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[SciELO Preprints] - PERIOPERATIVE CARE IN DIGESTIVE SURGERY: THE ERAS AND ACERTO PROTOCOLS. BRAZILIAN COLLEGE OF DIGESTIVE SURGERY POSITION PAPER
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Aguilar-Nascimento, José Eduardo de Ribeiro Junior, Ulysses Portari-Filho, Pedro Eder Salomão, Alberto Bicudo Caporossi, Cervantes Colleoni Neto, Ramiro Waitzberg, Dan Linetzki Campos, Antonio Carlos Ligocki

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Publication date: 2024-01-29

Abstract: En

Background: The concept introduced by enhanced recovery after surgery protocols modifies perioperative traditional care in digestive surgery. The integration of these modern recommendations components during the perioperative period are highly important to ensure less postoperative complications, reduced length of hospital stay and decreased surgical costs. Aims: The aim of this position paper is to emphasize the most important points of a multimodal perioperative care protocol. Methods:  A careful analysis of each recommendation of both ERAS and ACERTO protocols is presented, justifying its inclusion in the recommended multimodal care of digestive surgery patients. Results: Enhanced recovery programs (ERPs) such as ERAS and ACERTO protocols are a cornerstone in modern perioperative care. Nutritional therapy is highly important in digestive surgery and thus both preoperative and postoperative nutrition care are key to ensure less postoperative complications and to reduce the length of hospital stay. The concept of prehabilitation is another key element in ERPs. Management of crystalloid fluids in a perfect balance in vital. Fluid overload may delay the recovery of patients and increase postoperative complications. Abbreviation of preoperative fast for 2h before anesthesia is now accepted by various guidelines of both surgical and anesthesiology societies. Combined with early postoperative refeeding, these prescriptions are not only safe but can also enhance recovery of patients undergoing digestive procedures. Conclusions: This Brazilian College of Digestive Surgery position paper strongly emphasizes that the implementation of ERPs in digestive surgery represents a paradigm shift in perioperative care, transcending traditional practices and embracing an intelligent approach to patient well-being.   Background: The concept introduced by enhanced recovery after surgery protocols modifies perioperative traditional care in digestive surgery. The integration of these modern recommendations components during the perioperative period are highly important to ensure less postoperative complications, reduced length of hospital stay and decreased surgical costs. Aims: The aim of this position paper is to emphasize the most important points of a multimodal perioperative care protocol. Methods:  A careful analysis of each recommendation of both ERAS and ACERTO protocols is presented, justifying its inclusion in the recommended multimodal care of digestive surgery patients. Results: Enhanced recovery programs (ERPs) such as ERAS and ACERTO protocols are a cornerstone in modern perioperative care. Nutritional therapy is highly important in digestive surgery and thus both preoperative and postoperative nutrition care are key to ensure less postoperative complications and to reduce the length of hospital stay. The concept of prehabilitation is another key element in ERPs. Management of crystalloid fluids in a perfect balance in vital. Fluid overload may delay the recovery of patients and increase postoperative complications. Abbreviation of preoperative fast for 2h before anesthesia is now accepted by various guidelines of both surgical and anesthesiology societies. Combined with early postoperative refeeding, these prescriptions are not only safe but can also enhance recovery of patients undergoing digestive procedures. Conclusions: This Brazilian College of Digestive Surgery position paper strongly emphasizes that the implementation of ERPs in digestive surgery represents a paradigm shift in perioperative care, transcending traditional practices and embracing an intelligent approach to patient well-being.

https://doi.org/10.1590/0102-672020240001e1794

Pulchrotes, nuevo subgénero de Paranomala (Coleoptera: Scarabaeidae: Rutelinae) y descripción de dos especies nuevas de México y América Central
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Ramírez-Ponce, Andrés

; Delgado, Leonardo

; Mora-Aguilar, Eder F.

; Curoe, Daniel J.

; Zaragoza-Caballero, Santiago

Revista mexicana de biodiversidad

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2024, Volume 95 elocation e955314

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Pulchrotes subgen. nov. es descrito para ubicar a Paranomala doryphorina (Bates, 1888) y a 2 especies inéditas, P. chimalapensis sp. nov. y P. hondurana sp. nov., de México y Honduras, respectivamente. Este subgénero destaca por el inusual patrón de coloración dorsal y la complejidad de su genitalia, que lo hacen difícil de vincular con el resto de las especies del género. Se discuten las posibles afinidades con otros subgéneros y especies, y se incluye una clave taxonómica para los subgéneros dentro de Paranomala y otra para las especies del subgénero Pulchrotes con láminas que incorporan caracteres diagnósticos y un mapa de distribución.

