Pesquisa | SciELO

Precisa de ajuda?

Adicionar outro campo +

Histórico de busca

Não foram encontrados documentos para sua pesquisa

Resultados: 19

au:"Díaz, René"

Filtros

Coleções + Opções

Todos
Cuba

10
Chile

6
México

2
Brasil

1

Periódico + Opções

Todos
Revista médica de Chile

5
Revista Cubana de Higiene y Epidemiología

2
Revista Cubana de Investigaciones Biomédicas

2
Revista de Ciencias Médicas de Pinar del Río

2
Acta médica Grupo Ángeles

1
Acta zoológica mexicana

1
Archives of Endocrinology and Metabolism

1
Correo Científico Médico

1
Información tecnológica

1
Revista Cubana de Anestesiología y Reanimación

1
Revista Cubana de Obstetricia y Ginecología

1
Universidad de La Habana

1

Ano de publicação + Opções

Todos
2011

4
2013

4
2000

2
2017

2
2009

1
2014

1
2015

1
2018

1
2019

1
2020

1
2023

1

SciELO Áreas Temáticas + Opções

Todos
Ciências da Saúde

16
Ciências Sociais Aplicadas

1
Ciências Biológicas

1
Engenharias

1

WoS Áreas Temáticas + Opções

Todos
Medicine

11
General

9
Internal

9
Care

5
Health

5
Sciences

5
Services

5
Education

3
Gynecology

3
Obstetrics

3
Research

3
Biomedical

2
Clinical

2
Complementary

2
Dentistry

2

Mostrar tudo...

WoS Índice de Citações

Todos
Science Citation Index Expanded

5

Citáveis e não citáveis

Todos
Citável

19

Tipo de literatura + Opções

Todos
Artigo

15
Relato de caso

3
Artigo de revisão

1

Ordenar por

Página de 2 Próxima

Selecionar esta página

Imprimir | Enviar por e-mail | Exportar |

Facebook
Twitter
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

0 Itens selecionados

Listar itens
Apagar todos da lista

Clinical and histopathological features of follicular thyroid cancer in Chile
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Díaz, René

; Domínguez, José Miguel

; Tala, Hernán

; Olmos, Roberto

; Pineda, Pedro

; Olivarí, Daniela

; Jiménez, Marcela

; Mimica, Ximena

; Lanas, Alejandra

; Ocares, Gerson

; Sapunar, Jorge

Archives of Endocrinology and Metabolism

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Jun 2023, Volume 67 Nº 3 Páginas 348 - 354

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: Follicular thyroid carcinoma (FTC) is less frequent but has a worse prognosis than papillary carcinoma. The available evidence on pre-operative characteristics of FTC is controversial. Our objective was to characterize the clinical, ultrasound and histopathological presentation of FTC patients treated Chile. Subjects and methods: Retrospective analysis of 97 patients treated for FTC in 6 large centers in Chile. We analyzed their ultrasonographic features and classified the nodules according to ATA risk of malignancy and TI-RADS score, as well as the cytological findings according to the Bethesda system. We described their clinical and histopathological findings at diagnosis and classified their risk of recurrence and mortality according to ATA 2015 recurrence risk category and the eighth edition of the AJCC/UICC staging system, respectively. Results: Median age was 48 years and 73.2% were females. The median diameter was 38.8 mm; only 9.5% of them were microtumors. According to ATA risk of malignancy, 86% of the nodules were low or intermediate suspicious, while 78% were category 3 or 4A nodules according to the TI-RADS. Regarding the Bethesda system, 65.9% had indeterminate cytology (20.6% category III and 45.3% category IV). At histological examination, most were minimally-invasive and angio-invasive tumors with less than 4 foci (54.7% and 28.4% respectively). More than 90% of FTC were unifocal and there was no lymphovascular or extrathyroidal invasion or lymph node involvement. Four patients (4.1%) had distant metastases at diagnosis. Most patients (95%) had stage I or II disease according to the AJCC/UICC staging system, while the risk of recurrence was low at 51.5% when using the ATA risk of recurrence scale. Conclusions: At diagnosis, most FTCs were nodules of low or intermediate suspicion at ultrasound, nearly two thirds had indeterminate cytology according to the Bethesda system, and nearly 50% of them were of low risk of recurrence.

