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Sample records for abdominal estado actual

  1. Responsabilidad del Estado: nociones actuales e ideas futuras

    OpenAIRE

    Carducci, Pablo S.

    2013-01-01

    El objeto del presente trabajo es repasar la evolución histórica del régimen de responsabilidad del Estado en nuestro país, describiendo someramente su situación actual, y comentando la evolución de los fundamentos jurídicos de dicha institución. Además, se hará hincapié en la cuestión de la reparación de los daños causados por la actividad estatal y, en particular, en la extensión de la reparación, estudiando su evolución jurisprudencial, y algunas posturas doctrinarias relevantes....

  2. Responsabilidad del Estado: nociones actuales e ideas futuras

    Directory of Open Access Journals (Sweden)

    Carducci, Pablo S.

    2013-12-01

    Full Text Available El objeto del presente trabajo es repasar la evolución histórica del régimen de responsabilidad del Estado en nuestro país, describiendo someramente su situación actual, y comentando la evolución de los fundamentos jurídicos de dicha institución. Además, se hará hincapié en la cuestión de la reparación de los daños causados por la actividad estatal y, en particular, en la extensión de la reparación, estudiando su evolución jurisprudencial, y algunas posturas doctrinarias relevantes.

  3. Estado del arte de la semiótica actual

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    MANUEL ALCIDES JOFRÉ

    1997-01-01

    Full Text Available Este artículo realiza un diagnóstico global de la situación actual de la semiótica, basándose en publicaciones de libros y revistas especializadas, congresos científicos e investigaciones acerca de los principales tópicos semióticos. Los nuevos planteamientos sobre la amplitud del objeto de estudio (la dimensión donde tienen su vigencia los signos y las renovadas metodologías en análisis son tensionadas en un marco espistemológico donde confluye lo post-moderno, en una evaluación sumaria del estado del arte de la semiótica.

  4. Estado actual y perspectivas de la domótica

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    Recuero, A.

    1999-02-01

    Full Text Available An Intelligent House is the one that allows "a better quality of living through technology, a reduction of domestic tasks, an increase of the well-being and safety of dwellers, and a rationalization of the different consumers power; it includes automatized groups of equipments, usually associated by functions, which have the capacity of interactively communicate between them through an "integrated multimedia domestic bus". For this purpose, the Intelligent House foresees the execution of certain functions, depending on the information captured by measuring systems and sent through the communication network according to specific standards. This paper presents an overview of the present situation regarding these aspects, and their foreseen evolution.

    Una vivienda domótica es aquélla que, a través de la tecnología, permite "una mayor calidad de vida, una reducción del trabajo doméstico, un aumento del bienestar y la seguridad de sus habitantes, y una racionalización de los distintos consumos; en ella existen agrupaciones automatizadas de equipos, normalmente asociadas por funciones, que tienen la capacidad de comunicarse interactivamente entre ellas a través de un "bus doméstico multimedia que las integra ". Para ello, la Domótica prevé la ejecución de ciertas funciones, dependiendo de la información captada por sistemas de medida y trasmitidas a través de redes de comunicación de acuerdo con ciertos estándares. En este trabajo se revisa cuál es la situación actual de estos aspectos y cuál es su evolución previsible.

  5. Estado actual del conocimiento de los moluscos acuáticos en el Perú

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    Carlos Paredes

    2014-06-01

    Full Text Available Se revisa los antecedentes y el estado actual del conocimiento, acerca de los moluscos acuáticos en el Perú. Los moluscos marinos y dulceacuícolas se tratan separadamente, y se da información sobre el número de familias, géneros y especies conocidas, su distribución geográfica y estado de su conservación y utilización por el hombre. Se incluye listas actualizadas de las especies.

  6. Acuacultura: estado actual y retos de la investigación en México

    OpenAIRE

    M. Norzagaray Campos; P. Muñoz Sevilla; L. Sánchez Velasco; L. Capurro Filograsso; O. Llánes Cárdenas

    2012-01-01

    Se presenta una reseña del estado actual de la acuicultura en México, uno de los países latinoamericanos que por su ubicación geográfica posee un extenso mar territorial tanto del lado del océano Pacífico como del Atlántico. Mismo que por sus variados climas y diversidad geológica, tiene ambientes dulceacuícolas, salobres y marinos con potencial natural para el cultivo de diversas especies de peces, moluscos y crustáceos. Se analizan los problemas actuales y los retos de la acuicultura para l...

  7. Contaminación del aire en Santiago: Estado actual y soluciones

    OpenAIRE

    Raúl O'Ryan; Luis Larraguibel

    2000-01-01

    En el presente trabajo se discute el problema de la contaminación atmosférica en Santiago y de los esfuerzos en marcha para su solución, representados formalmente por el Plan de Prevención y Descontaminación de la Región Metropolitana (PPDA). A modo de introducción se definen términos y conceptos utilizados en el PPDA, los cuales son de uso frecuente en el área de contaminación urbana. Posteriormente, se analizan el estado actual, la evolución y tendencias de los indicadores representativos d...

  8. Estado actual de la cirugia general laparoscópica Present state of videolaparascopic surgery

    OpenAIRE

    Carlos Hernándo Morales Uribe

    1994-01-01

    Los procedimientos laparoscópicos han empezado a reemplazar algunas operaciones
    convencionales porque evitan la cirugía mayor y se logra una recuperación precoz del paciente. En el futuro muchas cirugías tradicionales se realizarán laparoscópicamente. En este artículo se presenta el estado actual de la cirugía laparoscópica en los siguientes casos: cirugía biliar, úlcera péptica, corrección del reflujo gastroesofágico
    y de algunos trastor...

  9. Aspectos globales de la patentabilidad de las invenciones implementadas por ordenador. estado actual y nuevas perspectivas

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    Manuel Guerrero Gaitán

    2007-11-01

    Full Text Available En el presente escrito se exponen, en primer lugar, las particularidades de la industria del software, que debido a su rápido y peculiar desarrollo, producen importantes efectos colaterales en toda la cadena productiva, haciendo de esta manera, vital la elección de la forma de protección dada por la disciplina de la propiedad intelectual. Paso seguido, se aborda la evolución de la protección que se ha dado al software hasta llegar al consenso mayoritariamente aceptado de protección por vía del derecho de autor, para posteriormente analizar el objeto de protección, tanto de las patentes de invención, como del derecho de autor, con el fin de presentar las ventajas y desventajas de la protección dada por los dos sistemas. Posteriormente, se presenta de forma global una descripción de la situación actual en Europa, Estados Unidos, China y Japón. Para finalizar, se formulan algunos comentarios acerca de los efectos y riesgos que supondría la aplicación generalizada del sistema de patentes a las invenciones implementadas por ordenador.

  10. Aspectos globales de la patentabilidad de las invenciones implementadas por ordenador. estado actual y nuevas perspectivas

    Directory of Open Access Journals (Sweden)

    Manuel Guerrero Gaitán

    2007-01-01

    Full Text Available En el presente escrito se exponen, en primer lugar, las particularidades de la industria del software, que debido a su rápido y peculiar desarrollo, producen importantes efectos colaterales en toda la cadena productiva, haciendo de esta manera, vital la elección de la forma de protección dada por la disciplina de la propiedad intelectual. Paso seguido, se aborda la evolución de la protección que se ha dado al software hasta llegar al consenso mayoritariamente aceptado de protección por vía del derecho de autor, para posteriormente analizar el objeto de protección, tanto de las patentes de invención, como del derecho de autor, con el fin de presentar las ventajas y desventajas de la protección dada por los dos sistemas. Posteriormente, se presenta de forma global una descripción de la situación actual en Europa, Estados Unidos, China y Japón. Para finalizar, se formulan algunos comentarios acerca de los efectos y riesgos que supondría la aplicación generalizada del sistema de patentes a las invenciones implementadas por ordenador.

  11. Estado actual de la cirugia general laparoscópica Present state of videolaparascopic surgery

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    Carlos Hernándo Morales Uribe

    1994-04-01

    Full Text Available

    Los procedimientos laparoscópicos han empezado a reemplazar algunas operaciones
    convencionales porque evitan la cirugía mayor y se logra una recuperación precoz del paciente. En el futuro muchas cirugías tradicionales se realizarán laparoscópicamente. En este artículo se presenta el estado actual de la cirugía laparoscópica en los siguientes casos: cirugía biliar, úlcera péptica, corrección del reflujo gastroesofágico
    y de algunos trastornos motores esofágicos, abdomen agudo, herniorrafia inguinal
    y cirugía colorrectal. Se consignan las ventajas y desventajas en general y para cada
    caso en particular.
    Laparascopic pracedures have begun to replace the conventional ones in arder to
    avoid major surgery and to allow an earlier recovery of the patlent. In thls article the
    present state of laparoscopic surgery is revlewed, concernlng the followlng entities:
    blliary surgery, peptlc ulcer, correction of gastroesophageal reflux and of esophageal
    motility problems, acute abdomen, ingulnal herniorrhaphy and colorectal surgery. Advantages and dlsadvantages are consldered both in general and for each speclflc case. 

  12. La discapacidad y su estado actual en la legislación colombiana

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    Ana Milena Martínez-Rozo

    2015-04-01

    Full Text Available Conocer el estado actual de la legislación Colombiana frente a cinco ámbitos vitales que afrontan las personas con discapacidad: salud, educación, empleo, transporte y accesibilidad; realizando una comparación entre dicha legislación con los resultados encontrados en la encuesta de calidad de vida realizada en el 2012 por el Departamento Administrativo Nacional de Encuestas DANE y el Informe inicial sobre la Convención de los Derechos de las Personas con Discapacidad, se encontró que, aunque existe legislación a favor de los derechos de las personas con discapacidad, el goce efectivo de la salud, la educación, el empleo, el transporte y la accesibilidad es mínimo. Es una población que presenta analfabetismo, un alto porcentaje no se encuentra afiliado al sistema de salud y en el mercado laboral las oportunidades para esta población son escasas. Con respecto al transporte y accesibilidad, entendida esta última como señalización, movilidad y comunicación, aún se encuentran barreras arquitectónicas. Se requiere que el país avance en el cumplimiento de los derechos de las personas con discapacidad, para evitar toda clase de discriminación y marginación garantizando una mejor calidad de vida para todos y se dé un empoderamiento mayor a las personas con discapacidad y la comunidad en general.

  13. El estrés en personal sanitario hospitalario: estado actual

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    José Ignacio Aguado Martín

    2013-06-01

    Full Text Available Introducción: Los riesgos psicosociales y en particular el estrés se han convertido en uno de los principales problemas para la salud y la seguridad laboral. Se ha realizado una revisión de la literatura científica actual sobre el estrés debido a su importancia como riesgo emergente, y la repercusión de este problema en la productividad y el deterioro de la calidad de vida en el personal sanitario que desarrolla su actividad profesional en medio hospitalario, así como intentar identificar los principales métodos de evaluación del estrés actualmente utilizados. Objetivos: Conocer el estado actual del estrés en el personal hospitalario e identificar los principales métodos de evaluación. Metodología: Se realizo una búsqueda bibliográfica exploratoria utilizando las bases de datos Medline, Embase, Scirus, Wok, Psicoinfo, OSH update, Cisdoc, IBECS y LILACS, así como en repositorios como Dialnet, SciELO y Google académico. El periodo de estudio de la bibliografía publicada fue el comprendido entre el año 2009 y 2012 realizándose la última búsqueda el 10 de diciembre de 2012. Resultados: Los niveles de estrés encontrados en los artículos revisados fueron moderados-altos, con diferencias entre las distintas áreas y especialidades. Factores individuales tanto objetivos como subjetivos parecen influir en los grados de estrés. Existe diversidad de métodos utilizados para la evaluación del estrés, la mayoría tienen un nivel de fiabilidad elevado. La producción bibliográfica encontrada es mayor en Asia y Europa. Conclusiones: Los niveles de estrés son elevados en el personal sanitario del hospital ,sobre todo en algunas areas y especialidades, existen una serie de moderadores del grado de estrés como los factores individuales y el ambiente físico y no existe un consenso internacional en el método utilizado para su evaluación.

  14. La actual lucha del gobierno mexicano contra la delincuencia en la frontera con Estados Unidos

    OpenAIRE

    Vicente Sánchez Munguía

    2011-01-01

    En este artículo se analiza el entorno de inseguridad y violencia asociadas con el narcotráfico en la frontera de México con Estados Unidos y las acciones emprendidas por el gobierno federal para desarticular a las organizaciones criminales que pelean el control del mercado y el acceso a los cruces fronterizos para la introducción de drogas a Estados Unidos, partiendo de la hipótesis de que la violencia e inseguridad han estado presentes desde mucho antes en la frontera, pero las agencias ...

  15. Estado Actual de la Investigación en Historia de la Contabilidad

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    Rafael Donoso Anes

    2005-06-01

    Full Text Available Es un hecho perfectamente verificable que en las dos últimas décadas se ha producido un desarrollo muy importante en el campo de la investigación histórico-contable en todo el mundo y, en nuestro país, ese desarrollo se ha traducido en el reconocimiento internacional de algunos investigadores que han realizado importantes aportaciones en este campo. En este trabajo hemos querido dedicar un esfuerzo especial en dar respuesta a tres interrogantes que nos podemos plantear antes de dar paso a una investigación en historia de la contabilidad y que son: ¿por qué investigar?, ¿qué investigar? y ¿cómo investigar?, cuyas contestaciones nos irán dando una visión de cual es el estado actual de la investigación en este área. Sin embargo, antes de entrar en ese planteamiento, comenzamos, para centrarnos en el tema, definiendo y delimitando lo que debe entenderse por historia de la contabilidad. Para el desarrollo del trabajo hemos acudido a las opiniones de los investigadores que a nuestro entender más han destacado en los diferentes planteamientos y cuyos trabajos han sido publicados en las revistas de mayor prestigio en este ámbito. In the last two decades there has been an appreciable development in Accounting History research all around the world. In Spain, this development has led to the international recognition of a group of researchers that have made significant contributions to this area. In this paper, we aim to devote a special effort to answer three questions that should be addressed before undertaking an investigation in Accounting History: Why to do research? What to research? How to research? The answer to these questions will provide an overview of the current situation of research in this area. As a previous step we define and delimit what should be understood as Accounting History. To achieve our objective the opinions of researchers that we believe have stood out and whose work has been published in high quality journals

  16. La vacunación contra pertussis: Estado actual y perspectivas futuras

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    Celso Pérez-Bolaños

    2012-01-01

    Full Text Available La tosferina o pertussis es una enfermedad producida por la bacteria Gram negativa Bordetella pertussis y constituye actualmente un problema de salud a escala mundial, siendo la población infantil la más vulnerable dentro de los grupos de riesgo. Suele ser fatal en niños menores de un año, debido a que la tos paroxística característica bloquea las vías respiratorias, lo cual provoca la asfixia y la muerte. Adicionalmente, se observan eventos adversos o complicaciones serias de la enfermedad tales como neumonías bacterianas secundarias, epilepsias, encefalopatía, apnea e hipertensión pulmonar. En la actualidad se aplican programas extensivos de vacunación contra pertussis en todo el mundo, de modo que la enfermedad está considerada como relativamente bien controlada. Según informes de la Organización Mundial de la Salud, cerca del 82 % de toda la población infantil mundial recibió las tres dosis de la vacuna de pertussis en 2008. La vacunación global contra pertussis en ese año evitó cerca de 687 000 muertes por la enfermedad. Sin embargo, se ha observado que ocurre un resurgimiento de ella a escala mundial, así como una prevalencia en zonas del mundo donde la vacunación es pobre. El presente trabajo tuvo como objetivo presentar una revisión acerca de los problemas inherentes a la vacunación contra esta enfermedad en el contexto actual de su resurgimiento a escala universal, la forma de enfocarlos y resolverlos, para su aplicación en Cuba en caso necesario. La vacunación contra pertussis necesita de nuevos enfoques dirigidos a la eliminación de un flagelo que afecta primordialmente a la población infantil, que es el futuro de la humanidad. La solución del problema parece ser la búsqueda de nuevas vacunas más eficaces y la extensión de los esquemas de vacunación a la población de adolescentes y adultos que rodean a los infantes, así como a las mujeres en estado de gestación y a los recién nacidos.

  17. Estado actual de la investigación sobre madera estructural en España

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    Esteban Herrero, Miguel

    2007-06-01

    Full Text Available This article intends to show the current state of the research about structural timber in Spain. An ample compilation of information from people and institutions has been carried out. Information received has been so extensive that a hard work of synthesis has been necesary in order to offer a general and objective vision of the subject.In a few years a new legislative and normative frame has been implanted in Spain, defi ned by the Law of Arrangement of the Construction, the Construction Technical Code and the European Construction Products Directive. In this frame some challenges for the sector arise from the construction and the timber. It is the fi rst time that structural timber is framed within a norm of forced fulfillment, which it supposes not only a challenge but the putting in value of all its potential like structural material.In this frame research necessities have been increased, as well as development and innovation, and it is demostrated by several research iniciatives started in our country, with a clear vocation to respond to the necessities arisen in the sector and to satisfy the raised requirements of security in the norm. In this work, using the compiled information, the research lines on structural timber at the moment in Spain are summarized, as well as their presence in means of national or international diffusion or their direct applications in the industry.Este artículo pretende dibujar un panorama sobre el estado actual de la investigación en torno a la madera estructural desarrollada actualmente en España. Se ha realizado una amplia recopilación de información entre personas e instituciones. La información recibida ha sido tan extensa que ha sido necesaria una difícil labor de síntesis para ofrecer una visión general y objetiva.En poco tiempo ha sido implantado en España un nuevo marco legislativo y normativo defi nido por la Ley de Ordenación de la Edifi cación, el Código Técnico de la Edificación y la

  18. Psiquiatría y psicoanálisis : Estado actual y perspectivas futuras

    OpenAIRE

    Onofrio, Graciela

    2014-01-01

    La autora muestra, a partir de Foucault, aspectos de la historia de la Psiquiatría como ciencia, parte de la Medicina contemporánea. Las investigaciones clínicas siguieron tradicionalmente standarizaciones impregnadas del positivismo lógico. El comienzo de Estados fuertes, soberanos y democráticos, como marco social, fue, también, la “gran empresa” del Siglo XX, coincidente con la época del nacimiento de la ciencia moderna. La autora se refiere al proyecto social como donador de sentidos para...

  19. La jurisdicción constitucional en la actual etapa evolutiva del Estado constitucional

    OpenAIRE

    Peter Häberle

    2014-01-01

    INTRODUCCIÓN PRIMERA PARTE: Etapas evolutivas históricas de la jurisdicción constitucional, la comparación judicial en el tiempo y el espacio 1. La etapa inicial antes de la segunda guerra mundial 2. La segunda etapa evolutiva 3. La etapa evolutiva de. La jurisdicción constitucional a partir del annus mirabilis 1989 4. Primeras deducciones teóricoconstitucionales SEGUNDA PARTE: Un marco teórico 1. El tipo de estado constitucional entre identidad y realidad: un «proyecto evolutivo» 2. Textos c...

  20. Estado actual de los cultivos transgénicos en Colombia

    OpenAIRE

    Arismendy Duwan Ernesto

    2006-01-01

    Este documento presenta una visión general del estado del arte de los cultivos transgénicos a nivel nacional, abordado desde varios puntos de vista: que cultivos de organismos modificados genéticamente (OMG’s) hay actualmente en el territorio nacional, donde se encuentran y que área ocupan; así como las solicitudes que actualmente están en trámite ante el Consejo Técnico Nacional (CTN) del ICA para la liberación de los mismos. También se indican que investigaciones se están llevando a cabo en...

  1. Estado actual del conocimiento del orden Odonata en la Patagonia Current knowledge of Patagonian Odonata

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    Javier Muzón

    2009-06-01

    Full Text Available El orden Odonata se encuentra representado en la Patagonia por 36 especies, reunidas en nueve familias y 18 géneros. El nivel de endemismo de esta taxocoenosis es alto, aproximadamente el 60% de las especies y casi el 40% de los géneros endémicos. La riqueza específica en la Patagonia decrece de Oeste a Este y de Norte a Sur, las áreas de mayor riqueza resultan ser las cordilleras de Nahuel Buta (Chile y de los Andes entre 38° y 41° S, y la meseta de Somuncurá (Argentina en la estepa. Se brinda una actualización del estado de conocimiento y un análisis de los principales patrones de distribución.The Odonata order is represented in Patagonia by 36 species belonging to nine families and 18 genera. The endemicity level is high being approximately 60% of the species and 40% of genera endemic. The specific richness in Patagonia decreases from West to East and from North to South, being Nahuel Buta (Chile and Andes mountains between 38° and 41° S on the forest area, and the Somuncurá plateau (Argentina on the steppe the richest areas. An update of its records and an analysis of the main distribution patterns are provided in this paper.

  2. La jurisdicción constitucional en la actual etapa evolutiva del Estado constitucional

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    Peter Häberle

    2014-01-01

    Full Text Available INTRODUCCIÓN PRIMERA PARTE: Etapas evolutivas históricas de la jurisdicción constitucional, la comparación judicial en el tiempo y el espacio 1. La etapa inicial antes de la segunda guerra mundial 2. La segunda etapa evolutiva 3. La etapa evolutiva de. La jurisdicción constitucional a partir del annus mirabilis 1989 4. Primeras deducciones teóricoconstitucionales SEGUNDA PARTE: Un marco teórico 1. El tipo de estado constitucional entre identidad y realidad: un «proyecto evolutivo» 2. Textos clásicos, como textos constitucionales en sentido amplio 3. Los tribunales constitucionales como participantes reales y ficticios en el contrato social 4. Tareas de la jurisdicción constitucional 5. El canon abierto de métodos: la comparación jurídica como «quinid» método de la interpretación 6. Los tribunales constitucionales nacionales como tribunal constitucional europeo 7. Los tribunales constitucionales entre el judicial activism y el judicial restraint 8. El derecho procesal constitucional como «derecho constitucional concretizado» TERCERA PARTE: Cuestiones de actualidad sobre la jurisdicción constitucional (selección. Consideraciones preliminares 1. La elección de los jueces constitucionales 2. El voto particular como «judicatura alternativa» 3. El recurso de amparo perspectiva y conclusión

  3. Estado actual de los cultivos transgénicos en Colombia

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    Arismendy Duwan Ernesto

    2006-06-01

    Full Text Available Este documento presenta una visión general del estado del arte de los cultivos transgénicos a nivel nacional, abordado desde varios puntos de vista: que cultivos de organismos modificados genéticamente (OMG’s hay actualmente en el territorio nacional, donde se encuentran y que área ocupan; así como las solicitudes que actualmente están en trámite ante el Consejo Técnico Nacional (CTN del ICA para la liberación de los mismos. También se indican que investigaciones se están llevando a cabo en materia de biotecnología por los
    grupos de investigación nacionales y en que etapa de desarrollo se encuentran. De otro lado, se señala la importancia de la biodiversidad como patrimonio y los problemas de regulación sobre recursos genéticos y
    bioseguridad. Otro factor que se analiza es la normatividad colombiana en materia de bioseguridad (Protocolo de Cartagena y su ratificación; el Principio de Precaución, el proceso de evaluación de riesgo y los entes competentes para llevar a cabo este estudio. También se hace un breve señalamiento acerca de las consecuencias económicas que trae consigo la introducción de los cultivos transgénicos al mercado y las implicaciones de la ratificación del Tratado de Libre Comercio (TLC, tanto para los productores (especialmente los
    pequeños, como para los consumidores.

  4. Sistemas de Información BI: Estado Actual y Herramientas de Software Libre

    OpenAIRE

    Durá Subiela, Sabina

    2011-01-01

    Actualmente muchas empresas ya sean grandes o pequeñas, se plantean implantar en su organización un sistema de información que les ayude en la toma de decisiones. Una de las tendencias actuales es implantar un sistema de BI (Business Intelligence). Muchas organizaciones implantan este tipo de sistemas sin haber realizado un estudio previo de las necesidades y problemas de la empresa, de los beneficios que se pretenden obtener con la implantación del sistema, de la aceptación y formación de lo...

  5. El estrés en personal sanitario hospitalario: estado actual

    OpenAIRE

    José Ignacio Aguado Martín; Ainhoa Bátiz Cano; Salomé Quintana Pérez

    2013-01-01

    Introducción: Los riesgos psicosociales y en particular el estrés se han convertido en uno de los principales problemas para la salud y la seguridad laboral. Se ha realizado una revisión de la literatura científica actual sobre el estrés debido a su importancia como riesgo emergente, y la repercusión de este problema en la productividad y el deterioro de la calidad de vida en el personal sanitario que desarrolla su actividad profesional en medio hospitalario, así como intentar identificar los...

  6. El turismo de salud: Conceptualización, historia, desarrollo y estado actual del mercado global

    Directory of Open Access Journals (Sweden)

    Francisco José Arias Aragones

    2014-01-01

    Full Text Available En el presente documento de trabajo se desarrolla el marco conceptual del turismo de salud y sus dos principales vertientes de estudio: la de la medicina y la turística. También se hace una revisión bibliográfica del turismo de salud desde una perspectiva histórica y contemporánea con la intención de conocer sus orígenes, evolución, cambios y tendencia actual. Se encontró, primero, que el turismo de salud no es un fenómeno nuevo, debido a que hay mucha evidencia acerca del mismo en el mundo antiguo. Segundo, que el movimiento internacional de pacientes ya no se da desde los países en desarrollo hacia los países desarrollados, sino en sentido contrario. Lo anterior se explica por los altos costos de los servicios de la salud, la elevada proporción de adultos mayores y los problemas asociados con la cobertura del seguro medico en los países desarrollados, entre otras causas. En general, se espera que los flujos de turistas de salud sigan aumentando en favor de los países en desarrollo.Palabras clave: turismo; salud; bienestar; desarrollo; servicios.Health tourism: Concept, history, development and current state of global marketAbstractIn this working paper is developed the conceptual framework of the tourism of health and its two main strands of study: from the medicine and tourism. A bibliographical review of the tourism of health from a historical and contemporary perspective in an attempt to knowing their origins, evolution, changes and trends. It was found, firstly, that the medical tourism (este termino tambien sirve is not a new phenomenon, because there is much evidence about it in the ancient world. Secondly, that the international movement of patients no longer exists from the developing countries to the developed countries, but in the opposite direction. This is explained by the high costs of health services, the high proportion of older adults (elderly and the problems associated with insurance coverage in the developed

  7. Sistemas de comunicación wifi y efectos sobre la salud. El estado de las evidencias actuales

    Directory of Open Access Journals (Sweden)

    Francisco Vargas Marcos

    2012-08-01

    Full Text Available En algunos medios de comunicación se ha informado sobre supuestos riesgos para la salud, especialmente en el ámbito escolar, derivados de la exposición a las radiofrecuencias (RF emitidas por los sistemas de telecomunicación inalámbricos (wifi, en su abreviatura en inglés. Estas noticias han generado demandas de información que las autoridades sanitarias competentes en salud ambiental deben responder de forma transparente, clara, eficaz y basada en el conocimiento científico actual. En este trabajo se describen las principales características técnicas de estos sistemas, las normas que regulan su funcionamiento, los niveles de emisión autorizados y los niveles observados en algunos estudios específicos.Hasta el momento se han realizado muy pocos trabajos específicos de los efectos sobre la salud derivados de la exposición a las RF que emiten estos sistemas. En este trabajo se describen las principales evaluaciones de riesgo y los estudios más relevantes publicados por agencias internacionales especializadas de reconocido prestigio. Se detalla el estado actual del conocimiento sobre los efectos de las RF sobre la salud y las recomendaciones internacionales formuladas sobre la seguridad de estas tecnologías.Se concluye que no hay evidencia consistente hasta la fecha de que la exposición a señales de radiofrecuencia procedentes de wifi, por debajo de los niveles aceptados internacionalmente, tengan efectos adversos para la salud de la población general. No hay razones que justifiquen que los sistemas wifi deban ser retirados de las escuelas o que no deban ser utilizados por otros grupos de la población.

  8. Análisis y terapia del comportamiento en chile: Orígenes, estado actual y proyecciones

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    Pablo e. Vera-Villarroel

    2006-01-01

    Full Text Available El presente artículo realiza una revisión sobre los orígenes, estado actual y proyecciones delanálisis del comportamiento y sus derivaciones en Chile. Su aplicación y entrenamiento sistemático se remonta a la parte final de la década de los sesenta, cuando Sergio Yulis introducela terapia conductual en los cursos de psicoterapia. Durante los primeros años se realizanvariadas aplicaciones tanto en área básica como aplicada. Durante el año 1973 muchosdocentes deben abandonar el país, produciéndose un retroceso en el avance de la disciplina.Actualmente la orientación es considerada como una de las escuelas fundamentales en laformación de los futuros psicólogos y otros profesionales de la salud aun cuando no se cuentecon la mayor preferencia entre la comunidad psicológica chilena. No existe ni en la formaciónni en el país en la actualidad la fuerte presencia del conductismo que existió a finales de lossetenta.

  9. Estado actual de la investigación sobre la gestión del conocimiento en empresas familiares

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    Ketty Navarro de Granadillo

    2008-01-01

    Full Text Available En este artículo se expone el resultado de un trabajo de carácter exploratorio con dos objetivos: examinar el estado actual de la investigación sobre gestión del conocimiento en empresas familiares, con especial énfasis en aquellas experiencias relacionadas con la gestión del conocimiento y actualizar la clasificación de los estudios de empresas familiares propuesta por Sharma (2004. Representa la etapa inicial de una investigación mayor que tiene el propósito de estudiar a las empresas familiares españolas desde el enfoque de la gestión del conocimiento. Para los efectos se tomó como referencia el modelo de Sharma (2004 para la clasificación de los estudios sobre empresas familiares. Se realizó una búsqueda de publicaciones académicas registradas en las diversas bases de datosmultidisciplinarias y sobre negocios, disponibles desde la biblioteca de la Universidad Castilla la Mancha (UCLM España, en el área de empresa familiar. Los resultados encontrados, indican que a partir del año 2000 se incrementa considerablemente el número de publicaciones sobre las empresas familiares, no obstante, se observa la inexistencia de estudios sobre gestión del conocimiento en este tipo de empresa.

  10. La cadena de suministro del mezcal del estado de Zacatecas Situación actual y perspectivas de desarrollo

    OpenAIRE

    Gabriel Lo\\u0301pez Nava; Jose\\u0301 Luis Marti\\u0301nez Flores; Judith Cavazos Arroyo; Ye\\u0301sica Mayett Moreno

    2014-01-01

    El mezcal es una bebida alcohólica hecha de la planta de agave que se cultiva en Zacatecas, México, uno de los siete estados que posee la denominación de origen (DO) y el segundo productor de agave y mezcal en el país; de ahí que la industria del agave-mezcal sea una actividad estratégica del estado. Dado que varios agentes interactúan en forma desarticulada en la industria, los principales objetivos de este estudio son: 1) obtener información del proceso global, y 2) desarrollar un modelo tá...

  11. Boophilus microplus: estado actual de la resistencia a los acaricidas en la frontera México Estados Unidos y su impacto en la relación comercial

    OpenAIRE

    Juan Ramón González Sáenz Pardo; Rubén Hernández Ortiz

    2012-01-01

    Se aborda la importancia de las exportaciones de ganado bovino en pie a los Estados Unidos de América, destacando el valor comercial que representa para México la entrada de divisas por 700 millones USD anuales por este concepto. La comercialización de ganado se ve frenada por barreras no arancelarias, tales como la tuberculosis (TB), brucelosis y las garrapatas. Se ha formado un grupo binacional de expertos para tratar estos temas. En el tema de garrapatas se han establecido sistemas de cola...

  12. Estado actual de los distintos fármacos utilizados en las pulpotomías en dentición primaria

    OpenAIRE

    Cortés Lillo, Olga; Boj Quesada, Juan Ramón; Canalda Sahli, Carlos

    1995-01-01

    Actualmente existen distintos fármacos para la realización de pulpotomías, siendo el formocresol el más difundido entre ellos. Son muchos los estudios que se están realizando en busca del fármaco o procedimiento menos tóxico y con un mayor grado de compatibilidad con el resto de tejidos alveolo-dentales. El objetivo de este artículo es realizar una revisión de la literatura para conocer el estado actual sobre el tema.

  13. Panorámica actual de los pavimentos de hormigón en los Estados Unidos

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    Fernández Sánchez, Rafael

    1977-07-01

    Full Text Available This article includes the most interesting developments in the field of concrete pavements in the United States, gathered during a trip by a group of Spanish engineers on the occasion of the first International Congress on Concrete Pavement Projects, held at Purdue University (Indiana. The trip was completed with a series of technical visits, among which those to the Portland Cement Association, the California Highways Laboratory and several highways, both in use as well as under construction, in that State, deserve special mention. As is well known, California has developed its own technique for hard roadbeds which has been applied in some recent works in Spain.Se incluyen en el presente artículo las novedades más interesantes en el campo de los pavimentos de hormigón en Estados Unidos, recogidas en un viaje realizado por un grupo de ingenieros españoles con motivo de la primera Conferencia Internacional sobre el Proyecto de Pavimentos de Hormigón, celebrada en la Universidad de Purdue (Indiana. El viaje se completó con una serie de visitas técnicas, entre las que merecen destacarse las efectuadas a la Portland Cement Association, al Laboratorio de Carreteras de California y a diversas autopistas, tanto construidas como en ejecución, en dicho Estado. Como es sabido. California ha desarrollado una técnica propia de firmes rígidos que ha sido aplicada en algunas recientes realizaciones españolas.

  14. Salud mental infantil : tendencias actuales en la necesidad y provisión de servicios en los Estados Unidos

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    Judy Johnson Grados

    2013-09-01

    Full Text Available Aún cuando en los Estados Unidos existe gran demanda de servicios de salud mental infantil, tradicionalmente muchos niños no han sido atendidos adecuadamente. Esto, en parte, se debe a los obstáculos en el acceso a los servicios y al resultado de un sistema de cuidado fragmentado y desorganizado. Sin embargo, en las últimas dos décadas se ha alcanzado un progreso sustancial en la manera de encarar estos problemas. Este artículo revisa la demanda de servicios de salud mental infantil que existe en los Estados Unidos y describe intentos recientes para mejorar la coordinación y el acceso al sistema de servicio de salud mental infantil. Se discuten la introducción de sistemas de cuidado, la expansión de servicios basados en la escuela y las innovaciones en la provisión de servicios a la comunidad. Children's Mental health: Current trends in the need for and provision of services in the United States traditionally many children have gone unserved. This has been partly due to barriers in accessing services and the result of a fragmented and disorganized system of care. However, in the last two decades substantial progress has been made in adressing these problems. This article reviews the need for children's mental health services in the United States, and describes recent attempts to improve coordination and access to the children's mental health service system. The introduction of systems of care, the expansion of school-based services, and innovations in the provision of community services are discussed.

  15. Sistemas de comunicación wifi y efectos sobre la salud. El estado de las evidencias actuales

    OpenAIRE

    Francisco Vargas Marcos

    2012-01-01

    En algunos medios de comunicación se ha informado sobre supuestos riesgos para la salud, especialmente en el ámbito escolar, derivados de la exposición a las radiofrecuencias (RF) emitidas por los sistemas de telecomunicación inalámbricos (wifi, en su abreviatura en inglés). Estas noticias han generado demandas de información que las autoridades sanitarias competentes en salud ambiental deben responder de forma transparente, clara, eficaz y basada en el conocimiento científico actual. En este...

  16. Democracia formal y derechos indígenas. Una aproximación a la relación actual entre el estado chileno y el pueblo mapuche

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    Tito Tricot

    2009-12-01

    Full Text Available No es posible entender la relación entre el pueblo mapuche, el Estado chileno y la democracia, sin entender el tipo de vínculo histórico que se ha verificado entre el Estado y el mapuche a partir de la génesis de Chile como país. Por lo mismo, el objetivo general del presente trabajo es explorar el tipo de vínculo que existe entre el Estado de Chile y el pueblo mapuche y, el objetivo específico, analizar la situación de los derechos indígenas en el marco del sistema democrático formal actualmente vigente en nuestro país. Para lograr dichos objetivos realizaremos una breve contextualización histórica de la relación Estado-Pueblo mapuche; se analizará el modelo económico, principalmente en lo concerniente a la inversión forestal y la ejecución de megaproyectos en territorio mapuche; la Ley indígena en general y el concepto de pueblo indígena en particular; el denominado conflicto mapuche y la Ley anti-terrorista. Todo ellos, esperamos, servirán de elementos de juicio y antecedentes importantes para aproximarnos al problema de la relación entre la democracia formal y los derechos indígenas._______________________ABSTRACT:It is not possible to understand the relation between the Mapuche Nation, the Chilean State and the democracy, without understanding the type of historical bond that has occurred between the State and the Mapuche nation from the onset of Chile as a Country. For the same reason, the general purpose of the present work is to explore the type of connections existing between the State of Chile and the Mapuche Nation and the specific aim is to analyze the situation of the indigenous rights in the democratic system context that is actually in force in our country. In order to obtain these aims we will make a brief historical contextualización of the relation State-Mapuche Nation; the economic model will be analyzed, mainly as for the forest investment and the implementation of superproyects in the Mapuche land

  17. La investigación en la Universidad La Salle (México: antecedentes y estado actual

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    Esther Vargas

    2002-01-01

    Full Text Available En la Universidad La Salle, la investigación como función sustantiva se desarrolla oficialmente a partir de la creación del denominado "Centro de Investigación" (CI-ULSA en 1991; dependencia adscrita a la Dirección de Posgrado e Investigación (DPI. Sin embargo, se puede considerar su inicio desde 1979 al proponerse como uno de los objetivos de la Dirección de Posgrado la realización de investigación, el cual cristaliza con la creación, en 1982, del Comité Coordinador de Investigación (CCI. En 1994, la ULSA comienza un proceso de autoestudio integral, del cual se desprenden algunas recomendaciones cuyo fin es el fortalecimiento institucional y mejora continua; este esfuerzo da origen a la propuesta de diversos planes de acción en el Plan de Desarrollo Institucional de la ULSA. En este contexto, la DPI pasa por un proceso interno de reestructuración de sus funciones, programas y actividades, de tal forma que a partir de 1999, el CI-ULSA pasa a conformar la actual Coordinación General de Investigación (CGI; la cual se organiza, a su vez, en cinco Jefaturas de Área para coordinar las actividades académicas de los investigadores de la Universidad. En este trabajo se presentan los antecedentes de la forma en que se desarrolla e impulsa la investigación en nuestra Institución, los avances logrados en la etapa de existencia del Centro y la estructura, organización y funcionamiento actual. Finalmente se muestran los avances logrados en esta función sustantiva de la Universidad La Salle y se señalan las perspectivas a futuro.

  18. Estándares de acreditación “derechos de pacientes”: revisión y estado actual en centros de tratamiento en drogadicción en colombia

    OpenAIRE

    Zapata Vanegas, Mario Alberto

    2014-01-01

    Objetivos Caracterizar y referenciar estado actual del grupo estándares de acreditación “derechos de los pacientes” en muestra de instituciones de tratamiento en drogas de Colombia.Métodos Estudio de enfoque mixto, empírico de tipo descriptivo y hermenéutico; muestra piloto de 21 centros de tratamiento en drogas en las cuales se determina estado actual de los estándares de acreditación “derechos de los pacientes”; se evalúa posible relación o independencia de las variables categóricas mediant...