Abstract Pulchrotes subgen. nov. is described to place Paranomala doryphorina (Bates, 1888) and 2 new species, P. chimalapensis sp. nov. and P. hondurana sp. nov., from Mexico and Honduras, respectively. This subgenus stands out by the unusual dorsal coloration pattern, and the complexity of the genitalia, making it difficult to link with the other species of the genus. Possible affinities with other subgenera and species are discussed, and taxonomic keys for the subgenera in Paranomala, and species of the subgenus Pulchrotes are provided, and plates illustrating diagnostic characters, and a distribution map are included.

https://doi.org/10.22201/ib.20078706e.2024.95.5314

PERIOPERATIVE CARE IN DIGESTIVE SURGERY: THE ERAS AND ACERTO PROTOCOLS - BRAZILIAN COLLEGE OF DIGESTIVE SURGERY POSITION PAPER
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AGUILAR-NASCIMENTO, José Eduardo de

; RIBEIRO JUNIOR, Ulysses

; PORTARI-FILHO, Pedro Eder

; SALOMÃO, Alberto Bicudo

; CAPOROSSI, Cervantes

; COLLEONI NETO, Ramiro

; WAITZBERG, Dan Linetzky

; CAMPOS, Antonio Carlos Ligocki

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2024, Volume 37 elocation e1794

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO RACIONAL: O conceito introduzido pelos protocolos de recuperação após a cirurgia modifica os cuidados perioperatórios tradicionais em cirurgia digestiva. A integração desses componentes modernos de recomendações, durante o período perioperatório, é de grande importância para garantir menos complicações pós-operatórias, redução do tempo de internação hospitalar e diminuição dos custos cirúrgicos. OBJETIVOS: Enfatizar os pontos mais importantes de um protocolo multimodal de cuidados perioperatórios. MÉTODOS: Análise criteriosa de cada recomendação dos protocolos ERAS e ACERTO, justificando sua inclusão no atendimento multimodal recomendado para pacientes de cirurgia digestiva. RESULTADOS: Os programas de recuperação avançada (PRAs), tais como os protocolos ERAS e ACERTO, são a base dos cuidados perioperatórios modernos. A terapia nutricional é de grande importância na cirurgia digestiva e, portanto, tanto os cuidados nutricionais pré-operatórios, quanto pós-operatórios são fundamentais para garantir menos complicações pós-operatórias e reduzir o tempo de internação hospitalar. O conceito de pré-habilitação é outro elemento-chave nos PRAs. O manuseio de fluidos cristalóides em perfeito equilíbrio é vital. A sobrecarga de fluidos pode atrasar a recuperação dos pacientes e aumentar as complicações pós-operatórias. A abreviação do jejum pré-operatório para duas horas antes da anestesia é agora aceita por diversas diretrizes das sociedades cirúrgicas e de anestesiologia. Combinadas com a realimentação pós-operatória precoce, essas prescrições não são apenas seguras, mas também podem melhorar a recuperação de pacientes submetidos a procedimentos digestivos. CONCLUSÕES: Este posicionamento do Colégio Brasileiro de Cirurgia Digestiva enfatiza fortemente que a implementação de PRAs em cirurgia digestive, representa uma mudança de paradigma no cuidado perioperatório, transcendendo as práticas tradicionais e adotando uma abordagem inteligente para o bem-estar do paciente. RACIONAL recomendações perioperatório pósoperatórias, pósoperatórias pós operatórias, operatórias cirúrgicos OBJETIVOS MÉTODOS ACERTO RESULTADOS PRAs, , (PRAs) portanto préoperatórios, préoperatórios pré operatórios, operatórios pré-operatórios pósoperatórios préhabilitação habilitação elementochave elemento chave vital pósoperatórias. operatórias. préoperatório operatório anestesiologia pósoperatória operatória precoce seguras digestivos CONCLUSÕES digestive bemestar bem estar paciente (PRAs