https://doi.org/10.20945/2359-3997000000580

Evaluación clínica del tratamiento con ozono en las hernias discales. Centro Oncológico Territorial Holguín. Año 2017
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Borrego Díaz, René Ángel

; González Sapsín, Karina

; Pérez Mesa, Juan Carlos

Correo Científico Médico

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Mar 2020, Volume 24 Nº 1 Páginas 4 - 18

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT Introduction: the large number of clinical manifestations that herniated discs cause, and the functional limitations they produce were the reasons for the implementation of the treatment with ozone, due to the benefits reported when using this therapy. Objective: to determine the effect of ozone therapy on clinical parameters in the herniated disc patient at the Territorial Oncology Center of Holguín during year 2017. Methods: an observational, descriptive case series study that included 137 patients attended in the ozone therapy consultation with confirmed diagnosis of herniated discs, and still showing symptoms, despite the different conventional treatments performed. Symptoms were assessed prior to treatment, at the end of treatment and six months after completion. They were given either rectal or paravertebral treatment. Results: pain was present in 94.16% of patients, followed by paresthesia in 87.59%. A good response was achieved at the end of treatment in 86.13% of patients, and these results remained after six months in 82.48%. The results obtained are considered very successful, if we take into account that the group of patients treated was the one with no response to the usual treatments. Conclusions: clinical evolution of patients with lumbar disc herniation, treated with ozone therapy, was favourable. No undesirable effects of the therapy were observed during the treatment.

RESUMEN Introducción: el gran número de manifestaciones clínicas que causan las hernias discales y las limitaciones funcionales que producen nos motivó a la aplicación del tratamiento con ozono por los beneficios reportados con esta terapéutica. Objetivo: determinar el efecto de la ozonoterapia sobre parámetros clínicos en el paciente portador de hernia discal en el Centro Oncológico territorial de Holguín, Cuba, en el año 2017. Métodos: se realizó un estudio observacional, descriptivo de serie de casos que incluyó 137 pacientes atendidos en la consulta de ozonoterapia, con diagnóstico confirmado de hernia discal y que mantenían síntomas, a pesar de los diferentes tratamientos convencionales realizados. Se evaluaron los síntomas antes del tratamiento, al término del este y a los seis meses de culminado. Se les aplicó el tratamiento rectal o paravertebral. Resultados: el dolor estuvo presente en el 94,16% de los pacientes, seguido de la parestesia en el 87,59%. Se logró una buena respuesta al terminar el tratamiento (86,13%) de los pacientes y estos resultados se mantuvieron a los seis meses en el 82,48%. Los resultados obtenidos se consideran muy exitosos, si tenemos en cuenta que el grupo de pacientes tratados fueron aquellos sin respuestas a los tratamientos habituales. Conclusiones: la evolución clínica de los pacientes portadores de hernia discal lumbar con ozonoterapia fue favorable. Durante el tratamiento no se observaron efectos indeseables de la terapia.

Caracterización de tumores secretores de hormona de crecimiento de acuerdo al patrón granular y su rol en el pronóstico
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Valenzuela, Felipe

; Villanueva, Pablo

; Rojas Z., David

; Gejman, Roger

; Huete, Isidro

; Zunino, Romina

; Díaz, René E.

; Wohllk, Nelson

; Tissera, Claudia

; Carrasco, Carmen A.

Revista médica de Chile

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Jul 2019, Volume 147 Nº 7 Páginas 852 - 859

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Background: Classification of growth hormone (GH) - secreting tumors by the granular pattern might predict their clinical behavior in acromegalic patients. There are several other prognostic factors. Aim: To compare the features at presentation and cure rates of patients with GH secreting tumors according to the granular pattern, and to define independent prognostic factors for surgical treatment in these patients. Material and Methods: A retrospective, observational study of 85 active acromegalic patients surgically treated in two medical centers. Results: Seventy-four patients (87%) were classified as having densely granulated (DG) and 11 (13%) as sparsely granulated (SG) tumors. The latter were less active biochemically, had a higher rate of macroadenoma and cavernous sinus invasion and had a lower rate of biochemical cure than the DG group. Several characteristics were associated with disease persistence but only age (Odds ratio (OR) = 0.93) and cavernous sinus invasion (OR = 21.7) were independently associated in the logistic regression model. Conclusions: The sparsely granulated pattern is associated with a more aggressive behavior, but the main determinants of prognosis are age and cavernous sinus invasion.