  19. Estado actual del manejo de la fiebre en niños. Current status of management of fever in children

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    Fabian Alberto Rueda Zambrano, MD

    2010-11-01

    Full Text Available Es muy frecuente en el ambiente médico y entre los padres de familia el uso y abuso de antipiréticos buscando disminuir abruptamente la temperatura, mejorar los síntomas derivados de la fiebre y contrarrestar las reacciones adversas de la misma. Por otro lado, existen diferentes conceptos acerca de la elección del antipirético más eficaz y seguro en niños y su ruta de administración, así como su utilidad en la prevención de convulsiones febriles, entre otras. Este artículo pretende dar claridad a las controversias en el manejo de la fiebre mediante la revisión de la literatura, incluyendo solo ensayos clínicos, meta análisis, guías de manejo y revisiones de tema, publicadas en las dos últimas décadas. Para tal fin se revisaron las bases de datos Cochrane, PubMed y Medscape.Antipyretics are very often used between physicians and parents to treat fever and relief its symptoms and prevent vaccination side effects. Indeed, there is a misconception about the prevention of recurrence of febrile seizures with antipyretics and this leads to overdoses, side effects and, therefore, more parent´s anxiety. There are contradictory concepts about the election of safer and better antipyretic in children and its better administration via: oral and rectal paracetamol, ibuprofen, ketoprofeno, nimesulide, oral and intramuscular metamizol, paracetamol plus ibuprofen and ponging/lukewarm bath. All these alternatives have been studied by many researchers without consensus because more trials with bigger samples and longer time of study are needed. No clarity exists between doctors and parents about the antipyretic's effects over febrile seizure prevention and prophylaxis of post vaccine symptoms. This article pretends to find actual evidence about fever , its implications and use of antipyretics in children through searching on data bases like PubMed, Cochcrane, and Medscape.

  20. Estado de conocimiento actual y problemas de conservación de los Meloidae (Coleoptera de la Comunidad de Madrid

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    García-París, M.

    2006-05-01

    treated as Vulnerable in the Region. Increasing urban development, masive use of agrochemical products in roadside works, agricultural fields, golf courses, and gardens, and aeroplane treatment of pests, represent serious current threats for the populations of meloid beetles in Madrid.

    La recopilación de los datos publicados, acompañada de la revisión de colecciones y de observaciones de campo a lo largo de los últimos ocho años, permite registrar un total de 40 especies de la familia Meloidae en la Comunidad de Madrid. De éstas 40 especies, hay siete que únicamente se conocen a partir de capturas realizadas hace más de 25 años, y otras dos que se citan únicamente a partir de los nuevos datos de campo (Meloe rugosus y Nemognatha chrysomelina. Dos de las siete especies sin capturas recientes (Stenoria apicalis y Meloe baudueri están representadas únicamente por uno o dos ejemplares, por lo que su presencia actual ha podido pasar desapercibida. Este no es el caso de las otras cinco (Meloe variegatus, M. cavensis, M. violaceus, Mylabris uhagonii y M. amorii, que están representadas por numerosos ejemplares en las colecciones históricas. Meloe variegatus, M. cavensis y Mylabris uhagonii, han de ser consideradas En Peligro de Extinción, o tal vez definitivamente extinguidas, si no aparecen nuevos ejemplares en un futuro próximo. Mylabris amorii sólo se ha encontrado en una localidad situada en el límite septentrional de la distribución conocida de la especie, por lo que no tenemos criterios suficientes para evaluar su situación. Meloe violaceus ha sufrido un retroceso evidente, y por lo tanto ha de considerarse como Vulnerable. En cinco especies adicionales se ha constatado una reducción evidente de la distribución actual. Esta situación se presenta en Meloe brevico

  1. BOSQUES RELICTOS DE PINUS SYLVESTRIS L. EN LA SIERRA DE BAZA (PRDVINCIA DE GRANADA, ESPANA: ANÁLISIS Y CARTOGRAFIA DEL ESTADO ACTUAL DE LA VEGETACION

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    JOSÉ ANTONIO OLMEDO COBO

    2012-01-01

    Full Text Available En la Sierra de Baza (provincia de Granada, España se localiza uno de los dos núcleos de bosque endemico de pino silvestre de la provincia biogeográfica Bética. Ocupa algunas cumbres calcáreas dentro del piso bioclimático oromediterráneo subhúmedo, en enclaves que se convierten en fito-refugios al tratarse de orientaciones frescas y umbrías, acordes a los requerimientos ecológicos de la especie. Junto a estas condiciones, resulta esencial, al menos en parte, el tipo de sustrato sobre el que aparece el pinar; se trata de filitas y cuarcitas, en un entorno general de calizas y dolomías, sobre las que se desarrollan suelos de alta impermeabilidad que contrarrestan la ausencia de precipitaciones estivales. Este artículo analiza el estado actual de la fitocenosis relictual del pinar de pino silvestre en la Sierra de Baza a partir del trabajo de campo y, asimismo, presenta una cartografía de detalle de las formaciones vegetales que la componen.

  2. Estudio del estado actual de las máquinas trilladoras destinadas a la producción popular de arroz en Cuba

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    Edenio Olivares Díaz

    2009-01-01

    Full Text Available La producción popular de arroz en Cuba es una de las alternativas que ha tomado el Gobierno de Cuba para dar respuesta a la difícil situación económica por la que atraviesa el mismo, específicamente en el abastecimiento de tan preciado cereal a la población. En la mecanización del arroz popular, existe una alta demanda nacional de tecnologías mecanizadas para el trillado, por lo que la utilización de trilladoras construidas con recursos propios y de forma empírica por los popularizadores es una realidad actual; pero los resultados, no son los mejores, debido a que estas máquinas no cumplen con los requerimientos tecnológicos del proceso y tienen altas deficiencias de diseño; es decir, no responden a diseños científicamente fundamentados, lo que trae consigo altas pérdidas y baja productividad durante la trilla; además de que no se cuenta con una información documentada sobre la situación actual de éstas en el país. En el presente trabajo, se aplica un diagnóstico a productores populares de arroz, propietarios de este tipo de maquinarias, residentes en varios municipios de las provincias Granma, Holguín, La Habana, Pinar del Río y Villa Clara, con el fin de evaluar el estado y utilización actual de las trilladoras estacionarias para la producción popular. En éste, se automatizó también el diagnóstico en el sistema. El diagnóstico realizado se automatiza empleando la herramienta Microsoft Excel con el fin de analizar cuantitativa y cualitativamente los resultados obtenidos en el mismo. Como resultado principal, se establece un certero diagnóstico que permite visualizar los problemas técnicos existentes en la producción y explotación de las trilladoras estacionarias de arroz.

  3. Imagem corporal, estado nutricional, força de resistência abdominal e aptidão cardiorrespiratória de crianças e adolescentes praticantes de esportes Imagen corporal, estado nutricional, fuerza de resistencia abdominal y aptitud cardiorrespiratoria de niños y adolescentes practicantes de deportes Body image, nutritional status, abdominal strength, and cardiorespiratory fitness in children and adolescents practicing sports

    Directory of Open Access Journals (Sweden)

    Alexandre Schubert

    2013-03-01

    Full Text Available OBJETIVO: Verificar se há associação entre estado nutricional, nível de aptidão física e imagem corporal em crianças e adolescentes. MÉTODOS: Participaram deste estudo transversal 401 estudantes (236 meninos e 165 meninas com idades entre 8 e 16 anos, praticantes de esportes nos clubes locais. Para o estado nutricional calculou-se o índice de massa corpórea. Foram avaliadas a satisfação com a imagem corporal, a força de resistência abdominal e a aptidão cardiorrespiratória. As variáveis foram analisadas no mesmo dia, seguindo ordem padronizada. Para verificar as associações entre as variáveis foi utilizado o teste do qui-quadrado. Posteriormente, a regressão logística binária foi aplicada para identificar a magnitude das associações, considerando-se significante pOBJETIVO: Verificar si hay asociación entre estado nutricional, nivel de aptitud física e imagen corporal en niños y adolescentes. MÉTODOS: Participaron de este estudio transversal 401 estudiantes (236 muchachos y 156 muchachas con edades entre 8 y 16 años. Para el estado nutricional se calculó el índice de masa corporal. Se evaluaron la satisfacción con la imagen corporal, la fuerza de resistencia abdominal y la aptitud cardiorrespiratoria. Las variables fueron analizadas en el mismo día, siguiendo orden estandarizado. Para verificar las asociaciones entre las variables se utilizó la prueba del chi-cuadrado. Posteriormente, se aplicó la regresión logística binaria para identificar la magnitud de las asociaciones, considerando como significante pOBJECTIVE: To verify the association between nutritional status, physical fitness, and body image in children and adolescents. METHODS: This cross-sectional study included 401 students (236 boys and 165 girls aged between 8 and 16 years that were regularly enrolled in sports in the local clubs. The nutritional status was evaluated by the body mass index. Students were assessed for satisfaction with body

  4. Estado del arte, y perspectiva actual del concepto de bienestar psicológico en psicología del deporte

    OpenAIRE

    Alicia E. Romero Carrasco; Alexandre García-Mas; Brustad, Robert J.

    2009-01-01

    La Teoría del bienestar Psicológico (Ryff, 1989) constituye uno de los eslabones fundamentales de la psicología positiva, la cual ha estado enmarcada principalmente entre dos perspectivas que explican un modelo de mundo y un modelo de sujeto (Díaz, 2006). Ryff (1989) enuncia su modelo bautizado como "Modelo Integrado de Desarrollo Personal" (Integrated Model of Personal Develoment). Considerando que el deporte y la vida deportiva son actividades que requieren ser resistentes, alta capacidad ...

  5. El declive del estado de resultados tradicional ante la irrupción actual del excedente limpio. Perspectiva histórica y conceptual

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    Francisco Sousa Fernández

    2010-01-01

    Full Text Available Con la adopción del resultado global (comprehensive income a partir de la década de los noventa del siglo XX por los organismos emisores de normas contables más relevantes en el concierto mundial, entre los que cabe destacar el International Accounting Standards Board (iasb y el Financial Accounting Standards Board (fasb, estamos asistiendo a un posicionamiento a favor del enfoque del excedente limpio. Como consecuencia el resultado empresarial queda más vinculado a las oscilaciones de los precios de los títulos y a los tipos de cambio, frente al enfoque del excedente sucio que nos lleva a la determinación del mismo desde una óptica más restrictiva y, por ello, mucho menos conectado con la realidad de los mercados. En este trabajo nos planteamos como primer objetivo el estudio desde una óptica histórica y conceptual del antiguo y controvertido debate del enfoque del excedente limpio versus el enfoque del excedente sucio, circunscrito esencialmente a los países del área de influencia anglosajona. Posteriormente, queremos constatar que con la revisión de la Norma Internacional de Contabilidad 1 (nic 1 del International Accounting Standards Board (iasb en el año 2007 cobra más fuerza el resultado global; con ello se confirman los planteamientos a favor del enfoque del excedente limpio, lo que origina la desaparición del estado de resultados tradicional del conjunto completo de estados financieros si las empresas, según dicha norma, optan por revelarlo en el estado de resultados globales; todo ello con el propósito de reportar más utilidad a los inversionistas, quienes son considerados usuarios primordiales en los modelos contables anglosajones a los que tendemos.

  6. Avances en el conocimiento y el estado actual de conservación del Cocodrilo de Tumbes (Crocodylus acutus Cuvier, 1807

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    Armando H. Escobedo Galván

    2013-06-01

    Full Text Available En esta nota se describe el estado de conservación del Cocodrilo de Tumbes en Perú, donde la especie encuentra su límite sur de distribución, por lo que es catalogada como especie rara en la zona. Esto ha generado que se lleven a cabo programas de manejo ex situ para apoyar su conservación. Sin embargo el desconocimiento de los beneficios que brinda la especie, junto con la deforestación, el cambio climático y las actividades antropogénicas, han ocasionado que su población disminuya y se encuentre amenazada.

  7. Estado actual de la investigación arqueometalúrgica prehistórica en la provincia de Málaga

    Directory of Open Access Journals (Sweden)

    Rodríguez Vinceiro, F. J.

    1992-12-01

    Full Text Available The lack of data on prehistoric metallurgical activities in Málaga made local prehistorians think that all the metal artefacts recovered in the province were of non-local origin. As a result of a project funded by the Junta de Andalucía, new data have been collected and we can begin to outline the development and socioeconomic importance that metal technologies have in different parts of Málaga throughout prehistory.

    La práctica inexistencia de datos sobre actividades metalúrgicas prehistóricas en Málaga y el vacío investigador que sobre este aspecto existía en la provincia habían creado un estado de opinión entre los prehistoriadores locales tendente a considerar como de origen extraprovincial la totalidad de los artefactos metálicos prehistóricos recuperados. Como resultado de un proyecto subvencionado por la Junta de Andalucía, estos datos que faltaban comienzan ahora a ser recuperados, y se puede empezar a trazar un esbozo general del desarrollo e importancia socieconómica que este grupo de tecnologías tuvieron en los diversos ambientes geográficos de la provincia de Málaga durante la prehistoria.

  8. Estado del arte, y perspectiva actual del concepto de bienestar psicológico en psicología del deporte

    Directory of Open Access Journals (Sweden)

    Alicia E. Romero Carrasco

    2009-01-01

    Full Text Available La Teoría del bienestar Psicológico (Ryff, 1989 constituye uno de los eslabones fundamentales de la psicología positiva, la cual ha estado enmarcada principalmente entre dos perspectivas que explican un modelo de mundo y un modelo de sujeto (Díaz, 2006. Ryff (1989 enuncia su modelo bautizado como "Modelo Integrado de Desarrollo Personal" (Integrated Model of Personal Develoment. Considerando que el deporte y la vida deportiva son actividades que requieren ser resistentes, alta capacidad volitiva, autonomía, poseer desafíos, plantearse objetivos, cumplir metas, crecer como persona, adaptarse a los distintos ambientes y cambios y para ello, relacionarse positivamente con el entorno, ser saludable, y mantener un control sobre lo que se hace, es por eso que nos detendremos en el concepto, y el análisis del bienestar psicológico y sus implicancias en el deporte y la psicología del deporte, desde el enfoque de Carol Ryff.

  9. Parálisis obstétrica del plexo braquial. revisión del estado actual de la enfermedad

    OpenAIRE

    Vergara Amador, Enrique Manuel

    2014-01-01

    El presente documento hace una revisión actual de la parálisisobstétrica del plexo braquial; se observan la etiología, aspectosdemográficos, diagnóstico, cuándo deben ser observadasin cirugía y cuándo es el momento de operar. La clavede indicación de cirugía está dada cuando no ha habidorecuperación del bíceps contra gravedad entre los tres y seismeses de edad. La cirugía está dirigida a la resección delneuroma y la utilización de injertos nerviosos. También tienecabida en el tratamiento quir...

  10. Biochronostratigraphy of the Pelotas Basin: Actual state and application in the petroleum geology; Biocronoestratigrafia da Bacia de Pelotas: estado atual e aplicacao na geologia do petroleo

    Energy Technology Data Exchange (ETDEWEB)

    Anjos-Zerfass, Geise de Santana dos; Souza, Paulo Alves de; Chemale Junior, Farid [Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS (Brazil). Inst. de Geociencias]. E-mails: geise.anjos@ufrgs.br; paulo.alves.souza@ufrgs.br, farid.chemale@ufrgs.br

    2008-07-01

    The bio stratigraphic studies of the Brazilian sedimentary basins have providing a support for the exploratory research of energetic and mineral resources, in particular at the continental margin. From new discoveries of hydrocarbon accumulations at the Santos and Campos basins, the south portion of the Brazilian continental margin were converted in an important target of the exploration. Therefore, the bio stratigraphic refinement is necessary to detect gaps and to promote an increment on the precision of the lateral correlations in the delimitation and spatial analysis of the potential reservoirs. The actual stage of the bio-chronostratigraphic framework of the Pelotas Basin is presented herein, focusing on its application to the reservoir prospection. The main questions and lacunae on the knowledge are also discussed. In terms of bio stratigraphy, the Pelotas Basin remains poorly evaluated, despite publication of important works on the bio stratigraphy are known since the 1960's. A comparison of bio stratigraphic schemes proposed for the Tertiary section of the basin allows the inference of diverse hiatuses, identified by the absences of bio zones. Hiatuses identified in the {sup 87}Sr/{sup 86}Sr curve, suggest their relationship with discontinuities in the deposition. Discrepancies between the proposed schemes can be attributed to the particular resolution of the different groups used, the variations in the bio stratigraphic criteria and the sampling interval, influencing the bio stratigraphic resolution and therefore its potential as a correlation tool. (author)

  11. Parálisis obstétrica del plexo braquial. Revisión del estado actual de la enfermedad

    Directory of Open Access Journals (Sweden)

    Enrique Manuel Vergara-Amador

    2014-04-01

    Full Text Available El presente documento hace una revisión actual de la parálisis obstétrica del plexo braquial; se observan la etiología, aspectos demográficos, diagnóstico, cuándo deben ser observada sin cirugía y cuándo es el momento de operar. La clave de indicación de cirugía está dada cuando no ha habido recuperación del bíceps contra gravedad entre los tres y seis meses de edad. La cirugía está dirigida a la resección del neuroma y la utilización de injertos nerviosos. También tiene cabida en el tratamiento quirúrgico el uso de las transferencias nerviosas o neurotizaciones. La recuperación es lenta y se observaran resultados hasta los dos o tres años después de la cirugía. En los niños mayores de 18 meses, el tratamiento se enfoca, no en la microcirugía, sino en la reconstrucción mediante liberaciones, transferencias tendinosas y osteotomías.

  12. Estado actual de contaminación con coliformes fecales de los cuerpos de agua de la Península de Osa

    Directory of Open Access Journals (Sweden)

    Jesús Mora

    2010-12-01

                  en varios de los ríos en las localidades dePiedras Blancas, cerca de Chacarita,así como en Puerto Jiménez, Rincón yla bahía de Drake; estos tres últimospertenecientes a la Península de Osa. Elobjetivo fue conocer la situación actual ylos posibles riesgos de contaminación deestos cuerpos de agua, dado el desarrolloque se viene dando en la zona, tales comoel incremento en las actividades agrícolas,industriales, mineras y turísticas. Además,en la Península no se cuenta con estudiosmicrobiológicos efectuados previamente,excepto el estudio llevado a cabo por Jean-Batiste Livenais en la zona de Drake.Se encontró que la mayoría de los cuerposde agua de la península no se puedenutilizar para fines recreativos de contactoprimario, la acuacultura o para el riego decultivos que se consumen crudos, ya quesobrepasan el límite máximo permisibleen su contenido de coliformes fecales queestablecen los reglamentos nacionales.

  13. La adventicia: estado actual del conocimiento

    Directory of Open Access Journals (Sweden)

    Edmundo I. Cabrera Fischer

    2008-01-01

    Full Text Available La adventicia se ha definido como la capa de tejido conectivo más externa de un vaso y no formaría una unidad con la estructura vascular. El término “adventicia” proviene del latín adventicius, que significa “venido de afuera, extraño”. Estos conceptos tal vez constituyan la causa de la subestimación del papel fisiológico de esta túnica. Al presente es bien conocido que la adventicia contiene vasa vasorum y nervi vasorum con funciones nutricionales y de control, respectivamente. A ello se suma la presencia de factores bioquímicos que serían responsables de cambios en la conducta elástica y viscosa de la pared arterial a través de una regulación de la función muscular lisa.En este trabajo se realiza una síntesis del papel estructural y fisiológico de la adventicia; se analizan además datos clínicos y experimentales que se comparan con resultados originales publicados por el autor.

  14. Abdominal Adhesions

    Science.gov (United States)

    ... adhesions? Abdominal adhesions can cause intestinal obstruction and female infertility—the inability to become pregnant after a year of trying. Abdominal adhesions can lead to female infertility by preventing fertilized eggs from reaching the uterus, ...

  15. Children's (Pediatric) Abdominal Ultrasound Imaging

    Medline Plus

    Full Text Available ... located within a child's abdomen. A Doppler ultrasound study may be part of a child's abdominal ultrasound ... pain from the procedure. If a Doppler ultrasound study is performed, your child may actually hear pulse- ...

  16. ESTADO ACTUAL DE CONOCIMIENTOS DE LAS TÉCNICAS DE TRATAMIENTO DE LOS DATOS POSICIÓN - TIEMPO EN EL CAMPO DE LA BIOMECÁNICA DEL APARATO LOCOMOTOR

    Directory of Open Access Journals (Sweden)

    K. Gianikellis

    2010-09-01

    Full Text Available


    RESUMEN

    El objetivo de este estudio es presentar, en líneas generales, el estado actual de conocimientos respecto a las técnicas de tratamiento de los datos posición -tiempo que se utilizan en la investigación en el campo de la Biomecánica para describir, analizar y evaluar el movimiento humano. La evolución de estas técnicas ha permitido disponer de información cada vez más fiable respecto a la cinemática de los marcadores anátomicos de interés de cuya calidad dependen mucho las inferencias posteriores que se hacen respecto a la eficacia de los patrones motores que se estudian. Una de las principales aportaciones de este trabajo es establecer criterios que permiten seleccionar objetivamente entre las diferentes técnicas de "ajuste" de los datos posición - tiempo para mejorar la relación "señal - ruido" y calcular su primera y la segunda derivada con mayor precisión.
    PALABRAS CLAVE: Tratamiento de señales, funciones spline, filtrado digital, análisis Fourier, análisis cinemático.

     

    ABSTRACT

    Measurements made using an image - based motion analysis system are contaminated with noise generated during the recording and digitizing procedures. So the sampled signal can be considered as the sum of a quantity of true information associated to the physical phenomenon that is taking place and a quantity of information, that is nothing to do with this, representing the systematic and random noise induced by lens distortion, erroneous marker placement, calibration errors, skin and marker movements, digitizing errors, digitizer resolution, etc. Due to the nature of numerical differentiation, unless the random noise is reduced it may be amplified to such an order that the estimated derivative values may contain more error than signal. The main

  17. del Estado Aragua

    Directory of Open Access Journals (Sweden)

    Joselys Cintia Zerpa

    2008-01-01

    Full Text Available Diagnostica la situación actual de los bienes que conforman al patrimonio histórico-cultural del Municipio Zamora, Estado Aragua, Venezuela. La Investigación es descriptiva y de campo, comprendió la elaboración de un inventario de los bienes inmuebles, festividades religiosas y manifestaciones artesanales del municipio. Se estudiaron la condición física y uso actual de estos bienes y los planes y proyectos existentes. Analizó el marco normativo que los rige. Se obtuvo la opinión de los representantes de organismos públicos relacionados con la actividad turística del Municipio, de los visitantes, cronistas e historiadores. Aportes: La mayoría de los bienes se encuentran en buen estado de conservación, Las manifestaciones culturales, festividades y la artesanía se desarrollan periódicamente pero no son aprovechadas turísticamente, Se determinó que existe un marco normativo para tales bienes y No existen propuestas actuales referentes a estos bienes. Se reflejó el interés de los sectores institucional y privado para la incorporación de estos bienes a la oferta turística del Municipio y del Estado

  18. Abdominal trauma

    International Nuclear Information System (INIS)

    Abdominal injury is an important cause of morbidity and mortality in childhood. Ten percent of trauma-related deaths are due to abdominal injury. Thousands of children are involved in auto accidents annually; many suffer severe internal injury. Child abuse is a second less frequent but equally serious cause of internal abdominal injury. The descriptions of McCort and Eisenstein and their associates in the 1960s first brought to attention the frequency and severity of visceral injury as important manifestations of the child abuse syndrome. Blunt abdominal trauma often causes multiple injuries; in the past, many children have been subjected to exploratory surgery to evaluate the extent of possible hidden injury. Since the advent of noninvasive radiologic imaging techniques including radionuclide scans and ultrasound and, especially, computed tomography (CT), the radiologist has been better able to assess (accurately) the extent of abdominal injury and thus allow conservative therapy in many cases. Penetrating abdominal trauma occurs following gunshot wounds, stabbing, and other similar injury. This is fortunately, a relatively uncommon occurrence in most pediatric centers and will not be discussed specifically here, although many principles of blunt trauma diagnosis are valid for evaluation of penetrating abdominal trauma. If there is any question that a wound has extended intraperitonelly, a sinogram with water-soluble contrast material allows quick, accurate diagnosis. The presence of large amounts of free intraperitoneal gas suggests penetrating injury to the colon or other gas-containing viscus and is generally considered an indication for surgery

  19. The current state of evidence regarding the health effects of wifi communication systems Sistemas de comunicación wifi y efectos sobre la salud. El estado de las evidencias actuales Sistemas de comunicação wifi e efeitos na saúde: O estado atual da evidência

    Directory of Open Access Journals (Sweden)

    Francisco Vargas Marcos

    2012-08-01

    regulan su funcionamiento, los niveles de emisión autorizados y los niveles observados en algunos estudios específicos.Hasta el momento se han realizado muy pocos trabajos específicos de los efectos sobre la salud derivados de la exposición a las RF que emiten estos sistemas. En este trabajo se describen las principales evaluaciones de riesgo y los estudios más relevantes publicados por agencias internacionales especializadas de reconocido prestigio. Se detalla el estado actual del conocimiento sobre los efectos de las RF sobre la salud y las recomendaciones internacionales formuladas sobre la seguridad de estas tecnologías.Se concluye que no hay evidencia consistente hasta la fecha de que la exposición a señales de radiofrecuencia procedentes de wifi, por debajo de los niveles aceptados internacionalmente, tengan efectos adversos para la salud de la población general. No hay razones que justifiquen que los sistemas wifi deban ser retirados de las escuelas o que no deban ser utilizados por otros grupos de la población.Em alguns meios de comunicação social foi veiculada informação sobre supostos riscos para a saúde, especialmente em contexto escolar, com origem na exposição às Radiofrequências (RF emitidas pelos sistemas de telecomunicação sem fios (Wi-Fi na sua abreviatura em inglês. Estas notícias geraram pedidos de informação a que as autoridades de saúde com responsabilidade na área da saúde ambiental devem responder de forma transparentes, clara, eficaz e baseada no conhecimento científico atual. Neste trabalho descrevem-se as principais características técnicas destes sistemas, as normas que regulam o seu funcionamento, os níveis de emissão autorizados e os níveis observados em alguns estudos específicos.Até ao momento realizaram-se muito poucos trabalhos específicos sobre os efeitos na saúde derivados da exposição às RF que emitem estes sistemas. Neste trabalho mencionam-se as principais avaliações de risco e os estudos

  20. Abdominal sounds

    Science.gov (United States)

    ... during sleep. They also occur normally for a short time after the use of certain medicines and after abdominal surgery. Decreased or absent bowel sounds often indicate constipation. Increased ( hyperactive ) bowel sounds ...

  1. Procesos naturales y culturales que inciden en el estado actual de conservación de los sitios de la localidad arqueológica de La Ciénaga, Departamento de Belén, Pcia. de Catamarca

    Directory of Open Access Journals (Sweden)

    Juliana Alosilla

    2006-12-01

    Full Text Available Se realiza un análisis del estado de conservación de un conjunto de sitios de la localidad arqueológica de La Ciénaga que se encuentran muy deteriorados. El deterioro es producido por procesos naturales, entre los cuales el más importante es la erosión hídrica, y por procesos culturales, entre los que se destaca el saqueo. La desertización del ambiente es un proceso debido en gran medida a factores humanos que inciden en forma indirecta en la destrucción de los sitios arqueológicos. El patrimonio cultural juega un rol importante en la provisión y construcción de un sentido de comunidad, de pasado compartido y de identidad social. Desde esta perspectiva se considera al análisis del estado de conservación de los sitios y materiales arqueológicos como un paso inicial imprescindible para una gestión integral que involucre a la investigación arqueológica y a las acciones dirigidas a conservarlos y darlos a conocer.

  2. Estado de Direito e seus Quatro Grandes Desafios na América Latina na Atualidade: uma leitura a / State of Law and its four great challenges on actual Latin America: a reading from Brazilian's reality

    Directory of Open Access Journals (Sweden)

    Gilmar Antônio Bedin

    2010-12-01

    Full Text Available O presente texto apresenta as dimensões fundamentais do Estado de Direito em seu sentido jurídico-institucional e verifica se essas dimensões foram acolhidas pelas ordens jurídicas dos países da América Latina, em especial pela ordem jurídica brasileira. Além disso, o trabalho analisa os quatro grandes desafios dessaestrutura jurídico-institucional na atualidade nos países latino-americanos.Abstract:This paper presents the State of Law fundamental dimensions in its institutional-legal sense, and analyzes if these dimensions were adopted by the legal systems of the Latin American countries, especially by the Brazilian legal system. This paper also investigates the current four major challenges of this institutional legal framework in Latin America.

  3. Abdominal Sepsis.

    Science.gov (United States)

    De Waele, Jan J

    2016-08-01

    Abdominal infections are an important challenge for the intensive care physician. In an era of increasing antimicrobial resistance, selecting the appropriate regimen is important and, with new drugs coming to the market, correct use is important more than ever before and abdominal infections are an excellent target for antimicrobial stewardship programs. Biomarkers may be helpful, but their exact role in managing abdominal infections remains incompletely understood. Source control also remains an ongoing conundrum, and evidence is increasing that its importance supersedes the impact of antibiotic therapy. New strategies such as open abdomen management may offer added benefit in severely ill patients, but more data are needed to identify its exact role. The role of fungi and the need for antifungal coverage, on the other hand, have been investigated extensively in recent years, but at this point, it remains unclear who requires empirical as well as directed therapy. PMID:27363829

  4. Anestesia regional intravenosa primeiro centenário (1908-2008: Início, desenvolvimento e estado atual A anestesia regional intravenosa primer centenario (1908-2008: Inicio, desarrollo y estado actual Intravenous regional anesthesia first century (1908-2008: Beggining, development, and current status

    Directory of Open Access Journals (Sweden)

    Almiro dos Reis Jr

    2008-06-01

    regional intravenosa merece ter sua história conhecida e a data não pode passar despercebida e sim ser lembrada e comemorada.JUSTIFICATIVA Y OBJETIVOS: La anestesia regional intravenosa completa este año en 2008 un siglo de existencia. Siendo una técnica anestésica ampliamente utilizada, se justifica recordar el hecho, festejar la fecha, recordarle a los anestesiólogos brasileños el proceso evolutivo por el cual ella ha pasado, principalmente en los últimos 40 años, y prestarle un homenaje a aquel que la inició: August Karl Gustav Bier. CONTENIDO: El texto relata el origen de la anestesia locorregional en general y de la anestesia regional intravenosa en particular, desde la introducci��n del torniquete de miembros y del descubrimiento y del perfeccionamiento de las agujas de punción, de las jeringuillas y de los anestésicos locales. Se describen los detalles técnicos inicialmente utilizados por Bier y los conceptos fisiopatológicos y clínicos por él emitidos a principios del siglo XX. Retrata la evolución inicial y de las décadas siguientes de la anestesia regional intravenosa, cita los pioneros nacionales e internacionales que la usaron, explica las razones de su relativamente tardío estudio científico, describe los principales aportes que hasta hoy existen para su utilización eficiente y segura. Finalmente, narra el estado actual de los principales conocimientos adquiridos a lo largo del tiempo, como el mecanismo e el local de acción del anestésico y de la isquemia, uso de soluciones anestésicas modernas, perfeccionamiento de la analgesia postoperatoria y del bloqueo motor, conceptos farmacocinéticos y fisiopatológicos y una mejor interpretación de las posibles principales complicaciones. CONCLUSIONES: La anestesia regional intravenosa es una técnica anestésica creada por A. K. G. Bier hace exactamente 100 años. Evolucionó lentamente y bastante poco en la primera mitad del siglo XX y mucho en los últimos años, gracias a innumerables

  5. Abdominal Pain

    Science.gov (United States)

    ... relaxation. Guided imagery for abdominal pain About self-hypnosis and kids See YourChild : Pain and Your Child or Teen for more detail ... how to help your baby cope with the pain of medical procedures, circumcision, and teething. ... Helping Kids YourChild : A Look at Biofeedback YourChild : ...

  6. ESTADO ACTUAL DEL ACCESO A RECURSOS GENÉTICOS EN COLOMBIA POR PARTE DE LOS GRUPOS DE INVESTIGACIÓN REGISTRADOS EN COLCIENCIAS. Current Situation of Genetic Resources Access in Colombia by Research Groups Registered in Colciencias

    Directory of Open Access Journals (Sweden)

    LEIDY ANDREA ÁVILA SÁNCHEZ

    Full Text Available El acceso a los recursos genéticos por parte de los grupos de investigación en Colombia se evaluó mediante la revisión de sus proyectos de investigación reportados en la base de datos nacional GrupLAC de Colciencias, hasta diciembre de 2008, con el fin de hacer una aproximación al estado del acceso a los recursos genéticos en el país. Del total de grupos revisados un 13,7% tienen acceso a recursos genéticos. Los grupos de investigación trabajan con un total de 252 especies diferentes que comprenden plantas, animales, bacterias, hongos y virus. En cuanto al origen del material, un 61% se encuentra en con-diciones in situ y un 33% en condiciones ex situ. La mayor parte de las técnicas utilizadas en las investigaciones son moleculares (76%. Las instituciones que tienen grupos de investigación que trabajan en proyectos relacionados con acceso a recursos genéticos se agruparon en 10 categorías dentro de las cuales se destacan las universidades tanto privadas (29% como públicas (39%, así como los centros de investigación de carácter privado (12%. Por otro lado, es muy bajo el porcentaje (1,0% de proyectos de investigación cuyos resultados pueden llegar a tener un potencial de comercialización, ya que del total de 595 proyectos para los que se ha encontrado evidencia de acceso a recursos genéticos, solo seis proyectos han generado resultados protegibles por patentes. Ninguno de los proyectos examinados tiene contrato de acceso a recursos genéticos.The Access to genetic resources by research groups in Colombia was assessed through checking their investigation projects that have been reported in the Colciencias national database GrupLAC. This inspection was realized in order to make and approach to the current genetic resources access status in the country. From the whole groups considered, 13.7% make genetic resources access. The research groups worked with 252 different species including plants, animals, bacteria, fungi and

  7. Abdominal Aortic Aneurysms: Treatments

    Science.gov (United States)

    ... access catheters Vertebroplasty Women and vascular disease Women's health Social Media Facebook Twitter ... Abdominal Aortic Aneurysms Interventional Radiologists Treat Abdominal Aneurysms Nonsurgically Interventional radiologists are vascular ...

  8. Estado actual del país y sus necesidades

    OpenAIRE

    Boletín de, Matemáticas

    2012-01-01

    a) NUMERO DE PROFESORES LICENCIADOS Son relativamente pocos, teniendo en cuenta la demanda educativa que el país tiene en la actualidad, así mismo, dentro del grupo de profesores licenciados hay un porcentaje apreciable que necesita actualizarse.

  9. Estado actual de fruticultura colombiana y perspectivas para su desarrollo

    Directory of Open Access Journals (Sweden)

    Diego Miranda Lasprilla

    2011-10-01

    Full Text Available La horticultura en Colombia comprende las áreas de floricultura, fruticultura, olerícultura, producción de plantas aromáticas y medicinales y la horticultura urbana. La promoción y desarrollo del sector frutícola representa para Colombia una importante fuente de crecimiento de la agricultura, de generación de empleo rural y de desarrollo con equidad para las distintas regiones puesto que las frutas pueden asentarse en los diversos pisos térmicos de que dispone el país, a la vez que conforma una producción administrada con criterios de eficiencia y sostenibilidad en escalas que van desde micro, pequeños y medianos productores hasta grandes productores y empresas. Durante las últimas cuatro décadas el área sembrada en frutas expresa una dinámica de constante crecimiento, consiguiendo así aumentar su participación tanto en el área dedicada a cultivos no transables, como en el total del área de la agricultura sin café. Así, mientras en 1970 la participación del área frutícola en los no transables era del 1,6%, en el 2005 ésta era del 12,6%. Las áreas plantadas en frutas en Colombia pasaron de 191.035 ha en 2003 a 225.325 ha en 2007 lo que representa un crecimiento de 17,9 %, mientras que los volúmenes de producción pasaron de 2.675.736 t a 3.279.264 t en el mismo período en 47 especies frutícolas. El Plan Frutícola Nacional - PFN, constituye una propuesta estratégica conformada por conjunto coherente de objetivos, estrategias y programas que, con base en una visión de futuro, buscan la meta inicial de duplicar el área de la producción frutícola nacional, asegurar las condiciones tecnológicas y de innovación para una producción sostenible y de calidad, agregar valor en la cadena frutícola, y lograr una vinculación plena en los mercados internacionales. Se busca que los participantes conozcan los principales desarrollos de la fruticultura Colombiana, sus retos y oportunidades para la próxima década.

  10. Estado actual de la leishmaniosis en Costa Rica

    Directory of Open Access Journals (Sweden)

    Orlando Jaramillo-Antillón

    2009-09-01

    Full Text Available Se realizó esta investigación, para conocer el comportamiento epidemiológico de esta enfermedad, los vectores relacionados y las especies de leishmanias causantes. Métodos: fuentes de información fueron los boletines epidemiológicos del Ministerio de Salud del 2001 al 2007 y el Instituto Nacional de Estadísticas y Censos. Se calcularon tasas de incidencia por sexo, grupos de edad, provincia y cantón. Las tasas del último trienio se compararon con una investigación que describe la situación epidemiológica de 1973 a 1975, para identificar cambios epidemiológicos de la enfermedad. La revisión bibliográfica permitió describir las formas clínicas y la distribución geográfica de los vectores que la ocasionan. Resultados y conclusión: la incidencia aumentó de 10,5 del 2001 a 40,7 x100.000 habitantes en el 2007. Los menores de 19 años fueron los más afectados. Talamanca presentó la mayor incidencia cantonal. El agente etiológico más frecuente de la leishmaniosis cutánea es la Leishmania (Viannia panamensis, aunque también existe la L. (V. braziliensis. Los mosquitos trasmisores fueron Lutzomyia ylephiletor y L. trapidoi. Los reservorios del parásito son los perezosos: Bradypus griseus y Choloepus hoffmanni y un roedor Heteromys desmarestianus. Existe también la leishmaniosis cutánea atípica, producida por Leishmania infantum (= Leishmania chagasi, productora responsable de un caso de leishmaniosis visceral. L.longipalpis, esta asociada a la transmisión de estas dos últimas formas de leishmaniosis. Debe entrenarse al personal de salud, en la detección de esta enfermedad, y educar a la población.

  11. Estado actual de la esclerosis múltiple en Colombia

    OpenAIRE

    Jiménez, C.E.

