infected patients). conclusions. approximately a third of the hydrocephalic newborn infants suffered from infection of the ventriculoperitoneal shunt that is mainly caused by staphylococcus aureus. survival from infection is predominant, but it is very severe.
Menarquia y factores asociados Menarche and associated factors
Wendy Valdés Gómez,Tania Espinosa Reyes,Graciel Leyva álvarez de la Campa
Revista Cubana de Endocrinología , 2013,
Abstract: Introducción: la menarquia es el indicador de maduración sexual más comúnmente utilizado, influida por factores genéticos y ambientales, y se asocia al riesgo de desarrollar enfermedades como la obesidad, el cáncer de mama, las enfermedades cardiovasculares, entre otras. Objetivos: caracterizar demográficamente las adolescentes en estudio; evaluarlas nutricionalmente utilizando el índice de masa corporal y la circunferencia de cintura, así como identificar la relación entre la menarquia, el color de la piel, el bajo peso al nacer, el exceso de peso corporal, la obesidad abdominal y la presencia de acantosis nigricans. Métodos: se realizó un estudio observacional, descriptivo transversal en la Secundaria Básica Urbana "José María Heredia", desde junio de 2010 a enero de 2011. La población estuvo constituida por 85 adolescentes, a las cuales se les preguntó acerca de la menarquia, se les realizaron las mediciones antropométricas, y se buscó la presencia de acantosis nigricans. Resultados: la edad media de las adolescentes fue 12,05 a os, de las cuales el 63,5 % había experimentado la menarquia, y su edad media de presentación fue de 11,00±0,801 a os. El 17,6 % presentó exceso corporal, el 34,1 % adiposidad abdominal y el 12,9 % acantosis nigricans, asociadas estadísticamente con la aparición de la menarquia. Conclusiones: la mayoría de las adolescentes que habían experimentado la menarquia eran maduradoras tempranas, y de color de piel blanca; mostraron un riesgo incrementado de desarrollar exceso de peso corporal, obesidad abdominal y signos clínicos de resistencia a la insulina. La aparición de la menarquia no estuvo influida por el bajo peso al nacer. Introduction: menarche is the most common sexual maturity indicator, influenced by genetic and environmental factors and associated to the risk of developing diseases such as obesity, breast cancer, cardiovascular diseases and others. Objectives: to characterize demographically the adolescents under study; to evaluate them from the nutritional viewpoint by using the body mass index and the waist circumference, as well as to identify the association among menarche, race, low birthweight, overweight, abdominal obesity and presence of acanthosis nigricans. Methods: a cross-sectional, observational and descriptive study was conducted in "Jose Maria Heredia" junior high school from June 2010 to January 2011. The population was made up of 85 adolescents, who were asked about menarche, were anthropometrically measured and searched for acanthosis nigricans. Results: the average age of female adolescents was 12.05
Factores pronósticos y supervivencia después de la intervención coronaria percutánea con stent
Leyva Quert,Abel Yoandri; Méndez Peralta,Tomás; Almeida Gómez,Javier; Valdez Recarey,Manuel; Hidalgo Costa,Tania;
Revista Cubana de Medicina , 2008,
Abstract: the favorable evolution of the patients after the implantation of intracoronary stents is shadowed by the presence of major adverse cardiac complications. a study of prognostic factors was conducted to identify predictors of these processes and to calculate the cardiac death-free survival and the major adverse cardiac complications. 189 patients treated with conventional coronary stents were included. the survival rates were estimated by kaplan mejer method and compared by log rank's test. the mean follow-up was 13 ± 4.5 months. it was found that 41 of the patients presented some adverse event and 29 required new revascularization of the target lesion. a year later, the cardiac death-free survival rates and the combined processes were 96.8 and 77.7 %, respectively. the left ventricular dysfunction and the diameter of the stent over 3 mm were independent predictors of major cardiovascular complications.
Hábitos alimentarios en adolescentes de séptimo grado del municipio "10 de Octubre"
Valdés Gómez,Wendy; Leyva álvarez de la Campa,Graciel; Espinosa Reyes,Tania Mayvel; Palma Tobar,Carlos Fabrizio;
Revista Cubana de Endocrinolog?-a , 2012,
Abstract: introduction: the nutrition plays a critical role in the adolescent health and the consumption of a inappropriate diet may to influence in an unfavorable way on the somatic growth and the sexual maturation being a crucial stage of development where frequently prevail the nutritional disorders. methods: a cross-sectional and descriptive study was conducted to identify and to describe the tastes, preferences and frequency of food consumption of adolescent of 7th degree studying in the "josé maría heredia" secondary school in the 2009-2010 course. sample included 192 adolescents and with the parents consent underwent to alimentary survey on tastes, preferences and weekly frequency of food consumption. results: the more preferred foods were the butter, mayonnaise and cream-cheese, sweets, preserves and soft drinks, mainly consumed daily; unlike the fruits and vegetables. the 14.1 % of adolescents preferred the alcohol and the 15.6 % consumed them at least once a week. conclusions: there are deficiencies in the alimentary education as well as inappropriate alimentary habits in the study adolescents.
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