1216 downloads

Grupos sociales y color de la piel en el acceso y continuidad de estudios en las universidades cubanas hoy
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

García Báez, Román

; Sánchez Díaz, René

Universidad de La Habana

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Jun 2018, Nº 285 Páginas 232 - 248

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

In this paper, objective reasons why social differences and skin color continue influencing the access to higher education, and college completion rates are examined, based on the political-economic category "social consumption funds". Objective reasons why less-favored social groups are the ones who, paradoxically, don't take full advantage of the opportunities to study given by the Cuban Government are particularly emphasized. It is held the view that the main differences in the access to higher education are between potential candidates from families whose members perform mostly intellectual labor, and the ones from families whose members perform mostly manual labor, and not between whites, blacks, and persons of mixed race, although there is an organic correlation between them. New modes of study and other steps taken by the Ministry of Higher Education, which will help less-favored social groups, are explained. Other ways of achieving social justice in the realm of higher education are considered.

En el trabajo se argumentan las causas objetivas que inciden sobre la subsistencia de diferencias sociales y con respecto al color de la piel, en el acceso y continuidad de estudios superiores en Cuba en el curso diurno. La valoración se centra en la categoría de la economía política "fondos sociales de consumo". En particular se enfatiza en las razones objetivas que provocan que los grupos sociales menos favorecidos sean, contradictoriamente, los que en menor medida utilicen las enormes posibilidades de estudios que brinda la Revolución. La tesis que se defiende es que las desigualdades fundamentales en el acceso a la educación superior se centran entre trabajo manual e intelectual y no entre blancos, negros y mestizos, aunque exista correlación orgánica entre ellas. Se explican las nuevas modalidades de estudios y otras medidas que se instrumentan desde el Ministerio de Educación Superior, las cuales favorecerán a los grupos sociales de menor desarrollo. Se proponen otras vías para el logro de la mayor justicia social posible en esa esfera.

Estudio y manejo de nódulos tiroideos por médicos no especialistas. Consenso SOCHED
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Tala, Hernán

; Díaz, René E.

; Domínguez Ruiz-Tagle, José Miguel

; Sapunar Zenteno, Jorge

; Pineda, Pedro

; Arroyo Albala, Patricia

; Barberán, Marcela

; Cabané, Patricio

; Cruz Olivos, Francisco

; Gac, Patricio E.

; Glasinovic Pizarro, Andrea

; González, Hernán E.

; Grob, Francisca

; Hidalgo Valle, Maria Soledad

; Jaimovich, Rodrigo

; Lanas, Alejandra

; Liberman, Claudio

; Lobo Guiñez, Maite

; Madrid, Arturo

; Moreno Seguel, Marcela

; Mosso, Lorena

; Munizaga, Fernando C.

; Ortiz Parada, Eugenia

; Osorio Gonnet, Fernando

; Slater Morales, Jeannie

; Solar, Antonieta

; Stehr, Carlos

; Vásquez Rodríguez, Félix

; Véliz, Jesús

; Villaseca Najarian, Roberto

; Wohllk, Nelson

Revista médica de Chile

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Ago 2017, Volume 145 Nº 8 Páginas 1028 - 1037

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

The thyroid nodule is a frequent cause of primary care consultation. The prevalence of a palpable thyroid nodule is approximately 4-7%, increasing up to 67% by the incidental detection of nodules on ultrasound. The vast majority are benign and asymptomatic, staying stable over time. The clinical importance of studying a thyroid nodule is to exclude thyroid cancer, which occurs in 5 to 10% of the nodules. The Board of SOCHED (Chilean Society of Endocrinology and Diabetes) asked the Thyroid Study Group to develop a consensus regarding the diagnostic management of the thyroid nodule in Chile, aimed at non-specialist physicians and adapted to the national reality. To this end, a multidisciplinary group of 31 experts was established among university academics, active researchers with publications on the subject and prominent members of scientific societies of endocrinology, head and neck surgery, pathology and radiology. A total of 14 questions were developed with key aspects for the diagnosis and subsequent referral of patients with thyroid nodules, which were addressed by the participants. In those areas where the evidence was insufficient or the national reality had to be considered, the consensus opinion of the experts was used through the Delphi methodology. The consensus was approved by the SOCHED board for publication.