ABSTRACT BACKGROUND: The concept introduced by protocols of enhanced recovery after surgery modifies perioperative traditional care in digestive surgery. The integration of these modern recommendations components during the perioperative period is of great importance to ensure fewer postoperative complications, reduced length of hospital stay, and decreased surgical costs. AIMS: To emphasize the most important points of a multimodal perioperative care protocol. METHODS: Careful analysis of each recommendation of both ERAS and ACERTO protocols, justifying their inclusion in the multimodal care recommended for digestive surgery patients. RESULTS: Enhanced recovery programs (ERPs) such as ERAS and ACERTO protocols are a cornerstone in modern perioperative care. Nutritional therapy is fundamental in digestive surgery, and thus, both preoperative and postoperative nutrition care are key to ensuring fewer postoperative complications and reducing the length of hospital stay. The concept of prehabilitation is another key element in ERPs. The handling of crystalloid fluids in a perfect balance is vital. Fluid overload can delay the recovery of patients and increase postoperative complications. Abbreviation of preoperative fasting for two hours before anesthesia is now accepted by various guidelines of both surgical and anesthesiology societies. Combined with early postoperative refeeding, these prescriptions are not only safe but can also enhance the recovery of patients undergoing digestive procedures. CONCLUSIONS: This position paper from the Brazilian College of Digestive Surgery strongly emphasizes that the implementation of ERPs in digestive surgery represents a paradigm shift in perioperative care, transcending traditional practices and embracing an intelligent approach to patient well-being. BACKGROUND stay costs AIMS protocol METHODS RESULTS (ERPs thus vital societies refeeding procedures CONCLUSIONS wellbeing. wellbeing well being. being well-being

https://doi.org/10.1590/0102-672020240001e1794

A new species of the Onthophagus mirabilis species complex (Coleóptera: Scarabaeidae: Scarabaeinae) from the Chimalapas region, Oaxaca, Mexico
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Moctezuma, Víctor

; Halffter, Gonzalo

; Mora-Aguilar, Eder F.

Revista mexicana de biodiversidad

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2023, Volume 94 elocation e945081

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Onthophagus zoquecornis, nueva especie del complejo de especies O. mirabilis es descrito e ilustrado. Las claves para separar a los machos adultos y hembras del complejo de especies O. mirabilis son actualizadas. Se presenta un mapa de distribución actualizado del complejo de especies O. mirabilis. Se incluye una discusión breve sobre la riqueza de especies de los Onthophagus del Nuevo Mundo, la distribución y ecología de la especie nueva.

Abstract Onthophagus zoquecornis, new species of the O. mirabilis species complex is described and illustrated. Keys to separate adult males, and females of the O. mirabilis species complex are updated. An updated distribution map of the O. mirabilis species complex is presented. A brief discussion on species richness of the New World Onthophagus, and distribution and ecology of the new species is provided.

https://doi.org/10.22201/ib.20078706e.2023.94.5081

Anticoagulación profiláctica en pacientes hospitalizados durante la COVID-19: menos es mejor
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Porres-Aguilar, Mateo

; Pérez-Nieto, Orlando R.

; Anaya-Ayala, Javier E.

; Zamarrón-López, Eder I.

; Hernández-Gilsoul, Thierry

; Aurón, Moisés

Gaceta médica de México

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dec 2021, Volume 157 N. 6 Pages 661 - 661

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.24875/gmm.21000467 25 downloads

ACERTO Project - 15 years changing perioperative care in Brazil
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DE-AGUILAR-NASCIMENTO, JOSÉ EDUARDO

; SALOMÃO, ALBERTO BICUDO

; CAPOROSSI, CERVANTES

; DOCK-NASCIMENTO, DIANA BORGES

; EDER PORTARI-FILHO, PEDRO

; CAMPOS, ANTÔNIO CARLOS LIGOCKI

; IMBELLONI, LUIZ EDUARDO

; SILVA-JR, JOÃO MANOEL

; WAITZBERG, DAN LINETZKY

; CORREIA, MARIA ISABEL TOULSON DAVISSON

Revista do Colégio Brasileiro de Cirurgiões

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2021, Volume 48 elocation e20202832

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O projeto ACERTO é um protocolo multimodal de cuidados perioperatórios. Implementado em 2005, o projeto, nos últimos 15 anos, tem disseminado a ideia de moderno protocolo de cuidados perioperatórios baseados em evidência e com atuação interprofissional. Dezenas de estudos publicados com o uso do protocolo têm mostrado benefícios como redução do tempo de internação, complicações pós-operatórias e custos hospitalares. Disseminado pelo Brasil, o projeto tem apoio do Colégio Brasileiro de Cirurgiões e da Sociedade Brasileira de Nutrição Parenteral e Enteral, entre outros. Este artigo compila publicações dos autores que compõem o grupo de pesquisa do CNPq “Acerto em Nutrição e Cirurgia”, cita a experiência de outros autores nacionais em diversas especialidades cirúrgica e finalmente, delineia a evolução do projeto ACERTO ao longo da linha do tempo.

