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Search Results: 1 - 10 of 41676 matches for " Tania; Alonso Fernández "
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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.
Síndrome de Tako-Tsubo. Reporte de un caso con atipicidades. Tako-Tsubo syndrome. A case report with atypical features.
Marcos V. Dopaso Alonso,Tania Guerrero González,Raymid García Fernández,Juan Valiente Mustelier
Revista Cubana de Cardiología y Cirugía Cardiovascular , 2011,
Abstract: The Tako-Tsubo syndrome is a reversible form of an acute stress-related cardiomyopathythat was recently described. It typically presents with a constellation of symptoms, electrocardiographicchanges, elevated cardiac enzyme levels and echocardiography imaging consistentwith an acute coronary syndrome. However, when the patient undergoes cardiac angiography,left ventricular apical ballooning finding is seen, but no significant coronary arterystenosis. This ballooning-like morphology, being the hallmark of this entity, can be detectedby imaging. We present a case report in a patient who was admitted to our hospital and metall the diagnostic criteria of the Tako-Tsubo syndrome, but with some atypical features.
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
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.
Los mecenas de la plata: el respaldo de los virreyes a la actividad minera colonial en las primeras décadas del siglo XVIII. El gobierno del Marqués de Casa Concha en Huancavelica (1723-1726)
Fernández Alonso, Serena
Revista de Indias , 2000,
Abstract: This article studies the main technical, financial, work and production problems which affected the quicksilver mining explotation in Huancavelica in the first decades of the 18th Century. It is also studied the valuable initiatives developed by the Governor and Superintendent of the Mine, the Marquis of Casa Concha, for the application of the Royal orders aimed at the reformation of the same. Se analizan, en estas páginas, los principales problemas técnicos, financieros, laborales y productivos que, en las primeras décadas del siglo XVIII, afectaron a la explotación de la mina de azogues de Huancavelica, así como las valiosas iniciativas desarrolladas por el Gobernador y Superintendente de la Mina, Marqués de Casa Concha, en aplicación de las disposiciones reales para reforma de los mismos.
La prensa belga, durante el unionismo y el postunionismo (1830-1857)
Isabel Fernández Alonso
Revista Latina de Comunicación Social , 2000,
Abstract: El artículo traza el panorama de la prensa belga en las primeras décadas de la independencia. Se trata de una prensa esencialmente política, vinculada a las dos grandes corrientes ideológicas del unionismo, liberales y católicos, y a los diferentes movimientos de oposición -orangistas, francófilos, republicanos, y demócratas-, sin olvidar el papel jugado por las publicaciones oficiales en la construcción de una mentalidad nacional, a imitación de la política realizada en los a os inmediatamente anteriores por el reino holandés. La libertad de prensa surge en Bélgica con la revolución de 1830, pero la democratización de la edición y lectura de periódicos habrá de esperar a la siguiente revolución, la de 1848, que trajo consigo la abolición del impuesto del timbre.
La externalización de la producción de los operadores públicos de televisión de ámbito autonómico en Espa a. Los casos canario y extreme o
Isabel Fernández Alonso
Revista Latina de Comunicación Social , 2002,
Abstract: El objeto de este artículo es sistematizar algunos datos sobre un nuevo fenómeno que se advierte en el panorama espa ol de las televisiones públicas autonómicas desde 1998: la llamada externalización de la producción, que supone la implantación de un nuevo modelo de gestión de contenidos, en el que se adjudica a una productora, mediante concurso, la elaboración de toda, casi toda o parte de la programación. Es evidente, que la clave de la novedad está en la convocatoria del concurso, pues desde siempre las televisiones públicas han encargado o comprado parte de los contenidos de sus parrillas
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