https://doi.org/10.4067/s0034-98872017000801028 28478 downloads

Complejo de Shone
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Villaseñor Díaz, René Oswaldo

; García Luna, Alfonso

; Campos Escoto, María

; Ponce Partida, Rosa

; Domínguez Carrillo, Luis Gerardo

Acta médica Grupo Ángeles

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Jun 2017, Volume 15 Nº 2 Páginas 130 - 134

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: Background: Shone complex is a set of congenital cardiac abnormalities involving the left side of the heart, it is infrequent, and extraordinary in adult life. Clinical case: Female 21 who visited the emergency department with acute dyspnea, in whom the diagnosis was Shone complex by echocardiography, finding five levels of obstruction of the left heart, including: supramitral obstruction, mitral stenosis, subaortic stenosis, aortic stenosis and aortic coarctation; finding also like complication thrombi in left atrium and ventricle, associated with preexcitation syndrome; her evolution was torpid with death over a period of four hours despite intensive management.

Resumen: Antecedentes: El denominado complejo de Shone es un conjunto de anormalidades congénitas cardiacas que involucran el lado izquierdo del corazón, muy poco frecuente y de diagnóstico extraordinario en adulto. Caso clínico: Femenino de 21 años que acudió a urgencias con disnea aguda. Se llegó al diagnóstico de complejo de Shone por ecocardiografía, estando presentes cinco niveles de obstrucción del corazón izquierdo que incluían: obstrucción supramitral, estenosis mitral, estenosis subaórtica, estenosis valvular aórtica y coartación aórtica. Se agregaron trombos en aurícula y ventrículo izquierdos; el cuadro mostró asociación a síndrome de preexcitación, la evolución llevó a su deceso en un lapso de cuatro horas a pesar de manejo intensivo.

6734 downloads

Caracterización de los procesos de atención prenatal a las gestantes con morbilidad materna extremadamente grave
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Corona Miranda, Beatriz

; Pérez Jiménez, Dianellys

; Espinosa Díaz, René

; Álvarez Toste, Mireya

; Álvarez, Sergio Salvador

Revista Cubana de Higiene y Epidemiología

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Abr 2015, Volume 53 Nº 1

Resumo: Es | Texto: Es | PDF: Es

21 downloads

Derivación submandibular para garantizar la vía respiratoria en la traumatologia facial
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Torres Rodríguez, Luis E

; Villarreal Torres, Cecilio

; Morejón Álvarez, Felicia C

; Díaz Gener, Emilio

; Camacho Díaz, René

Revista Cubana de Anestesiología y Reanimación

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Ago 2014, Volume 13 Nº 2 Páginas 182 - 191

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Introduction: tracheostomy is one of the most effective resources in the treatment of facial trauma. This technique has been used for more than two hundred years. Few surgical interventions have saved as many lives as tracheostomy, since it makes it possible to secure a safe airway for the patient. However, as with all surgical procedures, tracheostomy may also have complications. Submandibular endotracheal bypass is a viable alternative when temporary tracheostomy is required. It consists in the passage of an endotracheal tube from the mouth outwards through an incision in the submandibular region. It is called panfacial fracture when the lesions compromise the upper, middle and lower thirds of the face, resulting in serious disturbance of the facial architecture. Objectives: present seven cases treated from 2006 to the present: four at Abel Santamaría Cuadrado General Teaching Hospital in Pinar del Río, Cuba, and three at the Multiprofile Clinic of Luanda, Angola. Methods: a presentation is provided of the four stages of the technique described by Altemir and detailed by Guevara Mantilla and cols. Patients were carried to the operating room for emergency and elective surgery prior coordination with the Anesthesiology and Resuscitation Service. Submandibular bypass was performed first, followed by the procedure scheduled for each patient. Conclusions: the procedure allows appropriate control of the airway and constitutes a safe, effective alternative for patients with complex trauma of the facial middle third. No complications were found during surgery or in the postoperative period.