ABSTRACT The ACERTO project is a multimodal perioperative care protocol. Implemented in 2005, the project in the last 15 years has disseminated the idea of a modern perioperative care protocol, based on evidence and with interdisciplinary team work. Dozens of published studies, using the protocol, have shown benefits such as reduced hospital stay, postoperative complications and hospital costs. Disseminated in Brazil, the project is supported by the Brazilian College of Surgeons and the Brazilian Society of Parenteral and Enteral Nutrition, among others. This article compiles publications by the authors who belong to the CNPq research group “Acerto em Nutrição e Cirurgia”, refers to the experience of other national authors in various surgical specialties, and finally outlines the evolution of the ACERTO project in the timeline.

https://doi.org/10.1590/0100-6991e-20202832 4852 downloads

ACERTO guidelines of perioperative nutritional interventions in elective general surgery
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de-Aguilar-Nascimento, José Eduardo

; Salomão, Alberto Bicudo

; Waitzberg, Dan Linetzky

; Dock-Nascimento, Diana Borges

; Correa, Maria Isabel T. D.

; Campos, Antonio Carlos L.

; Corsi, Paulo Roberto

; Portari Filho, Pedro Eder

; Caporossi, Cervantes

Revista do Colégio Brasileiro de Cirurgiões

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dec 2017, Volume 44 N. 6 Pages 633 - 648

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: apresentar recomendações, baseadas no Projeto ACERTO (Aceleração da Recuperação Total Pós-Operatória) e sustentada por evidências, relativas aos cuidados nutricionais perioperatórios em procedimentos eletivos em Cirurgia Geral. Métodos: revisão da literatura pertinente entre 2006 e 2016, com base em busca realizada nas principais bases de dados, com o intuito de responder a perguntas norteadoras previamente formuladas por especialistas, dentro de cada temática desta diretriz. Foram selecionados alguns estudos de coorte, mas, preferencialmente, foram utilizados estudos aleatórios controlados, revisões sistemáticas e meta-análises. Cada pergunta norteadora de recomendação foi contextualizada de modo a determinar a qualidade da evidência e a força desta recomendação (GRADE). Este material foi enviado aos autores utilizando um questionário aberto on-line. Após o recebimento das respostas, formalizou-se o consenso para cada recomendação desta diretriz. Resultados: o nível de evidência e o grau de recomendação para cada item é apresentado em forma de texto, seguido de resumo da evidência encontrada. Conclusão: esta diretriz traduz as recomendações do grupo de especialistas do Colégio Brasileiro de Cirurgiões, da Sociedade Brasileira de Nutrição Parenteral e Enteral e do Projeto ACERTO para intervenções nutricionais no período perioperatório em Cirurgia Geral eletiva. A prescrição dessas recomendações pode acelerar a recuperação pós-operatória de pacientes submetidos a operações eletivas em cirurgia geral, com diminuição de morbidade, do tempo de internação e de reinternações e, consequentemente, dos custos.

ABSTRACT Objective: to present recommendations based on the ACERTO Project (Acceleration of Total Post-Operative Recovery) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures. Methods: review of relevant literature from 2006 to 2016, based on a search conducted in the main databases, with the purpose of answering guiding questions previously formulated by specialists, within each theme of this guideline. We preferably used randomized controlled trials, systematic reviews and meta-analyzes but also selected some cohort studies. We contextualized each recommendation-guiding question to determine the quality of the evidence and the strength of this recommendation (GRADE). This material was sent to authors using an open online questionnaire. After receiving the answers, we formalized the consensus for each recommendation of this guideline. Results: the level of evidence and the degree of recommendation for each item is presented in text form, followed by a summary of the evidence found. Conclusion: this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons, the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery. The prescription of these recommendations can accelerate the postoperative recovery of patients submitted to elective general surgery, with decrease in morbidity, length of stay and rehospitalization, and consequently, of costs.

https://doi.org/10.1590/0100-69912017006003 52585 downloads

Trabajos de investigación presentados en el L Congreso Mexicano de Anestesiología: Chihuahua 2017. México
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Ríos Medrano, Alea Fernanda

