pacientes ancianos formas: Topics by WorldWideScience.org

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...

2008-01-01

6

Importance of Recognizing Occult Renal Disease in Hypertensive Patients

British Library Electronic Table of Contents (United Kingdom)

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 pacientes hipertensos 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...

2009-01-01

7

Treatment and Course of Community-Acquired Pneumonia Caused by Atypical Pathogens

British Library Electronic Table of Contents (United Kingdom)

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...

2006-01-01

8

The effects of a hot gaseous halo in galaxy major mergers

CERN Document Server

Cosmological hydrodynamical simulations as well as observations indicate that spiral galaxies are comprised of five different components: dark matter halo, stellar disc, stellar bulge, gaseous disc and gaseous halo. While the first four components have been extensively considered in numerical simulations of binary galaxy mergers, the effect of a hot gaseous halo has usually been neglected even though it can contain up to 80% of the total gas within the galaxy virial radius. We present a series of hydrodynamic simulations of major mergers of disc galaxies, that for the first time include a diffuse, rotating, hot gaseous halo. Through cooling and accretion, the hot halo can dissipate and refuel the cold gas disc before and after a merger. This cold gas can subsequently form stars, thus impacting the morphology and kinematics of the remnant. Simulations of isolated systems with total mass M~10^12Msun show a nearly constant star formation rate of ~5Msun/yr if the hot gaseous halo is ...

2011-01-01

9

A method for the optimal design of networks of drinking water distribution; Un metodo para el diseno optimo de redes de distribucion de agua potable

Energy Technology Data Exchange (ETDEWEB)

A method to select, among several commercial diameter options, the most economic combination of pipeline networks is presented. These networks comply with the discharge conditions in the pipes and pressure in the knots. It is applied a static method for the hydraulics analysis of the Engineering Institute of the Universidad Nacional Autonoma de Mexico (UNAM) and an optimization technique to reduce the number of calculations. [Spanish] Se presenta un metodo para seleccionar, de entre varias opciones de diametros comerciales, la combinacion que forma la red de tuberias mas economica que satisface las condiciones de gasto en los tubos y de presion en los nudos de la misma. Para el analisis hidraulico se emplea un metodo estatico del Instituto de Ingenieria de la Universidad Nacional Autonoma de Mexico (UNAM) y se aplica una tecnica de optimacion para reducir el numero de calculos y alcanzar la solucion.

1998-12-01

10

Update on erectile dysfunction treatment for aging men

British Library Electronic Table of Contents (United Kingdom)

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...

2008-01-01

11

The use of "1"3"1I-radioiodine in diagnostic and treatment: estimated risk in Guanabara

International Nuclear Information System (INIS)

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 ...

12

The angiogram sign in pulmonary atelectasis studied with helical Computed Tomography. Incidence and value; Il segno dell'angiogramma nelle atelettasie polmonari studiate con Tomografia Computerizzata spirale. Incidenza e validita' semeiologica

Energy Technology Data Exchange (ETDEWEB)

In this issue it has been investigated the yield of Helical CT in the study of lung vessels, the incidence of the angiogram sign and its actual value. July 1997 to December 1998, were studied 30 cases of pulmonary collapse of different origin. It was found 15 cases of passive collapse (10 from pleural effusion, 2 from diaphragmatic compression, 2 from traumatic pneumothorax, and 1 from isthmic aortic aneurysm), 12 cases of obstructive collapse (9 from bronchogenic carcinoma, 1 from mucoid obstruction, 1 from ilar lymphadenopathy, and 1 from mediastinal cancer), 2 cases of adhesive collapse and 1 case of round atelectasis. All the examinations were performed with the Helical technique during nonionic iodinated contrast agent injection (bolus, 300-350 mg/mL); it was used an automatic injector set at 2-3 mL/s. It was studied the images for the angiogram sign, that is hyperdense bands, usually longer than 2 cm, through the collapsed lung, which correspond to normal pulmonary vascular ...

1999-12-01

13

New technology for the emulsification of petroleum residuals in water; Nueva tecnologia para la emulsificacion de residuales del petroleo en agua

Energy Technology Data Exchange (ETDEWEB)

It turns out of interest to Comision Federal de Electricidad and Petroleos Mexicanos to reduce costs of fuel oil, reducing the viscosity of the residues petroleum of high vacuum distillation emulsifying these with water. The parameters that define the characteristics of the emulsions are mainly the relation of their components, viscosity, size and drop distribution and its stability. The experimental work began producing emulsions in form of lots, using samples of approximately 500 milliliters of vacuum residue. In this first stage, at different concentrations, were examined eight different surfactants, as well as combinations among them, also seven different stabilizers were used. With these tests it has been managed to identify the concentrations, as well as the most adequate relations of surfactants and stabilizers for the production of emulsions of vacuum residues in water. The size and drop distribution has been determined by means of an optical LEICA microscope, model DMLS, that ...

2001-07-01

14

Gastric stromal tumors. CT findings; Tumori stromali gastrici. Aspetti con Tomografia Computerizzata

Energy Technology Data Exchange (ETDEWEB)

Gastric stromal tumors are an ill-defined group of lesions arising from muscle wall cells and characterized by extremely variable biological patterns. Thanks to modern immunohistochemical and ultrastructural techniques, four main classes of these lesions have been identified, namely: (1) tumors with differentiation toward smooth muscle cells; (2) tumors with differentiation toward neural elements; (3) tumors with differentiation toward neural elements; (3) tumors with dual differentiation toward either cell type. It was investigated the yield of CT in diagnosing and characterizing gastric stromal tumors. It was retrospectively reviewed the CT findings of 38 patients (15 men and 23 women; mean age 51 years) with pathologically proven gastric stromal tumors, namely 31 of myoid origin, 4 of neural origin, 2 with both muscle and neural differentiation, 1 lacking differentiation with either cell type. The myoid tumors involved gastric fundus in 9/13 and 5/7 benign lesions and lesions with ...

2000-02-01

15

Multiphasic helical Computed Tomography of hepatocellular carcinoma. Evaluation after various percutaneous ablation procedures; Tomografia Computerizzata spirale multifasica dell'epatocarcinoma. Valutazione dopo differenti procedure ablative percutanee

Energy Technology Data Exchange (ETDEWEB)

The purpose of this paper is to report the personal experience with helical CT evaluation of hepatocellular carcinoma treated with various percutaneous interventional procedures. From December 1996 to September 1998 it were examined with helical CT 41 patients (73 nodules in all) with hepatocellular carcinoma treated with percutaneous ablation therapies: conventional ethanol injection in 18 subjects (31 nodules), one-shot ethanol injection 3 (8 nodules), radiofrequency thermal ablation in 16 (25 nodules), and combined chemo embolization and ethanol injection in 4 (9 nodules). CT performed was 4-27 days after the last session, acquiring biphasic volumetric images in 14 patients and triphasic volumetric images in 27. A second treatment with subsequent CT study was performed for 28 lesions; 15 underwent 3 serial studies and 6 underwent 4 studies. Compared with pretreatment findings, the diameter was unchanged in 62% of the nodules and increased in 38%. Morphology was unchanged in 63% of ...

1999-12-01

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