Introducción: uno de los recursos más efectivos en traumatismos maxilofaciales es el empleo de la traqueostomía, esta se conoce desde hace más de doscientos años. Pocas intervenciones quirúrgicas han salvado tantas vidas como la traqueostomía pues esta, permite garantizar una vía respiratoria segura para el paciente, pero como todo proceder quirúrgico no está exenta de complicaciones. La derivación endotraqueal submandibular se presenta como una alternativa viable en los casos que se requiera una traqueostomía temporal, esta consiste en el paso del tubo endotraqueal de la boca para el exterior a través de una incisión en la región submandibular. Se denomina fractura panfacial cuando las lesiones comprometen los tercios superiores, medio e inferior da la cara y que resulta en una perturbación grave de la arquitectura facial. Objetivos: dar a conocer siete casos realizados desde el 2006 hasta la actualidad, cuatro en el Hospital General Docente "Abel Santamaría Cuadrado" de Pinar del Rio, Cuba, y tres en la Clínica Multiperfil de Luanda, Angola. Métodos: se exponen la técnica descrita por Altemir y detallada por Guevara Mantilla y cols en sus cuatro fases. Los pacientes fueron llevados al quirófano de forma urgente y electiva mediante coordinación con el Servicio de Anestesiología y Reanimación. Se realizó, primero la derivación submandibular y seguidamente el proceder programado para cada paciente. Conclusiones: el proceder permite un adecuado control de la vía respiratoria y constituye una alternativa segura y eficaz en pacientes con traumas complejos del tercio medio facial. No se han encontraron complicaciones ni durante ni en el posoperatorio.

111 downloads

First record of the family Pseudochiridiidae (Arachnida: Pseudoscorpiones) from Cuba
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

BARBA DÍAZ, René

; ALEGRE BARROSO, Aylin

Acta zoológica mexicana

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Dez 2013, Volume 29 Nº 3 Páginas 696 - 700

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Se registra Pseudochiridium insulae Hoff, 1964 para Cuba, constituyendo el primer registro de la familia Pseudochiridiidae Chamberlin, 1923 para esta isla de las Antillas. Se describen los ejemplares y se ofrecen datos de su variabilidad morfométrica.

957 downloads

10.

Importancia de la tiroglobulina sérica preablativa en la predicción de sobrevida libre de enfermedad en cáncer diferenciado de tiroides
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Díaz, René E

; Véliz, Jesús

; Wohllk, Nelson

Revista médica de Chile

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Dez 2013, Volume 141 Nº 12 Páginas 1506 - 1511

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Background: Serum thyroglobulin (sTg) is an excellent marker of persistence or recurrence of disease in differentiated thyroid cancer (DTC), however its role as prognostic factor has not been fully established. Aim: To assess the value of the preablative thyroglobulin (pTg) as predictor of disease-free survival in DTC. Patients and Methods: Retrospective study of 104 patients with low and intermediate risk DTC subjected to total thyroidectomy and 131iodine ablation. TSH, pTg and thyroglobulin antibodies (AbTg) were determined by chemiluminescence. Patients with distant metastases or presence of AbTg were excluded. Results were analyzed using receiving operating characteristic (ROC) curves. Results: During the 40 ± 29 months of follow-up (range 6-132), 14 of 104 (13%) patients had recurrence of disease. pTg was an independent indicator to predict disease-free survival. Using a pTg cutoff of < 10 ng/ml the negative predictive value was 99%, sensitivity 93%, specificity 82%, positive likelihood ratio (LR) 5.2 and negative LR 0,087. Conclusions: pTg value is useful as a prognostic marker in predicting disease-free survival in DTC patients with low or intermediate risk of recurrence.

5087 downloads

11.

Caracterización del proceso hospitalario de atención a la morbilidad materna extremadamente grave
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Pérez Jiménez, Dianellys

; Corona Miranda, Beatriz

; Espinosa Díaz, René

; Álvarez Toste, Mireya

; Salvador Álvarez, Sergio

Revista Cubana de Obstetricia y Ginecología

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Jun 2013, Volume 39 Nº 2 Páginas 98 - 106

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Introduction: the term extremely serious or severe maternal morbidity is considered very useful as this is an indicator highly associated to maternal death and an intermediate stage in virtually all of the deceased cases. Objective: To characterize the processes of hospital care to extremely severe maternal morbidity in Havana during 2009. Methods: a descriptive study was conducted in six gynecological and maternal services in Havana from January to December 2009, in order to characterize the hospital processes of care to extremely serious maternal cases. Medical records and forms were completed for this purpose. The arising results were taken in a database in Access. Results are expressed through averages and percentages and are shown in tables and graphs. Results: classification by color coding and identification of risk obstetrics showed values of 80.6% and 73.1% respectively. Tracking early signs of hypovolemic shock only reached 81% and 77% of these patients underwent a cesarean, out of which 75.5% had a complication during or after this procedure. Hypovolemic shock was the extremely severe maternal morbidity for specific disease. Conclusions: non-compliance of care processes could adversely affect the care of extremely severe maternal morbidity and even increased mortality.