; Herrero Trujillano, Manuel

; Robles López, Maria Decire

; Rodríguez Barajas, Ruben

; Gutiérrez-Martínez, Paola Virginia

; Ramírez-Gómez, Melba

; Olvera-Hernández, Jesus Arnoldo

; Márquez Noyola, Elizabeth Alicia

; Almonte de León, Héctor

; Hernández Mancilla, Arturo

; Castro Salinas, José Ernesto

; Medrano-Duarte, Olga Abigahil

; Ramírez-Mendoza, Karla

; Rodriguez-Nieves, Georgina Monserrat

; Pareces Ríos, Adriana

; Ruiz-Rubio, Yolanda

; Hernández-Santiago, María Guadalupe

; Ramírez Mendoza, Karla

; Medrano Duarte, Olga Abigahil

; Martínez-Alpuche, Rocío Adriana

; Valenzuela-Priego, Francisco

; Álvarez-Santiago, José Heriberto

; Lugo-Rodríguez, Julian

; Betancourt-Sandoval, Alonso

; Prince-Angulo, Silvia Annel

; Martínez-Felix, Israel

; Salazar-Castro, Laura

; Espinazo-Quintero, Erendira

; Otañez, Monica Thalia

; Priego, Gloria

; Alzate, Ana Lizette

; Salazar, Laura Elena

; Nieblas, Mariela

; Martinez, Israel

; Alvarez-Betancourt, Ana Elsa

; Sánchez-Hernández, Eloy

; Romo-Serrano, Erika

; Rodríguez-Jauregui, Adriana

; Díaz-Aceves, Erica Raquel

; Arteaga-Trejo, Jaime

; Rodríguez-Jáuregui, Adriana

; Robles-Lopéz, María Decire

; Ibarra-González, María Livier

; Alvarez-Betancourt, Ana Elsa

; Díaz-Aceves, Erica Raquel

; Arteaga-Trejo, Jaime

; Santana-Sonora, Beatriz Alejandra

; Prince-Angulo, Silvia Annel

; Sandoval-Rivera, Arturo Guadalupe

; Camacho-López, Jesús Erick

; Alzate-Moctezuma, Ana Lizette

; Valencia-Echávarri, Andrea

; Canales-Bonilla, Carlos Patricio

; Ramos-Hernández, Julia Demetria

; Flores-Posada, Jesus Jonathan

; Muñoz Garcia, Aleyda

; Osorio Santiago, Maria Areli

; Lopez Cartita, Victor

; Ortega, Julio

; Fuentes García, Víctor E

; Moyao García, Diana

; Villars Zamora, Elvia Gabriela

; Prince Angulo, Silvia Annel

; Gerardo Angulo, Alma Ruth

; Martinez Felix, Israel

; Ayala Camargo, Yuridia

; Esquer de la Rosa, Jaquelyn Roxana

; Trapaga Millares, Yazmin

; Sánchez León, Claudia Elena

; Vásquez Puente, Felipe

; Rojo Medina, Victor Javier

; Urias Romo de vivar, Emma Gabriela

; Prince Angulo, Silvia Annel

; Ojeda Ramos, Joel

; Caceres Figueroa, Leonardo Andres

; Martinez Reyes, Maria Fernanda

; Contreras Ramírez, Nathalie

; Martínez Barreto, Nelly

; Ruelas León, Berenice

; Reyes Salgado, Karla

; Ruvalcaba Sánchez, Rafael

; Núñez Valencia, Carolina

; Escamilla Asiain, Gabriela

; Carranza-Cortés, José Luis

; Puga-Flores, Eva del Carmen

; Jiménez-Cardona, María Beatriz

; Puga-García, Diana Marisol

; Alcaraz-Ramos, Rosina

; Martinez-Delgado, Olinda

; Zamudio-Gracia, Carlos Amador

; Mireles Vega, Elizabeth

; Hernández López, Clara

; Ceballos Niño, Jose Luis

; Carreño Caballero, Jessica

; Montiel Jarquín, Álvaro José

; López García, Ingrid

; Serrano Cuevas, Beatriz

; Martinez Marin, Dolores Guillermina

; Díaz-Aceves, Erica Raquel

; Romo-Serrano, Erika

; Campechanos-Asencio, María de los Ángeles

; Rodríguez-Jáuregui, Adriana

; Betancourt-Álvarez, Ana Elsa

; Arteaga-Trejo, Jaime

; Romo-Serrano, Erika

; Rios-Navarro, Ramón Alejandro

; Rodriguez-Jauregui, Adriana

; Alvarez-Betancourt, Ana Elsa

; Diaz Aceves, Érica Raquel

; Calleja-Zenteno, Liliana

; Fernández-Vázquez, María Urbelina

; Carreño-Caballero, Jessica

; Serrano Cuevas, Beatriz

; Montiel Jarquín, Álvaro José

; Carreño- Caballero, Jessica

; Cortes- Pineda, Claudia

; Fernández-Vázquez, María Urbelina

; Hernández-Domínguez, Juan

; Serrano-Cuevas, Beatriz

; Ruiz- Luna, Mayra