    2015-01-01

    Dos estudios epidemiológicos de esclerosis múltiple (EM) la describen como de bajo riesgo en Colombia. Hay, sin embargo, nuevos sistemas de información que permiten una aproximación más precisa. El objetivo de este artículo es estimar la prevalencia nacional de EM, así como por regiones del país, y analizar los costos de los fármacos usados en Colombia.

  12. El estado actual de los ambientes del agua

    OpenAIRE

    Mateu Bellés, Joan F.; Camarasa Belmonte, Ana María

    2008-01-01

    Los ambientes del agua –recursos singulares por sus funciones en la naturaleza y por sus prestaciones y connotaciones para los grupos humanos- son un valioso patrimonio. En concreto, los lagos, los ríos y las masas marinas y subterráneas constituyen bienes territoriales que aportan diversidad ecológica, estructuran paisajes y, a menudo, son utilizados por los humanos para el desarrollo de sus actividades (Martín Montalvo, 1996). A lo largo del tiempo, los ambientes del agua no son estables e...

  13. Estado actual de la vacuna conjugada contra Streptococcus pneumoniae

    Directory of Open Access Journals (Sweden)

    Hernán Sierra- Fernandez

    2006-06-01

    Full Text Available Las infecciones por Streptococcus pneumoniae son frecuentes en la población pediátrica especialmente en los niños menores de 2 años. El S. pneumoniae puede producir infecciones invasoras con una alta tasa de mortalidad y morbilidad como lo son las meningitis bacterianas, la neumonía y bacteremias siendo a la vez el agente que con mayor frecuencia se detecta en el oído medio de niños con otitis media. En la actualidad existe una vacuna conjugada contra esta bacteria que protege contra los siete serotipos de S. pneumoniae más frecuentes en el mundo y que a su vez son los mismos serotipos que presentan una mayor incidencia de resistencia a los antibioticos de uso frecuente. La vacuna no solo protege contra este tipo de infecciones sino que se ha demostrado que disminuye la colonización nasofaringea de los niños que han recibido la vacuna produciendo a su vez, una reducción en el numero de infecciones, por esta bacteria, en poblaciones de personas mayores de 5 años, incluyendo adultos y personas mayores a los 65 años (efecto rebaño. Con base en los serotipos aislados en niños costarricenses con otitis media, se puede calcular que la cobertura de esta vacuna en Costa Rica sería de aproximadamente un 74% e incluyendo mayoritariamente, los serotipos que presentan resistencia antimicrobriana más frecuentemente.

  14. Estado actual de la vacuna conjugada contra Streptococcus pneumoniae

    Directory of Open Access Journals (Sweden)

    Hernán Sierra- Fernandez

    2006-06-01

    Full Text Available Las infecciones por Streptococcus pneumoniae son frecuentes en la población pediátrica especialmente en los niños menores de 2 años. El S. pneumoniae puede producir infecciones invasoras con una alta tasa de mortalidad y morbilidad como lo son las meningitis bacterianas, la neumonía y bacteremias siendo a la vez el agente que con mayor frecuencia se detecta en el oído medio de niños con otitis media. En la actualidad existe una vacuna conjugada contra esta bacteria que protege contra los siete serotipos de S. pneumoniae más frecuentes en el mundo y que a su vez son los mismos serotipos que presentan una mayor incidencia de resistencia a los antibioticos de uso frecuente. La vacuna no solo protege contra este tipo de infecciones sino que se ha demostrado que disminuye la colonización nasofaringea de los niños que han recibido la vacuna produciendo a su vez, una reducción en el numero de infecciones, por esta bacteria, en poblaciones de personas mayores de 5 años, incluyendo adultos y personas mayores a los 65 años (efecto rebaño. Con base en los serotipos aislados en niños costarricenses con otitis media, se puede calcular que la cobertura de esta vacuna en Costa Rica sería de aproximadamente un 74% e incluyendo mayoritariamente, los serotipos que presentan resistencia antimicrobriana más frecuentemente.The heptavalent S. pneumoniae conjugate vaccine has shown to be safe and effective in preventing pediatric invasive infections and otitis media caused by S. pneumoniae. The routine use of these vaccines has dramatically reduced the incidence of invasive pneumococcal diseases in children younger than 2 years old and because of a reduction in colonization of the children’s nasopharynx, the transmission from child to adult has been reduced and the number of secondary S. pneumoniae infections in adults. Another benefit of the routine use of this vaccine has been the reduction of vaccine-type antimicrobial resistant strains. Based on the S. pneumoniae serotype distribution in Costa Rica, the predicted vaccine protection is calculated in 74%.

  15. Tendencias Actuales del Constitucionalismo Latinoamericano

    Directory of Open Access Journals (Sweden)

    Jorge Carpizo

    2009-12-01

    Full Text Available El artículo analiza los cambios constitucionales que ha habido en América Latina y que han tenido incidencia directa en el progreso de la democracia en la región; de esta manera, hace una amplia comparación de la creación de instituciones que persiguen este fin en los diferentes estados. Desde una definición amplia y actual de democracia, se revelan sus principales focos de peligro como la ilegitimidad del Estado de derecho o la percepción de corrupción predominante en la población. El escrito hace un estudio de los atributos más importantes que pueden encontrarse actualmente en esta parte del continente, y no todos ellos parecen ser siempre optimistas; tal es el caso, por ejemplo, de los referendos cuando no son conducidos conforme a la ley o los no siempre exitosos gobiernos divididos y de coalición. Es claro que el avance en materia de democracia ha sido significativo en los últimos treinta años, pero aún existen factores de riesgo que no deben perderse de vista puesto que resulta imperativo seguir el camino sin retroceder.

  16. Tendencias actuales del constitucionalismo latinoamericano

    Directory of Open Access Journals (Sweden)

    Jorge Carpizo

    2009-12-01

    Full Text Available El artículo analiza los cambios constitucionales que ha habido en América Latina y que han tenido incidencia directa en el progreso de la democracia en la región; de esta manera, hace una amplia comparación de la creación de instituciones que persiguen este fin en los diferentes estados. Desde una definición amplia y actual de democracia, se revelan sus principales focos de peligro como la ilegitimidad del Estado de derecho o la percepción de corrupción predominante en la población. El escrito hace un estudio de los atributos más importantes que pueden encontrarse actualmente en esta parte del continente, y no todos ellos parecen ser siempre optimistas; tal es el caso, por ejemplo, de los referendos cuando no son conducidos conforme a la ley o los no siempre exitosos gobiernos divididos y de coalición. Es claro que el avance en materia de democracia ha sido significativo en los últimos treinta años, pero aún existen factores de riesgo que no deben perderse de vista puesto que resulta imperativo seguir el camino sin retroceder.

  17. Libertad religiosa y Estado Constitucional

    Directory of Open Access Journals (Sweden)

    Samuel Abad Yupanqui

    2008-12-01

    Full Text Available El presente articulo pretende examinar la evolución del debate constitucional sobre las relaciones Estado–Iglesia en nuestro pais, el actual diseno de estas relaciones a partir de lo dispuesto por el texto constitucional vigente y el Acuerdo suscrito con la Iglesia Catolica en julio de 1980, asi como los alcances de un proyecto de ley que pretende regular la libertad e igualdad religiosas. Asumiendo tal perspectiva recordaremos algunos antecedentes constitucionales que nos muestran por donde se ha encaminado el debate; y examinaremos los principios que orientan la relacion Iglesia-Estado, desde un enfoque de derechos fundamentales y en el marco de la indispensable afirmacion de un Estado Constitucional de Derecho. Ello es particularmente relevante en un pais como el nuestro en donde determinadas concepciones religiosas pretenden establecerse como unico parametro para la adopcion de aquellas politicas publicas respecto a las cuales la Iglesia tiene una posicion definida.

  18. Association between maternal perceptions and actual nutritional status for children in a study group in Mexico Asociación entre la percepción materna y el estado nutricional real de los niños en un grupo de estudio en México

    Directory of Open Access Journals (Sweden)

    M. Guevara-Cruz

    2012-02-01

    Full Text Available Background: Mexico has the highest rates of childhood obesity of any country in the world. As an environmental risk factor, family perception and behavior concerning child obesity is thought to have an important influence on the prevention and treatment of obesity. Objective: the aim of this study was to evaluate maternal perceptions of children´s weight and to determine whether these perceptions are associated with the actual weight of the children. Methods: A descriptive study was conducted that assessed 273 children and included interviews with their mothers. Maternal perceptions of the children´s weight status were compared with the measured weights, statures and body mass indices (BMI. Results: The mean BMIs of the children and mothers were 18.1 ± 3.6 and 27.7 ± 4.7 kg/m², respectively. The perceptions of mothers of children´s weight are not associated with actual BMI category of children (p Antecedentes: México tiene una alta prevalencia de obesidad infantil incluso colocándolo en el primer lugar a nivel mundial. Como un factor de riesgo ambiental, la percepción de la familia y el comportamiento relativo a la obesidad infantil se cree que tiene una influencia importante en la prevención y el tratamiento de la obesidad. Métodos: Estudio descriptivo mediante el que se evaluaron 273 niños y se realizaron entrevistas con sus madres. La percepción materna del estado de nutrición o el peso de los niños se compararon con los pesos medidos, tallas e índices de masa corporal (IMC. Resultados: El IMC promedio de los niños y las madres fueron 18,1 ± 3,6 y 27,7 ± 4,75 kg/m², respectivamente. Las percepciones de las madres acerca del peso de los niños no se correlacionaron con la categoría real del IMC de los niños (p < 0,0001. Se encontraron 74 niños (27% con sobrepeso y obesidad; 62,2% de las madres de estos niños les consideró en la categoría correcta al mencionar que los percibían con sobrepeso y obesidad y 37,8% de

  19. Technical characteristics and features of the most widely-known optoelectronic systems in the field of human moving biomechanics Características técnicas y prestaciones de los sistemas optoelectrónicos más difundidos en el campo de la biomecánica del movimiento humano. Estado actual de conocimientos

    Directory of Open Access Journals (Sweden)

    K. Gianikellis

    2010-09-01

    Full Text Available

    Comparisons between the merits of many different motion analysis systems is a very difficult task because their published specifications are obtained in a widely varying conditions and in some cases refer only to the performance of small components of an integrated system. The main purpose of this study is the introduction of the reader to the most important tecnologic characteristics that define the performance of the modern optoelectronic systems on the basis of data acquisition and signal processing. The evolution of these systems during the last two decades brought about a need for determination of objective criteria and standarized procedures that allow potential users evaluate different systems before spend money. In short, the decision for an optoelectronic system should be made on the basis of the investigations´ particular purposes, systems’ performance and price.
    KEY WORDS: Photoinstrumentation, optoelectronic systems, cinematic analysis, Biomechanics

    El objetivo de este estudio es presentar, en líneas generales, el estado actual de conocimientos respecto a las características y prestaciones de los sistemas optoelectrónicos más ampliamente utilizados hoy en día para describir, analizar y evaluar cinemáticamente el movimiento humano. La evolución continua de las distintas tecnologías empleadas en el desarrollo de estos sistemas y la cada vez mayor oferta por parte de las casas comerciales requieren establecer procesos estandarizados y criterios objetivos que permitan evaluar de forma comparativa estos sistemas. En definitiva, facilitar la selección de un sistema optoelectrónico en función de las necesidades de la investigación, sus prestaciones y su precio.

    PALABRAS CLAVE: Fotoinstrumentación, sistemas optoelectrónicos, análisis cinemático, Biomecánica

  20. El estado actual de la Criminología/Actual state of Criminology

    Directory of Open Access Journals (Sweden)

    Chris Eskridge (Estados Unidos de América

    2013-08-01

    Full Text Available Aunque la evolución de la delincuencia y la desviación responde a la dinámica de los acontecimientos sociales, económicos y políticos a nivel global, es posible que la Criminología tenga un impacto positivo en este campo. Para lograr esta meta, será necesario desarrollar los cursos interdisciplinarios en Criminología y justicia penal alrededor del mundo, adoptar programas y políticas basados en la recopilación y evaluación sistemática de evidencias, y convertirnos en criminólogos efectivos, no solamente en el ámbito científico, sino también en el mundo político. Actualmente, la Criminología no es una disciplina madura y no estamos seguros sobre cómo responder al problema de la delincuencia. Carecemos de instrumentos de diagnóstico preciso, de un cuerpo de conocimientos definitivos, de una comprensión de causas y efectos, y de una serie de modalidades de tratamiento generalmente consistentes. En este sentido, los criminólogos se parecen en algo a los médicos del Siglo XVIII. This article suggests that while crime and deviance are subject to the dynamics of global socio-economic-political events, the field of criminology can have a marked, positive impact in this realm. To achieve this end, there is a need to advance interdisciplinary criminology/criminal justice education, to embrace systematic, evidence based program and policy evaluation, and to become effective political as well as scientific criminologists. Criminology is not a mature science at this point, and we are not certain how to systematically respond to the crime problem. We lack accurate diagnostic instruments, a definitive body of knowledge, an understanding of cause and effect, and we do not possess a series of generally consistent treatment modalities. In this context, criminologists are somewhat akin to physicians of the 18th century.

  1. Abdominal Pain or Cramping

    Science.gov (United States)

    ... Body & lifestyle changes > Abdominal pain or cramping Abdominal pain or cramping E-mail to a friend Please ... signs of severe pain. What causes mild belly pain in pregnancy? There are different causes for mild ...

  2. Tres enfoques y una aproximación al estado de derecho: estado social de derecho, estado de bienestar y estado liberal democrático

    Directory of Open Access Journals (Sweden)

    Luz María Martínez de Correa

    2011-01-01

    Full Text Available El trabajo científico se fundamenta en un conjunto estructurado de pasos que aseguran la objetividad y la precisión de cada investigación. Así, aproximarse a un constructo teórico que ha sido examinado a través de la reflexión filosófica del derecho y la política, coadyuva a la formulación de supuestos. En este caso, el manuscrito permite mostrar cómo develar tres enfoques del Estado de Derecho. Es así como nos ocupamos de indagar por qué y para qué se describen las nociones o principios delEstado deDerecho. Para los liberales el concepto de Estado democrático no implica necesariamente, por símismo, la condición de un Estado de Derecho. Por un lado encontramos que el Estado Social de Derecho responde a la promoción de una mayor garantía de los derechos económicos, sociales y culturales. Partiendo de esa premisa, se analizan tres tipologías de estado de derecho para adecuarlo a las configuraciones actuales del mundo global.

  3. O movimento sindical durante o Estado Novo : estado actual da investigação

    Directory of Open Access Journals (Sweden)

    Helder Miguel Marques

    2007-01-01

    Full Text Available In this article, that establishes the ‘state of the art’ of syndicalism during Portugal’s New State, through the analysis of the sustaining principles of the corporative system, the author attempts to demonstrate how the national trade unions, as structures of that same system, never ceased to be weak institutions, with a limited capacity for action in a dictatorial political regime which placed work at the end of the corporative scale of values.

  4. Spacebody actual virtual

    DEFF Research Database (Denmark)

    Kjøbek, Jytte; Sørensen, Gert

    2005-01-01

    DVD som indeholder filmen 'spacebody actual virtual' . Videoen er værkdelen af forskningsprojektet Arkitektur og skikkelse, spacebody actual virtual. Foruden DVD'en indeholder projektet et reflekterende materiale på hjemmesiden www.spacebody.dk Fysisk medie: DVD......DVD som indeholder filmen 'spacebody actual virtual' . Videoen er værkdelen af forskningsprojektet Arkitektur og skikkelse, spacebody actual virtual. Foruden DVD'en indeholder projektet et reflekterende materiale på hjemmesiden www.spacebody.dk Fysisk medie: DVD...

  5. Fetal weight estimation by ultrasonic measurement of abdominal circumference.

    Science.gov (United States)

    Kearney, K; Vigneron, N; Frischman, P; Johnson, J W

    1978-02-01

    The purpose of this study was to compare ultrasonic measurements of fetal abdominal circumference to ultrasonic measurements of fetal biparietal diameter, as a means of estimating fetal body weight. Of 58 fetuses who had abdominal circumferences measured, 48 (82%) of the predicted weights were within 15% of the actual birth weights. Forty-four of the same 58 fetuses had satisfactory biparietal diameter measurements, but only 21 (48%) of the predicted weights were within 15% of the actual birthweights. Ultrasonic measurement of abdominal circumference appears to be a more reliable index of fetal body weight than other currently available techniques.

  6. ESTADO ACTUAL DE LOS DERECHOS A LA IDENTIDAD, A LA VIDA Y LA VIVIENDA EN LA POBLACIÓN EN VÍCTIMA DEL DESPLAZAMIENTO FORZADO EN ANTIOQUIA.(CURRENT STATE OF THE RIGHTS TO IDENTITY, TO LIFE, AND TO HOUSING, IN THE POPULATION VICTIM OF FORCED DISPLACEMENT IN ANTIOQUIA)

    OpenAIRE

    NICOLAS ESPINOSA MENDEZ; ADRIANA GALINDO ROSERO; WILDER BASTIDAS LOPERA; JUAN ESTEBA MONSALVE ROJAS

    2011-01-01

    El siguiente artículo es un informe de investigación que expone el diseño metodológico de una serie de indicadores que permiten establecer el estado del Goce Efectivo de Derechos (GED) de la población en situación de desplazamiento en el departamento de Antioquia. El informe GED fue realizado a partir de mandatos emanados de la Corte Constitucional colombiana en aras de la superación del estado de cosas inconstitucional de la atención de la población víctima del desplazamiento. En el artículo...

  7. VIGENCIA DEL DOGMA DE LA IRRESPONSABILIDAD DEL ESTADO LEGISLADOR EN EL ESTADO CONSTITUCIONAL DE DERECHO. ENSAYANDO BASES PARA UNA TEORÍA SOBRE LA RESPONSABILIDAD PATRIMONIAL DEL ESTADO LEGISLADOR

    OpenAIRE

    J. Ignacio Núñez Leiva

    2011-01-01

    El presente trabajo contextualiza la figura de la responsabilidad patrimonial del Estado legislador en las teorías del Derecho elaboradas al amparo del constitucionalismo contemporáneo. Sugiere que la Teoría del Derecho en su estado actual configura un espacio fértil para la procedencia del instituto reparatorio por hechos dañosos del legislador.

  8. BRASIL: DE ESTADO DESENVOLVIMENTISTA A ESTADO NEOLIBERAL

    Directory of Open Access Journals (Sweden)

    Patrícia Sarorato

    2005-03-01

    Full Text Available A história básica da transformação do Estado Brasileiro, nas últimas décadas do século XX, podeser descrita a partir de um deslocamento de Estado Desenvolvimentista para o Estado Neoliberal, envolvendo aabertura da economia e as privatizações. A alternância entre os mecanismos reguladores da economia, se Estadoou Mercado, que têm norteado os papéis assumidos pelo governo brasileiro, ao longo de sua trajetória históricoeconômica,pode ser observada desde o liberalismo da Velha República (1889 – 1930, passando pelonacionalismo, protecionismo e intervencionismo presentes no Estado Novo (1930 – 1964 e na Ditadura Militar(1964 – 1984, que inclui o milagre econômico (1968 – 1973, até a germinação do projeto neoliberal a partir dadécada de 1980, quando os ditames da política monetária internacional que varriam a América Latina (FOXLEY,2002, passaram a demandar a adoção da política neoliberal no Brasil, concretizada nas privatizações da década de 1990

  9. [Abdominal pregnancy, institutional experience].

    Science.gov (United States)

    Bonfante Ramírez, E; Bolaños Ancona, R; Simón Pereyra, L; Juárez García, L; García-Benitez, C Q

    1998-07-01

    Abdominal pregnancy is a rare entity, which has been classified as primary or secondary by Studiford criteria. A retrospective study, between January 1989 and December 1994, realized at Instituto Nacional de Perinatología, found 35,080 pregnancies, from which 149 happened to be ectopic, and 6 of them were abdominal. All patients belonged to a low income society class, age between 24 and 35 years, and average of gestations in 2.6. Gestational age varied from 15 weeks to 32.2 weeks having only one delivery at term with satisfactory postnatal evolution. One patient had a recurrent abdominal pregnancy, with genital Tb as a conditional factor. Time of hospitalization varied from 4 to 5 days, and no further patient complications were reported. Fetal loss was estimated in 83.4%. Abdominal pregnancy is often the sequence of a tubarian ectopic pregnancy an when present, it has a very high maternal mortality reported in world literature, not found in this study. The stated frequency of abdominal pregnancy is from 1 of each 3372, up to 1 in every 10,200 deliveries, reporting in the study 1 abdominal pregnancy in 5846 deliveries. The study had two characteristic entities one, the recurrence and two, the delivery at term of one newborn. Abdominal pregnancy accounts for 4% of all ectopic pregnancies. Clinical findings in abdominal pregnancies are pain, transvaginal bleeding and amenorrea, being the cardinal signs of ectopic pregnancy. PMID:9737070

  10. [Abdominal compartment syndrome].

    Science.gov (United States)

    Pottecher, T; Segura, P; Launoy, A

    2001-04-01

    French physicians dealing with abdominal emergencies are not very familiar with the abdominal compartment syndrome (ACS). Increased abdominal pressure has deleterious consequences on local (intestine, liver, kidney) circulation, leading to death in the absence of correct treatment. Abdominal trauma and ruptured aortic aneurism are the main causes of ACS. Clinical presentation may be misleading: respiratory failure, oliguria or circulatory symptoms are often predominant. Abdominal palpation is inefficient for evaluating intra-abdominal pressure (IAP); only measurement of cystic pressure allows precise evaluation of IAP. Abdominal decompression is the treatment of choice. It must be performed as soon as IAP exceeds 25 mmHg. The procedure may be risky with a high incidence of severe complications when ischaemic territories are reperfused. Recent data underline the importance of compensation of hypovolemia before decompression. Abdominal closure may necessitate various techniques (aponevrotomy, Bogota bags, etc.). At any rate, IAP must remain low at the end of the procedure. In case of suspicion of ACS, early measurement of IAP is mandatory. If pressure is over 25 mmHg, a decompressive procedure must be initiated. PMID:11340703

  11. [Inflammatory abdominal aortic aneurysm].

    Science.gov (United States)

    Ziaja, K; Sedlak, L; Urbanek, T; Kostyra, J; Ludyga, T

    2000-01-01

    The reported incidence of inflammatory abdominal aortic aneurysm (IAAA) is from 2% to 14% of patients with abdominal aortic aneurysm and the etiology of this disease is still discussed--according to the literature several pathogenic theories have been proposed. From 1992 to 1997 32 patients with IAAA were operated on. The patients were mostly symptomatic--abdominal pain was present in 68.75% cases, back pain in 31.25%, fever in 12.5% and weight loss in 6.25% of the operated patients. In all the patients ultrasound examination was performed, in 4 patients CT and in 3 cases urography. All the patients were operated on and characteristic signs of inflammatory abdominal aortic aneurysm like: thickened aortic wall, perianeurysmal infiltration or retroperitoneal fibrosis with involvement of retroperitoneal structures were found. In all cases surgery was performed using transperitoneal approach; in three cases intraoperatively contiguous abdominal organs were injured, which was connected with their involvement into periaortic inflammation. In 4 cases clamping of the aorta was done at the level of the diaphragmatic hiatus. 3 patients (9.37%) died (one patient with ruptured abdominal aortic aneurysm). Authors present diagnostic procedures and the differences in the surgical tactic, emphasizing the necessity of the surgical therapy in patients with inflammatory abdominal aortic aneurysm.

  12. Abdominal tuberculosis: Imaging features

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, Jose M. [Department of Radiology, Hospital de S. Joao, Porto (Portugal)]. E-mail: jmpjesus@yahoo.com; Madureira, Antonio J. [Department of Radiology, Hospital de S. Joao, Porto (Portugal); Vieira, Alberto [Department of Radiology, Hospital de S. Joao, Porto (Portugal); Ramos, Isabel [Department of Radiology, Hospital de S. Joao, Porto (Portugal)

    2005-08-01

    Radiological findings of abdominal tuberculosis can mimic those of many different diseases. A high level of suspicion is required, especially in high-risk population. In this article, we will describe barium studies, ultrasound (US) and computed tomography (CT) findings of abdominal tuberculosis (TB), with emphasis in the latest. We will illustrate CT findings that can help in the diagnosis of abdominal tuberculosis and describe imaging features that differentiate it from other inflammatory and neoplastic diseases, particularly lymphoma and Crohn's disease. As tuberculosis can affect any organ in the abdomen, emphasis is placed to ileocecal involvement, lymphadenopathy, peritonitis and solid organ disease (liver, spleen and pancreas). A positive culture or hystologic analysis of biopsy is still required in many patients for definitive diagnosis. Learning objectives:1.To review the relevant pathophysiology of abdominal tuberculosis. 2.Illustrate CT findings that can help in the diagnosis.

  13. Abdominal Pain Syndrome

    Science.gov (United States)

    ... inspection of a drop of urine), and urine culture for bacterial infection. Stools can be analyzed for ... Hepatitis C Inflammatory Bowel Disease Irritable Bowel Syndrome Obesity Digestive Health Topics Abdominal Pain Syndrome Belching, Bloating, ...

  14. Abdominal ultrasound (image)

    Science.gov (United States)

    Abdominal ultrasound is a scanning technique used to image the interior of the abdomen. Like the X-ray, MRI, ... it has its place as a diagnostic tool. Ultrasound scans use high frequency sound waves to produce ...

  15. Imaging in Tuberculosis abdominal

    International Nuclear Information System (INIS)

    In this article we illustrate and discuss imaging features resulting from Tuberculosis abdominal affectation. We present patients evaluated with several imaging modalities who had abdominal symptoms and findings suggestive of granulomatous disease. Diagnosis was confirm including hystopatology and clinical outgoing. Cases involved presented many affected organs such as lymphatic system, peritoneum, liver, spleen, pancreas, kidneys, ureters, adrenal glands and pelvic organs Tuberculosis, Tuberculosis renal, Tuberculosis hepatic, Tuberculosis splenic Tomography, x-ray, computed

  16. El fenómeno de los rosarios públicos en España durante la época moderna. Estado actual de la cuestión (The Phenomenon of Public Rosaries in Spain During the Modern Era. Current Status of the Question

    Directory of Open Access Journals (Sweden)

    Romero Mensaque, Carlos José

    2012-12-01

    Full Text Available Resumen: Este artículo es un estado de la cuestión sobre el origen y primer desarrollo histórico del fenómeno de los Rosarios públicos o de la Aurora en España durante la época moderna, todo un acontecimiento de la religiosidad popular del Barroco. Absatract: This article is a state of the question on the origin and early development of the phenomenon of historical public Rosaries or Aurora in Spain during the modern era, an event of Baroque popular religiosity.

  17. Acepciones de la responsabilidad extracontractual del Estado

    Directory of Open Access Journals (Sweden)

    María Eugenia Soto

    2012-09-01

    Full Text Available El objetivo del artículo consiste en determinar las acepciones de la responsabilidad extracontractual del Estado previstas en la Constitución de la República Bolivariana de Venezuela de 1999. La metodología utilizada es la investigación documental, sustentada en el método analítico y la técnica del análisis de contenido. Las fuentes para la recolección de información atienden a tres ámbitos: constitucional, doctrinal y jurisprudencial. Se concluye que la responsabilidad extracontractual del Estado es un sistema de acepciones entendido como valor superior, principio general del derecho público, deber constitucional del Estado en ejercicio de cualquier función pública, derecho subjetivo público de fuerza, rango o valor constitucional, garantía constitucional perteneciente al particular o administrado,integrante de cualquier sociedad democrática y de justicia, para exigir por vía administrativa o jurisdiccional la indemnización de daños y perjuicios, materiales y morales, causados en su situación jurídica -derecho subjetivo e interés legítimo o interés jurídico actual- o en sus bienes muebles o inmuebles imputables al funcionamiento, normal o anormal, de los entes y órganos del Estado.El Tribunal Supremo de Justicia en Sala Político-Administrativa establece una doctrina jurisprudencial iuspublicista sobre las acepciones de la responsabilidad extracontractual del Estado. El calificativo iuspublicista obedece a la circunstancia de que la Constitución de la República Bolivariana de Venezuela de 1999 constituye el instrumento normativo contentivo de las determinadas acepciones o significados.

  18. Abdominal emergencies in pediatrics.

    Science.gov (United States)

    Coca Robinot, D; Liébana de Rojas, C; Aguirre Pascual, E

    2016-05-01

    Abdominal symptoms are among the most common reasons for pediatric emergency department visits, and abdominal pain is the most frequently reported symptom. Thorough history taking and physical examination can often reach the correct diagnosis. Knowing the abdominal conditions that are most common in each age group can help radiologists narrow the differential diagnosis. When imaging tests are indicated, ultrasonography is usually the first-line technique, enabling the diagnosis or adding relevant information with the well-known advantages of this technique. Nowadays, plain-film X-ray studies are reserved for cases in which perforation, bowel obstruction, or foreign body ingestion is suspected. It is also important to remember that abdominal pain can also occur secondary to basal pneumonia. CT is reserved for specific indications and in individual cases, for example, in patients with high clinical suspicion of abdominal disease and inconclusive findings at ultrasonography. We review some of the most common conditions in pediatric emergencies, the different imaging tests indicated in each case, and the imaging signs in each condition.

  19. Estimations of actual availability

    International Nuclear Information System (INIS)

    Adaptation of working environment (social, organizational, physical and physical) should assure higher level of workers availability and consequently higher level of workers performance. A special theoretical model for description of connections between environmental factors, human availability and performance was developed and validated. The central part of the model is evaluations of human actual availability in the real working situation or fitness for duties self-estimation. The model was tested in different working environments. On the numerous of 2000 workers standardized values and critical limits for Availability questionnaire were defined. Standardized method was used in identification of the most important impact of environmental factors. Identified problems were eliminated by investments in the organization in modification of selection and training procedures in humanization of working environment. For workers with behavioural and health problems individual consultancy was offered. Described method is a tool for identification of impacts. In combination with behavioural analyses and mathematical analyses of connections offers possibilities to keep adequate level of human availability and fitness for duty in each real working situation. Model should be a tool for achieving adequate level of nuclear safety by keeping the adequate level of workers availability and fitness for duty. For each individual worker possibility for estimation of level of actual fitness for duty is possible. Effects of prolonged work and additional tasks should be evaluated. Evaluations of health status effects and ageing are possible on the individual level. (author)

  20. Estimations of actual availability

    International Nuclear Information System (INIS)

    Adaptation of working environment (social, organizational, physical and physical) should assure higher level of workers' availability and consequently higher level of workers' performance. A special theoretical model for description of connections between environmental factors, human availability and performance was developed and validated. The central part of the model is evaluations of human actual availability in the real working situation or fitness for duties self-estimation. The model was tested in different working environments. On the numerous (2000) workers, standardized values and critical limits for an availability questionnaire were defined. Standardized method was used in identification of the most important impact of environmental factors. Identified problems were eliminated by investments in the organization in modification of selection and training procedures in humanization of working .environment. For workers with behavioural and health problems individual consultancy was offered. The described method is a tool for identification of impacts. In combination with behavioural analyses and mathematical analyses of connections, it offers possibilities to keep adequate level of human availability and fitness for duty in each real working situation. The model should be a tool for achieving adequate level of nuclear safety by keeping the adequate level of workers' availability and fitness for duty. For each individual worker possibility for estimation of level of actual fitness for duty is possible. Effects of prolonged work and additional tasks should be evaluated. Evaluations of health status effects and ageing are possible on the individual level. (author)

  1. Childhood abdominal cystic lymphangioma

    International Nuclear Information System (INIS)

    Background: Abdominal lymphangioma is a rare benign congenital malformation of the mesenteric and/or retroperitoneal lymphatics. Clinical presentation is variable and may be misleading; therefore, complex imaging studies are necessary in the evaluation of this condition. US and CT have a major role in the correct preoperative diagnosis and provide important information regarding location, size, adjacent organ involvement, and expected complications. Objective: To evaluate the clinical and imaging findings of seven children with proven abdominal cystic lymphangioma. Materials and methods: Clinical and imaging files of seven children with pathologically proven abdominal lymphangioma, from three university hospitals, were retrospectively evaluated. Patient's ages ranged from 1 day to 6 years (mean, 2.2 years). Symptoms and signs included evidence of inflammation, abnormal prenatal US findings, chronic abdominal pain, haemorrhage following trauma, clinical signs of intestinal obstruction, and abdominal distension with lower extremities lymphoedema. Plain films of five patients, US of six patients and CT of five patients were reviewed. Sequential imaging examinations were available in two cases. Results: Abdominal plain films showed displacement of bowel loops by a soft tissue mass in five of six patients, two of them with dilatation of small bowel loops. US revealed an abdominal multiloculated septated cystic mass in five of six cases and a single pelvic cyst in one which changed in appearance over 2 months. Ascites was present in three cases. CT demonstrated a septated cystic mass of variable sizes in all available five cases. Sequential US and CT examinations in two patients showed progressive enlargement of the masses, increase of fluid echogenicity, and thickening of walls or septa in both cases, with multiplication of septa in one case. At surgery, mesenteric lymphangioma was found in five patients and retroperitoneal lymphangioma in the other two. Conclusions: US

  2. Abdominal Dual Energy Imaging

    Science.gov (United States)

    Sommer, F. Graham; Brody, William R.; Cassel, Douglas M.; Macovski, Albert

    1981-11-01

    Dual energy scanned projection radiography of the abdomen has been performed using an experimental line-scanned radiographic system. Digital images simultaneously obtained at 85 and 135 kVp are combined, using photoelectric/Compton decomposition algorithms to create images from which selected materials are cancelled. Soft tissue cancellation images have proved most useful in various abdominal imaging applications, largely due to the elimination of obscuring high-contrast bowel gas shadows. These techniques have been successfully applied to intravenous pyelography, oral cholecystography, intravenous abdominal arteriog-raphy and the imaging of renal calculi.

  3. Childhood abdominal cystic lymphangioma

    Energy Technology Data Exchange (ETDEWEB)

    Konen, Osnat; Rathaus, Valeria; Shapiro, Myra [Department of Diagnostic Imaging, Meir General Hospital, Sapir Medical Centre, Kfar Saba (Israel); Dlugy, Elena [Department of Paediatric Surgery, Schneider Medical Centre, Sackler School of Medicine, Tel-Aviv University (Israel); Freud, Enrique [Department of Paediatric Surgery, Sapir Medical Centre, Sackler School of Medicine, Tel-Aviv University (Israel); Kessler, Ada [Department of Diagnostic Imaging, Sourasky Medical Centre, Tel-Aviv (Israel); Horev, Gadi [Department of Diagnostic Imaging, Schneider Medical Centre, Tel-Aviv (Israel)

    2002-02-01

    Background: Abdominal lymphangioma is a rare benign congenital malformation of the mesenteric and/or retroperitoneal lymphatics. Clinical presentation is variable and may be misleading; therefore, complex imaging studies are necessary in the evaluation of this condition. US and CT have a major role in the correct preoperative diagnosis and provide important information regarding location, size, adjacent organ involvement, and expected complications. Objective: To evaluate the clinical and imaging findings of seven children with proven abdominal cystic lymphangioma. Materials and methods: Clinical and imaging files of seven children with pathologically proven abdominal lymphangioma, from three university hospitals, were retrospectively evaluated. Patient's ages ranged from 1 day to 6 years (mean, 2.2 years). Symptoms and signs included evidence of inflammation, abnormal prenatal US findings, chronic abdominal pain, haemorrhage following trauma, clinical signs of intestinal obstruction, and abdominal distension with lower extremities lymphoedema. Plain films of five patients, US of six patients and CT of five patients were reviewed. Sequential imaging examinations were available in two cases. Results: Abdominal plain films showed displacement of bowel loops by a soft tissue mass in five of six patients, two of them with dilatation of small bowel loops. US revealed an abdominal multiloculated septated cystic mass in five of six cases and a single pelvic cyst in one which changed in appearance over 2 months. Ascites was present in three cases. CT demonstrated a septated cystic mass of variable sizes in all available five cases. Sequential US and CT examinations in two patients showed progressive enlargement of the masses, increase of fluid echogenicity, and thickening of walls or septa in both cases, with multiplication of septa in one case. At surgery, mesenteric lymphangioma was found in five patients and retroperitoneal lymphangioma in the other two

  4. Dolor abdominal recurrente

    Directory of Open Access Journals (Sweden)

    Rodrigo De Vivero

    2005-06-01

    Full Text Available Recurrent abdominal pain, is a common pediatric problem encountered by primary care physicians, medical subspecialists and surgical specialists. Chronic abdominal pain in children is usually functional-that is, without objective evidence of an underlying organic disorder. The presence of weight loss, gastrointestinal bleeding, persistent fever, chronic severe diarrhea and significant vomiting is associated with a higher prevalence of organic disease. In this article, it examined the diagnostic and therapeutic value of a medical and psychologic history, diagnostic tests, and pharmacological and behavioral therapy.

  5. ESTADO ACTUAL DE LOS DERECHOS A LA IDENTIDAD, A LA VIDA Y LA VIVIENDA EN LA POBLACIÓN EN VÍCTIMA DEL DESPLAZAMIENTO FORZADO EN ANTIOQUIA.(CURRENT STATE OF THE RIGHTS TO IDENTITY, TO LIFE, AND TO HOUSING, IN THE POPULATION VICTIM OF FORCED DISPLACEMENT IN ANTIOQUIA

    Directory of Open Access Journals (Sweden)

    NICOLAS ESPINOSA MENDEZ

    2011-12-01

    Full Text Available El siguiente artículo es un informe de investigación que expone el diseño metodológico de una serie de indicadores que permiten establecer el estado del Goce Efectivo de Derechos (GED de la población en situación de desplazamiento en el departamento de Antioquia. El informe GED fue realizado a partir de mandatos emanados de la Corte Constitucional colombiana en aras de la superación del estado de cosas inconstitucional de la atención de la población víctima del desplazamiento. En el artículo, el segundo de una serie de cuatro entregas, se expondrá tanto el diseño como la medición de tres indicadores: derecho a la vida, derecho a una vivienda digna y derecho a la identidad de la población estudiada. Abstract:The following article is a research report that exposes the methodological design in a series of indicators that allow you to set the state of the Effective Enjoyment of Rights (EER of the population in situation of displacement in the State of Antioquia. The EER report was made from mandates arising from the Colombian Constitutional Court in the interest of the overcoming of the unconstitutional state of affairs for the attention of the population victim of displacement. In the article, the second in a series of four issues, both the design and the measurement of three indicators will be exposed: right to life, the right to decent housing, and right to identity of the studied population.

  6. Adult abdominal hernias.

    LENUS (Irish Health Repository)

    Murphy, Kevin P

    2014-06-01

    Educational Objectives and Key Points. 1. Given that abdominal hernias are a frequent imaging finding, radiologists not only are required to interpret the appearances of abdominal hernias but also should be comfortable with identifying associated complications and postrepair findings. 2. CT is the imaging modality of choice for the assessment of a known adult abdominal hernia in both elective and acute circumstances because of rapid acquisition, capability of multiplanar reconstruction, good spatial resolution, and anatomic depiction with excellent sensitivity for most complications. 3. Ultrasound is useful for adult groin assessment and is the imaging modality of choice for pediatric abdominal wall hernia assessment, whereas MRI is beneficial when there is reasonable concern that a patient\\'s symptoms could be attributable to a hernia or a musculoskeletal source. 4. Fluoroscopic herniography is a sensitive radiologic investigation for patients with groin pain in whom a hernia is suspected but in whom a hernia cannot be identified at physical examination. 5. The diagnosis of an internal hernia not only is a challenging clinical diagnosis but also can be difficult to diagnose with imaging: Closed-loop small-bowel obstruction and abnormally located bowel loops relative to normally located small bowel or colon should prompt assessment for an internal hernia.