Introducción: el término morbilidad materna extremadamente grave o severa, se considera de gran utilidad al ser este un indicador muy asociado a la muerte materna y un estadio intermedio en prácticamente la totalidad de las fallecidas. Objetivo: caracterizar los procesos de atención hospitalaria a la morbilidad materna extremadamente grave en La Habana en el año 2009. Métodos: se realizó una investigación descriptiva en 6 servicios ginecobstétricos de hospitales generales y maternos de La Habana, en el período comprendido de enero-diciembre del 2009, con el objetivo de caracterizar los procesos de atención hospitalario a las maternas extremadamente graves. Para ello se consultaron las historias clínicas y se completó un formulario creado al efecto, cuyos resultados se vaciaron en una base de datos en Access. Los resultados se expresan a través de promedios y porcentajes y se muestran en tablas y gráficos. Resultados: la clasificación por código de colores y la identificación del riesgo obstétrico mostraron valores de 80,6 % y 73,1 % respectivamente. El seguimiento de los signos precoces de shock hipovolémico solo alcanzó un 81 % y el 77 % de estas pacientes fueron sometidas a la realización de una cesárea de las que el 75,5 % tuvieron una complicación durante o después de este proceder. La morbilidad materna extremadamente grave por enfermedad específica con mayor frecuencia, fue por el shock hipovolémico. Conclusiones: el no cumplimiento de los procesos de atención pudiese influir negativamente en la atención a la morbilidad materna extremadamente grave e inclusive incrementar la mortalidad materna.

114 downloads

12.

Tratamiento alternativo de la obesidad exógena
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Ramos Padilla, Kenia

; Ramos Padilla, Katia

; Ledesma Neyra, Arelys

; Camacho Díaz, René

Revista de Ciencias Médicas de Pinar del Río

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Fev 2013, Volume 17 Nº 1 Páginas 73 - 81

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Introduction: obesity is a multifactorial-origin disorder that is characterized by the excessive accumulation of fat and general hypertrophy of adipose tissue in the body; a risk factor known as multiple diseases with esthetic and social repercussion. Objective: to achieve the ideal weight in obese patients by means of combining the diet, homeopathy and implantation of catgut suture in acupuncture points, trying to balance the energy and changing lifestyles. Material and method: a descriptive, longitudinal and prospective study was conducted in the service of Natural and Traditional Medicine at "Abel Santamaria Cuadrado" Pinar del Rio, during 2011. The target group and the sample coincided, both were comprised of 80 patients, a clinical history was made to each patient and body mass index was calculated. Patients were monthly assessed and treated using diet and homeopathy (group I), as well as diet, homeopathy and catgut applied on the acupuncture points (group II). Results: degree II of obesity prevailed in female sex from 27 to 37 years old. The alternatives of treatment used to treat obesity were effective in 93,8% of patients and the majority reached the ideal weight between the 4th and 6th months of treatment. Conclusions: the association of diet, homeopathy and implantation of catgut in acupuncture points to the treatment of exogenous obesity was more effective than the purely use of diet and homeopathy.