; Gómez-Moreno, Julieta Berenice

; Hernández-Santiago, Maria Guadalupe

; Ruiz-Rubio, Yolanda

; Ruiz-Serrano, Ana Cristina

; Medina-Flores, Aleida

; Sánchez Torres, Claudia

; Osorio Santiago, María Areli

; Lee, Angel

; Correa-Ovis, Jose Francisco

; Priego-Martínez, Luis Alberto

; Valencia-Carrillo, Miguel

; Sánchez-Arteaga, Sofia

; Cruz-Márquez, Abraham Josué

; Duran-Zamora, Karina Aurora

; Corral-Guerrero, Sergio Francisco

; Arce Bojorquez, Brisceyda

; Medina, Francisco

; Felix, Pavel

; Estrada, Haydeé Gloria

; González-Herrera, Francisco Javier

; Zepeda Olivera, Silvia

; Pablo-Yañez, Julio Cesar

; Colores Velazquez, Julio Cesar

; Calva Maldonado, Miguel

; Veyna Rocha, Sissy Barubi

; Veyna Rocha, Abraham Irishd

; Rodríguez-Rodríguez, María Guadalupe

; Castillo- Rodriguez, Juan Orlando

; Martínez-Figueroa, Brenda Paola

; Romero Guillén, Lorena Priscila

; Pavía Vega, Susy Sáez

; Jiménez Siles, María Eugenia

; Hurtado Reyes, Ignacio Carlos

; Rojas Zarco, Eder Marcelo

; Sánchez Tapia, Mario Alberto

; Villicaña-Ayala, Carolina

; Díaz-Aguilar, Marco Antonio

; Apolinar Jiménez, Evelia

; García-Parra Pérez, Paola Carolina

; García-Parra Pérez, Natalia Cristina

; Yee-Rendón, Zumey

; Valle-Leal, Jaime Guadalupe

; Reyes-Jiménez, Gerardo Antonio

; Ortiz-Magallanes, Elías

; Sanchez-Aguilar, Maricela

; Mota-Figueroa, Roanne Patrician

; Espinosa-Tadeo, Aldo Ernesto

; Díaz-Hernández, Alejandro Eduardo

; Cendón-Ortega, María Mercedes

; Ortega-Ponce, Fabiola Estela Elizabeth

; Romero-Guillen, Lorena Priscila

; Cruz Castañedo, Greta

; Constantino-Rivera, Luis Armando

; Gordillo-Paniagua, Jorge Alberto

; Contreras-Ramírez, Nathalie

; Bernal-Zambrano, Luis Omar

; Flores-Alvarado, Rosa María

; Ferrera-Sarquís, María Aurora

; Espino Vega, Ana Frain

; Guillen-Narváez, María del Rocio

; López-García, Rocío Angélica

; Martínez-Sánchez, Angélica

; Huerta-Beltrán, Juana Geraldine

; Gómez-Rojas, Juan Pablo

; Rivera-Ruiz, Rodolfo Eduardo

; Ramírez Reyes, Liliana Georgina

; Muñoz Martínez, Raúl

; Martínez-Morales, Nayeli Noemi

; Mariscal-Cervantes, Beatriz

; Chávez-Barragán, Oscar Fernando

; Barrera-de León, Juan Carlos

; Carrillo-Guerra, Valentin

; Huitrón-Hernández, José Alonso

; De la Rosa-Fabián, Viviana Marysela

; Zertuche-Méndez, David Ricardo

; Riquelme Holguin, Karla Talia

; Gutierrez Beltran, Maria del Refugio

; Martinez-Tapia, Maria Elena

; Amezquita Esparza, Monica

; Portillo Villalobos, Samantha

; Díaz Solís, Erick Iván

; Estrada Utrera, Maria Sandra

; Islas Ruz, Félix Gilberto

; Pérez Díaz, Roberto

; Chávez-Contreras, Sara Idali

; Zepeda Olivera, Silvia

; Calva-Maldonado, Miguel

; Fragoso-Avilés, Fabían

; Rosa-Moya, Griselda de la

; Ávila-López, Armando

; López Castruita, Victor Manuel

; Manrique Carmona, Luisa Piedad

; Ramírez- Martínez, Elizabeth

; Rojas-Peñaloza, Janeth

; López-Gómez, Antonio

; Veyna Rocha, Abraham Irishd

; Veyna Rocha, Sissy Barubi

; Torres Hernández, Rosa

; Aleman-Ortega, Cristina

; Guevara-Pérez, Alejandra

; Castillo Gamez, Tobias Francisco

; Gutierrez Beltran, María del Refugio

; Martínez Tapia, María Elena

; Alanis Uribe, Karla

; Guerrero Morales, Fernando

; Molina Rodríguez, Gloria

; Gómez Cruz, José Roberto

; Tapia Castro, Gabriela

; Ley, Marcial Luis

; Castro Ortega, Julio

; Martínez, Leo Bruno

; Portugal Moreno, Víctor Hugo

; García Cabello, Luis Manuel

Anestesia en México

