Introduccion y objetivos La enfermedad renal oculta (ERO) es una entidad que define los estadios mas iniciales de insuficiencia renal y no se detecta con los metodos usados habitualmente. El objetivo es determinar la prevalencia de ERO en los pacienteshipertensos en consultas de cardiologia y su relacion con los distintos factores de riesgo y tratamientos cardiovasculares. Metodos. Estudio observacional, transversal, retrospectivo y multicentrico que se llevo a cabo en 1.214 hipertensos de consultas de cardiologia. Resultados . Se analizo a 1.190 pacientes (98%). El filtrado glomerular (FG) fue calculado (MDRD) por el cardiologo responsable en el 11% de los pacientes. Tras su determinacion a posteriori, el 9,5% presentaba ERO, mas probablemente mujeres, con mas edad, mas antecedents de di...
Introduccion y objetivos Aunque los bloqueos de rama (BR) se consideran hallazgos frecuentes, la informacion sobre su prevalencia real en la poblacion general es escasa, y es inexistente en los pacientes en dialisis. El objetivo es establecer la prevalencia del BR completo en la poblacion que inicia dialisis y los factores relacionados con su aparicion. Como analisis adicional, se explora su asociacion con la mortalidad y con la aparicion de un evento cardiovascular. Metodos Se incluyo a los pacientes que iniciaron dialisis en nuestro centro entre el 1 de noviembre de 2003 y el 31 de diciembre de 2006. Todos fueron sometidos a valoracion cardiologica al inicio de dialisis. Determinamos el BR y su relacion con factores clinicos y parametros ecocardiograficos y bioquimicos. Los pacientes fue...
This work shows the influence of the consumer density (density/km) in rural electric networks implementation costs. The analysis of the costs aims the criteria definition for the calculation of the financial involving rates of the rural consumer density. 3 figs., 10 tabs.
This work demonstrate the gasoline volatility influence, at T 10%, T 50% and T 90% distillation points, on the dynamic performance of Otto cycle engines equipped with fuel sequential electronic injection system, by using test standard procedures in dynamometer. For each distillation points three value ranges were established, giving the rise of 27 different gasoline mixtures. The effects of variation in each point on consumption, power and acceleration were verified.
Objetivo Estudiar la evolucion de un grupo de neumonias extrahospitalarias causadas por germenes atipicos (Mycoplasma pneumoniae, Legionella spp., Coxiella burnetii y Chlamydophila pneumoniae) en funcion del tratamiento empirico recibido. Pacientes y metodos Entre enero de 1996 y febrero de 2001 ingresaron en nuestra unidad 390 casos de neumonia, de los que 89 estaban causados por germenes atipicos. Los pacientes se dividieron retrospectivamente en 2 grupos segun el tratamiento empirico pautado: grupo A, al que se habia proporcionado cobertura frente a germenes atipicos (quinolonas o macrolidos), y grupo B, al que no se habia proporcionado dicha cobertura. Se estudio la evolucion segun las diferencias entre ambos grupos en la estancia hospitalaria, la resolucion radiologica, el reingreso e...
The fertilizer contribution to radio uptake by tomato plants was assessed. Tomato and soil samples from four different plantations were analyzed: two using organic fertilizer and two using phosphate fertilizer. The Ra concentrations in eight of the most used tomato fertilizers were determined. The concentration values ranged from 14 to 221 Bq/kg of Ra-226 and from 25 to 176 Bq/kg of Ra-228. Owing to the low Ra concentration and to the used fertilizer quantities, the fertilizers would not increase significantly the Ra soil concentration. However, the highest soil to plant concentration ratios were found in the plantations using phosphate fertilizers. This outcome pointed out the higher Ra availability in the phosphate fertilizer plantations than in the organic fertilizer plantations, showing a possible positive influence of phosphate fertilizers for the tomato Ra uptake. Due to the phosphate fertilizer used, the dose could increase from 0,05 Sv/year to 0,24 Sv/year. However this ...
Resumen Estudios epidemiologicos recientes, muestran claramnete la incidencia de la disfuncion erectil con la edad. Por lo tanto, los profesionales sanitarios que se ocupan de las personas de edad avanzada, deberian preparar cuidadosamente el diagnostico y el abordaje de la disfuncion erectil. Es innegable que la introduccion de los inhibidores de la fosfodisterasa tipo 5 (PDE5Is) ha revolucionado el tratamiento de la disfuncion erectil. Los clinicos deberian conocer el potencial de los efectos adversos asociados con el uso de PDE5Is cuando se aconseja a los pacientes. Otras terapias suplementarias y de segunda/tercera linea para la disfuncion erectil, que incluyen las inyecciones intracavernosas, la aplicacion transuretral de medicacion, la testosterona, los sistemas de vacion peneano, la...
The "1"3"1-radioiodine use in Guanabara area, during 1972-1973, is analysed. References are made to the radiation levels delivered to thyroid, bone marrow and gonads in a population of 27000 people examined by tracer techniques, 190 submitted to hyperthyroidism treatment and 50 treated for thyroid cancer. The pertinent literature gives some data concerning radiation induced cancer (leukaemia and thyroid cancer). By this, it was possible to estimate the probability of tumour occurrence in that population, assuming a linear relationship between dose and effect. The conclusions are the followings: 1 - there are many duties in this field at the present; 2 - the leukaemia incidence related to the 131-radioiodine use is negligible, either in diagnostic or therapeutic modalities; 3 - the possibility of thyroid tumors induced by radiation is real, specially in hyperthyroidism treatment; 4 - the use of tracer techniques that cause lower irradiation to the pacient is ...
The decision of a firm to make investments on petroleum fields depends on the expected economic performance and on the firm economics context and on country economic and regulatory constraints. Traditionally, the Net Present Value (NPV) has being used for decision criterion as a measure of profitability of investments. The other indicators are used to help investment decision, because, according to the priorities established by the firm, only one indicator may not be sufficient. On this paper we will show production strategies considering a set of economic indicators: NPV, actualized Np, Return on investment (ROI), Equivalent Present Value (EPV), Cost Benefit, and NPV/Np ratio. The use of different economic indicators permits capture different aspects from in a decision process, i.e., each indicator or a set of economic measures may result in a different perspective, that will influence the decision manager. It is important to emphasize the use of more than one indicators may been ...