  7. Physicians' Abdominal Auscultation

    DEFF Research Database (Denmark)

    John, Gade; Peter, Kruse; Andersen, Ole Trier;

    1998-01-01

    Background: Abdominal auscultation has an important position in the physical examination of the abdomen. Little is known about rater agreement. The aim of this study was to describe rater agreement and thus, indirectly, the value of the examination. Methods: In a semi-virtual setup 12 recordings...

  8. Children's (Pediatric) Abdominal Ultrasound Imaging

    Medline Plus

    Full Text Available ... Resources Professions Site Index A-Z Children's (Pediatric) Ultrasound - Abdomen Children’s (pediatric) ultrasound imaging of the abdomen ... limitations of Abdominal Ultrasound Imaging? What is Abdominal Ultrasound Imaging? Ultrasound is safe and painless, and produces ...

  9. VIGENCIA DEL DOGMA DE LA IRRESPONSABILIDAD DEL ESTADO LEGISLADOR EN EL ESTADO CONSTITUCIONAL DE DERECHO. ENSAYANDO BASES PARA UNA TEORÍA SOBRE LA RESPONSABILIDAD PATRIMONIAL DEL ESTADO LEGISLADOR

    Directory of Open Access Journals (Sweden)

    J. Ignacio Núñez Leiva

    2011-01-01

    Full Text Available El presente trabajo contextualiza la figura de la responsabilidad patrimonial del Estado legislador en las teorías del Derecho elaboradas al amparo del constitucionalismo contemporáneo. Sugiere que la Teoría del Derecho en su estado actual configura un espacio fértil para la procedencia del instituto reparatorio por hechos dañosos del legislador.

  10. Value of abdominal CT in the emergency department for patients with abdominal pain

    International Nuclear Information System (INIS)

    The purpose of our study is to demonstrate the value of CT in the emergency department (ED) for patients with non-traumatic abdominal pain. Between August 1998 and April 1999, 536 consecutive patients with non-traumatic abdominal pain were entered into our study. Using a computer order entry system, physicians were asked to identify: (a) their most likely diagnosis; (b) their level of certainty in their diagnosis; (c) if they thought CT would be normal or abnormal; (d) their treatment plan (prior to knowledge of the CT results); and (e) their role in deciding to order CT. This information was correlated with each patient's post-CT diagnosis and subsequent management. Pre- and post-CT diagnoses were concordant in 200 of 536 (37%) patients. The physicians' certainty in the accuracy of their pre-CT diagnosis was less than high in 88% of patients. Prior to CT, the management plan included hospital admission for 402 patients. Following CT, only 312 patients were actually admitted; thus, the net impact of performing CT was to obviate the need for hospital admission in 90 of 536 (17%) of patients with abdominal pain. Prior to CT, 67 of 536 (13%) of all patients would have undergone immediate surgery; however, following CT only 25 (5%) actually required immediate surgery. Among patients with the four most common pre-CT diagnoses (appendicitis, abscess, diverticulitis, and urinary tract stones) CT had the greatest impact on hospital admission and surgical management for patients with suspected appendicitis. For patients with suspected appendicitis, CT reduced the hospital admission rate in 28% (26 of 91) of patients and changed the surgical management in 40% (39 of 91) of patients. Our study demonstrates the advantage of performing abdominal CT in the ED for patients with non-traumatic abdominal pain. (orig.)

  11. Component separation in abdominal trauma.

    Science.gov (United States)

    Rawstorne, Edward; Smart, Christopher J; Fallis, Simon A; Suggett, Nigel

    2014-01-01

    Component separation is established for complex hernia repairs. This case presents early component separation and release of the anterior and posterior sheath to facilitate closure of the abdominal wall following emergency laparotomy, reinforcing the repair with a biological mesh. On Day 11 following an emergency laparotomy for penetrating trauma, this patient underwent component separation and release of the anterior and posterior sheath. An intra-abdominal biological mesh was secured, and the fascia and skin closed successfully. Primary abdominal closure can be achieved in patients with penetrating abdominal trauma with the use of component separation and insertion of intra-abdominal biological mesh, where standard closure is not possible. PMID:24876334

  12. Obesity-Associated Abdominal Elephantiasis

    Directory of Open Access Journals (Sweden)

    Ritesh Kohli

    2013-01-01

    Full Text Available Abdominal elephantiasis is a rare entity. Abdominal elephantiasis is an uncommon, but deformative and progressive cutaneous disease caused by chronic lymphedema and recurrent streptococcal or Staphylococcus infections of the abdominal wall. We present 3 cases of patients with morbid obesity who presented to our hospital with abdominal wall swelling, thickening, erythema, and pain. The abdominal wall and legs were edematous, with cobblestone-like, thickened, hyperpigmented, and fissured plaques on the abdomen. Two patients had localised areas of skin erythema, tenderness, and increased warmth. There was purulent drainage from the abdominal wall in one patient. They were managed with antibiotics with some initial improvement. Meticulous skin care and local keratolytic treatment for the lesions were initiated with limited success due to their late presentation. All three patients refused surgical therapy. Conclusion. Early diagnosis is important for the treatment of abdominal elephantiasis and prevention of complications.

  13. The abdominal circulatory pump.

    Directory of Open Access Journals (Sweden)

    Andrea Aliverti

    Full Text Available Blood in the splanchnic vasculature can be transferred to the extremities. We quantified such blood shifts in normal subjects by measuring trunk volume by optoelectronic plethysmography, simultaneously with changes in body volume by whole body plethysmography during contractions of the diaphragm and abdominal muscles. Trunk volume changes with blood shifts, but body volume does not so that the blood volume shifted between trunk and extremities (Vbs is the difference between changes in trunk and body volume. This is so because both trunk and body volume change identically with breathing and gas expansion or compression. During tidal breathing Vbs was 50-75 ml with an ejection fraction of 4-6% and an output of 750-1500 ml/min. Step increases in abdominal pressure resulted in rapid emptying presumably from the liver with a time constant of 0.61+/-0.1SE sec. followed by slower flow from non-hepatic viscera. The filling time constant was 0.57+/-0.09SE sec. Splanchnic emptying shifted up to 650 ml blood. With emptying, the increased hepatic vein flow increases the blood pressure at its entry into the inferior vena cava (IVC and abolishes the pressure gradient producing flow between the femoral vein and the IVC inducing blood pooling in the legs. The findings are important for exercise because the larger the Vbs the greater the perfusion of locomotor muscles. During asystolic cardiac arrest we calculate that appropriate timing of abdominal compression could produce an output of 6 L/min. so that the abdominal circulatory pump might act as an auxiliary heart.

  14. The Abdominal Circulatory Pump

    OpenAIRE

    Andrea Aliverti; Dario Bovio; Irene Fullin; Dellacà, Raffaele L.; Antonella Lo Mauro; Antonio Pedotti; Macklem, Peter T.

    2009-01-01

    Blood in the splanchnic vasculature can be transferred to the extremities. We quantified such blood shifts in normal subjects by measuring trunk volume by optoelectronic plethysmography, simultaneously with changes in body volume by whole body plethysmography during contractions of the diaphragm and abdominal muscles. Trunk volume changes with blood shifts, but body volume does not so that the blood volume shifted between trunk and extremities (Vbs) is the difference between changes in trunk ...

  15. Abdominal Radical Trachelectomy

    OpenAIRE

    Căpîlna, Mihai Emil; Ioanid, Nicolae; Scripcariu, Viorel; Gavrilescu, Madalina Mihaela; Szabo, Bela

    2014-01-01

    Objective Abdominal radical trachelectomy (ART) is one of the fertility-sparing procedures in women with early-stage cervical cancer. The published results of ART, in comparison with vaginal radical trachelectomy, so far are limited. Materials and Methods This retrospective study comprises all cases of female patients referred to ART with early-stage cervical cancer from 2 gynecologic oncology centers in Romania. Results A total of 29 women were referred for ART, but subsequently, fertility c...

  16. Abdominal aspergillosis: CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Yeom, Suk Keu, E-mail: pagoda20@hanmail.net [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Kim, Hye Jin, E-mail: kimhyejin@amc.seoul.kr [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Byun, Jae Ho, E-mail: jhbyun@amc.seoul.kr [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Kim, Ah Young, E-mail: aykim@amc.seoul.kr [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Lee, Moon-Gyu, E-mail: mglee@amc.seoul.kr [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Ha, Hyun Kwon, E-mail: hkha@amc.seoul.kr [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of)

    2011-03-15

    Objective: In order to retrospectively evaluate the CT findings of abdominal aspergillosis in immunocompromised patients. Materials and methods: CT scans were reviewed with regard to the sites, number, morphologic appearance, attenuation, and the contrast enhancement patterns of the lesions in six patients (5 women, 1 man; mean age, 43.4 years; range, 23-59 years) with pathologically proved abdominal aspergillosis by two gastrointestinal radiologists in consensus. Medical records were also reviewed to determine each patient's clinical status and outcome. Results: All patients were immunocompromised state: 4 patients received immunosuppressive therapy for solid organ transplantation and 2 patients received chemotherapy for acute myeloid leukemia. Aspergillosis involved blood vessels (n = 3), liver (n = 2), spleen (n = 2), gastrointestinal tract (n = 2), native kidney (n = 1), transplanted kidney (n = 1), peritoneum (n = 1), and retroperitoneum (n = 1). CT demonstrated solid organ or bowel infarction or perforation secondary to vascular thrombosis or pseudoaneurysm, multiple low-attenuating lesions of solid organs presenting as abscesses, concentric bowel wall thickening mimicking typhlitis, or diffuse or nodular infiltration of the peritoneum and retroperitoneum. Conclusion: Familiarity with findings commonly presenting as angioinvasive features or abscesses on CT, may facilitate the diagnosis of rare and fatal abdominal aspergillosis.

  17. Abdominal aspergillosis: CT findings

    International Nuclear Information System (INIS)

    Objective: In order to retrospectively evaluate the CT findings of abdominal aspergillosis in immunocompromised patients. Materials and methods: CT scans were reviewed with regard to the sites, number, morphologic appearance, attenuation, and the contrast enhancement patterns of the lesions in six patients (5 women, 1 man; mean age, 43.4 years; range, 23-59 years) with pathologically proved abdominal aspergillosis by two gastrointestinal radiologists in consensus. Medical records were also reviewed to determine each patient's clinical status and outcome. Results: All patients were immunocompromised state: 4 patients received immunosuppressive therapy for solid organ transplantation and 2 patients received chemotherapy for acute myeloid leukemia. Aspergillosis involved blood vessels (n = 3), liver (n = 2), spleen (n = 2), gastrointestinal tract (n = 2), native kidney (n = 1), transplanted kidney (n = 1), peritoneum (n = 1), and retroperitoneum (n = 1). CT demonstrated solid organ or bowel infarction or perforation secondary to vascular thrombosis or pseudoaneurysm, multiple low-attenuating lesions of solid organs presenting as abscesses, concentric bowel wall thickening mimicking typhlitis, or diffuse or nodular infiltration of the peritoneum and retroperitoneum. Conclusion: Familiarity with findings commonly presenting as angioinvasive features or abscesses on CT, may facilitate the diagnosis of rare and fatal abdominal aspergillosis.

  18. A volta do Estado

    Directory of Open Access Journals (Sweden)

    Henrique Rattner

    2010-10-01

    Full Text Available Após um quarto de século de reino absoluto do neoliberalismo, exaltando as virtudes do “mercado”, do livre comércio e da mobilidade irrestrita do capital que levaram à globalização celebrada no “Consenso de Washington” (1982 e qualificada por Francis Fukuyama como “O fim da História”, eis que a presença do Estado na economia está sendo exigida e até implorada por governos e empresas em todas as latitudes. O economista alemão, Georg Friedrich List (1789 – 1846 foi o precursor de uma corrente no pensamento econômico, defendendo o protecionismo pelo Estado de indústrias nascentes, sem condições de conter a concorrência de empresas estrangeiras. Sua obra inspirou os teóricos do desenvolvimento até o século XX e foi a mais traduzida com exceção dos livros de Karl Marx. 

  19. [Differential diagnosis of abdominal pain].

    Science.gov (United States)

    Frei, Pascal

    2015-09-01

    Despite the frequency of functional abdominal pain, potentially dangerous causes of abdominal pain need to be excluded. Medical history and clinical examination must focus on red flags and signs for imflammatory or malignant diseases. See the patient twice in the case of severe and acute abdominal pain if lab parameters or radiological examinations are normal. Avoid repeated and useless X-ray exposure whenever possible. In the case of subacute or chronic abdominal pain, lab tests such as fecal calprotectin, helicobacter stool antigen and serological tests for celiac disease are very useful. Elderly patients may show atypical or missing clinical signs. Take care of red herrings and be skeptical whether your initial diagnosis is really correct. Abdominal pain can frequently be an abdominal wall pain. PMID:26331201

  20. Abdominal aortic aneurysm surgery

    DEFF Research Database (Denmark)

    Gefke, K; Schroeder, T V; Thisted, B;

    1994-01-01

    The goal of this study was to identify patients who need longer care in the ICU (more than 48 hours) following abdominal aortic aneurysm (AAA) surgery and to evaluate the influence of perioperative complications on short- and long-term survival and quality of life. AAA surgery was performed in 553......, 78% stated that their quality of life had improved or was unchanged after surgery and had resumed working. These data justify a therapeutically aggressive approach, including ICU therapy following AAA surgery, despite failure of one or more organ systems....

  1. Dolor abdominal recurrente .

    Directory of Open Access Journals (Sweden)

    Rodrigo De Vivero

    2009-11-01

    Full Text Available El dolor abdominal recurrente (DAR es un problema frecuente en la consulta médica y en la subespecialidad médica y quirúrgica. El DAR es frecuentemente funcional, es decir, sin una causa orgánica aparente. El diagnóstico diferencial debe incluir pérdida de peso, sangrado gastrointestinal, fiebre persistente, diarrea crónica y vómito importante. En este artículo se revisa el diagnóstico y tratamiento, pruebas diagnósticas y manejo farmacológico y ambiental.

  2. Estado de Derecho y Administración Pública

    Directory of Open Access Journals (Sweden)

    Mariella Saettone Montero

    2014-02-01

    Full Text Available En el presente trabajo nos proponemos reflexionar sobre las características y los cambios actuales en el Estado de Derecho y su proyección en la Administración pública que responde a ese modelo de Estado.En efecto, distintos factores tales como la globalización, la revolución tecnológica e informática han incidido no sólo en el medio social sino también en el ámbito estatal, especialmente en el desarrollo de las distintas funciones estatales.Por otra parte ha variado sustancialmente la relación Estado – Sociedad, pudiendo apreciarse en términos generales, una sociedad que cada vez exige más transparencia y rendición de cuentas a la gestión pública.Y es que, de acuerdo al orden jurídico interno y en especial al desarrollo del derecho internacionalde los derechos humanos, el Estado de Derecho se ubica en una posición más garantista en relación a los derechos de la persona humana, lo que define una identidad propia de la Administración pública de este modelo de Estado.

  3. México-Estados Unidos: Frontera eficiente, pero no abierta

    Directory of Open Access Journals (Sweden)

    Gustavo Ernesto Emmerich

    2003-01-01

    Full Text Available En marzo de 2002, México y Estados Unidos acordaron avanzar hacia una frontera eficiente entre ambos países. Si bien responde al objetivo bilateral compartido de acelerar el tránsito legal de personas y bienes a través de la línea fronteriza, esta iniciativa se acerca más a la frontera segura demandada por Estados Unidos que a la frontera abierta sugerida por México. Este artículo concluye que: a aunque habrá un mayor bilateralismo en su manejo, b la frontera eficiente atenderá esencialmente a las necesidades de seguridad de Estados Unidos, y c continuará dividiendo –más que uniendo– a México y Estados Unidos, especialmente en lo que toca al tránsito de trabajadores no autorizados. Tal conclusión se fundamenta en un análisis de la coyuntura política bilateral posterior al 11 de septiembre de 2001, basado en el examen de la situación actual en la frontera, la revisión de documentos y de declaraciones gubernamentales de ambos países, y la comparación con un acuerdo similar suscrito anteriormente entre Estados Unidos y Canadá.

  4. Clinical and CT imaging features of abdominal fat necrosis

    International Nuclear Information System (INIS)

    Fat necrosis is a common pathological change at abdominal cross-sectional imaging, and it may cause abdominal pain, mimic pathological change of acute abdomen, or be asymptomatic and accompany other pathophysiologic processes. Fat necrosis is actually the result of steatosis by metabolism or mechanical injury. Common processes that are present in fat necrosis include epiploic appendagitis, infarction of the greater omentum, pancreatitis, and fat necrosis related to trauma or ischemia. As a common fat disease, fat necrosis should be known by clinicians and radiologists. Main content of this text is the clinical symptoms and CT findings of belly fat necrosis and related diseases. (authors)

  5. Hypnosis for functional abdominal pain.

    Science.gov (United States)

    Gottsegen, David

    2011-07-01

    Chronic abdominal pain is a common pediatric condition affecting 20% of the pediatric population worldwide. Most children with this disorder are found to have no specific organic etiology and are given the diagnosis of functional abdominal pain. Well-designed clinical trials have found hypnotherapy and guided imagery to be the most efficacious treatments for this condition. Hypnotic techniques used for other somatic symptoms are easily adaptable for use with functional abdominal pain. The author discusses 2 contrasting hypnotic approaches to functional abdominal pain and provides implications for further research. These approaches may provide new insights into this common and complex disorder. PMID:21922712

  6. Children's (Pediatric) Abdominal Ultrasound Imaging

    Medline Plus

    Full Text Available ... through blood vessels. Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions. Children's (pediatric) abdominal ultrasound imaging produces pictures ...

  7. Practical pediatric abdominal CT

    International Nuclear Information System (INIS)

    This course is designed to help the radiologist in a hospital setting successfully approach abdominal CT in the infant and child. Emphasis is placed on techniques necessary for a high-quality examination of the upper abdomen, as applied to common pediatric problems such as trauma, tumor, and infection. Material is presented on technical considerations, including patient sedation, preparation, and potential pitfalls and helpful hints for imaging. An emphasis is placed on dynamic scanning with table incrementation. The section on trauma focuses on an approach to imaging the abdomen in the injured child, typical injuries, patterns of injury in the upper abdomen, and why CT is the best imaging modality for blunt upper abdominal trauma. The discussion of tumor imaging reviews the appearance of typical childhood neoplasia including Wilms tumor, neuroblastoma, non-Hodgkin and Burkitt lymphoma, and disseminated solid tumors such as rhabdomyosarcoma. The authors emphasize what to look for and where, both on initial and on later (for recurrences) examinations. The discussion of infection addresses detection of abscesses and occult infections in children, as well as imaging of abscesses prior to intervention

  8. LA CRISIS FINANCIERA EN ESTADOS UNIDOS Y SUS CONSECUENCIAS INTERNACIONALES

    Directory of Open Access Journals (Sweden)

    Alejandro Dabat

    2009-01-01

    Full Text Available El presente artículo considera la crisis internacional basada en el sistema financiero estadounidense desde una perspectiva analítica que trata de unir tres aspectos íntimamente ligados en la generación y el desenlace de la misma, 1 La naturaleza de la crisis situada esencialmente en el sistema financiero de Estados Unidos, su relación con la especulación inmobiliaria y sus consecuencias internacionales, 2 El deterioro preexistente de la competitividad sistémica y la hegemonía de Estados Unidos desde comienzos del siglo actual, y 3 Los cambios neoeconómicos y geopolíticos mundiales de los últimos que determinan el actual reordenamiento del contexto internacional. En ese sentido, trata de unir los aspectos financieros, tecnoeconómicos y sociopolíticos de la crisis con la naturaleza de los grandes cambios mundiales que la misma implica.

  9. Nontraumatic abdominal emergencies: acute abdominal pain: diagnostic strategies

    Energy Technology Data Exchange (ETDEWEB)

    Marincek, B. [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland)

    2002-09-01

    Common causes of acute abdominal pain include appendicitis, cholecystitis, bowel obstruction, urinary colic, perforated peptic ulcer, pancreatitis, diverticulitis, and nonspecific, nonsurgical abdominal pain. The topographic classification of acute abdominal pain (pain in one of the four abdominal quadrants, diffuse abdominal pain, flank or epigastric pain) facilitates the choice of the imaging technique. The initial radiological evaluation often consists of plain abdominal radiography, despite significant diagnostic limitations. The traditional indications for plain films - bowel obstruction, pneumoperitoneum, and the search of ureteral calculi - are questioned by helical computed tomography (CT). Although ultrasonography (US) is in many centers the modality of choice for imaging the gallbladder and the pelvis in children and women of reproductive age, CT is considered to be one of the most valued tools for triaging patients with acute abdominal pain. CT is particularly beneficial in patients with marked obesity, unclear US findings, bowel obstruction, and multiple lesions. The introduction of multidetector row CT (MDCT) has further enhanced the utility of CT in imaging patients with acute abdominal pain. (orig.)

  10. del estado de Coahuila

    Directory of Open Access Journals (Sweden)

    Jana Petrzelová Mazacová

    2006-01-01

    Full Text Available En virtud del alarmante aumento de suicidios en la región sureste del estado de Coahuila (México durante los años 2002 y 2003, se realizó un estudio para encontrar algunos denominadores comunes como causas de este fenómeno. Dicho estudio constó de dos fases: en la primera se contextualizó el problema y se obtuvieron datos epidemiológicos; la segunda consistió en realizar entrevistas a profundidad para establecer necropsias psicológicas a través de las historias de vida de los suicidas. Como resultado, se plantea un modelo de constantes a ser atendidas.

  11. Estado constitucional y argumentación jurídica en sede legislativa

    OpenAIRE

    Suárez Romero, Miguel Ángel

    2013-01-01

    Este trabajo da cuenta de las características esenciales del concepto de Estado de Derecho y también de su evolución que lo transforma en Estado Constitucional. A partir de aquí, se vincula al Estado Constitucional con las actuales Teorías de la Argumentación Jurídica, destacando la relevancia de estas últimas en los procesos de creación e interpretación jurídicas. Sin desdeñar la importancia de la función jurisdiccional que racionalmente dota de significado a las normas esenciales d...

  12. Igrejas e Estado

    Directory of Open Access Journals (Sweden)

    Olivier Abel

    2012-01-01

    Full Text Available Este estudo tem por objetivo comparar o longo período de turbulência religiosa que marca o início da modernidade, envolvendo a Reforma e a Contrarreforma, com o período atual, em que a relação entre política e religião vem se redefinindo de outra maneira. Vemos que os maiores pensadores da filosofia política moderna, de Maquiavel e Calvino a Hob­bes e Milton, e de Spinoza e Bayle a Rousseau, tiveram de decidir sobre as relações entre o teológico e o político. Examinamos, também, os diferentes 'regimes' teológico-políticos expostos por Rousseau no final de seu Contrato Social (1762, comparando-os com os diferentes regimes que relacionam Igreja e Estado formulados pelo teólogo da resistência ao nazismo, Karl Barth, em texto de 1937.

  13. Penetrating abdominal trauma.

    Science.gov (United States)

    Henneman, P L

    1989-08-01

    The management of patients with penetrating abdominal trauma is outlined in Figure 1. Patients with hemodynamic instability, evisceration, significant gastrointestinal bleeding, peritoneal signs, gunshot wounds with peritoneal violation, and type 2 and 3 shotgun wounds should undergo emergency laparotomy. The initial ED management of these patients includes airway management, monitoring of cardiac rhythm and vital signs, history, physical examination, and placement of intravenous lines. Blood should be obtained for initial hematocrit, type and cross-matching, electrolytes, and an alcohol level or drug screen as needed. Initial resuscitation should utilize crystalloid fluid replacement. If more than 2 liters of crystalloid are needed to stabilize an adult (less in a child), blood should be given. Group O Rh-negative packed red blood cells should be immediately available for a patient in impending arrest or massive hemorrhage. Type-specific blood should be available within 15 minutes. A patient with penetrating thoracic and high abdominal trauma should receive a portable chest x-ray, and a hemo- or pneumothorax should be treated with tube thoracostomy. An unstable patient with clinical signs consistent with a pneumothorax, however, should receive a tube thoracostomy prior to obtaining roentgenographic confirmation. If time permits, a nasogastric tube and Foley catheter should be placed, and the urine evaluated for blood (these procedures can be performed in the operating room). If kidney involvement is suspected because of hematuria or penetrating trauma in the area of a kidney or ureter in a patient requiring surgery, a single-shot IVP should be performed either in the ED or the operating room. An ECG is important in patients with possible cardiac involvement and in patients over the age of 40 going to the operating room. Tetanus status should be updated, and appropriate antibiotics covering bowel flora should be given. Operative management should rarely be delayed

  14. Economics of abdominal wall reconstruction.

    Science.gov (United States)

    Bower, Curtis; Roth, J Scott

    2013-10-01

    The economic aspects of abdominal wall reconstruction are frequently overlooked, although understandings of the financial implications are essential in providing cost-efficient health care. Ventral hernia repairs are frequently performed surgical procedures with significant economic ramifications for employers, insurers, providers, and patients because of the volume of procedures, complication rates, the significant rate of recurrence, and escalating costs. Because biological mesh materials add significant expense to the costs of treating complex abdominal wall hernias, the role of such costly materials needs to be better defined to ensure the most cost-efficient and effective treatments for ventral abdominal wall hernias. PMID:24035086

  15. Micromanaging Abdominal Aortic Aneurysms

    Directory of Open Access Journals (Sweden)

    Lars Maegdefessel

    2013-07-01

    Full Text Available The contribution of abdominal aortic aneurysm (AAA disease to human morbidity and mortality has increased in the aging, industrialized world. In response, extraordinary efforts have been launched to determine the molecular and pathophysiological characteristics of the diseased aorta. This work aims to develop novel diagnostic and therapeutic strategies to limit AAA expansion and, ultimately, rupture. Contributions from multiple research groups have uncovered a complex transcriptional and post-transcriptional regulatory milieu, which is believed to be essential for maintaining aortic vascular homeostasis. Recently, novel small noncoding RNAs, called microRNAs, have been identified as important transcriptional and post-transcriptional inhibitors of gene expression. MicroRNAs are thought to “fine tune” the translational output of their target messenger RNAs (mRNAs by promoting mRNA degradation or inhibiting translation. With the discovery that microRNAs act as powerful regulators in the context of a wide variety of diseases, it is only logical that microRNAs be thoroughly explored as potential therapeutic entities. This current review summarizes interesting findings regarding the intriguing roles and benefits of microRNA expression modulation during AAA initiation and propagation. These studies utilize disease-relevant murine models, as well as human tissue from patients undergoing surgical aortic aneurysm repair. Furthermore, we critically examine future therapeutic strategies with regard to their clinical and translational feasibility.

  16. Abdominal aortic feminism.

    Science.gov (United States)

    Mortimer, Alice Emily

    2014-01-01

    A 79-year-old woman presented to a private medical practice 2 years previously for an elective ultrasound screening scan. This imaging provided the evidence for a diagnosis of an abdominal aortic aneurysm (AAA) to be made. Despite having a number of recognised risk factors for an AAA, her general practitioner at the time did not follow the guidance set out by the private medical professional, that is, to refer the patient to a vascular specialist to be entered into a surveillance programme and surgically evaluated. The patient became symptomatic with her AAA, was admitted to hospital and found to have a tender, symptomatic, 6 cm leaking AAA. She consented for an emergency open AAA repair within a few hours of being admitted to hospital, despite the 50% perioperative mortality risk. The patient spent 4 days in intensive care where she recovered well. She was discharged after a 12 day hospital stay but unfortunately passed away shortly after her discharge from a previously undiagnosed gastric cancer.

  17. reforma del estado

    Directory of Open Access Journals (Sweden)

    Carlos Rodríguez Wallenius

    2008-01-01

    Full Text Available Desde las preocupaciones ciudadanas, el municipio mexicano en las condiciones actuales ha demostrado ser un espacio que está estructuralmente limitado, con pocos recursos y atribuciones, permeado por una cultura política partidista que recicla formas tradicionales de ejercer el poder. Para promover cambios en el ámbito municipal, varias organizaciones de la sociedad civil han propuesto una reforma municipal a partir de la elaboración de agendas ciudadanas que impulsen el desarrollo y la democratización de los espacios locales

  18. [ENDOVASCULAR ABDOMINAL AORTIC ANEURISM REPAIR].

    Science.gov (United States)

    Maĭstrenko, D N; Generalov, M I; Tarazov, P G; Zherebtsov, F K; Osovskikh, V V; Ivanov, A S; Oleshchuk, A N; Granov, D A

    2015-01-01

    The authors analyzed the single-center experience of treatment of 72 patients with abdominal aortic aneurisms and severe accompanied pathology. The aneurisms were repaired by stent-grafts. All the patients had abdominal aortic aneurisms with the diameters from 41 to 84 mm against the background of severe somatic pathology. It was a contraindication to planned open surgery. An installation of stent-graft was successful in all 72 follow-ups. It wasn't necessary to use a conversion to open surgery. The follow-up period consisted of 44,6?2,1 months. Control ultrasound and computer tomography studies hadn't revealed an increase of aneurism sack sizes or "eakages". A reduction of abdominal aortic aneurism sizes was noted in 37 patients on 4-5% during first year after operation. The stent-graft implantation extends the possibilities of abdominal aortic aneurism treatment for patients from a high surgical risk group. PMID:26234059

  19. Intra-abdominal tuberculous peritonitis

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, G.; Ahlhelm, F.; Altmeyer, K.; Kramann, B. [Dept. of Diagnostic Radiology, University Hospital, Homburg (Germany); Hennes, P. [Dept. of Pediatrics, University Hospital, Homburg (Germany); Pueschel, W. [Dept. of Pathology, University Hospital, Homburg (Germany); Karadiakos, N. [Dept. of Pediatric Surgery, University Hospital, Homburg (Germany)

    2001-07-01

    We report the case of a 15-year-old boy suffering from progressive dyspnea on exertion and painful abdominal protrusion. Final diagnosis of intra-abdominal tuberculosis (TB), including lymphadenopathy and abdominal abscess formation, was made following elective laparotomy. This type of disease is a rare manifestation of extrapulmonary tuberculosis. The imaging findings in unenhanced and contrast-enhanced MRI and laparoscopic images are presented. Differential diagnosis of abdominal abscess formation and other fungal or bacteriological infections, as well as the imaging findings of this type of lesion, are discussed. This case demonstrates that atypical manifestation of TB may remain unrecognized; thus, awareness of this kind of manifestation of tuberculosis may prevent patients from being subjected to inappropriate therapies. (orig.)

  20. JAMA Patient Page: Abdominal Hernia

    Science.gov (United States)

    ... an operation. Umbilical hernia Abdominal wall Intestinal loop Peritoneum Skin Peritoneum Umbilical annulus SYMPTOMS The first symptom of a ... vomiting, or constipation. Inguinal hernia Indirect inguinal hernia Peritoneum Deep inguinal ring Inguinal canal Superficial inguinal ring ...

  1. Children's (Pediatric) Abdominal Ultrasound Imaging

    Medline Plus

    Full Text Available ... technique that allows the physician to see and evaluate blood flow through arteries and veins in the ... the procedure? Abdominal ultrasound imaging is performed to evaluate the: appendix stomach/ pylorus liver gallbladder spleen pancreas ...

  2. Updates on abdominal desmoid tumors

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Desmoid tumor is a monoclonal, fibroblastic proliferation arising in musculoaponeurotic structures. This connective tissue hyperplasia infiltrates locally, recurs frequentiy after resection but does not metastasize. Abdominal desmoid occurs sporadically, in association with some familial syndromes and often represents a clinical dilemma for surgeons. The enigmatic biology and anatomical location of abdominal desmoids make treatment recommendations difficult. This distinct pathological entity is reviewed with a specific focus on aetiology and management.

  3. Component separation in abdominal trauma

    OpenAIRE

    Rawstorne, Edward; Smart, Christopher J.; Fallis, Simon A.; Suggett, Nigel

    2014-01-01

    Component separation is established for complex hernia repairs. This case presents early component separation and release of the anterior and posterior sheath to facilitate closure of the abdominal wall following emergency laparotomy, reinforcing the repair with a biological mesh. On Day 11 following an emergency laparotomy for penetrating trauma, this patient underwent component separation and release of the anterior and posterior sheath. An intra-abdominal biological mesh was secured, and t...

  4. Imaging of gastrointestinal and abdominal tuberculosis

    NARCIS (Netherlands)

    Vanhoenacker, FM; De Backer, AI; Op de Beeck, B; Maes, M; Van Altena, R; Van Beckevoort, D; Kersemans, P; De Schepper, AM

    2004-01-01

    This article discusses the range of manifestations of tuberculosis (TB) of the abdomen, including involvement of the gastrointestinal tract, the peritoneum, mesentery, omentum, abdominal lymph nodes, solid abdominal organs, the genital system and the abdominal aorta. Abdominal TB is a diagnostic cha

  5. Linguistic Theory and Actual Language.

    Science.gov (United States)

    Segerdahl, Par

    1995-01-01

    Examines Noam Chomsky's (1957) discussion of "grammaticalness" and the role of linguistics in the "correct" way of speaking and writing. It is argued that the concern of linguistics with the tools of grammar has resulted in confusion, with the tools becoming mixed up with the actual language, thereby becoming the central element in a metaphysical…

  6. El Observatorio Gemini - Status actual

    Science.gov (United States)

    Levato, H.

    Se hace una breve descripción de la situación actual del Observatorio Gemini y de las últimas decisiones del Board para incrementar la eficiencia operativa. Se hace también una breve referencia al uso argentino del observatorio.

  7. del Estado venezolano

    Directory of Open Access Journals (Sweden)

    Irma Salcedo

    2006-01-01

    Full Text Available Este trabajo tiene como finalidad identificar los factores de la cultura organizacional que facilitan la implantación del sistema de gestión de la calidad en una empresa básica del Estado venezolano. Para ello se realizó una investigación de campo, con el propósito de analizar las percepciones de los directivos que conforman el nivel gerencial, en torno a tres variables a saber: La Filosofía de Gestión, el Estilo Gerencial y la Cultura Organizacional. En la Filosofía de Gestión se exploró el nivel de identificación de los gerentes con la misión, la estructura organizativa y los objetivos de la empresa. En el estilo gerencial se determinó el comportamiento de sus indicadores más relevantes como son; el liderazgo, la toma de decisiones, la solución de problemas y la asignación de tareas. Y en el abordaje de la cultura como tal, se trabajaron las representaciones axiológicas en torno a los valores, los principios y antivalores del nivel estratégico de la organización. Como resultado de esta investigación, se determinaron las cualidades humanas que deben internalizar los principales actores de la cultura organizacional, para alcanzar las exigencias que plantea el camino hacia la calidad, en los términos en que ha sido normada por estándares internacionales que definen las características óptimas del proceso productivo. En este sentido, se concluye que el trabajo en equipo, el aplanamiento de estructura, la reducción de los niveles jerárquicos y el mejoramiento de la comunicación interna, son cualidades que requiere una acción gerencial orientada a la gestión de la calidad de la empresa estudiada.

  8. ATHENA: an actual antihydrogen annihilation

    CERN Multimedia

    2002-01-01

    This is an image of an actual matter-antimatter annihilation due to an atom of antihydrogen in the ATHENA experiment, located on the Antiproton Decelerator (AD) at CERN since 2001. The antiproton produces four charged pions (yellow) whose positions are given by silicon microstrips (pink) before depositing energy in CsI crystals (yellow cubes). The positron also annihilates to produce back-to-back gamma rays (red).

  9. A clinical dilemma: abdominal tuberculosis

    Institute of Scientific and Technical Information of China (English)

    Oya Uygur-Bayramicli; G(u)l Dabak; Resat Dabak

    2003-01-01

    AIM: To evaluate the clinical, radiological and microbiological properties of abdominal tuberculosis (TB) and to discuss methods needed to get the diagnosis.METHODS: Thirty-one patients diagnosed as abdominal TB between March 1998 and December 2001 at the Gastroenterology Department of Kartal State Hospital,Istanbul, Turkey were evaluated prospectively. Complete physical examination, medical and family history, blood count erythrocyte sedimentation rate, routine biochemical tests,Mantoux skin test, chest X-ray and abdominal ultrasonography (USG) were performed in all cases, whereas microbiological examination of ascites, upper gastrointestinal endoscopy, colonoscopy or barium enema, abdominal tomography, mediastinoscopy, laparoscopy or laparotomy were done when needed.RESULTS: The median age of patients (14 females, 17males) was 34.2 years (range 15-65 years). The most frequent symptoms were abdominal pain and weight loss.Eleven patients had active pulmonary TB. The most common abdominal USG findings were ascites and hepatomegaly. Ascitic fluid analysis performed in 13 patients was found to be exudative and acid resistant bacilli were present in smear and cultured only in one patient with BacTec (3.2 %). Upper gastrointestinal endoscopy yielded nonspecific findings in 16 patients. Colonoscopy performed in 20 patients showed ulcers in 9 (45 %), nodules in 2 (10 %)and, stricture, polypoid lesions, granulomatous findings in terminal ileum and rectal fistula each in one patient (5 %).Laparoscopy on 4 patients showed dilated bowel loops,thickening in the mesentery, multiple ulcers and tubercles on the peritoneum. Patients with abdominal TB were divided into three groups according to the type of involvement.Fifteen patients (48 %) had intestinal TB, L1 patients (35.2 %) had tuberculous peritonitis and 5 (16.8 %)tuberculous lymphadenitis. The diagnosis of abdominal TB was confirmed microbiologically in 5 (16 %) and histopathologically in 19 patients (60.8 %). The

  10. Estado actual de nuestros conocimientos sobre la enfermedad de chagas en la Republica Mexicana

    Directory of Open Access Journals (Sweden)

    Jorge Tay

    1981-06-01

    Full Text Available Se presentan los datos obtenidos de la revisión minuciosa en relación a enfermedad de Chagas de la literatura médica de la República Mexicana y extranjera desde el afio de 1939 en que por primeira vez se reporta a Trypanosoma cruzi en México, hasta el ano de 1976. Mediante mapas, tablas y cuadros se senalan las localidades en donde se han encontrado casos humanos, reservorios no humanos y transmisores. Se hacen comentários acerca de los resultados obtenidos y se seffala la importancia de incrementar los estúdios sobre enfermedades de Chagas en nuestro país.É a apresentação dos dados obtidos a partir de uma minuciosa revisão feita na literatura médica mexicana e estrangeira com relação à doença de Chagas no México. O estudo refere-se ao período de 1939 quando, pela primeira vez, menciona-se Trypanosoma cruzi no México, até 1976. Através de mapas, tabelas e quadros são mostrados os lugares onde foram encontrados casos humanos, reservatórios e transmissores. São feitos comentários sobre os resultados obtidos e é ressaltada a necessidade de ampliação dos estudos sobre a doença de Chagas no México.A thorough review of the literature is made regarding Chagas disease in Mexico and else- where since 1939, when Trypanosoma cruzi was first reported in this country until 1976. The location where human cases, non human reservoirs and transmitters have been found is pointed out by means of maps, tables and charts comments are made regarding the results reported. The importance of increasing the studies of Chagas' disease in our country is stressed.