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apr 2017, Volume 29 N. 1 Pages 29 - 89

Abstract: Es | Text: Es | PDF: Es

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Infarto agudo del miocardio como primera manifestación de síndrome antifosfolípido
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García-Padilla, Esmeralda

; Flores-López, Eder Natanael

; Aguilar-De la Torre, David Leonardo

; López-Alférez, Rogelio

Revista mexicana de cardiología

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jun 2014, Volume 25 N. 2 Pages 126 - 128

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

The antiphospholipid syndrome is an autoimmune blood disease characterized by the combination of venous thrombosis and whose presentation is very diverse, acute myocardial infarction is one of the more unusual presentations, we present a case of acute myocardial infarction as well as intracavitary thrombus as the presenting symptom of APS.

El síndrome antifosfolípido es una enfermedad autoinmune caracterizado por la combinación de trombosis venosa y arterial, cuya forma de presentación es muy diversa, el infarto agudo al miocardio es una de las presentaciones más inusuales; presentamos un caso de infarto agudo al miocardio así como trombo intracavitario como forma de presentación del SAF.

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10.

Effect of a two-component intervention to change hospital practice from early to delayed umbilical cord clamping in the Peruvian Amazon
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Blouin, Brittany

; Penny, Mary E.

; Casapia, Martin

; Aguilar, Eder

; Silva, Hermánn

; Joseph, Serene A.

; Creed-Kanashiro, Hilary M.

; Maheu-Giroux, Mathieu

; Gyorkos, Theresa W.

Revista Panamericana de Salud Pública

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may 2011, Volume 29 N. 5 Pages 322 - 328

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

OBJETIVO: Investigar el efecto de una intervención de dos componentes para modificar la práctica hospitalaria respecto del momento en que se practica el pinzamiento del cordón umbilical. MÉTODOS: Se empleó un estudio con diseño antes-después para medir el efecto de una intervención de dos componentes sobre el tiempo medio de pinzamiento del cordón umbilical. El estudio se llevó a cabo en el Hospital Iquitos "César Garayar Gar-cía" en Iquitos (Perú). Se incluyeron en total 224 mujeres atendidas en la sala de trabajo de parto del hospital: 112 antes de la intervención, entre el 18 de mayo y el 3 de junio del 2009, y 112 después de la intervención, entre el 6 y el 20 de julio del 2009. La intervención consistió en: 1) un taller de capacitación sobre las "mejores prácticas" en la atención del parto, de 3 días de duración y 2) una directiva del hospital. Se observaron todos los partos y se midió el tiempo entre la salida del hombro anterior y el pinzamiento del cordón umbilical con un cronómetro digital. RESULTADOS: El tiempo medio entre el parto y el pinzamiento del cordón antes de la intervención fue de 56,8 segundos (intervalo de confianza [IC] de 95%: 51,0-62,7), y aumentó a 169,8 segundos (IC 95%: 153,8-185,8) después de la intervención. La diferencia en el tiempo medio hasta el pinzamiento siguió siendo significativa en los análisis multivariados (βajustado = 113,2 segundos, IC 95%: 96,6-129,9). CONCLUSIONES: Es posible cambiar las normas y las prácticas hospitalarias de pinzamiento del cordón umbilical de precoz a tardío mediante una intervención sencilla de dos componentes.