Introducción: la obesidad es una de origen multifactorial caracterizada por acumulación excesiva de grasa o hipertrofia general del tejido adiposo en el cuerpo; factor de riesgo conocido para múltiples enfermedades, con repercusión estética y social. Objetivo: obtener el peso ideal en pacientes obesos mediante la combinación de dieta, homeopatía e implantación de catgut en puntos de acupuntura, tratando de equilibrar la energía y cambiar estilos de vida. Material y método: se realizó un estudio descriptivo, longitudinal, y prospectivo en el servicio de Medicina Tradicional y Natural del Hospital General Docente Abel Santamaría Cuadrado de Pinar del Río en el año 2011. El universo y la muestra coinciden estando constituidas por 80 pacientes, a todos los pacientes se les realizó en la primera consulta historia clínica y se les calculó el índice de masa corporal. Los pacientes se valoraron mensualmente y tratados con dieta y homeopatía (grupo I) y dieta, homeopatía y siembra de catgut en puntos de acupuntura (grupo II). Resultados: se obtuvo un predominio de la obesidad grado II, en el sexo femenino entre 27 y 37 años. Las alternativas de tratamiento utilizadas para la obesidad fueron efectivas en un 93,8 % de los pacientes y la mayoría de los que alcanzaron el peso ideal lo hicieron entre el cuarto y sexto mes de tratamiento. Conclusiones: la asociación de dieta, homeopatía e implantación de catgut en puntos de acupuntura para el tratamiento de la obesidad exógena fue más efectiva que la utilización solo de dieta y homeopatía.

709 downloads Citado 1 vez em SciELO

13.

Autotrasplante de células madre adultas en defecto óseo de rama mandibular por quiste dentígero
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Torres Rodríguez, Luís E

; Marimón Torres, Maria E

; Morejón Álvarez, Felicia C

; Camacho Díaz, René

; León Amado, Liseet

Revista de Ciencias Médicas de Pinar del Río

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Dez 2011, Volume 15 Nº 4 Páginas 89 - 101

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Purpose of the study: to investigate about the osseous formation of cystic cavities of the maxillaries from adult stem cells. Method: a patient presenting a dentigerous cyst in the left mandibular branch that provoked a large osseous destruction, which was confirmed by means physical examination, complementary studies, Computerized Axial Tomography (CAT) and graphic images (photographs). Adult stem cells were placed, in view of a prior assessment and preparation of the patient in hematology service and transfusion medicine. Medical-surgical approach and pathological diagnosis were described, presenting in graphics the clinical and radiological improvement almost immediately, at three months and at two years. Results: it was identified that adult stem cells induce osseous regeneration in the cystic cavities of maxillaries. The evolution of the patient was discussed according to the medical literature reviewed. Conclusion: the use of adult stem cells to treat the osseous regeneration of cystic cavities of the maxillaries was confirmed in this case, and new perspectives of treatment for other maxillofacial illnesses can be opened, as for fractures, osteoarthritis of the Temporal Mandibular Articulation and defects provoked by cancer lesions, etc. Research projects sustaining the use of this new therapy are necessary.

Propósitos del estudio: indagar en la formación ósea de cavidades quísticas de los maxilares a partir de células madres adultas. Método: se realiza la presentación de un paciente que presentaba un quiste dentígero en rama mandibular izquierda y que había provocado gran destrucción ósea, lo cual se comprobó al examen físico y estudios complementarios, tomografía axial compuarizada (TAC) e imágenes gráficas (Fotos). Se decide colocar las células madres adultas, previa valoración y preparación del paciente con el servicio de hematología y medicina transfusional. Se describe la conducta médico-quirúrgica realizada y su diagnóstico anatomopatológico. Se presenta de forma gráfica la evolución clínico radiológico del paciente, inmediato, a los tres meses y a los dos años de evolución. Resultados: quedó identificado que las células madres adultas inducen la regeneración ósea en las cavidades quísticas de los maxilares. Se discutió la evolución del paciente según la literatura consultada. Conclusiones: Se puede expresar que lo identificado en este caso confirma el uso de células madres adultas en la regeneración ósea de cavidades quísticas de los maxilares, además de abrir nuevas perspectivas en el tratamiento de otras afecciones del territorio maxilofacial como fracturas, artrosis de la ATM, defectos por lesiones oncológicas, por lo que se justifica la realización de proyectos investigativos que apoyen la utilización de esta nueva terapéutica.

206 downloads

14.