  11. Estado actual de nuestros conocimientos sobre la enfermedad de chagas en la Republica Mexicana

    Directory of Open Access Journals (Sweden)

    Jorge Tay

    1981-06-01

    Full Text Available Se presentan los datos obtenidos de la revisión minuciosa en relación a enfermedad de Chagas de la literatura médica de la República Mexicana y extranjera desde el afio de 1939 en que por primeira vez se reporta a Trypanosoma cruzi en México, hasta el ano de 1976. Mediante mapas, tablas y cuadros se senalan las localidades en donde se han encontrado casos humanos, reservorios no humanos y transmisores. Se hacen comentários acerca de los resultados obtenidos y se seffala la importancia de incrementar los estúdios sobre enfermedades de Chagas en nuestro país.

  12. Energía Solar y Eólica. Estado Actual y Perspectivas.

    OpenAIRE

    Sánchez Tarifa, Carlos

    1980-01-01

    El tema de las nuevas fuentes energéticas, concretamente el de las energías solar y eólica, que es en el que se va a centrar esta exposición, recibe hoy día una considerable atención, pero no siempre en sus justos términos, ya que el tema se ha mitificado hasta cierto punto, y el enfoque de sus programas tiene con frecuencia matices de tipo político.

  13. Sulfatos en el cemento portland y su incidencia sobre el falso fraguado: Estado actual del conocimiento

    Directory of Open Access Journals (Sweden)

    de la Cruz, Ignacio

    1983-12-01

    Full Text Available A bibliographical study is carried out of the sulphates which may be present in the clinker and Portland cement, as likewise the effects of the aeration and temperature on the setting. This work is a prior phase of a wide experimental investigation carried out in the IETCC, on anomalies or setting and phenomena of "lumping" in Portland cement.

    Se realiza un estudio bibliográfico de los sulfatos que pueden estar presentes en el clínker y cemento portland, así como de los efectos de la aireación y temperatura sobre el fraguado. Este trabajo es la fase previa de una amplia investigación experimental realizada en el IETCC, sobre anomalías de fraguado y fenómenos de "aterronamiento" en el cemento portland.

  14. Producción científica internacional: estado actual

    OpenAIRE

    Cabrero García, Julio; Richart Martínez, Miguel

    1999-01-01

    Para examinar las características de la investigación científica internacional en enfermería, se revisan los últimos estudios sobre la producción científica internacional publicada en las revistas internacionales de investigación en enfermería. Notas halladas más sobresalientes: La investigación se realiza primordialmente por profesionales de enfermería con el grado de doctor y que provienen del ámbito académico. La fundamentación conceptual de los estudios se asienta preferentemente en teorí...

  15. Estado actual de los estudios sobre teatro breve del Siglo de Oro

    Directory of Open Access Journals (Sweden)

    Madroñal, Abraham

    2004-04-01

    Full Text Available La edición y el estudio del teatro breve del Siglo de Oro es uno de los campos donde las aportaciones han sido más numerosas y relevantes en las últimas décadas. Se ofrece en este trabajo un recorrido desde los años sesenta hasta el presente, que se cierra con una bibliografía selecta de libros, artículos y fuentes principales de carácter electrónico.…

  16. Vygotski, el enfoque sociocultural y el estado actual de la investigación cognoscitiva

    Directory of Open Access Journals (Sweden)

    Wanda C. Rodríguez Arocho

    1996-01-01

    Full Text Available Este artículo trata el impacto de las ideas de Lev S. Vygotski en la psicología cognosciti va contemporánea. En el mismo, argumento que su conceptualización del origen historicocultural de la mente y su énfasis en el método genético para estudiar la actividad mental fueron seminales en el desarrollo del enfoque sociocultural que al presente cobra fuerza en la investigación cognoscitiva. Planteo que esta fuerza obedece a las herramientas conceptuales y metodológicas que ofrece dicho enfoque para abordar algunos de los problemas que ha enfrentado la investigación cognoscitiva en el curso de su desarrollo. Examino este desarrollo a partir de la investigación realizada desde las perspectivas psicométrica, piagetiana, sociocultural y de procesamiento de información. Concluyo que los resultados de la investigación desde estas diferentes perspectivas ha llevado revisiones y reconceptualizaciones que implican un creciente reconocimiento a la vigencia de las ideas de Vygotski respecto a la mediación de las herramientas culturales en los procesos cognoscitivos.

  17. Desarrollo y estado actual de la psicología en el Peru (Parte C

    Directory of Open Access Journals (Sweden)

    Reynaldo Alarcón

    1980-01-01

    Full Text Available The historical development and current state of psychology in Pero is reviewed. The origins in education, medicine and philosophy are pointed out, and the early investigations are described. Especial emphasis is given to the professional training of psychologists; at the present time the career of psychology is offered in 8 universitíes, and there are 7.000 psychology students; this number is considered too hígh for the employment opportunities. Research is conducted at the universities. There is no legal recognítíon of the profession, although the Peruvian Psychological Society has presented a project lo the goverment.

  18. Estado actual de la pesquisa neurometabólica neonatal Updating neonatal neurometabolic screening

    OpenAIRE

    Israel Alfonso; Gustavo Charria; Oscar Papazian

    2009-01-01

    El propósito de la pesquisa neurometabólica en el recién nacido es la detección temprana de desórdenes cuyo tratamiento precoz previene daños permanentes. Las enfermedades actualmente posibles de una pesquisa masiva en el recién nacido normal son la fenilcetonuria, el hipotiroidismo congénito, la galactosemia, la hiperplasia adrenal congénita, la fibrosis quística, la deficiencia de biotinidasa, enfermedad de la orina de jarabe de arce, la anemia drepanocítica, la homocistinuria. Los instrume...

  19. Diseño de los implantes dentales: Estado actual Dental implants design: state or art

    Directory of Open Access Journals (Sweden)

    J. M. Martínez-González

    2002-10-01

    Full Text Available El diseño de los implantes dentales se están modificando continuamente debido a razones clínico- científicas y comerciales. Se realiza un revisión de la literatura en relación a las implicaciones clínicas y biológicas de las variaciones en macrogeometría y su influencia en la interfase con la mucosa y el hueso. Los resultados descritos en la literatura muestran que los nuevos diseños de implantes mejoran la estabilidad primaria en huesos de baja densidad y distribuyen mejor las cargas biomecánicas. Existen diseños que favorecen la colocación de implantes en defectos de la anatomía alveolar y alveólos postextracción. Losresultados experimentales y clínicos evidencian un beneficio para diseños que eliminan el cuello pulido, con cuerpo cónico, con ápice autorroscante, a base de dobles o triple s espiras y perfiles de rosca redondeadas.Dental implant design is frequently changing by scientific and comercial reasons. We realised a review about how clinical and biological aspects of macrogeometry affect at mucous and bone interface. The results of articles revised showed that new implant designs improved the primary stability in bone with low density and are better to distribute biomechanical loads. Some designs permit implant placement in defects of alveolar anatomy and in postextraction sockets.The experimental and clinical results proved that designs without smooth neck, conic form, self-tapping apex, those with a double or three espiral and round profile threads.

  20. Estado actual de la vacuna recombinante contra el virus del papiloma humano

    Directory of Open Access Journals (Sweden)

    Wendy Chan Acón

    2008-12-01

    Full Text Available La infección por el virus del papiloma humano (VPH es una enfermedad de transmisión sexual común. Alrededor del mundo millones de personas están infectadas y el resto de la población en general tiene un riesgo de contraer la infección superior al 50%. El virus se asocia aproximadamente a un 100% de los casos de cáncer cervical; a un 100% de las neoplasias cervicales intraepiteliales grados 1, 2, 3; a un 40% de los casos de cáncer de vulva, vagina y pene, 100% de las verrugas genitales; a un 100% de las papilomatosis respiratorias recurrentes; a un 90% del cáncer anal y a un 12% del cáncer de cabeza y cuello, predominantemente en orofaringe y amígdala. Actualmente, el uso de dos vacunas está aprobado en diversos países: Gardasil® y Cervarix®. Ambas están compuestas por proteínas L1 de VPH, en forma de partículas no infecciosas similares al virus (VLPs producidas por tecnología de ADN recombinante, adsorbidas en adyuvantes que contienen aluminio. La eficacia hallada en diversos estudios en sujetos no expuestos previamente al virus se encuentran en el rango del 98.8% al 100.0% para la prevención de neoplasias cervicales, vulvares y vaginales intraepiteliales, grados 2 y 3, relacionados con el VPH-16/18, además de los adenocarcinomas in situ y verrugas genitales causadas por VPH- 16/18/6/11 en el caso de Gardasil® y una eficacia del 100% en el caso de Cervarix® para la prevención de neoplasias cervicales grado 2 y 3 relacionados con el VPH-16/18. La eficacia de ambas se mantiene alrededor de los 5 años. Hasta el momento no se le ha atribuido a la vacuna ningún efecto terapéutico, solo se administra con fines profilácticos, sin embargo, esta no debe ser considerada como un sustituto de las pruebas de tamizaje para la prevención del cáncer cervical.

  1. Estado actual de la pesquisa neurometabólica neonatal Updating neonatal neurometabolic screening

    Directory of Open Access Journals (Sweden)

    Israel Alfonso

    2009-01-01

    Full Text Available El propósito de la pesquisa neurometabólica en el recién nacido es la detección temprana de desórdenes cuyo tratamiento precoz previene daños permanentes. Las enfermedades actualmente posibles de una pesquisa masiva en el recién nacido normal son la fenilcetonuria, el hipotiroidismo congénito, la galactosemia, la hiperplasia adrenal congénita, la fibrosis quística, la deficiencia de biotinidasa, enfermedad de la orina de jarabe de arce, la anemia drepanocítica, la homocistinuria. Los instrumentos más usados para estas evaluaciones son el espectrómetro de masa y los estudios genéticos.The purpose of neurometabolic screening is the earliest possible detection of treatable disorders. The disorders currently offered to general population screening are phenylketonuria, congenital hypothyroidism, galactosemia, congenital adrenal hyperplasia, cystic fibrosis, biotinidase deficiency, maple syrup urine disease, sickle cell disease, homocystinuria. The methods used for these evaluations are mass spectroscopy and genetic testing.

  2. Estado actual del cultivo de larvas del pargo flamenco (Lutjanus guttatus

    Directory of Open Access Journals (Sweden)

    María Isabel Abdo-de la Parra

    2015-07-01

    Full Text Available El pargo flamenco (Lutjanus guttatus es un pez marino con alta demanda en los mercados de algunos países de Latinoamérica. Debido a su importancia se inició su cultivo en jaulas flotantes usando juveniles silvestres. A partir de la década pasada se iniciaron los primeros estudios para lograr su reproducción en cautiverio y la producción masiva de juveniles que puedan sustentar el cultivo completo. El presente trabajo presenta los resultados obtenidos hasta la fecha sobre desove, manejo e incubación de huevos y protocolos de larvicultura del pargo flamenco en Latinoamérica.

  3. Ensayo. Parálisis cerebral infantil. Estado actual y posibilidades futuras de tratamiento

    OpenAIRE

    Hernando Rafael; Victor Ayulo

    1991-01-01

    El trasplante tejido nervioso embrionario y fetal en diferentesportes l encéfalo a nivel experimental, abre nuevas posibilidades futuras su utilizacidn en humanos. La aplicación clínica reciente en el tratamiento la esquiwfrenia y enfermedad Parkinson es apenas el comienw del largo camino reconstrucci6n cerebral. Los autores creen que esta técnica puede utilizarse también en el tratamiento la parálisis cerebral infantil.

  4. Orientación vocacional: origen, evolución y estado actual

    OpenAIRE

    Di Doménico, Cristina; Vilanova, Alberto

    2000-01-01

    Se relevan las fuentes socioprofesionales de la orientación vocacional, en el mundo y en América Latina. Se resalta que la psicología, como ciencia y como profesión, posee vigorosos lazos en esta práctica que, sin embargo, tiende a su emancipación epistémica y práxica en algunas naciones. Se presentan los problemas contemporáneos de la orientación en sus dimensiones económica, política, cultural y profesional.

  5. Estado actual de la leishmaniosis en Costa Rica Current status of Leishmaniosis in Costa Rica

    Directory of Open Access Journals (Sweden)

    Orlando Jaramillo-Antillón

    2009-09-01

    Full Text Available Se realizó esta investigación, para conocer el comportamiento epidemiológico de esta enfermedad, los vectores relacionados y las especies de leishmanias causantes. Métodos: fuentes de información fueron los boletines epidemiológicos del Ministerio de Salud del 2001 al 2007 y el Instituto Nacional de Estadísticas y Censos. Se calcularon tasas de incidencia por sexo, grupos de edad, provincia y cantón. Las tasas del último trienio se compararon con una investigación que describe la situación epidemiológica de 1973 a 1975, para identificar cambios epidemiológicos de la enfermedad. La revisión bibliográfica permitió describir las formas clínicas y la distribución geográfica de los vectores que la ocasionan. Resultados y conclusión: la incidencia aumentó de 10,5 del 2001 a 40,7 x100.000 habitantes en el 2007. Los menores de 19 años fueron los más afectados. Talamanca presentó la mayor incidencia cantonal. El agente etiológico más frecuente de la leishmaniosis cutánea es la Leishmania (Viannia panamensis, aunque también existe la L. (V. braziliensis. Los mosquitos trasmisores fueron Lutzomyia ylephiletor y L. trapidoi. Los reservorios del parásito son los perezosos: Bradypus griseus y Choloepus hoffmanni y un roedor Heteromys desmarestianus. Existe también la leishmaniosis cutánea atípica, producida por Leishmania infantum (= Leishmania chagasi, productora responsable de un caso de leishmaniosis visceral. L.longipalpis, esta asociada a la transmisión de estas dos últimas formas de leishmaniosis. Debe entrenarse al personal de salud, en la detección de esta enfermedad, y educar a la población.Justification and aim: We conducted an investigation to study the epidemiological behavior of the disease, its related vectors and the species that cause leishmania. Methods: As sources of information we used epidemiological bulletins from the Costa Rican Ministry of Health covering the years 2001 to 2007 and also those from the National Institute of Statistics and Census. The rates of incidence of the disease were calculated according to sex, age group, and distribution in different provinces and counties. These rates of incidence for the last 30 years were compared to an investigation that described the epidemiology of the disease from 1973 to 1975, in order to identify epidemiological changes of the disease. Having studied the bibliography of information compiled concerning this disease, we were able to describe the clinical forms and the geographic distribution of its vectors. Results: The incidence increased from 10,5 per 100.000 inhabitants found in 2001 to 40,7 per 100.000 inhabitants found in 2007. Young people of less than 19 years of age were found to be the most affected. The greatest rate of incidence for the country was found in Talamanca. The main etiological agent of cutaneous leishmaniasis is Leishmania (Viannia panamensis, although L. (V. braziliensis also exists. The vectors agents were Lutzomyia ylephiletor and L. trapidoi mosquitoes. The natural carriers of these parasites found in the wild are Bradypus griseus and Choloepus hoffmanni sloths and Heteromys desmarestianus rodents. There are also cases identified of atypical cutaneous leshmaniasis, produced by Leishmania infantum (= Leishmania chagasi, also responsible of a case of visceral leishmaniasis. L. longipalpis has been found to transmit these two forms of leishmaniasis. Conclusion: We found that it is important to train health workers on detecting leshmaniasis and educate the general population about this disease.

  6. Estado actual de la cirugía de catarata Surgical treatment of caratact

    Directory of Open Access Journals (Sweden)

    Francisco Umaña

    1991-03-01

    Full Text Available

    El propósito de este artículo es actualizar al médico no oftalmólogo sobre los avances en cirugía de catarata. Comprende una revisión somera de los aspectos anatómicos del ojo, algunas guías sobre el diagnóstico de la catarata y una explicación sobre las técnicas intracapsular y extracapsular, la facoemulsificación y los lentes intraoculares, con énfasis sobre estos últimos..

    This paper summarizes up-to-date Information on the surgical treatment of cataract. It addresses the needs of the general practitioner through a brief description of the anatomic aspects, the diagnostic guides and an explanation of the Intra and extracapsular cataract extraction, the phakoemulsification and the intraocular lenses, with emphasis on the latter.

  7. Estado actual del conocimiento de la Prehistoria salmantina (hasta la Edad del Hierro

    Directory of Open Access Journals (Sweden)

    Juan MALUQUER DE MOTES

    2009-10-01

    Full Text Available La provincia de Salamanca sin alcanzar la densidad de otras provincias norteñas y levantinas principalmente, puede decirse que en cuanto a su prehistoria se refiere, ocupa un lugar privilegiado en el conjunto de provincias centro este peninsulares, por cuanto ha tenido la fortuna de poseer durante largos años su propio investigador, el Padre César Morán Las primeras excursiones por la prehistoria provincial, las efectuó sin embargo don Manuel Gómez Moreno que en breves pinceladas, hace ya más de cuarenta años, con certera visión planteó muchos problemas que en parte se mantienen aún sin resolver.

  8. Estado actual del conocimiento del orden Odonata en la Patagonia Current knowledge of Patagonian Odonata

    OpenAIRE

    Javier Muzón

    2009-01-01

    El orden Odonata se encuentra representado en la Patagonia por 36 especies, reunidas en nueve familias y 18 géneros. El nivel de endemismo de esta taxocoenosis es alto, aproximadamente el 60% de las especies y casi el 40% de los géneros endémicos. La riqueza específica en la Patagonia decrece de Oeste a Este y de Norte a Sur, las áreas de mayor riqueza resultan ser las cordilleras de Nahuel Buta (Chile) y de los Andes entre 38° y 41° S, y la meseta de Somuncurá (Argentina) en la estepa. Se br...

  9. Biomass: Current Status Immediate Perspective. Vol. V; Biomasa: estado actual y perspectiva inmediata. Vol. V

    Energy Technology Data Exchange (ETDEWEB)

    Linares, J. I. (ed.); Moratilla, B. Y. (ed.); Cledera, M. M. (ed.); Cantizano, A. (ed.); Francisco, R. (ed.); Chamochin, R. (ed.)

    2009-07-01

    Despite the intuitive association of biomass with developing countries, industrialized nations have experienced in the last years a huge increasing in the use and consideration of biomass as strategic energy source. To this new energy policy in developed countries has contributed the need of diversifying the sources of fuel supply, the need of fighting against the increment of greenhouse effect gas emissions to the atmosphere, and the growing price of fossil fuels.

  10. Desarrollo y estado actual de la psicología en el Peru (Parte C)

    OpenAIRE

    Reynaldo Alarcón

    1980-01-01

    The historical development and current state of psychology in Pero is reviewed. The origins in education, medicine and philosophy are pointed out, and the early investigations are described. Especial emphasis is given to the professional training of psychologists; at the present time the career of psychology is offered in 8 universitíes, and there are 7.000 psychology students; this number is considered too hígh for the employment opportunities. Research is conducted at the ...

  11. Desarrollo y estado actual de la psicología en el Peru (Parte B)

    OpenAIRE

    Reynaldo Alarcón

    1980-01-01

    The historical development and current state of psychology in Pero is reviewed. The origins in education, medicine and philosophy are pointed out, and the early investigations are described. Especial emphasis is given to the professional training of psychologists; at the present time the career of psychology is offered in 8 universitíes, and there are 7.000 psychology students; this number is considered too hígh for the employment opportunities. Research is conducted at the ...

  12. Desarrollo y estado actual de la psicología en el Peru (Parte A)

    OpenAIRE

    Reynaldo Alarcón

    1980-01-01

    The historical development and current state of psychology in Pero is reviewed. The origins in education, medicine and philosophy are pointed out, and the early investigations are described. Especial emphasis is given to the professional training of psychologists; at the present time the career of psychology is offered in 8 universitíes, and there are 7.000 psychology students; this number is considered too hígh for the employment opportunities. Research is conducted at the ...

  13. El estado actual del protocolo a nivel jurídico y profesional

    Directory of Open Access Journals (Sweden)

    Javier Sierra Sánchez

    2012-04-01

    Full Text Available El protocolo define las manifestaciones externas e internas de las estructuras del poder y es el instrumento que permite que el orden y la eficacia comunicativa organizacional se hagan presentes en el correcto desarrollo de determinados actos públicos y privados. A pesar de su creciente importancia, esta disciplina aún busca el lugar que desde nuestro punto de vista le corresponde en un triple nivel: científico, profesional y académico. A través de la técnica del método de investigación Delphi hemos tratado de recabar las opiniones de una serie de expertos en materia de protocolo con el objetivo de identificar teorías y tendencias al respecto de esta disciplina propia de las ciencias sociales.

  14. Uso da peritoneostomia na sepse abdominal Laparostomy in abdominal sepsis

    OpenAIRE

    Juvenal da Rocha Torres Neto; Adonai Pinheiro Barreto; Ana Carolina Lisboa Prudente; Allisson Mário dos Santos; Rodrigo Rocha Santiago

    2007-01-01

    Dentre as modalidades terapêuticas da sepse abdominal, a peritoneostomia tem papel decisivo permitindo explorações e lavagens da cavidade de forma facilitada. Observamos pacientes com diagnóstico clínico de sepse abdominal internados no Serviço de Coloproctologia do Hospital Universitário da Universidade Federal de Sergipe, e que foram submetidos a peritoneostomia de janeiro de 2004 a janeiro de 2006. Foram avaliados quanto ao diagnóstico primário e secundário, tipo de peritonite secundária, ...

  15. Abdominal aortic grafting for spontaneous infrarenal abdominal aortic dissection.

    Science.gov (United States)

    Iwasaki, Hiroto; Shibuya, Takashi; Shintani, Takashi; Uenaka, Hisazumi; Suehiro, Shigefumi; Satoh, Hisashi

    2010-02-01

    This case report concerns a 62-year-old woman with spontaneous infrarenal abdominal aortic dissection, which developed into claudication and rest pain in the lower extremity. Multi-row detector computed tomography showed the entry site of the abdominal aortic dissection at the second lumbar artery, while the reentry site was found intraoperatively at the median sacral artery, indicating that the false lumen had progressed and compressed the true lumen. A direct approach involving grafting appears to be an effective procedure for resolving mesenteric and lower extremity hypoperfusion due to aortic dissection with a dilated false channel, even during the acute period. PMID:19879731

  16. Relación entre el estado nutricional y el síndrome metabólico en adultos

    OpenAIRE

    María José Romero Ausfeld; Ana Aguilar Rabito

    2015-01-01

    El síndrome metabólico constituye una agrupación de factores como son la obesidad abdominal, dislipidemia, glucemia y presión arterial elevadas, implicados en el desarrollo de la diabetes mellitus y enfermedades cardiovasculares. El estado nutricional refleja la condición física en la que se encuentra un individuo, evaluado comúnmente por el Índice de Masa Corporal (IMC) o Índice de Quelet. El objetivo de este estudio fue evaluar la relación entre el estado nutricional y el síndrome metabólic...

  17. Abdominal wall hernia and pregnancy

    DEFF Research Database (Denmark)

    Jensen, K K; Henriksen, N A; Jorgensen, L N

    2015-01-01

    PURPOSE: There is no consensus as to the treatment strategy for abdominal wall hernias in fertile women. This study was undertaken to review the current literature on treatment of abdominal wall hernias in fertile women before or during pregnancy. METHODS: A literature search was undertaken in Pub......Med and Embase in combination with a cross-reference search of eligible papers. RESULTS: We included 31 papers of which 23 were case reports. In fertile women undergoing sutured or mesh repair, pain was described in a few patients during the last trimester of a subsequent pregnancy. Emergency surgery...... of incarcerated hernias in pregnant women, as well as combined hernia repair and cesarean section appears as safe procedures. No major complications were reported following hernia repair before or during pregnancy. The combined procedure of elective cesarean section and abdominal wall hernia repair was reported...

  18. Abdominal actinomycosis mimicking acute appendicitis.

    Science.gov (United States)

    Conrad, Robert Joseph; Riela, Steven; Patel, Ravi; Misra, Subhasis

    2015-01-01

    A 52-year-old Hispanic woman presented to the emergency department, reporting worsening sharp lower right quadrant abdominal pain for 3 days. CT of the abdomen and pelvis showed evidence of inflammation in the peritoneal soft tissues adjacent to an enlarged and thick-walled appendix, an appendicolith, no abscess formation and a slightly thickened caecum consistent with acute appendicitis. During laparoscopic appendectomy, the caecum was noted to be firm, raising suspicion of malignancy. Surgical oncology team was consulted and open laparotomy with right hemicolectomy was performed. Pathology reported that the ileocaecal mass was not a malignancy but was, rather, actinomycosis. The patient was discharged after 10 days of intravenous antibiotics in the hospital, with the diagnosis of abdominal actinomycosis. Although the original clinical and radiological findings in this case were highly suggestive of acute appendicitis, abdominal actinomycosis should be in the differential for right lower quadrant pain as it may be treated non-operatively.

  19. Contemporary imaging in abdominal emergencies

    Energy Technology Data Exchange (ETDEWEB)

    Sivit, Carlos J. [Rainbow Babies and Children' s Hospital, Case Western Reserve School of Medicine, Department of Radiology, Cleveland, OH (United States)

    2008-11-15

    Imaging is often a fundamental part in the evaluation of an injured or ill child. A variety of imaging modalities (radiography, angiography/fluoroscopy, sonography, CT, magnetic resonance imaging and scintigraphy) are among the options. CT is worth focused attention because of its usefulness in a variety of emergency department settings, its increasing use, and its potential radiation risks. CT plays an important role in the evaluation of traumatic and nontraumatic abdominal emergencies in children. Therefore, the goal of this paper is to review current imaging approaches and controversies in the evaluation of common acute abdominal emergencies. Through discussion of various modalities, especially CT in evaluation of abdominal pain and trauma, the relative advantages and disadvantages including radiation risk will be reviewed. (orig.)

  20. Secondary abdominal appendicular ectopic pregnancy.

    Science.gov (United States)

    Nama, Vivek; Gyampoh, Bright; Karoshi, Mahantesh; McRae, Reynold; Opemuyi, Isaac

    2007-01-01

    Although the case fatality rate for ectopic pregnancies has decreased to 0.08% in industrialized countries, it still represents 3.8% of maternal mortality in the United States alone. In developing countries, the case fatality rate varies from 3% to 27%. Laparoscopic management of tubal pregnancies is now the standard form of treatment where this technology is available. Abdominal pregnancies are rare, and secondary implantation of tubal ectopic pregnancies is the most common cause of abdominal gestations. We present an interesting case of secondary implantation of a tubal ectopic pregnancy to highlight the appendix as a possible secondary implantation site after a tubal ectopic pregnancy. PMID:17630175

  1. CT appearances of abdominal tuberculosis

    International Nuclear Information System (INIS)

    The purpose of this article is to review and illustrate the spectrum of computed tomography (CT) appearances of abdominal tuberculosis. Tuberculosis can affect any organ or tissue in the abdomen, and can be mistaken for other inflammatory or neoplastic conditions. The most common sites of tuberculosis in the abdomen include lymph nodes, genitourinary tract, peritoneal cavity and gastrointestinal tract. The liver, spleen, biliary tract, pancreas and adrenals are rarely affected, but are more likely in HIV-seropositive patients and in miliary tuberculosis. This article should alert the radiologist to consider abdominal tuberculosis in the correct clinical setting to ensure timely diagnosis and enable appropriate treatment.

  2. Blunt abdominal trauma in sports.

    Science.gov (United States)

    Rifat, Sami F; Gilvydis, Rimas P

    2003-04-01

    Abdominal injuries are rare in sports, but when they do occur it is important that the physician recognize the warning signs of potentially life-threatening injury to the liver, spleen, or hollow abdominal viscera. Though the sports medicine physician may not always provide definitive treatment of many of these conditions, he or she should be familiar with the preferred diagnostic modalities and latest treatment options. This information is not only essential to appropriately participate in treatment decisions, but is also important in order to make return-to-play determinations.

  3. CT appearances of abdominal tuberculosis

    Energy Technology Data Exchange (ETDEWEB)

    Lee, W.-K., E-mail: leewk33@hotmail.com [Department of Medical Imaging, St Vincent' s Hospital, University of Melbourne, Fitzroy, Victoria (Australia); Van Tonder, F.; Tartaglia, C.J.; Dagia, C. [Department of Medical Imaging, St Vincent' s Hospital, University of Melbourne, Fitzroy, Victoria (Australia); Cazzato, R.L. [Department of Radiology, Universita Campus Bio-Medico di Roma, Rome (Italy); Duddalwar, V.A. [Department of Radiology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California (United States); Chang, S.D. [Department of Medical Imaging, Vancouver General Hospital, University of British Columbia, British Columbia (Canada)

    2012-06-15

    The purpose of this article is to review and illustrate the spectrum of computed tomography (CT) appearances of abdominal tuberculosis. Tuberculosis can affect any organ or tissue in the abdomen, and can be mistaken for other inflammatory or neoplastic conditions. The most common sites of tuberculosis in the abdomen include lymph nodes, genitourinary tract, peritoneal cavity and gastrointestinal tract. The liver, spleen, biliary tract, pancreas and adrenals are rarely affected, but are more likely in HIV-seropositive patients and in miliary tuberculosis. This article should alert the radiologist to consider abdominal tuberculosis in the correct clinical setting to ensure timely diagnosis and enable appropriate treatment.

  4. How People Actually Use Thermostats

    Energy Technology Data Exchange (ETDEWEB)

    Meier, Alan; Aragon, Cecilia; Hurwitz, Becky; Mujumdar, Dhawal; Peffer, Therese; Perry, Daniel; Pritoni, Marco

    2010-08-15

    Residential thermostats have been a key element in controlling heating and cooling systems for over sixty years. However, today's modern programmable thermostats (PTs) are complicated and difficult for users to understand, leading to errors in operation and wasted energy. Four separate tests of usability were conducted in preparation for a larger study. These tests included personal interviews, an on-line survey, photographing actual thermostat settings, and measurements of ability to accomplish four tasks related to effective use of a PT. The interviews revealed that many occupants used the PT as an on-off switch and most demonstrated little knowledge of how to operate it. The on-line survey found that 89% of the respondents rarely or never used the PT to set a weekday or weekend program. The photographic survey (in low income homes) found that only 30% of the PTs were actually programmed. In the usability test, we found that we could quantify the difference in usability of two PTs as measured in time to accomplish tasks. Users accomplished the tasks in consistently shorter times with the touchscreen unit than with buttons. None of these studies are representative of the entire population of users but, together, they illustrate the importance of improving user interfaces in PTs.

  5. Plain abdominal film and abdominal ultrasound in intestine occlusion

    International Nuclear Information System (INIS)

    Plain film of the abdomen is widely used in the diagnostic evaluation of intestinal occlusion. Even though this technique can yield a panoramic and high-resolution view of gas-filled intestinal loops, several factors, such as type and duration of occlusion, neurovascular status of the intestine and general patient condition, may reduce the diagnostic specificy of the plain film relative to the organic or functional nature of the occlusion. From 1987 to 1989, fifty-four patients with intestinal occlusion were studied combining plain abdominal film with abdominal ultrasound (US). This was done in order to evaluate whether the additional information obtained from US could be of value in better determining the nature of the ileus. US evaluation was guided by the information already obtained from plain film which better demonstrates gas-filled loops. The results show that in all 27 cases of dynamic ileus (intestinal ischemia, acute appendicitis, acute cholecistis, acute pancreatitis or blunt abdominal trauma) US demonstrates: intestinal loops slightly increased in caliber, with liquid content, or loops containing rare hyperechoic particles, intestinal wall thickening and no peristalsis. In 27 cases of acute, chronic or complicated mechanical ileus (adhesions, internal hernia, intestinal neoplasm, peritoneal seedings) US shows: 1) in acute occlusion: hyperperistaltic intestinal loops containing inhomogeneous liquid; 2) in chronic occlusion: liquid content with a solid echigenic component; 3) in complicated occlusion: liquid stasis, frequent increase in wall thickness, moderate peritoneal effusion and inefficient peristalsis. In conclusion, based on the obtained data, the authors feel that the combination of plain abdominal film and abdominal US can be useful in the work-up of patient with intestinal occlusion. The information provided by US allows a better definition of the nature of the ileus

  6. Classe social, Estado e ideologia Social class, State and ideology

    Directory of Open Access Journals (Sweden)

    Leopoldo Waizbort

    1998-05-01

    Full Text Available O texto reproduz uma aula para concurso junto ao Departamento de Sociologia da FFLCH-USP na qual tentei articular o tríptico classe social, Estado e ideologia, tendo em mente a situação contemporânea empírica e teórica dos três conceitos.This text reproduces a lecture given in the scope of an examination at the Sociology Department of the FFLCH-USP. For the presentation I have tried to articulate the three concepts "social class", "State" and "ideology", by taking into consideration their actual empirical and theoretical situation.

  7. Rol del estado en los ensayos clínicos

    Directory of Open Access Journals (Sweden)

    Pilar Mazzetti

    2012-12-01

    Full Text Available La regulación de los ensayos clínicos por el Estado es un proceso en constante cambio y adecuación, cuyo reto actual consiste en salvaguardar la seguridad de los participantes y equilibrar la carga administrativa. El desarrollo y la regulación de los ensayos clínicos en los distintos países varían según la realidad, el contexto, su ejecución nacional o multinacional, condicionando que la regulación puramente nacional resulte insuficiente y se precise conocer parte de la regulación internacional. El objetivo de esta publicación es mostrar una visión global del rol de Estado en la regulación de los ensayos clínicos en distintas realidades. Para ello, se ha realizado una revisión de la regulación en la Unión Europea, Estados Unidos de Norteamérica y algunos países de Latinoamérica, para llegar finalmente al Perú. La tendencia actual en la regulación de los ensayos clínicos, se caracteriza por el incremento en los estándares de calidad, el garantizar la seguridad de los participantes, promover la transparencia, la disminución de los procesos burocráticos y el fortalecimiento de los comités de ética, en el marco de procesos democráticos abiertos, que convoquen e integren a todos los interesados en procesos dinámicos basados en el conocimiento actual y los cambios que se suceden. El reto actual es promover el desarrollo de ensayos clínicos desde el Estado (universidades, centros de investigación, institutos especializados, hospitales, etc. para los aspectos que el país necesita, incluidos medicamentos huérfanos, enfermedades prevalentes y abandonadas, y el uso terapéutico de los principios activos originarios.

  8. Rol del estado en los ensayos clínicos

    Directory of Open Access Journals (Sweden)

    Pilar Mazzetti

    2012-10-01

    Full Text Available La regulación de los ensayos clínicos por el Estado es un proceso en constante cambio y adecuación, cuyo reto actual consiste en salvaguardar la seguridad de los participantes y equilibrar la carga administrativa. El desarrollo y la regulación de los ensayos clínicos en los distintos países varían según la realidad, el contexto, su ejecución nacional o multinacional, condicionando que la regulación puramente nacional resulte insuficiente y se precise conocer parte de la regulación internacional. El objetivo de esta publicación es mostrar una visión global del rol de Estado en la regulación de los ensayos clínicos en distintas realidades. Para ello, se ha realizado una revisión de la regulación en la Unión Europea, Estados Unidos de Norteamérica y algunos países de Latinoamérica, para llegar finalmente al Perú. La tendencia actual en la regulación de los ensayos clínicos, se caracteriza por el incremento en los estándares de calidad, el garantizar la seguridad de los participantes, promover la transparencia, la disminución de los procesos burocráticos y el fortalecimiento de los comités de ética, en el marco de procesos democráticos abiertos, que convoquen e integren a todos los interesados en procesos dinámicos basados en el conocimiento actual y los cambios que se suceden. El reto actual es promover el desarrollo de ensayos clínicos desde el Estado (universidades, centros de investigación, institutos especializados, hospitales, etc. para los aspectos que el país necesita, incluidos medicamentos huérfanos, enfermedades prevalentes y abandonadas, y el uso terapéutico de los principios activos originarios.

  9. Nanomedicina: Estado del arte

    Directory of Open Access Journals (Sweden)

    Alba Ávila

    2007-05-01

    Full Text Available Bien se ha dicho que nunca hay enemigos pequeños, dicha frase no podría ser mas cierta cuando se trata de la batalla que es librada entre el cuerpo y diferentes agentes patógenos, mutaciones celulares y sustancias nocivas. En la actualidad nuestro conocimiento ha permitido manipular a escalas nanométricas (1/1.000´000.000 m la materia. La nanotecnología es el desarrollo de este conocimiento que permite avances significativos como la producción de nuevos materiales, menor requerimiento de materia prima, mayor eficiencia en el desempeño de dispositivos, entre otras. El uso de nantecnología en medicina se conoce como nanomedicina. En el presente artículo revisaremos desarrollos nanotecnológicos aplicados en enfermedades de alta mortalidad y cuyo tratamiento actual, que es descrito, sólo logra soluciones parciales o de mantenimiento, como es el caso del cáncer o la diabetes, sin tener solución a la enfermedad de base. Entonces el impacto que la nanomedicina puede tener en el futuro es promisorio y mejoraría las condiciones de salud de la humanidad./ Always have been told that: there is not tiny enemies, this statement couldn't be more true when we are talking about the fight between the body and different pathogen agents, cellular mutations, and dangerous substances. Right now our knowledge allow us to handle the matter at nanoscale (1/1.000'000.000 m sizes. The nanotechnology develop this knowledge and be able to improve things as new materials, small amount of material to build devices, better performance with maximal efficiency of devices, and others. Using nanotechnology to solve health problems is call nanomedicine. This paper review nanotechnologic develops apply to diseases with high mortality and treatments that doesn't solve the problem deeply they just handle the disease with partial solutions. Therefore, nanomedicine will have greater impact in the future, improving the health issues of humanity.

  10. Children's (Pediatric) Abdominal Ultrasound Imaging

    Medline Plus

    Full Text Available ... gallbladder spleen pancreas intestines kidneys bladder testicles ovaries uterus Abdominal ultrasound images can be used to help ... that is being examined to the transducer (the device used to examine the patient), as well ... is not a medical facility. Please contact your physician with specific medical ...

  11. Economic costs of abdominal obesity

    DEFF Research Database (Denmark)

    Højgaard, Betina; Olsen, Kim Rose; Søgaard, Jes;

    2008-01-01

    BACKGROUND: To examine the relationship between waist circumference and future health care costs across a broad range of waist circumference values based on individual level data. METHOD: A prospective cohort of 31,840 subjects aged 50-64 years at baseline had health status, lifestyle and socio-e...... be a potential for significant resource savings through prevention of abdominal obesity....