OBJECTIVE: To investigate the effect of a two-component intervention to change hospital practice with regard to the timing of umbilical cord clamping. METHODS: A pre-/post-study design was used to measure the effect of a two-component intervention on mean time to clamp the umbilical cord. The study took place at Hospital Iquitos "César Garayar García" in Iquitos, Peru. A total of 224 women were recruited from the hospital labor room: 112 pre-intervention, from 18 May-3 June 2009, and 112 post-intervention, from 6-20 July 2009. The intervention consisted of 1) a "best practice" three-day training workshop on birthing, and 2) a hospital directive. All deliveries were observed and the time between delivery of the first shoulder and clamping of the umbilical cord was measured with a digital stopwatch. RESULTS: The mean time between delivery and cord clamping before the intervention was 56.8 seconds (95% confidence interval [CI]: 51.0, 62.7). This increased to 169.8 seconds (95% CI: 153.8, 185.8) following the intervention. The difference in mean time to clamp remained significant in multivariate analyses (βadjusted = 113.2 seconds, 95% CI: 96.6, 129.9). CONCLUSIONS: Hospital policy and practice can be successfully changed from early to delayed umbilical cord clamping using a simple, two-component intervention.

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11.

Escarabajos necrófagos (Coleoptera: Scarabaeidae y Trogidae) de la región central baja de Veracruz, México
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MORA-AGUILAR, Eder F.

; MONTES DE OCA, Enrique

Acta zoológica mexicana

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dec 2009, Volume 25 N. 3 Pages 569 - 588

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

The necrophagous beetles (Scarabaeidae and Trogidae) occurring in the lowland of central Veracruz are studied and the assemblage composition is compared with those found in other regions. Specimens were collected during the rainy season of 2000 in the disturbed semi deciduous seasonal forest remnants associated with secondary vegetation and crop fields of Apazapan-Jalcomulco region (280-450 m of altitude). We recorded 2135 specimens belonging to the Scarabaeidae and Trogidae families represented in three subfamilies, seven tribes, 11 genera, and 18 species which represent the 92 % of the all necrophagous beetle species possible to be found in this region. Canthon cyanellus cyanellus, Deltochilum gibbosum sublaeve y Coprophanaeus pluto were the most abundant species on the samples. Richness and abundance were higher at the beginning of the rainy season followed by a gradual decrease as the season went by. Beetle abundance was higher in Apazapan than in Jalcomulco. Burrower beetle species richness exceeded the roller species in a 3:1 ratio but the abundance ratio was reversed. Daily beetle activity of nocturnal species is higher than diurnal species. This region showed 63% of specific similarity and around 80% of genus similarity with the coastal region of Veracruz, and is comparable with 56% and 90% of the respective similarities with the lowland region of "El Cielo" Biosphere Reserve in Tamaulipas.

Se presenta un estudio de los escarabajos necrófagos (Scarabaeidae y Trogidae) de la región central baja de Veracruz y se compara la composición de su ensamble con otras regiones. Las colectas se realizaron durante la época de lluvias del año 2000 en sitios con remanentes derivados del bosque tropical subcaducifolio perturbado, rodeados con vegetación secundaria y cultivos de la región Apazapan-Jalcomulco establecidos entre 280 y 450 m snm. Se obtuvieron 2135 ejemplares pertenecientes a 3 subfamilias, 7 tribus, 11 géneros y 18 especies de Scarabaeidae y Trogidae que comprenden el 92% de las especies de escarabajos necrófagos posibles de ser encontradas en esa región. Las especies más abundantes fueron: Canthon cyanellus cyanellus, Deltochilum gibbosum sublaeve y Coprophanaeus pluto. La riqueza y abundancia fue mayor al inicio de la época de lluvias y fue disminuyendo gradualmente. Se encontró mayor abundancia en Apazapan que en Jalcomulco. Los escarabajos cavadores superan a los rodadores en riqueza específica en proporción de 3:1 en tanto que la proporción en abundancia fue inversa. La actividad de especies nocturnas sobrepasa la de diurnas en la misma proporción. Esta región presenta hasta el 63% de similitud específica y alrededor del 80% de similitud genérica con la región costera de Veracruz, valores comparables con el 56% y el 90% de similitudes respectivas con la parte baja de la Reserva de la Biósfera El Cielo, Tamaulipas.

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