Paragangliomas múltiples asociados a mutación del gen SDHB: Caso clínico
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Díaz, René E

; Utreras, Carlos

; Ascuí, Rodrigo

; Hidalgo, Fernando

; Véliz, Jesús

; Wohllk, Nelson

Revista médica de Chile

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Nov 2011, Volume 139 Nº 11 Páginas 1475 - 1480

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Paragangliomas are tumors arising from sympathetic and parasympathetic tissues. The classic associated syndromes are neurofibromatosis type 1, multiple endocrine neoplasia type 2 and von Hippel-Lindau. Germline mutations of succinate dehydroge-nase subunits genes, are associated with familial paraganglioma syndromes 1,2,3 and 4. We report a 29-year-old woman with a family background of pheochromocytoma and history of paroxysmal headache, nausea, sweating, palpitations, associated with severe hypertension. The patient had elevated plasma noradrenalin and urinary normetanephrines. Imaging studies revealed three retroperitoneal extra-adrenal masses. The clinical and laboratory study of classic syndromes associated with para-ganglioma was negative. The patient was operated and the pathological study of the surgical specimen was consistent with paragangliomas. The genetic study showed a mutation in the SDHB succinate dehydrogenase gen, Exon 2 of CCTCA c.300_304 (p.P56delYfsX5).

7999 downloads

15.

Insuficiencia suprarrenal y crisis addisoniana como primera manifestación de cáncer de pulmón y metástasis suprarrenal bilateral: Caso clínico
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics

Utreras, Carlos

; Díaz, René E

; Ascui, Rodrigo

; Caro, Rodrigo

; Véliz, Jesús

; Wohllk, Nelson

Revista médica de Chile

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Set 2011, Volume 139 Nº 9 Páginas 1196 - 1200

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Addisonian crisis as a first manifestation of metastatic disease secondary to cancer is uncommon. We report a 63-year-old man with a history of one year of fatigue, weakness, weight loss and repeated symptomatic hypoglycemia. The cortisol stimulation test with ACTH confirmed primary adrenal insufficiency. While receiving adequate treatment with oral hydrocortisone, he presented an adrenal crisis that was treated properly. A CT scan of the lung demonstrated a nodule in the upper right lobe and bilateral adrenal tumors. The biopsy of the lesion revealed a lung adenocarcinoma. The staging with positron emission tomography using 18 fluoroglucose (PET/CT18F- FDG) showed hypermetabolic uptake in the primary lung tumor and in both adrenal glands, suggesting metastatic implants.

13835 downloads

Exibindo

itens por página

Página de 2 Próxima

Selecione um ou mais resultados

Todos Ordem alfabética

Resultados

Gráfico comparativo Download CSV

Visualizar estatísticas de

Enviar resultado

E-mail do(s) destinatários*

Utilize ; (ponto e vírgula) para mais de um e-mail.

Enviar por e-mail

Esta página

Registros selecionados

Todos os registros (max. 300)

Alterar remetente, assunto e comentários

Seu email

Assunto

Comentários

Alterar remetente, assunto e comentários

Exportar resultados

Formato de exportação:

RIS (para EndNote, ProCite, Reference Manager, RefWorks, Citavi, etc.)

BibTeX

Citação

CSV (para Excel, etc)

Exportar:

Esta página

Itens selecionados

Todos os registros (max. 2000)

Mostrar mais

Sem resultados

Não foram encontrados documentos para sua pesquisa

Glossário e ajuda para busca

Você pode enriquecer sua busca de uma forma muito simples. Use os índices de pesquisa combinados com os conectores (AND ou OR) e especifique cada vez mais sua busca.

Por exemplo, se você deseja buscar artigos sobre
casos de dengue no Brasil em 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

Veja abaixo a lista completa de índices de pesquisa que podem ser usados:

Cód. do Índice	Elemento
ti	título do artigo
au	autor
kw	palavras-chave do artigo
subject	assunto (palavras do título, resumo e palavras-chave)
ab	resumo
ta	título abreviado da revista (ex. Cad. Saúde Pública)
journal_title	título completo da revista (ex. Cadernos de Saúde Pública)
la	código do idioma da publicação (ex. pt - Português, es - Espanhol)
type	tipo do documento
pid	identificador da publicação
publication_year	ano de publicação do artigo
sponsor	financiador
aff_country	código do país de afiliação do autor
aff_institution	instituição de afiliação do autor
volume	volume do artigo
issue	número do artigo
elocation	elocation
doi	número DOI
issn	ISSN da revista
in	código da coleção SciELO (ex. scl - Brasil, col - Colômbia)
use_license	código da licença de uso do artigo

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
Email: scielo@scielo.org

Todo o conteúdo de www.scielo.org, exceto onde está identificado, está licenciado sob uma Licença Creative Commons.
saiba mais »