  12. Clinical management of abdominal trauma

    Institute of Scientific and Technical Information of China (English)

    FANG Guo-en; LUO Tian-hang; DU Cheng-hui; BI Jian-wei; XUE Xu-chao; WEI Guo; WENG Zhao-zhang; MA Li-ye; HUA Ji-de

    2008-01-01

    Objective: To improve the prognosis of patients with abdominal trauma. Methods: Between January 1993 and December 2005, 415 patients were enrolled in this research. The patients consisted of 347 males and 68 females with mean age of 36 years ranging from 3-82 years. All abdominal traumas consisted of closed traumas 360 cases, 86.7% and open traumas 55 cases, 13.3%. Results: Atotal of 407 cases 98.1% were fully recovered from trauma and the other 8 cases 1.9% died of multiple injuries. The mean injury severity score ISS of all patients was 22 while the mean ISS of the patients who died in hospital was 42. Postoperative complications were seen in 9 patients such as infection of incisional wounds 6 cases, pancreatic fistula 2 cases and intestinal fistula 1 case. All these postoperative complications were cured by the conservative treatment. Conclusion: Careful case history inquisition and physical examination are the basic methods to diagnose abdomi- nal trauma. Focused abdominal ultrasonography is always the initial imaging examination because it is non-invasive and can be performed repeatedly with high accuracy. The doctors should consider the severity of local injuries and the general status of patients during the assessment of abdominal trauma. The principle of treatment is to save lives at first, then to cure the injuries. Unnecessary laparotomy should be avoided to reduce additional surgical trauma.

  13. Preoperative steroid in abdominal wall reconstruction

    DEFF Research Database (Denmark)

    Jensen, Kristian Kiim; Brøndum, Tina Lee; Belhage, Bo;

    2016-01-01

    INTRODUCTION: Preoperative administration of high-dose glucocorticoid leads to improved recovery and decreased length of stay after abdominal surgery. Even so, studies on administration of glucocorticoids for patients undergoing abdominal wall reconstruction (AWR) for giant ventral hernia repair ...

  14. ADULT ABDOMINAL WALL HERNIA IN IBADAN

    OpenAIRE

    Ayandipo, O.O; Afuwape, O.O.; Irabor, D. O.; Abdurrazzaaq, A.I.

    2015-01-01

    Background: Abdominal wall hernias are very common diseases encountered in surgical practice. Groin hernia is the commonest type of abdominal wall hernias. There are several methods of hernia repair but tension-free repair (usually with mesh) offers the least recurrent rate. Aim: To describe the clinical profile of anterior abdominal wall hernias and our experience in the surgical management of identified hernias Method: The project was a retrospective study of all patients with abdominal wal...

  15. El caso de Estados Unidos

    Directory of Open Access Journals (Sweden)

    Florencia Addiechi

    2005-01-01

    Full Text Available No son pocos los que afirman que a Estados Unidos le conviene el statu quo en materia migratoria, es decir, que dejar las cosas como están es lo más ventajoso para su economía. A partir de este razonamiento se ha instalado en el ambiente político y académico mexicano la creencia de que existen muy pocas posibilidades de celebrar un convenio migratorio, menos aún en la etapa abierta por los atentados del 11 de septiembre de 2001. Este artículo se propone demostrar que, al contrario, Estados Unidos sí necesita alcanzar un acuerdo bilateral con México y que eso, en lugar de ser una buena noticia para el país, constituye un problema

  16. Abdominal shotgun trauma: A case report

    OpenAIRE

    Toutouzas, Konstantinos G; Larentzakis, Andreas; Drimousis, Panagiotis; Riga, Maria; Theodorou, Dimitrios; Katsaragakis, Stylianos

    2008-01-01

    Introduction One of the most lethal mechanisms of injury is shotgun wound and particularly the abdominal one. Case presentation We report a case of a 45 years old male suffering abdominal shotgun trauma, who survived his injuries. Conclusion The management of the abdominal shotgun wounds is mainly dependent on clinical examination and clinical judgment, while requires advanced surgical skills.

  17. Optimization of diagnostic imaging use in patients with acute abdominal pain (OPTIMA: Design and rationale

    Directory of Open Access Journals (Sweden)

    Bossuyt Patrick MM

    2007-08-01

    Full Text Available Abstract Background The acute abdomen is a frequent entity at the Emergency Department (ED, which usually needs rapid and accurate diagnostic work-up. Diagnostic work-up with imaging can consist of plain X-ray, ultrasonography (US, computed tomography (CT and even diagnostic laparoscopy. However, no evidence-based guidelines exist in current literature. The actual diagnostic work-up of a patient with acute abdominal pain presenting to the ED varies greatly between hospitals and physicians. The OPTIMA study was designed to provide the evidence base for constructing an optimal diagnostic imaging guideline for patients with acute abdominal pain at the ED. Methods/design Thousand consecutive patients with abdominal pain > 2 hours and Discussion This study aims to provide the evidence base for the development of a diagnostic algorithm that can act as a guideline for ED physicians to evaluate patients with acute abdominal pain.

  18. Neoliberalismo y crimen organizado en México: El surgimiento del Estado narco

    OpenAIRE

    José Luis Solís González

    2013-01-01

    Este trabajo estudia el surgimiento de una nueva forma de Estado capitalista periférico en México: el Estado narco, cuya manifestación externa es la de un régimen político neolibe- ral tecnocrático con una fuerte presencia de representantes del crimen organizado en sus distintos gobiernos, la economía y las finanzas. Este fenómeno es parte de la crisis actual del capitalismo global, la cual ha tomado la forma, en el caso de la sociedad mexicana, de una profunda crisis orgánica constituida por...

  19. Estados del Bienestar y globalización

    Directory of Open Access Journals (Sweden)

    Marta Graciela Cabeza

    2009-12-01

    Full Text Available La dificultad con la que nos encontramos cuando queremos definir Estado de Bienestar es considerable, ya que es un concepto muy generalizado que se utiliza para indicar varias acciones o actitudes del Estado, entre ellas la intención de redistribución del ingreso para ayudar a los más pobres. Es por ello que en este ensayo intentaremos reflexionar sobre el concepto mismo de Estado de Bienestar para poder abordar luego su evolución y su actual crisis. También el concepto de globalización comparte las características citadas previamente ya que se usa para denominar demasiadas cosas, pero aquí lo entendemos como interconexiones económicas, sociales, culturales y políticas, las redes conformadas por todo este entramado de fenómenos sociales y los procesos que muchas veces trascienden las fronteras nacionales. El propósito es relacionar estas interconexiones y procesos con la crisis del Estado de Bienestar y su posible transformación.___________________ABSTRACT:Difficulty when we want to define Welfare State is considerable, because is a concept very generalized that is used to indicate several actions or attitudes of the State, among them the redistribution intention to help poorest. It is for that reason that in this test we will try to reflect on the same concept of Welfare State to be able to soon approach its evolution and its present crisis. Also the globalization concept shares the characteristics mentioned since it is used to denominate too many things, but we understand it here like economic, social, cultural and political interconnections, the networks conformed by all this built the framework for of social phenomena and the processes that often extend the national borders. The intention is to relate these interconnections and processes to the crisis of the Welfare State  and their possible transformation.

  20. Acupuncture Treatment of Abdominal Pain

    Institute of Scientific and Technical Information of China (English)

    胡金生

    2002-01-01

    @@ Case History Mr. Li, a university student aged 23 years, paid his first visit on July 16, 2001, with the chief complaint of abdominal pain for one day. The patient stated that one day before when it happened to be the weekend, he got abdominal pain after supper, which went worse gradually and caused him to roll all over in bed. The pain was slightly alleviated half an hour later after he had taken some pain killers. Upon inquiry, the patient said that because of their newly graduation from the university, he and his classmates were so excited that they went to have a sumptuous lunch with alcoholic drinks. And in the evening he ate again a delicious supper cooked for him by his mother, after which he continued to have some fruit and dessert.

  1. Subtotal versus total abdominal hysterectomy

    DEFF Research Database (Denmark)

    Andersen, Lea Laird; Ottesen, Bent; Alling Møller, Lars Mikael;

    2015-01-01

    , constipation, pain, sexuality, quality of life (Short Form-36 questionnaire), hospital contacts, and vaginal bleeding. RESULTS: The questionnaire was answered by 197 of 304 women (64.8%) (subtotal hysterectomy [n = 97] [63.4%]; total hysterectomy [n = 100] [66.2%]). Mean follow-up time was 14 years and mean...... hysterectomy. All women enrolled in the trial from 1996 to 2000 who were still alive and living in Denmark (n = 304) were invited to answer the validated questionnaire used in prior 1 and 5 year follow-ups. Hospital contacts possibly related to hysterectomy from 5 to 14 years postoperatively were registered......, randomized clinical trial without blinding. Eleven gynecological departments in Denmark contributed participants to the trial. Women referred for benign uterine diseases who did not have contraindications to subtotal abdominal hysterectomy were randomized to subtotal (n = 161) vs total (n = 158) abdominal...

  2. [A case of abdominal wall actinomycosis].

    Science.gov (United States)

    Kim, Kyung Hoon; Lee, Jin Soo; Cho, Hyeong Jun; Choi, Seung Bong; Cheung, Dae Young; Kim, Jin Il; Lee, In Kyu

    2015-04-01

    Actinomycosis is a chronic suppurative granulomatous infectious disease caused by actinomyces species that is characterized by formation of characteristic clumps called as sulfur granules. Abdominal actinomycosis is a rare disease and is often difficult to diagnose before operation. Abdominal actinomycosis infiltrating into the abdominal wall and adhering to the colon is even rarer. Most abdominal actinomycosis develops after operation, trauma or inflammatory bowel disease, and is also considered as an opportunistic infection in immunocompromised patient with underlying malignancy, diabetes mellitus, human immunodeficiency virus infection, etc. Actinomycosis is diagnosed based on histologic demonstration of sulfur granules in surgically resected specimen or pus, and treatment consists of long-term penicillin based antibiotics therapy with or without surgical resection. Herein, we report an unusual case of abdominal wall actinomycosis which developed in a patient after acupuncture and presented as abdominal wall mass that was first mistaken for abdominal wall invasion of diverticulum perforation. PMID:25896158

  3. The actual goals of geoethics

    Science.gov (United States)

    Nemec, Vaclav

    2014-05-01

    The most actual goals of geoethics have been formulated as results of the International Conference on Geoethics (October 2013) held at the geoethics birth-place Pribram (Czech Republic): In the sphere of education and public enlightenment an appropriate needed minimum know how of Earth sciences should be intensively promoted together with cultivating ethical way of thinking and acting for the sustainable well-being of the society. The actual activities of the Intergovernmental Panel of Climate Changes are not sustainable with the existing knowledge of the Earth sciences (as presented in the results of the 33rd and 34th International Geological Congresses). This knowledge should be incorporated into any further work of the IPCC. In the sphere of legislation in a large international co-operation following steps are needed: - to re-formulate the term of a "false alarm" and its legal consequences, - to demand very consequently the needed evaluation of existing risks, - to solve problems of rights of individuals and minorities in cases of the optimum use of mineral resources and of the optimum protection of the local population against emergency dangers and disasters; common good (well-being) must be considered as the priority when solving ethical dilemmas. The precaution principle should be applied in any decision making process. Earth scientists presenting their expert opinions are not exempted from civil, administrative or even criminal liabilities. Details must be established by national law and jurisprudence. The well known case of the L'Aquila earthquake (2009) should serve as a serious warning because of the proven misuse of geoethics for protecting top Italian seismologists responsible and sentenced for their inadequate superficial behaviour causing lot of human victims. Another recent scandal with the Himalayan fossil fraud will be also documented. A support is needed for any effort to analyze and to disclose the problems of the deformation of the contemporary

  4. Acute Abdominal Pain in Children.

    Science.gov (United States)

    Reust, Carin E; Williams, Amy

    2016-05-15

    Acute abdominal pain accounts for approximately 9% of childhood primary care office visits. Symptoms and signs that increase the likelihood of a surgical cause for pain include fever, bilious vomiting, bloody diarrhea, absent bowel sounds, voluntary guarding, rigidity, and rebound tenderness. The age of the child can help focus the differential diagnosis. In infants and toddlers, clinicians should consider congenital anomalies and other causes, including malrotation, hernias, Meckel diverticulum, or intussusception. In school-aged children, constipation and infectious causes of pain, such as gastroenteritis, colitis, respiratory infections, and urinary tract infections, are more common. In female adolescents, clinicians should consider pelvic inflammatory disease, pregnancy, ruptured ovarian cysts, or ovarian torsion. Initial laboratory tests include complete blood count, erythrocyte sedimentation rate or C-reactive protein, urinalysis, and a pregnancy test. Abdominal radiography can be used to diagnose constipation or obstruction. Ultrasonography is the initial choice in children for the diagnosis of cholecystitis, pancreatitis, ovarian cyst, ovarian or testicular torsion, pelvic inflammatory disease, pregnancy-related pathology, and appendicitis. Appendicitis is the most common cause of acute abdominal pain requiring surgery, with a peak incidence during adolescence. When the appendix is not clearly visible on ultrasonography, computed tomography or magnetic resonance imaging can be used to confirm the diagnosis. PMID:27175718

  5. Abdominal wound closure: current perspectives

    Directory of Open Access Journals (Sweden)

    Williams ZF

    2015-12-01

    Full Text Available Zachary F Williams, William W Hope Department of Surgery, South East Area Health Education Center, New Hanover Regional Medical Center, Wilmington, NC, USA Abstract: This review examines both early and late wound complications following laparotomy closure, with particular emphasis on technical aspects that reduce hernia formation. Abdominal fascial closure is an area of considerable variation within the field of general surgery. The formation of hernias following abdominal wall incisions continues to be a challenging problem. Ventral hernia repairs are among the most common surgeries performed by general surgeons, and despite many technical advances in the field, incisional hernia rates remain high. Much attention and research has been directed to the surgical management of hernias. Less focus has been placed on prevention of hernia formation despite its obvious importance. This review examines the effects of factors such as the type of incision, suture type and size, closure method, patient risk factors, and the use of prophylactic mesh. Keywords: incisional, abdominal, hernia, prevention, wound closure techniques 

  6. LA RESPONSABILIDAD PATRIMONIAL DEL ESTADO LEGISLADOR.

    OpenAIRE

    Fernandez Rojas, Ulises

    2014-01-01

    Inicialmente desarrollada la figura de la responsabilidad patrimonial del Estado respecto de la administración pública y la actuación judicial, la responsabilidad del Estado-legislador es el epilogo –en construcción- de la historia de la responsabilidad patrimonial del Estado.Nos proponemos examinar algunos de los elementos más significativos, que condicionan el alcance de este tipo específico de responsabilidad del Estado –particularmente en relación con los actos no expropiatorios-, así co...

  7. Razón de Estado y razones del Estado, (Decimas Conferencias Aranguren

    Directory of Open Access Journals (Sweden)

    Díaz, Elías

    2002-06-01

    Full Text Available As against bad «reasons of state», both past and present, a number of good reasons of state are put forward here as sound demands for times to come. One of the aims we try to attain is a necessary theoretical and practical retrieval of politics along with culture and ethics in the public field. As against the prevailing untrammelled power of economics -in particular its purportedly one version, namely «scientific capitalism» and the quite lopsided globalization- it becomes mandatory to completely take into account the view-point of general interests (both national and transnational, universal; and, within that framework, legitimate individual interests, mainly those of broad social sections least endowed with bargaining leverage and resources. The ground for those good reasons of state (and reasons, too, for a civil society critically harmonized with the state lies in an ethics of enlightened values of freedom, equality and brotherhood (solidarity, as well as of such security as stems from social cohesion (a conjunction of justice and efficiency.

    Frente a la mala «Razón de Estado», del pasado y del presente, se alegan aquí algunas de las posibles y potenciales buenas razones del Estado, también como exigencias válidas para el futuro. Con ello se pretende coadyuvar a una imprescindible recuperación teórica y práctica de la política y, con ella, de la cultura y de la ética en el espacio público. Ante el actual poder omnimodo e «incontrolado» de la economía, de su versión pretendidamente única, la del «capitalismo científico» y la muy desigual «globalización», se hace necesario tomar completamente en serio la perspectiva de los intereses generales (nacionales y transnacionales, universales: y, dentro de ellos, los legítimos intereses individuales y, en especial, los de aquellos amplios sectores sociales dotados de muchos menos poderes y posibilidades. La ética de los valores ilustrados de libertad, igualdad

  8. Reformulando el museo en el contexto actual de crisis

    Directory of Open Access Journals (Sweden)

    Susana Solís Zara

    2013-07-01

    Full Text Available Resumen: El presente artículo analiza y cuestiona la situación actual que atraviesan los centros y museos de arte contemporáneo, a través de un estudio pormenorizado de las transformaciones más destacadas que se han ido dando en los últimos cuarenta años. Donde hemos pasado, a partir del inicio del postmodernismo, del fenómeno “efecto museo” y proliferación memorística acrecentada en pleno boom económico, a nuevos tiempos de incertidumbre donde muchas instituciones museísticas de nuestro país, ven afectadas sus colecciones por los recortes y ajustes presupuestarios generales del Estado, aumentando de esta manera el peligro de la defensa del programa y la disminución de la actividad de estos espacios expositivos que, asimismo, sufren modificaciones constantes, que necesitan adaptarse a los nuevos tiempos y a las propuestas emergentes de los artistas. Reformulando el museo en crisis, contribuiremos a la discusión introduciendo algunos anomalías y ciertas cuestiones sobre el tema. Como es por ejemplo la actual crisis económica y financiera, que pone en peligro tanto la supervivencia de muchos centros culturales como la investigación de nuestro patrimonio artístico y cultural y, por consiguiente, la amenaza de no poder recuperar nuestra memoria histórica.

  9. Urgent Abdominal Re-Explorations

    Directory of Open Access Journals (Sweden)

    Peskersoy Mustafa

    2006-04-01

    Full Text Available Abstract Background Treatment of a number of complications that occur after abdominal surgeries may require that Urgent Abdominal Re-explorations (UARs, the life-saving and obligatory operations, are performed. The objectives of this study were to evaluate the reasons for performing UARs, outcomes of relaparotomies (RLs and factors that affect mortality. Methods Demographic characteristics; initial diagnoses; information from and complications of the first surgery received; durations and outcomes of UAR(s performed in patients who received early RLs because of complicated abdominal surgeries in our clinic between 01.01.2000 and 31.12.2004 were investigated retrospectively. Statistical analyses were done using the chi-square and Fisher exact tests. Results Early UAR was performed in 81 out of 4410 cases (1.8%. Average patient age was 50.46 (13–81 years with a male-to-female ratio of 60/21. Fifty one (62.96% patients had infection, 41 (50.61% of them had an accompanying serious disease, 24 (29.62% of them had various tumors and 57 (70.37% patients were operated under emergency conditions during first operation. Causes of urgent abdominal re-explorations were as follows: leakage from intestinal repair site or from anostomosis (n:34; 41.97%; hemorrhage (n:15; 18.51%; intestinal perforation (n:8; 9.87%; intraabdominal infection or abscess (n:8; 9.87%; progressive intestinal necrosis (n:7; 8.64%; stomal complications (n:5; 6.17%; and postoperative ileus (n:4; 4.93%. Two or more UARs were performed in 18 (22.22% cases, and overall mortality was 34.97% (n:30. Interval between the first laparotomy and UAR averaged as 6.95 (1–20 days, and average hospitalization period was 27.1 (3–78 days. Mortality rate was found to be higher among the patients who received multiple UARs. The most common (55.5% cause of mortality was sepsis/multiple organ failure (MOF. The rates for common mortality and sepsis/MOF-dependent mortality that occured following UAR were

  10. Estados alterados de consciencia: lo que la fMRI está revelando

    Directory of Open Access Journals (Sweden)

    Alba Martínez López

    2015-07-01

    Full Text Available El diagnóstico diferencial de los estados alterados de consciencia (coma, estados vegetativos y estados de mínima consciencia es complicado y puede provocar numerosas confusiones. Las técnicas de neuroimagen actuales están aportando información novedosa no sólo en el diagnóstico, sino también en ámbitos conceptuales y de rehabilitación. Revisamos aquí un estudio reciente que utiliza resonancia magnética funcional (fMRI para mostrar que el nivel de consciencia real de un paciente puede ser diferente al que indica una técnica comportamental clásica. Asimismo, se abren nuevas vías a la hora de poder establecer algún tipo de comunicación de estas personas con el medio exterior.

  11. FULL TERM EXTRAUTERINE ABDOMINAL PREGNANCY

    Directory of Open Access Journals (Sweden)

    Neetu

    2014-02-01

    Full Text Available Extrauterine abdominal pregnancy is extremely rare and is frequently missed during antenatal care, despite the routine use of obstetrics ultrasound. A 23 year old primigravida at 39 weeks of gestation was admitted to the department on December 2 , 2012, in routine hour with transverse lie with oligohydramnios. On examination her vitals and laboratory investigation were within normal limits . One of the ultrasonographic scanning done by radiologist at 35 wk. 3 days gestation demonstrated a single live intrauterine fetus of CGA 33 wk. 1 day with transverse lie , fundal gr II placenta and AFI - 10 cm. Ultrasonography done at the department on the day of admission demonstrated single live intrauterine fetus with transverse lie and AFI - 3.8 cm and EFW 2.4 Kg and placenta was right anterior.. She was planned for elective caesarean section on account of transverse lie and oligohydramnios at term. At laparotomy the following findings were made: Secondary abdominal pregnancy arising from right tubal ectopic rupture and making pseudogesta tional sac with meconium stained liquor. Omentum , right tube and ovary were adhered to sac. The uterus and left tube and ovary were healthy and normal . Other abdominal organs were normal. A 1.5 Kg live male baby with good Apgar score and incompletely formed mandible extracted from pseudo gestational sac. There was significant bleeding from pseudogestational sac and patient went in shock during intraoperative period. One unit whole blood transfused during intraoperative period. Placenta was adherent to the pseudogestational sac so Psudogestational sac was removed with placenta in situ and right sided salpingo - o ophrectomy was also done due to their adherence. Hemostasis was secured. The patient and baby progressed well and were discharged on the seventh postoperative day

  12. Peritoneoscopy of the liver after abdominal surgery.

    Directory of Open Access Journals (Sweden)

    Kawaguchi,Kenji

    1983-02-01

    Full Text Available The incidence of intraperitoneal adhesion after abdominal surgery was studied. Peritoneoscopy was performed in 933 patients with liver diseases over the 6 year 5 month period from March 1974 to July 1980. Of the patients, 352 (37.7% had undergone an abdominal operation, and intraperitoneal adhesion was detected in 205 (58.2% of these patients. The liver was not observable in 5 out of 61 patients with adhesions after upper abdominal operations. Whereas, the liver was clearly observable in patients with lower abdominal operations in spite of adhesions. Out of the 581 patients without any abdominal operations, 30 patients (5.2% had adhesions in the abdominal cavity, and 6 of them had extensive adhesions that partially obscured the observation of liver surface. In all patients, peritoneoscopy was performed without complications by avoiding the surgical scar for puncture sites and ensuring a free air lumen before trocar puncture.

  13. Abdominal manifestations of autoimmune disorders

    International Nuclear Information System (INIS)

    Full text: Immunoglobulin G4-related disease was recognized as a systemic disease since various extrapancreatic lesions were observed in patients with autoimmune pancreatitis (AIP). The real etiology and pathogenesis of IgG4-RD is still not clearly understood. Moreover the exact role of IgG4 or IgG4-positive plasma cells in this disease has not yet been elucidated. only some inconsistent biological features such as hypergammaglobulinemia or hypocomplementemia support the autoimmune nature of the disease process. various names have been ascribed to this clinicopathological entity including IgG4-related sclerosing disease, IgG4-related systemic sclerosing disease, IgG4-related disease, IgG4-related autoimmune disease, hyper-IgG4 disease and IgG4-related systemic disease. The extrapancreatic lesions of IgG4-RD also exhibit the same characteristic histologic features including dense lymphoplasmacytic infiltrate, massive storiform fibrosis, and obliterative phlebitis as seen in IgG4-related pancreatitis. Abdominal manifestations include the following organs/systems: Bile ducts: Sclerosing cholangitis; Gallbladder and liver: Acalculous sclerosis cholecytitis with diffuse wall thickening; hepatic inflammatory pseudotumorts; Kidneys: round or wedge-shaped renal cortical nodules, peripheral cortical; lesions, mass like lesions or renal pelvic involvement; Prostate, urethra, seminal vesicle, vas deferens, uterine cervix; Autoimmune prostatitis; Retroperitoneum: Retroperitoneal fibrosis. thin or mildly thick homogeneous soft tissue lesion surrounding the abdominal aorta and its branches but also bulky masses causing hydronephroureterosis; Mesentery: Sclerosing mesenteritis usually involving the root of the mesentery; Bowel: Inflammatory bowel diseases mimicking Crohn’s disease or ulcerative colitis. various types of sclerosing nodular lesions of the bowel wall; Stomach: Gastritis, gastric ulcers and focal masses mimicking submucosal tumor; omentum: Infiltration mimicking

  14. Screening for Abdominal Aortic Aneurysm

    OpenAIRE

    Linné, Anneli

    2014-01-01

    Abdominal Aortic Aneurysm (AAA) is a common disease with a prevalence of 1.5-2.0% in 65-year old men in Sweden. The risk of having AAA is increased with smoking, high age, family history of AAA and cardiovascular disease. Women have a lower prevalence (0.5%) and develop AAA later in life. An AAA seldom gives any symptom prior to rupture. Untreated rupture is associated with 100% mortality, while surgically treated rupture is associated with 25-70% mortality. Prophylactic sur...

  15. On the abdominal pressure volume relationship

    OpenAIRE

    Mulier, Jan Paul; Dillemans, Bruno; Crombach, Mark; Missant, Carlo; Sels, Annabel

    2009-01-01

    Abstract: During insufflation of the abdomen to create a pneumoperitoneum for laparoscopy, both intra abdominal pressure and insufflated volume can be measured and are used to calculate the abdominal pressure-volume relationship. First, an accurate, linear relationship was identified using a mathematical model with an elastance, E, or its reciprocal the compliance C and with a pressure at zero volume, PV0. This function was stable and could be used to describe the abdominal characteristics of...

  16. [Internationalization and innovation of abdominal acupuncture].

    Science.gov (United States)

    Wang, Yong-Zhou

    2013-09-01

    Characteristics of abdominal acupuncture are analyzed through three aspects of inheriting and innovation, collaborated research as well as international visual field. It is pointed that abdominal acupuncture is based on clinical practice, focuses on enhancing the therapeutic effect and expending the clinical application. It also promots the thinking on how to recall the tradition and how to inherit tradition availably. The modern medical problems should be studied and innovation resolutions should be searched, which can help the internationalization and modernization of abdominal acupuncture.

  17. Abdominal migraine in childhood: a review

    Directory of Open Access Journals (Sweden)

    Scicchitano B

    2014-08-01

    Full Text Available Beatrice Scicchitano,1 Gareth Humphreys,1 Sally G Mitton,2 Thiagarajan Jaiganesh1 1Children's Emergency Department, 2Department of Paediatric Gastroenterology, St Georges Hospital, St Georges Healthcare NHS Trust, Tooting, London, United Kingdom Abstract: The childhood condition of abdominal migraine has been described under many different synonyms, including "abdominal epilepsy", "recurrent abdominal pain", "cyclical vomiting syndrome", and "functional gastrointestinal disorder". In the early literature, abdominal migraine is included in the "childhood periodic syndrome", first described by Wyllie and Schlesinger in 1933. Abdominal migraine has emerged over the last century as a diagnostic entity in its own right thanks to the development of well defined diagnostic criteria and its recent inclusion in the International Headache Society's Classification of Headache disorders. Despite this progress, little is known about the pathophysiology of the condition, and the treatment options are poorly defined. Here we summarize the recent literature, with particular focus on establishing the diagnosis of abdominal migraine and its pathophysiology, and suggest an approach to management. Keywords: abdominal migraine, recurrent abdominal pain, abdominal epilepsy, cyclical vomiting

  18. Inventario y estado de conservación de puya raimondii (bromeliaceae) en el departamento de moquegua, Perú

    NARCIS (Netherlands)

    Montesinos, D.B.

    2014-01-01

    El presente estudio recopilatorio informa de la existencia de Puya raimondii Harms (Bromeliaceae) en cinco localidades de la provincia General Sánchez Cerro, departamento de Moquegua, Perú, donde se han reportado 6040 ejemplares de la especie. Se establece el estado actual de conservación de cada un

  19. MR angiography in abdominal neoplasms

    Energy Technology Data Exchange (ETDEWEB)

    Squillaci, E. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy); Crecco, M. [Dept. of Radiology, Cancer Research Inst. (Regina Elena), Rome (Italy); Grandinetti, M.L. [Dept. of Radiology, Cancer Research Inst. (Regina Elena), Rome (Italy); Maspes, F. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy); Lo Presti, G. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy); Squillaci, S. [Dept. of Radiology, Cancer Research Inst. (Regina Elena), Rome (Italy); Simonetti, G. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy)

    1994-10-01

    The role of magnetic resonance angiography (MRA) in the evaluation of vascular involvement was studied in 55 patients with abdominal neoplasms. A 2-D time-of-flight (TOF) technique was used in all patients. All patients underwent CT and MR examinations before MRA. Also, MR angiograms were compared with digital subtraction angiography in 22 cases, with Doppler US in 13 cases, and with surgical findings in 20 cases. In all patients with liver neoplasms (n=29) MRA demonstrated the absence of flow in the infiltrated segments. Pericapsular neovascularization was observed in 12 patients. Portal vein involvement was correctly detected in 27 patients. In all cases MRA demonstrated in relationship between the tumor and venous structures. Portosystemic shunts were visualized in 20 of 21 patients with portal hypertension. Vena cava thrombosis (3 cases), compression (5 cases), and displacement (2 cases) were correctly demonstrated. In renal (n=6) and adrenal gland (n=3) tumors renal vein compression was correctly detected in 2 cases, displacement in 1 case, and thrombosis in 3 cases, with only 1 false-positive finding. In 7 patients with pancreatic tumors MRA demonstrated splenic vein thrombosis in 2 cases and compression in 2 cases, with one false-positive finding. Our results indicate that MRA provides precise information regarding venous vascular involvement in abdominal neoplasms, but preoperative arterial mapping is still problematic. (orig.)

  20. The Neonate with Abdominal Mass

    Directory of Open Access Journals (Sweden)

    M. Bajoghli

    2008-01-01

    Full Text Available Neonatal abdominal masses have broad spectrum of pathology, ranging from small lesions found incidentally to large masses occupying the entire of peritoneal cavity. These tumors are benign to malignant, and from unilocular cysts to complex solid lesions. Many of these lesions identified and will treat before delivery. Others are discovered during routine examination. These lesions may be life threatening, or cause persistent morbidity. Some of these have no sequel."nDiagnosis began with history. Characteristic of the mass which must be note include location, size, shape, texture, mobility and tenderness. Other findings should be in mind to find out nature of mass, for example hypoplasia of chest wall with oligohydramnios due to GU tract obstruction (potter sequwnce, a bulging hymen due to hydrometrocolpus, skin metastasis due to neuroblastoma. Radiography is the next step that shows organomegaly and calcification. Next step is US which is an excellent screening tool. CT and MRI are occasionally indicated."nThe purpose of this presentation is to review the diagnosis of abdominal masses in neonates.

  1. Nutritional state of scholars from 6 to 11 years old. Clinical-anthropometrical characterization. Caracterización clínico-antropométrica y estado nutricional en escolares de 6-11 años.

    Directory of Open Access Journals (Sweden)

    Alexander Torres Molina

    2011-07-01

    realizó un estudió descriptivo y transversal durante el período correspondiente a enero-junio del año 2010. En una serie de 1601 niños, se analizaron las variables: edad, sexo, estado nutricional actual, índice talla/edad, índice de masa corporal/edad e índice de circunferencia abdominal/edad. Resultados: el 73,1 % (1171 de los niños fue normopesos, 8,6 % (138 obesos, 10,5 % (168 sobrepesos y solo 3,6 % (57 desnutridos. Predominó la obesidad y el sobrepeso en el sexo masculino con 11,2 % y 12,8 % respectivamente, así como la desnutrición con 4,3 %. El 54,6 % de los obesos y un 36,1 % de los sobrepesos presentaron una talla superior a la esperada para su edad y sexo. Conclusiones: Existe tendencia al sobrepeso y la obesidad en la población escolar de Moa, así como un bajo porcentaje de pacientes desnutridos. Se observó correlación entre el estado nutricional actual y los índices antropométricos evaluados. La mayoría de los pacientes obesos tienen obesidad visceral.

  2. Asma bronquial. Estado del arte.

    Directory of Open Access Journals (Sweden)

    Jorge Salazar

    2009-10-01

    Full Text Available Para infinidad de personas el asma es su problema de salud. El diagnóstico y el tratamiento varían dependiendo de la magnitud del compromiso y la causa que produce la reacción inflamatoria en los pulmones. La prevención y el tratamiento serán mejores si la población y los pacientes reconocen la necesidad de evitar determinadas exposiciones ambientales y el uso de medicamentos con la frecuencia necesaria. Ahora los médicos generales conocen mejor la fisiología y patología de esta enfermedad y los mecanismos de acción de los diferentes medicamentos. El tratamiento con aerosol debe comprenderse mejor para evitar efectos colaterales en los pacientes y darles una mejor calidad de vida. Se discuten los nuevos tratamientos para el estado asmático y en las unidades de cuidados intensivos.

  3. Uso da peritoneostomia na sepse abdominal Laparostomy in abdominal sepsis

    Directory of Open Access Journals (Sweden)

    Juvenal da Rocha Torres Neto

    2007-09-01

    Full Text Available Dentre as modalidades terapêuticas da sepse abdominal, a peritoneostomia tem papel decisivo permitindo explorações e lavagens da cavidade de forma facilitada. Observamos pacientes com diagnóstico clínico de sepse abdominal internados no Serviço de Coloproctologia do Hospital Universitário da Universidade Federal de Sergipe, e que foram submetidos a peritoneostomia de janeiro de 2004 a janeiro de 2006. Foram avaliados quanto ao diagnóstico primário e secundário, tipo de peritonite secundária, antibioticoterapia, esquema de lavagens, tempo de peritoneostomia, complicações e desfecho. Estudamos 12 pacientes, com idade de 15 a 57, média de 39,3 anos. Diagnóstico primário: abdome agudo inflamatório em 6(50%, abdome agudo obstrutivo em 2(16,7%, abdome agudo perfurativo em 2(16,7%, fístula enterocutânea em 1(8,3% e abscesso intra-cavitário em 1(8,3%. Diagnóstico secundário: perfuração de cólon em 4(33,3%, abscessos intra-cavitários em 3(25%, deiscências de anastomoses em 3(25%, 1(8,3% com tumor perfurado de sigmóide e 1(8,3% com necrose de cólon abaixado. Peritonite fecal em 10(83,3% e purulenta em 2(16,7%. A antibioticoterapia teve duração média de 19 dias. Lavagens de demanda em 6(50%, programadas em 4(33,3% e regime misto em 2(16,7%. O tempo médio de peritoneostomia foi de 10,9 dias (1-36. Como complicações: evisceração em 2(16,7% e fistulização em 1(8,3%. Quatro pacientes evoluíram com óbito.Among the therapeutics approach form of abdominal sepsis, the laparostomy has a decisive role allowing cavity explorations and lavages in an easier way. We study patients with abdominal sepsis diagnoses admitted to our surgical service of Coloproctology form Sergipe´s Federal University Hospital who underwent a Bogotá Bag laparostomy associated or not with polypropylene mesh from January 2004 to January 2006. These patients were assessed as: first and second diagnosis; secondary peritonitis type; antibiotic

  4. Legal and actual central bank independence

    OpenAIRE

    Artha, I.K.D.S.; J. de Haan

    2010-01-01

    Indicators of central bank independence (CBI) based on the interpretation central bank laws in place may not capture the actual independence of the central bank. This paper develops an indicator of actual independence of the Bank Indonesia (BI), the central bank of Indonesia, for the period 1953-2008 and compares it with a new legal CBI indicator based on Cukierman (1992). The indicator of actual independence captures institutional and economic factors that affect CBI. We find that before 199...

  5. El gasto público y las nuevas formas de intervención del Estado

    OpenAIRE

    Iñiguez, Alfredo; Selva, Rafael A.

    2009-01-01

    Uno de los pilares del actual esquema macroeconómico lo constituye el aumento en la intervención del Estado en la economía y en particular de la acción directa que se traduce en mayor gasto público. La negación a una política de ajuste del gasto es el cambio más relevante de paradigma respecto de la modalidad para enfrentar la crisis.

  6. Estado y confesiones. Manual de la asignatura

    OpenAIRE

    Cañivano Salvador, Miguel Ángel

    2015-01-01

    Estado y Confesiones es una asignatura del grado de Derecho que deriva de otra, que es el Derecho Eclesiástico del Estado, que se impartía en la licenciatura de Derecho, en la Facultad de Derecho de la Universidad de Barcelona. El Derecho eclesiástico del estado, desde una perspectiva positivista, es un concepto que se extiende a las normas que regulan materias que son consideradas de derecho eclesiástico por los docentes e investigadores de esta rama del Derecho. Los cuales coinciden, con...

  7. Actinomycosis mimicking abdominal neoplasm. Case report

    DEFF Research Database (Denmark)

    Waaddegaard, P; Dziegiel, Morten Hanefeld

    1988-01-01

    In a patient with a 6-month history of nonspecific abdominal complaints, preoperative examination indicated malignant disease involving the right ovary, rectum and sigmoid, but laparotomy revealed abdominal actinomycosis. Removal of the ovary and low anterior colonic resection followed by penicil...

  8. Abdominal Wall Modification for the Difficult Ostomy

    OpenAIRE

    Beck, David E.

    2008-01-01

    A select group of patients with major stomal problems may benefit from operative modification of the abdominal wall. Options may include a modified abdominoplasty (abdominal wall contouring), localized flaps, or liposuction. Although frequently successful, these techniques have the potential for significant morbidity.

  9. Live secondary abdominal pregnancy- by chance!!

    Directory of Open Access Journals (Sweden)

    Akanksha Sood

    2013-04-01

    Full Text Available Abdominal pregnancy though rare but is a life threatening situation, if not recognized and managed properly. We are hereby presenting a rare successful outcome in a case of ruptured live Secondary Abdominal pregnancy with placental implants over intestines. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000: 251-253

  10. Hypoxia inhibits abdominal expiratory nerve activity.

    Science.gov (United States)

    Fregosi, R F; Knuth, S L; Ward, D K; Bartlett, D

    1987-07-01

    Our purpose was to examine the influence of steady-state changes in chemical stimuli, as well as discrete peripheral chemoreceptor stimulation, on abdominal expiratory motor activity. In decerebrate, paralyzed, vagotomized, and ventilated cats that had bilateral pneumothoraces, we recorded efferent activity from a phrenic nerve and from an abdominal nerve (cranial iliohypogastric nerve, L1). All cats showed phasic expiratory abdominal nerve discharge at normocapnia [end-tidal PCO2 38 +/- 2 Torr], but small doses (2-6 mg/kg) of pentobarbital sodium markedly depressed this activity. Hyperoxic hypercapnia consistently enhanced abdominal expiratory activity and shortened the burst duration. Isocapnic hypoxia caused inhibition of abdominal nerve discharge in 11 of 13 cats. Carotid sinus nerve denervation (3 cats) exacerbated the hypoxic depression of abdominal nerve activity and depressed phrenic motor output. Stimulation of peripheral chemoreceptors with NaCN increased abdominal nerve discharge in 7 of 10 cats, although 2 cats exhibited marked inhibition. Four cats with intact neuraxis, but anesthetized with ketamine, yielded qualitatively similar results. We conclude that when cats are subjected to steady-state chemical stimuli in isolation (no interference from proprioceptive inputs), hypercapnia potentiates, but hypoxia attenuates, abdominal expiratory nerve activity. Mechanisms to explain the selective inhibition of expiratory motor activity by hypoxia are proposed, and physiological implications are discussed. PMID:3624126

  11. Pediatric Abdominal Pain: An Emergency Medicine Perspective.

    Science.gov (United States)

    Smith, Jeremiah; Fox, Sean M

    2016-05-01

    Abdominal pain is a common complaint that leads to pediatric patients seeking emergency care. The emergency care provider has the arduous task of determining which child likely has a benign cause and not missing the devastating condition that needs emergent attention. This article reviews common benign causes of abdominal pain as well as some of the cannot-miss emergent causes. PMID:27133248

  12. Thoraco-abdominal aortic aneurysm branched repair

    NARCIS (Netherlands)

    Verhoeven, E. L. G.; Tielliu, I. F. J.; Ferreira, M.; Zipfel, B.; Adam, D. J.

    2010-01-01

    Open thoraco-abdominal aortic aneurysm repair is a demanding procedure with high impact on the patient and the operating team. Results from expert centres show mortality rates between 3-21%, with extensive morbidity including renal failure and paraplegia. Endovascular repair of abdominal aortic aneu

  13. Puerperal endometritis after abdominal twin delivery.

    Science.gov (United States)

    Suonio, S; Huttunen, M

    1994-04-01

    The infectious complications of 122 consecutive abdominal twin deliveries over the period 1984-1989 were analyzed in a prospective clinical study, comparing them with 761 singleton abdominal deliveries over the period 1984-1986. The incidence of endometritis was nearly three-fold after twin deliveries and the incidence of abdominal wound infections nearly two-fold compared with singleton abdominal pregnancies (13.1/4.7% and 5.6/3.0%). The risk of amnionitis was increased ten-fold, 6 hours after rupture of the membranes in abdominal twin delivery, but no connection was found between amnionitis and endometritis, as in singleton abdominal deliveries. Multiple regression analysis indicated only two risk factors as regards puerperal endometritis after abdominal twin delivery: age under 25 years (odds ratio 6.9, 95% confidence limits 1.9-24.8), an association also seen in singleton abdominal deliveries, and a period of more than 6 hours from rupture of membranes to delivery (odds ratio 7.8, 95% confidence limits 2.1-28.5). Multiple pregnancy appears to be associated with an increased risk of endometritis. The etiological factors remain unknown, but a large placental bed and/or immunological factors may be implicated. PMID:8160537

  14. Propuestas de instrumentos jurídicos alternativos contra la competencia fiscal perniciosa entre estados

    OpenAIRE

    Marulanda Otálvaro, Hugo

    2016-01-01

    Ante un contexto de globalización económica como el actual, caracterizado por la libre circulación de bienes y servicios, los empresarios se ven cada vez más forzados a ser competitivos tanto en precio como en calidad, primando el primer factor en el actual modelo económico mundial de escasez de recursos económicos generado por las crisis económicas de orden mundial de diferentes Estados. Por este motivo, los operadores económicos buscan, ante todo, ser más eficientes con sus recursos e inver...

  15. Fetal abdominal magnetic resonance imaging

    International Nuclear Information System (INIS)

    This review deals with the in vivo magnetic resonance imaging (MRI) appearance of the human fetal abdomen. Imaging findings are correlated with current knowledge of human fetal anatomy and physiology, which are crucial to understand and interpret fetal abdominal MRI scans. As fetal MRI covers a period of more than 20 weeks, which is characterized not only by organ growth, but also by changes and maturation of organ function, a different MR appearance of the fetal abdomen results. This not only applies to the fetal intestines, but also to the fetal liver, spleen, and adrenal glands. Choosing the appropriate sequences, various aspects of age-related and organ-specific function can be visualized with fetal MRI, as these are mirrored by changes in signal intensities. Knowledge of normal development is essential to delineate normal from pathological findings in the respective developmental stages

  16. Acute spontaneous isolated dissection of abdominal aorta

    Directory of Open Access Journals (Sweden)

    Ali Akbar beigi

    2009-09-01

    Full Text Available

    • Aortic dissection occurs when the layers of the aorta separate as a result of extra luminal cavity of blood through an intimal tear. Dissection limited to the abdominal aorta is rare. Unfortunately, the appropriate management of dissecting aneurysm of abdominal aorta is not documented yet. A 43 years old man was admitted to Al-zahra hospital in Isfahan with sudden onset of periumbilical abdominal pain. CT scan confirmed infrarenal dissection of abdominal aorta. Performing laparotomy, aorta was repaired using bifurcate collagen-coated Dacron graft. Surgical intervention with synthetic graft is recommended in patients with dissecting aortic aneurysm of infrarenal segments where the extent of dissection is limited and accessible.
    • Keywords: Aneurysm, Aortic dissection, Aortic aneurysm abdominal surgery.

  17. A fibromatosis case mimicking abdominal aorta aneurysm.

    Science.gov (United States)

    Tasdemir, Arzu; Kahraman, Cemal; Tasdemir, Kutay; Mavili, Ertugrul

    2013-01-01

    Retroperitoneal fibrosis is a rare fibrosing reactive process that may be confused with mesenteric fibromatosis. Abdominal aorta aneurysm is rare too and mostly develops secondary to Behcet's disease, trauma, and infection or connective tissue diseases. Incidence of aneurysms occurring as a result of atherosclerotic changes increases in postmenopausal period. Diagnosis can be established with arteriography, tomography, or magnetic resonance imaging associated with clinical findings. Tumors and cysts should be considered in differential diagnosis. Abdominal ultrasound and contrast-enhanced computerized tomography revealed an infrarenal abdominal aorta aneurysm in a 41-year-old woman, but, on surgery, retroperitoneal fibrosis surrounding the aorta was detected. We present this interesting case because retroperitoneal fibrosis encircling the abdominal aorta can mimic abdominal aorta aneurysm radiologically.

  18. Por dentro do estado de São Paulo

    Directory of Open Access Journals (Sweden)

    Claudio Salvadori Dedecca

    2009-01-01

    Full Text Available Este ensaio pretende explorar a informação propiciada pela Pesquisa de Condições de Vida (PCV com o objetivo de responder à seguinte questão: Em face das tendências de interiorização observadas nas últimas décadas, quais seriam as dimensões mais relevantes no contexto atual que caracterizam ou não a heterogeneidade intra-regional no Estado de São Paulo. O estudo analisa algumas dimensões da configuração socioeconômica do país, com a preocupação de informar as políticas de trabalho e social no Estado.The paper explores the microdata of the Pesquisa de Condições de Vida (PCV with the preoccupation to answer the following question: Given the trends of economic growth of non metropolitan areas observed in recent decades, what are the dimensions most relevant in the actual context for characterize the socioeconomic heterogeneity intra-regional of the State of São Paulo. The study examines some dimensions of socioeconomic transformation in the state with the orientation of to informer the social and labour policies.

  19. Actual Causation in CP-logic

    CERN Document Server

    Vennekens, Joost

    2011-01-01

    Given a causal model of some domain and a particular story that has taken place in this domain, the problem of actual causation is deciding which of the possible causes for some effect actually caused it. One of the most influential approaches to this problem has been developed by Halpern and Pearl in the context of structural models. In this paper, I argue that this is actually not the best setting for studying this problem. As an alternative, I offer the probabilistic logic programming language of CP-logic. Unlike structural models, CP-logic incorporates the deviant/default distinction that is generally considered an important aspect of actual causation, and it has an explicitly dynamic semantics, which helps to formalize the stories that serve as input to an actual causation problem.

  20. Investigaciones actuales del empleo de Allium sativum en medicina

    Directory of Open Access Journals (Sweden)

    Eslhey María Sánchez Dominguez

    2016-02-01

    Full Text Available Desde tiempos ancestrales el ajo Allium sativum ha sido utilizado por sus propiedades medicinales, ampliamente conocidas. Posee múltiples efectos beneficiosos; tales como: antimicrobiano, hipolipidémico, antitrombótico, actividad antitumoral, antihipertensivo, entre otras. Los compuestos sulfurados presentes en el mismo, principalmente alicina y ajoene, constituyen los principios activos responsables de las actividades biológicas referidas. Se realizó una revisión bibliográfica empleando los recursos disponibles en la red Infomed, específicamente Ebsco, PubMed, Hinari y SciELO, a través de los cuales se accedieron a las bases de datos: Medline, Academic Search Premier, Cochrane Database of Systematic Reviews y MedicLatina, para revisar el estado actual de las investigaciones del ajo en medicina. Existen evidencias científicas que avalan su uso, comprobando los efectos antes referidos. En los últimos años predominan artículos que se centran en el estudio de diferentes formulaciones del ajo: extracto añejo, extracto acuoso, aceite, ajo crudo. En algunas de las referencias consultadas se reconocen limitaciones metodológicas en estas investigaciones. Es consenso que las diferentes formulaciones elaboradas a partir el ajo deben utilizarse como tratamiento complementario.

  1. Cementos de escorias activadas alcalinamente: Situación actual y perspectivas de futuro

    Directory of Open Access Journals (Sweden)

    Puertas, F.

    1995-09-01

    Full Text Available The paper presents the state of the art in cements and concretes with alkaline-activated slag. Characteristics and properties of these materials are given. Special emphasis is made on those scientific and technical aspects which remain unsolved and which, therefore, call for further research.

    Se presenta el estado del conocimiento actual de los cementos y hormigones de escorias activadas alcalinamente, detallándose las características y propiedades de los citados materiales. Se incide especialmente en aquellos aspectos de carácter científico y técnico que permanecen sin resolver y que, por tanto, precisan nuevas investigaciones.

  2. SALUD MENTAL: UN ABORDAJE DESDE LA PERSPECTIVA ACTUAL DE LA PSICOLOGÍA DE LA SALUD

    OpenAIRE

    Moisés Mebarak; Alberto De Castro; María del Pilar Salamanca; María Fernanda Quintero

    2009-01-01

    Este artículo está basado en un estudio estado del arte acerca del entendimiento actual que se tiene sobre el concepto de salud mental, especialmente desde la perspectiva de la psicología de la salud. Con el fin de ilustrar este campo, se presentan algunos aportes y/o investigaciones tanto a nivel general como de la región costa Caribe colombiana. Se ha encontrado que el concepto de salud mental implica el desarrollo de estilos de vida y de características personales, interpersonales, sociale...

  3. Abdominal tuberculosis, a diagnostic dilemma: report of a series of cases

    Directory of Open Access Journals (Sweden)

    Richard Castillo Ramos

    2015-09-01

    Full Text Available INTRODUCCIÓN La tuberculosis abdominal es una de las variantes extrapulmonares más frecuentes. Se relaciona a estados de inmunodepresión y, dado su cuadro clínico inespecífico, su diagnóstico es difícil. Nuestro objetivo es presentar una serie de siete casos diagnosticados de tuberculosis abdominal que requirieron cirugía en el Hospital Clínico de la Pontificia Universidad Católica de Chile. MÉTODOS Se realizó un análisis descriptivo de los siete casos de tuberculosis abdominal operados en nuestro centro entre agosto de 2001 y junio de 2013, caracterizando su presentación clínica y elementos diagnósticos requeridos. RESULTADOS Cuatro hombres y tres mujeres (entre 29 y 68 años fueron diagnosticados y operados de tuberculosis abdominal: tres en su forma peritoneal, dos ganglionar y dos intestinal. En tres casos la tuberculosis abdominal se asoció a inmunosupresión (VIH y artritis reumatoide en tratamiento y en seis casos se presentó con síndrome consuntivo de al menos un mes de evolución. Tres pacientes tuvieron una presentación aguda con signos de obstrucción intestinal. El diagnóstico fue realizado mediante biopsia quirúrgica. Los siete pacientes fueron intervenidos quirúrgicamente, tres de ellos requirieron resección intestinal en el contexto de obstrucción intestinal.

  4. Responsabilidad patrimonial del Estado legislador: distinguiendo

    Directory of Open Access Journals (Sweden)

    José Ignacio Núñez Leiva

    2011-01-01

    Full Text Available Este trabajo estudia la figura de la responsabilidad patrimonial del Estado Legislador. Revisa sus principales antecedentes atendiendo a la jurisprudencia española y francesa. Distingue sus dos principales tipos o hipótesis y analiza críticamente los argumentos más difundidos que rechazan su reconocimiento y aplicación. Propone que aquellos argumentos escépticos hacia la responsabilidad del Estado legislador afectan de manera diversa a sus dos vertientes.

  5. Responsabilidad patrimonial del Estado legislador: distinguiendo

    OpenAIRE

    José Ignacio Núñez Leiva

    2011-01-01

    Este trabajo estudia la figura de la responsabilidad patrimonial del Estado Legislador. Revisa sus principales antecedentes atendiendo a la jurisprudencia española y francesa. Distingue sus dos principales tipos o hipótesis y analiza críticamente los argumentos más difundidos que rechazan su reconocimiento y aplicación. Propone que aquellos argumentos escépticos hacia la responsabilidad del Estado legislador afectan de manera diversa a sus dos vertientes.

  6. Abdominal fat reducing outcome of exercise training: fat burning or hydrocarbon source redistribution?

    Science.gov (United States)

    Kuo, Chia-Hua; Harris, M Brennan

    2016-07-01

    Fat burning, defined by fatty acid oxidation into carbon dioxide, is the most described hypothesis to explain the actual abdominal fat reducing outcome of exercise training. This hypothesis is strengthened by evidence of increased whole-body lipolysis during exercise. As a result, aerobic training is widely recommended for obesity management. This intuition raises several paradoxes: first, both aerobic and resistance exercise training do not actually elevate 24 h fat oxidation, according to data from chamber-based indirect calorimetry. Second, anaerobic high-intensity intermittent training produces greater abdominal fat reduction than continuous aerobic training at similar amounts of energy expenditure. Third, significant body fat reduction in athletes occurs when oxygen supply decreases to inhibit fat burning during altitude-induced hypoxia exposure at the same training volume. Lack of oxygen increases post-meal blood distribution to human skeletal muscle, suggesting that shifting the postprandial hydrocarbons towards skeletal muscle away from adipose tissue might be more important than fat burning in decreasing abdominal fat. Creating a negative energy balance in fat cells due to competition of skeletal muscle for circulating hydrocarbon sources may be a better model to explain the abdominal fat reducing outcome of exercise than the fat-burning model. PMID:27152424

  7. Reflexiones sobre globalización y reformas del Estado

    Directory of Open Access Journals (Sweden)

    Gilberto Calderón Ortiz

    2004-01-01

    Full Text Available La globalización ha impactado a la sociedad en todos los órdenes. El propósito de este trabajo es realizar un análisis crítico a la relación entre globalización y reforma del Estado. Los resultados dan cuenta de: 1 Sujeto a los dictados de la economía mundial el Estado lleva a cabo reformas que le permiten adecuar su quehacer, 2 Con la globalización los actuales sujetos protagónicos de la historia son los grandes conglomerados económicos, 3 Las instituciones financieras internacionales como el Banco Mundial y el Fondo Monetario Internacional son los impulsores de los cambios que debe hacer el aparato de Estado, su objetivo es mantener y/o profundizar las condiciones que demanda (y que en general son satisfechas, el proceso de acumulación de capital, 4 En contrapartida el Estado reduce su participación en la atención a los problemas sociales, los cuales tienden a profundizarse, 5 Paradójicamente al impulsar la vigencia de la democracia, el capitalismo no puede evitar que por esta vía arriben gobiernos que empiezan a administrar la cosa pública para disminuir las crecientes desigualdades que trae consigo e mercado. Se concluye que el sistema no resuelve la contradicción entre libertad política con restricción económica para los más, pero las posibilidades están abiertas, sólo que se requiere que la sociedad mundial como conjunto avance e impulse a aquellas sociedades que se resisten a la exclusión de sus mayorías a sostener su lucha para generalizar en aquellas que tienen manifestaciones aisladas, a que amplíen las bases sociales que exigen participación en las ventajas de la globalización.

  8. El Estado laico y Occidente

    Directory of Open Access Journals (Sweden)

    Roberto Blancarte Pimentel

    2016-01-01

    Full Text Available ¿A qué se refieren por Occidente sus detractores? ¿Cómo lo concebimos nosotros mismos? ¿Cuáles son sus valores e instituciones centrales? ¿Cómo entendemos la expansión de esos valores e instituciones y su relación con otras culturas? ¿Son la secularización y la laicidad de las instituciones políticas un elemento central y específico de nuestra cultura? ¿Son parte integrante de lo que algunos grupos consideran la agresión de Occidente hacia sus sociedades? ¿Es compatible la secularización de la sociedad y la laicización de las instituciones políticas, del Estado o de la esfera pública, con otras culturas? Más allá de las implicaciones en materia de violencia o, eventualmente, de estrategia militar, es evidente que las respuestas que se den a estos interrogantes tienen múltiples consecuencias sobre la estabilidad social, la seguridad, las migraciones, las libertades, las concepciones de vida y sobre todo, sobre las formas de convivencia social. Entonces tenemos que detenernos para saber quiénes somos ante nosotros mismos y los demás. En este artículo se presenta una posible respuesta a estos interrogantes.

  9. hoteleras del Estado Nueva Esparta

    Directory of Open Access Journals (Sweden)

    Daisis Giménez Sifontes

    2015-01-01

    Full Text Available Las empresas hoteleras deben contar con modelos de costos para obtener información relevante en el proceso de toma de decisiones gerenciales; sin embargo, a través de estudio previo, aplicando un análisis univariante se determinó que las empresas hoteleras categorizadas del Estado Nueva Esparta se basan en un modelo inorgánico de costos. En este contexto, la presente investigación tuvo como objetivo determinar los factores que influyen en ese modelo para su proceso de toma de decisiones, para ello se realizó un diseño de campo y aplicó un análisis factorial exploratorio con el método de extracción de factores análisis de componentes principales concluyendo que entre los factores que lo explican se encuentran, el no manejar herramientas como: margen de contribución, costos estándares, margen de seguridad, apalancamiento operativo, contabilidad por área de responsabilidad, aspectos motivacionales y congruencias de metas.

  10. Abdominal Burkitt lymphoma in children : CT finding

    Energy Technology Data Exchange (ETDEWEB)

    Song, Jae Uoo; Kim, Woo Sun; Kim, In One; Yeon, Kyung Mo; Ahn, Hyo Seop; Shin, Hee Young [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of); Song, Chi Sung [Seoul City Boramae Hospital Department of Radiology, Seoul (Korea, Republic of)

    1996-10-01

    To evaluate the CT findings of Burkitt's lymphoma involving the abdomen in children We retrospectively analyzed the abdominal CT of ten children who presented with abdominal symptom. They were confirmed by operation in two cases and by fine needle aspiration biopsy in eight to be suffering from Burkitt's lymphoma. We also abdominal ultrasonography(USG)(n=10) and carried out small bowel follow-through examination(SBS)(n=5). Analyses focused on features of the abdominal mass : bowel wall thickening, ascites, lymphadenopathy, and the involvement of intra-abdominal solid organ. Abdominal CT at the time of presentation showed a huge conglomerated mass encasing segments of small bowel and also peripherally displacing bowel loops(n=9), bowel wall thickening(n=10), and ascites(n=10). In three of these cases, we were able to see tumor necrosis and cavity formation. Extensive infiltration into mesenteric fat and obliteration of tissue plane made it impossible to identify on CT the margin of the tumor and the presence of mesenteric lymphadenopathy. In four patients, sonography showed enlarged mesenteric lymph nodes(15-20mm), and in three, retroperitoneal lymph nodes(5mm, 10mm, 12mm in long dimension) were detected on CT and USG. Abdominal CT can reveal the characteristic imaging features of Burkitt's lymphoma in children. These are a huge conglomerate mass with or without cavity formation, that encases the small bowel and infiltrates the mesentery, ascites, and the relatively spared retroperitoneal lymph nodes.

  11. [Internationalization and innovation of abdominal acupuncture].

    Science.gov (United States)

    Wang, Yong-Zhou

    2013-09-01

    Characteristics of abdominal acupuncture are analyzed through three aspects of inheriting and innovation, collaborated research as well as international visual field. It is pointed that abdominal acupuncture is based on clinical practice, focuses on enhancing the therapeutic effect and expending the clinical application. It also promots the thinking on how to recall the tradition and how to inherit tradition availably. The modern medical problems should be studied and innovation resolutions should be searched, which can help the internationalization and modernization of abdominal acupuncture. PMID:24298780

  12. Combined subcutaneous, intrathoracic and abdominal splenosis.

    Science.gov (United States)

    Javadrashid, Reza; Paak, Neda; Salehi, Ahad

    2010-09-01

    We report a case of combined subcutaneous, intrathoracic, and abdominal splenosis who presented with attacks of flushing, tachycardia and vague abdominal pain. The patient's past medical history included a splenectomy due to abdominal trauma and years later, a lung lobectomy due to recurrent pneumonia. An enhancing solid mass adjacent to the upper pole of the left kidney and nodular pleural based lesions in the left hemi-thorax along with nodular lesions in subcutaneous tissue of the left chest wall suggested possible adrenal malignancy with multiple metastases. Histopathologic examination demonstrated benign lesions of ectopic splenic tissue. PMID:20804314

  13. Chylous Ascites after Abdominal Aortic Aneurysm Repair.

    Science.gov (United States)

    Ohki, Shinichi; Kurumisawa, Soki; Misawa, Yoshio

    2016-01-01

    A 73-year-old man was transferred for treatment of abdominal aortic aneurysm. He had no history of abdominal surgeries. Grafting between the infra-renal abdominal aorta and the bilateral common iliac arteries was performed. Proximal and distal cross clamps were applied for grafting. He developed chylous ascites on the 5th post-operative day, 2 days after initiation of oral intake. Fortunately, he responded to treatment with total parenteral hyper-alimentation for 10 days, followed by a low-fat diet. There was no recurrence of ascites. PMID:27087873

  14. Extraction of fetal electrocardiogram (ECG) by extended state Kalman filtering and adaptive neuro-fuzzy inference system (ANFIS) based on single channel abdominal recording

    Indian Academy of Sciences (India)

    D Panigrahy; P K Sahu

    2015-06-01

    Fetal electrocardiogram (ECG) gives information about the health status of fetus and so, an early diagnosis of any cardiac defect before delivery increases the effectiveness of appropriate treatment. In this paper, authors investigate the use of adaptive neuro-fuzzy inference system (ANFIS) with extended Kalman filter for fetal ECG extraction from one ECG signal recorded at the abdominal areas of the mother’s skin. The abdominal ECG is considered to be composite as it contains both mother’s and fetus’ ECG signals. We use extended Kalman filter framework to estimate the maternal component from abdominal ECG. The maternal component in the abdominal ECG signal is a nonlinear transformed version of maternal ECG. ANFIS network has been used to identify this nonlinear relationship, and to align the estimated maternal ECG signal with the maternal component in the abdominal ECG signal. Thus, we extract the fetal ECG component by subtracting the aligned version of the estimated maternal ECG from the abdominal signal. Our results demonstrate the effectiveness of the proposed technique in extracting the fetal ECG component from abdominal signal at different noise levels. The proposed technique is also validated on the extraction of fetal ECG from both actual abdominal recordings and synthetic abdominal recording.

  15. Grupos étnicos de Sonora: territorios y condiciones actuales de vida y rezago

    Directory of Open Access Journals (Sweden)

    José Luis Zárate Valdez

    2016-01-01

    Full Text Available En el presente artículo se ofrece una caracterización breve de los territorios y condiciones en que viven los gru - pos indígenas que habitan en el estado de Sonora, a partir de su historia. Además, se plasma su situación actual en indica - dores territoriales, demográficos, actividades económicas, educación, vivienda, salud y rezago social. En Sonora hay nueve grupos étnicos, integrados por alrededor de 138 mil personas, lo que representa 5.2 por ciento de la población total de la entidad. En conjunto, poseen 5.8 por ciento de la superficie estatal, aunque en áreas desérticas, montañosas, de difícil acceso y, en algunos casos, la comparten con gente no indígena. Ochenta por ciento de estos grupos vive en comunidades rurales, por lo general alejadas de los centros urbanos, con acceso insuficiente a la educación y a los ser - vicios médicos, con fuentes de trabajo de bajo perfil y paga, viviendas pequeñas con pocos bienes y carentes de electricidad, drenaje y agua potable de calidad. Los indicadores analizados confirman el estado de marginación, vulnerabilidad y fragilidad de este sector de la población, y marcan la necesidad urgente de apoyo real de parte del Estado.

  16. Conterminous U.S. actual evapotranspiration data

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Actual ET (ETa) is produced using the operational Simplified Surface Energy Balance (SSEBop) model (Senay and others, 2013) for the period 2000 to present. The...

  17. Self-Actualization, Liberalism, and Humanistic Education.

    Science.gov (United States)

    Porter, Charles Mack

    1979-01-01

    The relationship between personality factors and political orientation has long been of interest to psychologists. This study tests the hypothesis that there is no significant relationship between self-actualization and liberalism-conservatism. The hypothesis is supported. (Author)

  18. [Churg-Strauss abdominal manifestation].

    Science.gov (United States)

    Suarez-Moreno, Roberto; Ponce-Pérez, Luis Virgilio; Margain-Paredes, Miguel Angel; Garza-de la Llave, Heriberto; Madrazo-Navarro, Mario; Espinosa-Álvarez, Arturo

    2014-01-01

    Antecedentes: la enfermedad de Churg-Strauss es poco común, idiopática, caracterizada por hipereosinofilia en sangre y tejidos, aunada a vasculitis sistémica en pacientes con antecedentes de asma o rinitis alérgica. Las manifestaciones gastrointestinales del síndrome de Churg Strauss se caracterizan por dolor abdominal, seguido de diarrea y hemorragia en 31-45% de los casos. Caso clínico: paciente masculino con antecedente de asma que acudió a consulta por abdomen agudo con probable apendicitis aguda; durante el protocolo de estudio se diagnosticó síndrome de Churg Strauss, con manifestaciones intestinales. Conclusión: el síndrome de Churg Strauss es una vasculitis poco frecuente que puede manifestarse con síntomas intestinales, como en este caso; es importante tenerlo en mente a la hora de los diagnósticos diferenciales. Existen pocos reportes con este síndrome asociado con abdomen agudo, todos ellos con mal pronóstico.

  19. Component Separation for Complex Abdominal Wall Reconstruction

    Medline Plus

    Full Text Available COMPONENT SEPARATION FOR COMPLEX ABDOMINAL WALL RECONSTRUCTION ALBANY MEDICAL CENTER ALBANY, NY April 30, 2008 00:00: ... Koumanis. The surgery comes to you from Albany Medical Center in Albany, New York. In just moments, ...

  20. An Unusual Case of Abdominal Pain

    Directory of Open Access Journals (Sweden)

    Bobby Desai

    2012-01-01

    Full Text Available Renal calyceal rupture is a usual etiology of abdominal pain in the emergency department. We present a case of unexpected renal calyx rupture in a patient with symptomatology of renal colic. A discussion and review are provided.

  1. Genetics Home Reference: abdominal wall defect

    Science.gov (United States)

    ... size and can usually be diagnosed early in fetal development, typically between the tenth and fourteenth weeks of ... organs at the abdominal wall opening late in fetal development may also contribute to organ injury. Intestinal damage ...

  2. Abdominal separation in an adult male patient with acute abdominal pain

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    We report a male patient with prolonged post-prandial abdominal distension and a sudden onset of epigastric pain initially diagnosed as acute abdomen. The patient had no history of surgery. Physical examination revealed peritonitis and abdominal computed tomography scan showed upper abdominal mesentery intorsion. The patient then underwent surgical intervention. It was found that the descending mesocolon dorsal root was connected to the ascending colon and formed a membrane encapsulating the small intestine...

  3. [Intestinal occlusion and abdominal compartment syndrome (ACS)].

    Science.gov (United States)

    Stagnitti, Franco

    2009-01-01

    Intestinal occlusion is defined as an independent predictive factor of intra-abdominal hypertension (IAH) which represents an independent predictor of mortality. Baggot in 1951 classified patients operated with intestinal occlusion as being at risk for IAH ("abdominal blow-out"), recommending them for open abdomen surgery proposed by Ogilvie. Abdominal surgery provokes IAH in 44.7% of cases with mortality which, in emergency, triples with respect to elective surgery (21.9% vs 6.8%). In particular, IAH is present in 61.2% of ileus and bowel distension and is responsible for 52% of mortality (54.8% in cases with intra-abdominal infection). These patients present with an increasing intra-abdominal pressure (IAP) which, over 20-25 mmHg, triggers an Abdominal Compartment Syndrome (ACS) with altered functions in some organs arriving at Multiple Organ Dysfunction Syndrome (MODS). The intestine normally covers 58% of abdominal volume but when there is ileus distension, intestinal pneumatosis develops (third space) which can occupy up to 90% of the entire cavity. At this moment, Gastro Intestinal Failure (GIF) can appear, which is a specific independent risk factor of mortality, motor of "Organ Failure". The pathophysiological evolution has many factors in 45% of cases: intestinal pneumatosis is associated with mucosal and serous edema, capillary leakage with an increase in extra-cellular volume and peritoneal fluid collections (fourth space). The successive loss of the mucous barrier permits a bacterial translocation which includes bacteria, toxins, pro-inflammatory factors and oxygen free radicals facilitating the passage from an intra-abdominal to inter-systemic vicious cyrcle. IAH provokes the raising of the diaphragm, and vascular and visceral compressions which induce hypertension in the various spaces with compartmental characteristics. These trigger hypertension in the renal, hepatic, pelvic, thoracic, cardiac, intracranial, orbital and lower extremity areas, giving

  4. Recurrent abdominal pain in paediatric patients

    OpenAIRE

    Mak, VWY; Ng, WM; Chan, KL

    1999-01-01

    Recurrent abdominal pain is a common problem in the paediatric population. While functional abdominal pain accounts for the majority of cases, an organic cause for pain may be found in about 5% to 10% of children. Diagnostic evaluation depends on the clinical presentation and the presence of specific findings. Excessive testing should be avoided as this may increase parental anxiety and put the child through unnecessary stress.

  5. Surveillance intervals for small abdominal aortic aneurysms

    DEFF Research Database (Denmark)

    Bown, Matthew J; Sweeting, Michael J; Brown, Louise C;

    2013-01-01

    Small abdominal aortic aneurysms (AAAs [3.0 cm-5.4 cm in diameter]) are monitored by ultrasound surveillance. The intervals between surveillance scans should be chosen to detect an expanding aneurysm prior to rupture.......Small abdominal aortic aneurysms (AAAs [3.0 cm-5.4 cm in diameter]) are monitored by ultrasound surveillance. The intervals between surveillance scans should be chosen to detect an expanding aneurysm prior to rupture....

  6. Using abdominal massage in bowel management.

    Science.gov (United States)

    Connor, Michelle; Hunt, Catherine; Lindley, Alison; Adams, John

    2014-07-15

    This article describes the introduction of abdominal massage techniques by a community team as part of a total bowel management programme for people with learning disabilities. A trust-wide audit of prescribed laxative use by this client group raised concerns, and led to a more systematic approach to managing constipation in people with learning disabilities. An education programme for carers proved to be successful. Some reported that adopting abdominal massage provided further opportunity to develop the therapeutic relationship. PMID:25005415

  7. Asymptomatic torsion of intra-abdominal testis

    OpenAIRE

    M. Amin El-Gohary

    2015-01-01

    We report a case of intra-abdominal testicular torsion, of eight years old boy who presented with asymptomatic left impalpable testis. Diagnostic laparoscopy revealed a twisted small intra-abdominal testis in which the spermatic cord twisted 3 times over a band attached to the internal ring. The cord was long enough to bring the small testis into the scrotal sac. This case highlights the pole of laparoscopy in the management of impalpable testes.

  8. Traumatic pseudoaneurysm of the abdominal aorta.

    Science.gov (United States)

    Barchiche, R; Bové, T; Demanet, H; Goldstein, J P; Deuvaert, F E

    1999-08-01

    A traumatic pseudoaneurysm of the abdominal aorta is a rare entity, occurring as the result of a missed aortic lesion at the time of the initial injury. Therefore, clinical suspicion and careful abdominal exploration at first laparotomy is mandatory to prevent aortic pseudoaneurysm formation and its risk of delayed rupture. We present a case of successful surgical treatment of a suprarenal aortic false aneurysm, presenting 4 weeks after a life-threatening gunshot wound in a 13-year-old child. PMID:10499389

  9. Abdominal integument atrophy after operative procedures

    OpenAIRE

    Smereczyński, Andrzej; Kołaczyk, Katarzyna; Lubiński, Jan; Bojko, Stefania; Gałdyńska, Maria; Bernatowicz, Elżbieta

    2012-01-01

    The aim of the study was to analyze clinical material concerning postoperative atrophy of abdominal integument. Material and methods The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral laparotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digi...

  10. Diagnosis and treatment of expanding haematoma of the lateral abdominal wall after blunt abdominal trauma

    International Nuclear Information System (INIS)

    We report a rare case of an expanding post-traumatic lateral abdominal wall haematoma. A superselective arteriogram of the deep circumflex iliac artery showed extravasation from the ascending branch, urging emergency therapy. Microcoil and Gelfoam embolisation was successfully performed. Haematomas of the abdominal wall can be divided in the common rectus sheath haematomas and the rare haematomas of the lateral abdominal wall. Differentiating both entities is essential, since there is a strong difference in their vascular supply. The typical vascular supply of the lateral abdominal wall is discussed, with emphasis on the ascending branch of the deep circumflex iliac artery. (orig.)

  11. DIEP breast reconstruction following multiple abdominal liposuction procedures

    OpenAIRE

    Farid, Mohammed; Nicholson, Simon; Kotwal, Ashutosh; Akali, Augustine

    2014-01-01

    Objective: Previous abdominal wall surgery is viewed as a contraindication to abdominal free tissue transfer. We present two patients who underwent multiple abdominal liposuction procedures, followed by successful free deep inferior epigastric artery perforator flap. We review the literature pertaining to reliability of abdominal free flaps in those with previous abdominal surgery. Methods: Review of case notes and radiological investigations of two patients, and a PubMed search using the ter...

  12. Excess radiation and organ dose in chest and abdominal CT due to CT acquisition beyond expected anatomical boundaries

    Energy Technology Data Exchange (ETDEWEB)

    Zanca, Federica; Demeter, Martine; Oyen, Raymond; Bosmans, Hilde [University Hospitals Leuven, Department of Radiology, Leuven (Belgium)

    2012-04-15

    To assess the extent of extra imaging beyond the prescribed anatomical margins for chest and abdominal CT and to determine associated extra patient and organ dose estimates. For 167 consecutive patients undergoing routine chest and/or abdominal examination with 128-slice CT, extra imaging length was evaluated on coronal images. Effective and organ doses (thyroid, liver, breasts, testes) were calculated. Paired t-test was applied to evaluate statistically significant differences between prescribed and actual imaging length, and associated doses. 133 (80%) examinations had extra coverage (mean 4.6 cm, range 1-19.5 cm). Significantly higher (P < 0.05) effective doses for chest CT (mean 4.8 mSv vs 4.2 mSv for actual vs prescribed volume of interest), abdominal CT (8.4 mSv vs 7.9 mSv) or thorax-abdominal CT (12.8 mSv vs 11.9 mSv) were found. A significantly higher (P < 0.001) organ dose was estimated for thyroid (extra dose 99% corresponding to 5.1 mSv), liver (56%, 2.2 mSv), testes (115%, 7.6 mSv), and breasts (163%, 1.5 mSv). Imaging beyond anatomical limits during routine chest and abdominal CT results in higher organ and effective doses. Continuous training of the technologists remains important. Physicians and technologists must be kept aware of the additional dose associated with extra imaging. (orig.)

  13. Dissecção espontânea da aorta abdominal infrarrenal Spontaneous dissection of the infrarenal aorta

    Directory of Open Access Journals (Sweden)

    Otacílio de Camargo Junior

    2012-09-01

    Full Text Available A rotura da camada íntima que marca o início da dissecção aórtica se origina na maioria dos casos na aorta torácica, sendo rara a dissecção espontânea da aorta abdominal infra-renal. As três principais causas são: iatrogênica, traumática ou espontânea. A dor abdominal e a isquemia de membros são os sintomas mais comuns e um número significativo de pacientes e´ assintomatico. O diagnóstico tem sido feito através de métodos de imagem como ultrassonografia, tomografia computadorizada, ressonância nuclear magnética e angiografia aliados ao alto índice de suspeição. Relatamos os casos de duas pacientes que apresentaram dissecção de aorta abdominal infrarrenal com quadro de dor abdominal súbita, sem sinais de irritação peritoneal com pulsos presentes e simétricos ao exame físico que deram entrada no pronto socorro do Hospital e Maternidade Celso Pierro da PUC Campinas e que foram tratadas pela equipe de Cirurgia Vascular. As duas pacientes no momento do exame apresentavam-se hipertensas e ao ultrassom apresentavam alteração da conformidade da aorta abdominal que foram tratada s cirurgicamente. Uma paciente foi tratada cirurgicamente submetida a endarterectomia da placa dissecada da aorta abdominal infrarrenal de 2,2 cm de diâmetro e 2,0 cm de extensão. A outra paciente foi submetida a revascularização da aorta abdominal bi-iliaca com prótese de Dacron 16 × 8 mm por apresentar disseccao da aorta abdominal distal. As duas pacientes apresentaram boa evolução pos-operatoria tendo alta hospitalar em bom estado geral.The rupture of the intimal layer marks the beginning of the aortic dissection, which usually happens in the thoracic aorta. The spontaneous dissection of the infrarenal aorta is rare. The main causes are: iatrogenic, traumatic and spontaneous. Abdominal pain and limb ischemia are the commonest symptoms, and some patients are asymptomatics. The diagnosis is made by ultrasound, computed tomography

  14. Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis

    NARCIS (Netherlands)

    Smit, M.; Buddingh, K. T.; Bosma, B; Nieuwenhuijs, V B; Hofker, H.S.; Zijlstra, J.G.

    2016-01-01

    INTRODUCTION: Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS

  15. Abdominal binders may reduce pain and improve physical function after major abdominal surgery - a systematic review

    DEFF Research Database (Denmark)

    Rothman, Josephine Philip; Gunnarsson, Ulf; Bisgaard, Thue

    2014-01-01

    . The PubMed, EMBASE and Cochrane databases were searched for studies on the use of abdominal binders after abdominal surgery or abdominoplasty. All types of clinical studies were included. Two independent assessors evaluated the scientific quality of the studies. The primary outcomes were pain, seroma...

  16. Incidencia actual de la obesidad en las enfermedades cardiovasculares

    Directory of Open Access Journals (Sweden)

    Julio César Fernández-Travieso

    2016-01-01

    Full Text Available La obesidad es una enfermedad crónica multifactorial que constituye un importante problema de salud a nivel mundial, con riesgo cardiovascular asociado y una morbilidad y mortalidad aumentada, además de alterar la calidad de vida de quienes la padecen. En la actualidad, el sobrepeso y la obesidad se consideran tan importantes como otros factores de riesgo clásicos relacionados con la enfermedad coronaria como dislipidemia, hipertensión arterial, diabetes mellitus, marcadores inflamatorios y estado protrombótico. El tejido adiposo no sólo actúa como almacén de moléculas grasas, sino que sintetiza y libera a la sangre numerosas hormonas relacionadas con el metabolismo de principios inmediatos y la regulación de la ingesta. La pérdida de peso puede evitar la progresión de la placa de aterosclerosis y los eventos coronarios agudos en los sujetos obesos. Los objetivos de esta revisión se enmarcan en abordar brevemente la obesidad y su incidencia actual en las enfermedades cardiovasculares, asi como acotar su diagnóstico, clasificación y adecuado manejo. Se concluye que el diagnóstico de obesidad debe incluir mediciones de contenido total y de distribución de la grasa corporal y que los cambios en el estilo de vida que promuevan una dieta equilibrada y ejercicio físico regular deben ser una de las medidas principales en el tratamiento de la obesidad y sus comorbilidades asociadas.

  17. Humanistic Education and Self-Actualization Theory.

    Science.gov (United States)

    Farmer, Rod

    1984-01-01

    Stresses the need for theoretical justification for the development of humanistic education programs in today's schools. Explores Abraham Maslow's hierarchy of needs and theory of self-actualization. Argues that Maslow's theory may be the best available for educators concerned with educating the whole child. (JHZ)

  18. Developing Human Resources through Actualizing Human Potential

    Science.gov (United States)

    Clarken, Rodney H.

    2012-01-01

    The key to human resource development is in actualizing individual and collective thinking, feeling and choosing potentials related to our minds, hearts and wills respectively. These capacities and faculties must be balanced and regulated according to the standards of truth, love and justice for individual, community and institutional development,…

  19. Actual global problems of radiation protection

    International Nuclear Information System (INIS)

    Personal views on some actual problems in radiation protection are given in this paper. Among these problems are: evolution methodology used in radiation protection regulations; radiation protection, nuclear energy and safety, and new approaches to the process of the hazardous substances management. An interesting fact relating to the X-ray, radiation protection and Nikola Tesla are given also. (author)

  20. Estado epiléptico en niños

    Directory of Open Access Journals (Sweden)

    Oscar Mauricio Espitia Segura, MD

    2010-01-01

    Full Text Available El estado epiléptico es una condición frecuente en población general, siendo los extremos de la vida los más susceptibles de presentarlo y dado que es una condición que amenaza la vida del paciente, requiere de medidas organizadas pero agresivas para atacarlo y de este modoprevenir daño neurológico, complicaciones sistémicas y muerte. Se requiere difundir el conocimiento al respecto de esta patología para mejorar la atención y el pron��stico de los niños que se presentan al servicio de urgencias, por lo cual es importante conocer la fisiopatología subyacente para enfilar adecuadamente los esfuerzos en la práctica diaria. Tradicionalmente se ha usado medicamentos de primera línea como benzodiacepinas y fenitoina pero actualmente ennuestro medio se cuenta con un mayor arsenal terapéutico que permite al clínico escoger la mejor opción para cada paciente en particular, incluso en casos de estado epiléptico refractario. ______________________________________________________________________Status epilepticus is a frequent emergency in general population, being the extreme ages the most susceptible, and since it is a potentially life threatening condition, requires an organized plan and aggressive measures to attack it and then prevent neuronal damage, systemic complications and even death. It is required to spread theknowledge about this pathology to improve attention and prognosis in emergency room settings, thus it is important to know the underlying physiopathology to line up the efforts in daily practice. raditionally it has been used first line drugs as benzodiazepines and phenytoin however actually there are some other options that let the physician to choose the better one for each particular patient, even in therefractory status epilepticus.

  1. Whiteheadian Actual Entitities and String Theory

    Science.gov (United States)

    Bracken, Joseph A.

    2012-06-01

    In the philosophy of Alfred North Whitehead, the ultimate units of reality are actual entities, momentary self-constituting subjects of experience which are too small to be sensibly perceived. Their combination into "societies" with a "common element of form" produces the organisms and inanimate things of ordinary sense experience. According to the proponents of string theory, tiny vibrating strings are the ultimate constituents of physical reality which in harmonious combination yield perceptible entities at the macroscopic level of physical reality. Given that the number of Whiteheadian actual entities and of individual strings within string theory are beyond reckoning at any given moment, could they be two ways to describe the same non-verifiable foundational reality? For example, if one could establish that the "superject" or objective pattern of self- constitution of an actual entity vibrates at a specific frequency, its affinity with the individual strings of string theory would be striking. Likewise, if one were to claim that the size and complexity of Whiteheadian 'societies" require different space-time parameters for the dynamic interrelationship of constituent actual entities, would that at least partially account for the assumption of 10 or even 26 instead of just 3 dimensions within string theory? The overall conclusion of this article is that, if a suitably revised understanding of Whiteheadian metaphysics were seen as compatible with the philosophical implications of string theory, their combination into a single world view would strengthen the plausibility of both schemes taken separately. Key words: actual entities, subject/superjects, vibrating strings, structured fields of activity, multi-dimensional physical reality.

  2. Postoperative abdominal complications after cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Dong Guohua

    2012-10-01

    Full Text Available Abstract Background To summarize the diagnostic and therapeutic experiences on the patients who suffered abdominal complications after cardiovascular surgery with cardiopulmonary bypass(CPB. Methods A total of 2349 consecutive patients submitted to cardiovascular surgery with CPB in our hospital from Jan 2004 to Dec 2010 were involved. The clinical data of any abdominal complication, including its incidence, characters, relative risks, diagnostic measures, medical or surgical management and mortality, was retrospectively analyzed. Results Of all the patients, 33(1.4% developed abdominal complications postoperatively, including 11(33.3% cases of paralytic ileus, 9(27.3% of gastrointestinal haemorrhage, 2(6.1% of gastroduodenal ulcer perforation, 2(6.1% of acute calculus cholecystitis, 3(9.1% of acute acalculus cholecystitis, 4(12.1% of hepatic dysfunction and 2(6.1% of ischemia bowel diseases. Of the 33 patients, 26 (78.8% accepted medical treatment and 7 (21.2% underwent subsequent surgical intervention. There were 5(15.2% deaths in this series, which was significantly higher than the overall mortality (2.7%. Positive history of peptic ulcer, advanced ages, bad heart function, preoperative IABP support, prolonged CPB time, low cardiac output and prolonged mechanical ventilation are the risk factors of abdominal complications. Conclusions Abdominal complications after cardiovascular surgery with CPB have a low incidence but a higher mortality. Early detection and prompt appropriate intervention are essential for the outcome of the patients.

  3. Abdominal tuberculosis, clinical-radiological revision

    International Nuclear Information System (INIS)

    We retrospectively evaluated the clinical charts and diagnostic images of hospitalised patients with histological or bacteriologic demonstration of abdominal tuberculosis (TB) including those with probable abdominal TB, who had pulmonary TB and radiologic findings highly suggestive of abdominal TB with favourable response to treatment. Cases with genitourinary TB were excluded. We found 24 patients with an average age of 25 yrs. In some cases this entity was not suspected on the imaging studies, and diagnosis was made on surgery. The most frequent symptoms were: abdominal pain, diarrhoea, fever, vomiting, weight loss and abdominal mass. Active pulmonary TB was demonstrated on 8 cases (33%) Peritoneal presentation was the most frequent (54%) with septated or simple ascites, cystic ascites or pseudocysts within bowel loops. Mesenteric involvement (21 %) showed adenopathy or masses identified with CT. Intestinal forms (17%) showed pseudo-polyps on terminal ileum and ulcers on ileum, cecum and colon. We found one case with diffuse ulcerative involvement of the colon. Two cases showed hepatic involvement, one with an abscess and a tuberculosis Cole cystitis, with pyloric syndrome due to fibrosis

  4. Intra-Abdominal Hypertension and Abdominal Compartment Syndrome in Association with Ruptured Abdominal Aortic Aneurysm in the Endovascular Era: Vigilance Remains Critical

    Directory of Open Access Journals (Sweden)

    Matthew C. Bozeman

    2012-01-01

    In this review, we describe published experience with IAH and ACS complicating abdominal vascular catastrophes, experience with ACS complicating endovascular repair of rAAAs, and techniques for management of the abdominal wound. Vigilance and appropriate management of IAH and ACS remains critically important in decreasing morbidity and optimizing survival following catastrophic intra-abdominal vascular events.

  5. Thoracic and abdominal blastomycosis in a horse.

    Science.gov (United States)

    Toribio, R E; Kohn, C W; Lawrence, A E; Hardy, J; Hutt, J A

    1999-05-01

    A 5-year-old Quarter Horse mare was examined because of lethargy, fever, and weight loss of 1 month's duration. Thoracic auscultation revealed decreased lung sounds cranioventrally. Thoracic ultrasonography revealed bilateral anechoic areas with hyperechoic strands, consistent with pleural effusion and fibrin tags. A large amount of free fluid was evident during abdominal ultrasonography. Abnormalities included anemia, hyperproteinemia, hyperglobulinemia, hyperfibrinogenemia, and hypoalbuminemia. Thoracic radiography revealed alveolar infiltrates in the cranial and caudoventral lung fields. A cavitary mass, consistent with an abscess, could be seen caudodorsal to the crura of the diaphragm. Ultrasonographic evaluation of this area revealed a hypoechoic mass with septations. Bilateral thoracocentesis was performed. Bacterial culture of the pleural fluid did not yield growth, but Blastomyces dermatitidis was isolated from pleural fluid, abdominal fluid, and an aspirate of the abscess. The mare was euthanatized, and a diagnosis of thoracic and abdominal blastomycosis was confirmed at necropsy. PMID:10319179

  6. Psychosocial factors and childhood recurrent abdominal pain.

    Science.gov (United States)

    Boey, Christopher Chiong-Meng; Goh, Khean-Lee

    2002-12-01

    Recurrent abdominal pain in children is not a single condition but a description of a wide spectrum of clinical manifestations, some of which fit into a definite pattern, such as the irritable bowel syndrome, while others do not. Organic disorders may be present, but in the majority of children they cannot be detected. Although children with recurrent abdominal pain do not generally have psychological or psychiatric illness, there is a growing body of evidence to suggest that psychosocial stress plays an important role in this condition. This review will look into some of this evidence. The precise pathophysiology that results in abdominal pain is still not clearly understood, but the current belief is that visceral hypersensitivity or hyperalgesia and changes in the brain-gut axis linking the central and enteric nervous systems are important mechanisms. PMID:12423267

  7. [Pediatric Abdominal Pain – Harmless or Harmful?].

    Science.gov (United States)

    Furlano, Raoul Ivano

    2016-04-27

    Abdominal pain is a very common pediatric complaint. In the majority of cases there is no life-threatening pathology behind this symptom, but a functional disease. However, all-day activities of children and adolescents are often limited, frequent absences from school, and general physician/ pediatrician office visits with often unnecessary diagnostic and therapies are registered. Once an organic etiology of the abdominal pain is excluded by a thoroughly medical history taking and physical examination, the first steps for a successful alleviation of the pain is the reassurance of the patients and their family that there is no life-threatening pathology. There is evidence that cognitive-behavioral therapy may be useful in improving pain and disability outcome in the short term. There is no evidence for pharmacological, dietetic, or complementary intervention in the treatment of chronic functional abdominal pain. PMID:27120211

  8. Reseña sobre el orijen i estado actual de la escuela de artes i oficios de chile

    OpenAIRE

    Pérez, Heliodoro A.

    2010-01-01

    Se inserta a continuacion el informe que redactó en 1853 para el señor Manuel Ancízar, Ministro granadino en aquella época, el señor Heliodoro A. Pérez, profesor de matemáticas: planteamiento de la escuela - gastos de la escuela - Plan de la escuela - Plan de estudios - Textos de enseñanza - Regimen interior - Distribución del tiempo durante la semana - Personal y alumnos

  9. Estado actual del conocimiento de la biología de grupos aborígenes de la Argentina

    OpenAIRE

    Carnese, Francisco R.

    2003-01-01

    Desde el año 1927 y hasta mediados de la década de 1980, los estudios genéticos poblacionales en aborígenes argentinos se circunscribieron principalmente al análisis y distribución de los grupos sanguíneos. Hacia fines de esa década comienzan a emplearse otros marcadores genéticos para la caracterización biológica de esos grupos humanos: enzimas eritrocitarias, proteinas séricas, sistemas HLA, Gm/Km, ADNn y ADNmt. Parte de esa información se empleo en el análisis de la diversidad genética de ...

  10. Estado actual de la investigación sobre comunicación sonora de primates colombianos

    Directory of Open Access Journals (Sweden)

    Zerda Ordóñez Enrique

    2006-06-01

    Full Text Available En Colombia existen 12 géneros de primates neotropicales y todos ellos emiten algún tipo de vocalización para
    comunicarse, algunos aspectos de estos sonidos se han evaluado y publicado. Este trabajo recopila las publicaciones más importantes, sintetizándolas y muestra los géneros con vacíos de información. En Saguinus se
    encontraron 19 trabajos sobre vocalizaciones, en Saimiri 14, seguido por Cebuella con nueve, Cebus con siete y
    Ateles y Callimico con dos publicaciones. De los géneros de Allouata, Aotus, Lagothrix, Callicebus, Cacajao y Pithecia, se encontró la descripción de sus vocalizaciones en un solo trabajo de cada género. Los trabajos se refieren a llamados asociados a alimento, de contacto y alarma; aspectos como ontogenia, desarrollo de las respuestas y percepción; en contextos sociales, medioambientales y a nivel cerebral.

  11. Rutinas para reducción de observaciones polarimétricas: evolución y estado actual

    Science.gov (United States)

    Cellone, S. A.

    I briefly review the evolution experimented by the software for reduction of observational data obtained with the CasProf photopolarimeter, ten years after its "first light" at the Jorge Sahade telescope. Our original routines for the calculation of Stokes parameters were complemented with new ones used to improve the quality of our results, and to adapt the software to different needs, in particular, to obtain polarimetric variability curves (applied to blazar studies). FULL TEXT IN SPANISH

  12. Estado actual del conocimiento de la biología de grupos aborígenes de la Argentina

    Directory of Open Access Journals (Sweden)

    Carnese, Francisco R.

    2003-01-01

    Full Text Available Desde el año 1927 y hasta mediados de la década de 1980, los estudios genéticos poblacionales en aborígenes argentinos se circunscribieron principalmente al análisis y distribución de los grupos sanguíneos. Hacia fines de esa década comienzan a emplearse otros marcadores genéticos para la caracterización biológica de esos grupos humanos: enzimas eritrocitarias, proteinas séricas, sistemas HLA, Gm/Km, ADNn y ADNmt. Parte de esa información se empleo en el análisis de la diversidad genética de poblaciones del Chaco (wichi, toba y chorote y de la Patagonia (mapuche y tehuelche a diferentes niveles jerárquicos: proteico, nuclear y mitocondrial. La variabilidad genética intrapoblacional varió del 91% al 99%, mientras que el porcentaje de diferenciación genética interpoblacional (Gst' se incrementó desde el nivel proteico al molecular (proteico: Gst'=3.6%; ADNn: Gst'= 6.0% y ADNmt: Gst'= 10% . Al comparar los datos de los aborígenes argentinos (AA con otras poblaciones indígenas sudamericanas (IS se observaron similares valores de Gst' a nivel proteico (AA:Gst'=3.6%, IS: Gst'=3.0%-6.0% y más bajos a nivel nuclear (AA: Gst'= 6.0%, IS: Gst'= 11%-13% y mitocondrial (AA: Gst'= 8%, IS: Gst'= 26% -36%. Los valores de Gst' hallados en AA son los más bajos encontrados en IS, lo cual sugiere la existencia de un intenso flujo génico entre los habitantes del norte y del sur del país. Estos resultados parecen corresponderse con la información arqueológica e histórica.

  13. ESTADO ACTUAL DE LA PREVENCIÓN DE LOS ACCIDENTES DE MONTAÑA EN ARAGÓN

    Directory of Open Access Journals (Sweden)

    Ma. Antonia Nerín

    2005-01-01

    - Establecer las necesidades de los colectivos implicados (usuarios, profesionales e nstituciones para reducir la incidencia y severidad de los accidentes de montaña. Para ello, hemos utilizado los resultados de las campañas institucionales Montañas para Vivirlas Seguro de los años 2000, 2001 y 2002, se han analizado las ocupaciones relacionadas con las actividades deportivas en la montaña y hemos consultado directamente con las instituciones implicadas. El nivel de formación e información del usuario de la montaña en Aragón no es el adecuado para el riesgo potencial de las actividades de montaña; mientras que se evidencia la necesidad de reglar algunas profesiones de la montaña. El rescate en montaña es efectivo, eficaz y eficiente; la medicalización es efectiva, eficaz y no eficiente (atendiendo a los criterios de necesidad, oferta y demanda y la prevención -a pesar de los esfuerzos- es no eficaz, no eficiente y no efectiva. Por todo ello, es urgente la creaciÛn de un servicio de vigilancia de los accidentes de montaña, así como un centro que coordine las propuestas y actuaciones orientadas a prevenir los acci-dentes de montaña.

  14. Las Saladas del sur de Monegros : facies, régimen hídrico y estado actual

    OpenAIRE

    Castañeda del Alamo, Carmen

    2004-01-01

    Los humedales son lugares de interés prioritario en las políticas ambientales orientadas a la conservación de hábitats singulares. Los humedales de medios áridos descritos en otros países suelen estar en áreas desérticas de África, Asia, Australia o las Américas, mientras que en Europa tienen una representación muy escasa. Las saladas de Bujaraloz-Sástago, objeto de esta Tesis, constituyen una de las poquísimas muestras de este tipo de hábitats en Europa; su conservación está a...

  15. Estado actual de la vacuna recombinante contra el virus del papiloma humano State of the art on human papillomavirus vaccine

    Directory of Open Access Journals (Sweden)

    Wendy Chan Acón

    2008-12-01

    Full Text Available La infección por el virus del papiloma humano (VPH es una enfermedad de transmisión sexual común. Alrededor del mundo millones de personas están infectadas y el resto de la población en general tiene un riesgo de contraer la infección superior al 50%. El virus se asocia aproximadamente a un 100% de los casos de cáncer cervical; a un 100% de las neoplasias cervicales intraepiteliales grados 1, 2, 3; a un 40% de los casos de cáncer de vulva, vagina y pene, 100% de las verrugas genitales; a un 100% de las papilomatosis respiratorias recurrentes; a un 90% del cáncer anal y a un 12% del cáncer de cabeza y cuello, predominantemente en orofaringe y amígdala. Actualmente, el uso de dos vacunas está aprobado en diversos países: Gardasil® y Cervarix®. Ambas están compuestas por proteínas L1 de VPH, en forma de partículas no infecciosas similares al virus (VLPs producidas por tecnología de ADN recombinante, adsorbidas en adyuvantes que contienen aluminio. La eficacia hallada en diversos estudios en sujetos no expuestos previamente al virus se encuentran en el rango del 98.8% al 100.0% para la prevención de neoplasias cervicales, vulvares y vaginales intraepiteliales, grados 2 y 3, relacionados con el VPH-16/18, además de los adenocarcinomas in situ y verrugas genitales causadas por VPH- 16/18/6/11 en el caso de Gardasil® y una eficacia del 100% en el caso de Cervarix® para la prevención de neoplasias cervicales grado 2 y 3 relacionados con el VPH-16/18. La eficacia de ambas se mantiene alrededor de los 5 años. Hasta el momento no se le ha atribuido a la vacuna ningún efecto terapéutico, solo se administra con fines profilácticos, sin embargo, esta no debe ser considerada como un sustituto de las pruebas de tamizaje para la prevención del cáncer cervical.Genital human papillomavirus (HPV is one of the most common sexually transmitted infections worldwide. Millions of persons are now infected and the lifetime risk of HPV infection exceeds 50%. HPV is approximately 100% related to the total cases of cervical cancer, 100% of cervical intraepithelial neoplasias grade 1, 2, and 3; 40% of vulva, vagina and penile cancer, 100% of genital warts, 100% of recurrent respiratory papillomatosis and 12% of head and neck cancer. Licensed vaccines, Gardasil® and Cervarix®, are composed of a noninfectious mixture of HPV type-specific virus-like particles prepared from the L1 proteins produced by recombinant DNA technology and adsorbed in a aluminum-containing adjuvant. Data from several studies of both vaccines reported a range of efficacy of 98,9 % to 100.0% for the prevention of cervical, vulvar and vaginal intraepithelial neoplasias degrees 2 and 3, and therefore, cervical, vulvar and vaginal cancer related to the VPH-16/18; in addition to in situ adenocarcinomas and genital warts caused by VPH-16/18/6/11. The effectiveness for both vaccines is maintained for at least 5 years. At the moment no therapeutic effect has been attributed and the vaccine use is prophylactic, nevertheless, vaccination should not be considered as a substitute for cervical cancer screening.

  16. Psicología clínica y de la salud en España: su estado actual

    Directory of Open Access Journals (Sweden)

    Gualberto Buela Casal

    1995-01-01

    Full Text Available En este artículo se analizan aspectos que han tenido una especial relevancia en la constitución y desarrollo de la Psicología Clínica en España: la situación en la universidad, las publicaciones sobre esta disciplina y las asociaciones científicas. La Psicología Clínica se consolida en el ámbito académico con la implantación de los estudios de psicología en diversas universidades, Sin embargo, no será hasta el principio de la década de los ochenta cuando se implante la asignatura de Modificación de Conducta en la mayoría de las universidades. Las publicaciones periódicas sobre Psicología Clínica, además de servir como medio de formación y divulgación, también son un buen indicador del grado de desarrollo, que se puede cuantificar en la capacidad de producción propia. Otro aspecto a considerar en el desarrollo de la Psicología Clínica en España son las asociaciones científicas de psicología que siguen una orientación conductual. Existen hasta la fecha cinco asociaciones, y cada una de ellas ha hecho su aportación, en mayor o menor medida, a la consolidación de la Psicología Clínica, tanto en el ámbito académico como profesional. Por último, Sehace una descripción de la orientación del psicólogo clínico en España

  17. Objectives and current status of the study Mobi-kids; Objetivos y estado actual del estudio Mobi-Kids

    Energy Technology Data Exchange (ETDEWEB)

    Cardis, E.; Eastman, C.

    2012-07-01

    The rapid increase in mobile phone use in young people has generated concern about possible health effects of exposure to radiofrequency (RF) fields. Mobi-Kids, an international study coordinated by CREAL Barcelona, is underway in 15 countries to assess potential effects of childhood and adolescent exposure to electromagnetic fields (EMF) from mobile communications technology (RF and extremely low frequency (ELF) fields) on brain tumour risk. The study aims to recruit over 2,000 cases of brain tumours aged 10 to 24 years and their respective controls (300 cases and 600 controls from Spain). The project builds upon the methodological experience of the INTERPHONE study. Hospital based controls are being selected to reduce potential selection bias related to low response rates of population-based controls, validation of questionnaire responses with recross from network operators will allow characterization of possible recall errors. Extensive work has gone into characterising and modelling ELF and RF exposure from different types of mobile and cordless phones, from different communication systems, and from other environmental sources of EMF. The study will address a public health problem of increasing importance in Spain and provide information on potential health risks from mobile telephone use as well as from EMF in general. (Author) 21 refs.

  18. La Culpa In Contrahendo: Historia, Evolución y Estado Actual de la Cuestión

    Directory of Open Access Journals (Sweden)

    Jaime Mendieta

    2011-12-01

    Full Text Available El límite de la indemnización en la formación del contrato, impuesto por doctrina y jurisprudencia con base en el concepto tradicional de interés negativo, no es absoluto sino relativo y apenas constituye un derrotero indicador de los daños que normalmente se causan en el iter contractus, sin excluir la reparación total del daño cierto en términos de lucro cesante, la perdida de oportunidad y el daño emergente.

  19. Psicología clínica y de la salud en España: su estado actual

    OpenAIRE

    Gualberto Buela Casal; J. Carlos Sierra; José Antonio Carrobles

    1995-01-01

    En este artículo se analizan aspectos que han tenido una especial relevancia en la constitución y desarrollo de la Psicología Clínica en España: la situación en la universidad, las publicaciones sobre esta disciplina y las asociaciones científicas. La Psicología Clínica se consolida en el ámbito académico con la implantación de los estudios de psicología en diversas universidades, Sin embargo, no será hasta el principio de la década de los ochenta cuando se implante la asign...

  20. Estado actual del registro de escamados extinguidos de América del Sur y sus implicancias paleoambientales

    Directory of Open Access Journals (Sweden)

    Albino, Adriana María

    1994-01-01

    Full Text Available The record of the South American fossil Squamata extends from the Late Cretaceous to the Holocene. The recorded families are Iguanidae s.l., Teiidae, Gekkonidae, ?Scincidae, Amphisbaenidae, Boidae, Aniliidae, Colubridae and Viperidae Dinilysiidae from the Late Cretaceous of Patagonia and Palaeopheidae from the Late Eocene of Ecuador are the only known extinct recorded families. The families distribution during the Cretaceous and most of the Tertiary apparently was more extensive than at present, due to more generalized subtropical climatic conditions. The geological events during the Cenozoic would have caused climatic and environmental changes that would have favoured the appeareance of new adaptative types and the restriction in the distribution of many forms.

  1. Ventilación de la casa solar de la ETSAV: Estado actual y propuesta de mejora

    OpenAIRE

    Álvarez Noval, Laura

    2015-01-01

    El sistema respiratorio es al ser humano, como la ventilación es a la arquitectura. Este sistema se encuentra íntimamente ligado al diseño del proyecto, definiendo en gran parte la calidad del mismo. En la Casa Solar de la ETSAV, se desarrolla un concepto de diseño a partir del esquema de instalaciones que hacen posible su funcionamiento, basado en la autosuficiencia energética: la envolvente bioclimática. Gracias a este concepto, y a través de una serie de elementos innovadores, se crea un s...

  2. Sistemas de producción de potencia nuclear: estado actual de la tecnología y perspectivas futuras

    OpenAIRE

    Carmona Cabezas, Juan Manuel

    2015-01-01

    La energía nuclear es una de las fuentes de energía más importantes entre las existentes utilizadas por el ser humano. Por una parte, estas instalaciones no emiten contaminantes a la atmósfera durante el proceso y son capaces de alcanzar las mayores potencias de cara a la generación de energía eléctrica. De manera contraria, producen residuos que pueden llegar a tener decenas de miles de años de actividad radiactiva. El objetivo de este proyecto es la realización de un estudio profundo de est...

  3. Enfoque del estado actual de la bibliotecologia y ciencias de la información en el contexto internacional

    Directory of Open Access Journals (Sweden)

    Elsa Román Trelles

    2013-11-01

    Full Text Available Se presenta una postura ante la problemática de la Ciencia de la Información en el contexto socio-económico del país. Un camino de aproximación en la solución de dicha problemática es el de cultivar una actitud científica permanente fomentando la labor de los talleres de investigación de pre y post-grado. Se destaca la importancia del nuevo plan de estudios como herramienta de trabajo para posibilitar la formación de un profesional capaz de crear demanda de información a partir de los requerimientos que surjan de una realidad determinada.

  4. Ferroelectric materials: Fundamentals, state of the art and future developments; Materiales Ferroelectricos: fundamentos, estado actual y tendencias

    Energy Technology Data Exchange (ETDEWEB)

    Pardo, L.; Arago, C.

    2010-07-01

    The ferroelectrics are materials of high permittivity dielectric is characterized by two states equilibrium with the same value of spontaneous polarization along the same direction (ferroelectric axis) but with a different sense of values polarization is due to a domain configuration or groups of dipoles with the same orientation its dipole moment, which is energetically favorable. (Author) 22 refs.

  5. Indium 111 leucocyte scintigraphy in abdominal sepsis

    International Nuclear Information System (INIS)

    We have studied the clinical utility of indium 111 autologous leucocyte scintigraphy retrospectively in 45 patients presenting with suspected intra-abdominal sepsis. The sensitivity was 95% (21/22) and the specificity was 91% (21/23). Some 34 of the studies (17 positive and 17 negative) were considered helpful in furthering patient management (76%) and 8, unhelpful (18%). In 3, the study results were misleading and led to inappropriate treatment. Indium 111 scintigraphy, whether positive or negative, provides information in patients with suspected intra-abdominal sepsis upon which therapeutic decisions can be based. (orig.)

  6. Damage control resuscitation for abdominal war injury

    Directory of Open Access Journals (Sweden)

    Wei-wei DING

    2014-03-01

    Full Text Available In recent years, the concept of comprehensive treatment for military trauma has been comprehensively updated. The application of damage control surgery has significantly improved the clinical outcome of severe abdominal injury. With appropriate surgical intervention, post-trauma fluid resuscitation plays an increasingly important role in the treatment of abdominal injury. The damage control resuscitation strategy addresses the importance of permissive hypotension and haemostatic resuscitation for patients with severe trauma, under the guidance of damage control surgical principle. DOI: 10.11855/j.issn.0577-7402.2014.03.02

  7. Penetrating abdominal injuries in children in Nigeria.

    Science.gov (United States)

    Ameh, E A; Nmadu, P T

    1999-09-01

    This is a report of a retrospective study of 24 children managed for penetrating abdominal injury over 10 years, and it represents 34% of all abdominal injuries in children in that period. Falls onto sharp objects within and around the home were responsible for ten of the injuries, seven were injured by animal horns and four were sporting injuries. Violence and road traffic accidents were uncommon. Most patients (67%) had evisceration of omentum or intestine, and one of these was found at laparotomy to have a jejuno-jejunal intussusception. Seven children had injury to hollow viscera. There were three deaths, one each from overwhelming sepsis, tetanus and haemorrhage.

  8. Aggressive malignant abdominal mesothelioma: Clinical report

    International Nuclear Information System (INIS)

    A 32-year-old Filipino female, working as an x-ray technician, presented to the Emergency Room (ER) with acute abdominal pain for one day. The pain was mainly on the left side and left hypochondrium. She had recurring abdominal pain before but not significant to worry her. She also complained of abdominal distension, which she noticed one week ago. Abdominal examination revealed fullness in the left hypochondrium with marked tenderness but negative rebound. Abdominal ultrasound (US) showed a huge mass mainly in the left hypochondrium. The origin of the mass cannot be identified by US. A computerized tomography scan showed a mass in the left side of the abdomen crossing the midline with a necrotic centre. The hospital course of the patient runs smoothly, and she was discharged after 7-days and referred to an Oncology Center. Abdominal mesothelioma is a neoplasm arising from the mesothelial surface lining the abdominal cavity. It is less frequent than that of the pleura. It is a rapidly growing and fatal malignancy with a median survival of less than 1-year. The relation between pleural malignant mesothelioma and asbestos is well recognized since it was described in 19602 but implication of asbestos exposure in the etiology of the peritoneal type is less obvious. This patient history is giving no obvious exposure to asbestos but as she is working in the Radiology Department as an x-ray technician she is well exposed to x-ray, but the effect of radioactivity on induction of mesothelioma is still disputed.4 There are several reports linking malignant mesothelioma to radioactivity due to radiation therapy.The fibrous mesothelioma (sarcomatous), as in this case, which is difficult to diagnose microscopically, looks like a fibroma, unless helped by tissue culture. The treatment options of malignant mesothelioma include surgery, intraperitoneal chemotherapy and whole abdominal radiation or multimodality therapy, which were suggested that might prolong the survival in

  9. [Penetrating abdominal wounds. Apropos of 330 cases].

    Science.gov (United States)

    Nejjar, M; Bennani, S; Zerouali, O N

    1991-01-01

    Penetrating abdominal wounds are frequent and serious. 330 cases have been treated in the Department of Emergencies and visceral Surgery at Averroes Hospital of Casablanca from 1980 to 1990. The predominance of male sex is noted, and these wounds are always the result of aggression by white arm. All patients have been operated, the white laparotomy rate is of 36%. The classic interventionist attitude is still recommended in spite of this high rate, because our present conditions can't permit us a rigorous watching. According to abdominal lesions, the different interventions are reviewed, and their indications are detailed.

  10. An unusual cause of abdominal pain.

    Science.gov (United States)

    Terneu, S; Verhelst, D; Thys, F; Ketelslegers, E; Hantson, P; Wittebole, X

    2003-01-01

    A 36-year-old woman presented to the Emergency Room because of abdominal pain associated with hematuria and red blood blending to stool. On admission, the physical examination revealed abdominal tenderness and diffuse cutaneous hematoma. The laboratory findings showed abnormal clotting tests with high International Normalised Ratio (INR) and prolonged activated partial thromboplastin time. Hemoperitoneum and ureteral hematoma were noted on the abdomen computed tomography. The patient confessed she had ingested difenacoum for several weeks. All the symptoms resolved with fresh frozen plasma perfusion and vitamin K. PMID:14635532

  11. ABDOMINAL SCAR ENDOMETRIOSIS: REPORT OF 28 CASES

    Institute of Scientific and Technical Information of China (English)

    向阳; 郎景和; 王友芳; 黄荣丽; 连丽娟

    1995-01-01

    Twenty-eight cases of abdominal scar endometriosis from Janurary,1989 to December,1993 are reported.Of these patients,twenty-four underwent term cesarean section,and four underwent a midtrimester abortion by abdominal hysterotomy.The majority of patients manifested symptoms 1 year after the operation.The most common was a painful mass of scar tissue that became swollen and tender during menstruation.The pathogenesis,diagnosis and treatment are discussed.In correlation with the pathological findings,the effects of drug therapy are evaluated.It was found that surgical excision is the best method of treatment.

  12. Systemic lupus erythematosus : abdominal radiologic findings

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Jae Cheon; Cho, On Koo; Lee, Yong Joo; Bae, Jae Ik; Kim, Yong Soo; Rhim, Hyun Chul; Ko, Byung Hee [Hanyang Univ. College of Medicine, Seoul (Korea, Republic of)

    1999-06-01

    Systemic lupus erythematosus(SLE) is a systemic disease of unknown etiology. Its main pathology is vasculitis and serositis, due to deposition of the immune complex or antibodies. Most findings are nonspecific ; abdominal manifestations include enteritis, hepatomegaly, pancreatic enlargement, serositis, lymphadenopathy, splenomegaly, nephritis, interstitial cystitis, and thrombophlebitis. We described radiologic findings of various organ involvement of SLE; digestive system, serosa, reticuloendothelial system, urinary system, and venous system. Diagnosis of SLE was done according to the criteria of American Rheumatism Association. Understanding of the variable imaging findings in SLE may be helpful for the early detection of abdominal involvement and complications.

  13. ACTUALIZATION OF SELF EDUCATION OF SENIOR PUPILS

    OpenAIRE

    Bykov Viktor Stepanovich; Rychkova Lydya Sergeevna

    2012-01-01

    The issue of necessity of self-education of pupils is timely in modern conditions. One can’t find a sphere of human activity without a connection with moral and material values of whole society and separate individual. In connection with this the purpose of the study is examination of necessity of construction of pedagogical system actualizing self-education of a pupil. This system is specified by tendencies of humanization, differentiation, ecological compatibility of social processes, raise...

  14. The remote experiment position in actual taxonomy

    OpenAIRE

    Samoila, Cornel; Ursutiu, Doru; Cotfas, Petru; Zamfira, Sorin

    2007-01-01

    Taxonomy is a classification effort for establishment of learning/teaching operational objectives. There are some famous taxonomies, Bloom's being the most quoted. In spite of the fact that some researchers have tried to explain the position of elearning in already known taxonomies, this subject was not too much in the general attention. In the paper the authors intend to go deeply and to analyze the position of the new methodology-remote experiment-in the actual taxonomies. In addition they ...

  15. What galvanic vestibular stimulation actually activates

    OpenAIRE

    IanSCurthoys

    2012-01-01

    In a recent paper in Frontiers Cohen et al. (2012) asked “What does galvanic vestibular stimulation actually activate?” and concluded that galvanic vestibular stimulation (GVS) causes predominantly otolithic behavioural responses. In this Perspective paper we show that such a conclusion does not follow from the evidence. The evidence from neurophysiology is very clear: galvanic stimulation activates primary otolithic neurons as well as primary semicircular canal neurons (Kim and Curthoys,...

  16. Can professionals actually enable occupational justice?

    OpenAIRE

    Elizabeth Townsend; Rebecca Marval

    2013-01-01

    : Where everyday injustice – occupational injustice – persists, health and social professionals have an ethical, moral and professional obligation to reduce injustice with and for destitute as well as privileged members of society. But can professionals actually enable occupational justice? This reflective paper takes readers on a journey toward optimistically responding maybe. The analytic approach is summarized in preparation for tracing when and how the awakening to occupational injustice ...

  17. El valor actual de la Universidad

    Directory of Open Access Journals (Sweden)

    Fernando Sancén Contreras

    2003-01-01

    Full Text Available El presente artículo aborda el concepto mismo de valor, y se le concibe como una creación y una práctica individual y social. Definir el valor actual de la Universidad lleva a una discusión que se resuelve en la búsqueda de lo que ella ha de significar para la sociedad actual. El valor que tradicionalmente se le atribuye —transmisión de conocimientos e investigación— es ya inoperante dado que sus funciones centrales se realizan con éxito fuera de Ella. Por eso se postula el valor de la Universidad en la incorporación de la imaginación creativa para formar a los estudiantes en la conciencia y la responsabilidad de crear su futuro personal y el de la sociedad. Dicho valor no se limita al pasado ni al presente; asume a éstos como lo que da forma al futuro. Enseñar e investigar los asuntos de la sociedad y de sus miembros para construir su futuro a través de una actitud imaginativa, creadora, es el valor actual de la Universidad.

  18. Impacto de un proceso de mejora de la calidad en el estado del soporte nutricional en una unidad de cuidados intensivos Impact of quality improvement process upon the state of nutritional support in a critical care unit

    OpenAIRE

    Martinuzzi, A.; E. Ferraresi; M. Orsati; A. Palaoro; Chaparro, J.; Alcántara, S.; C. Amin; Feller, C.; M.ª E. Di Leo; A. Guillot; García, V.

    2012-01-01

    Introducción: En un artículo precedente se documentó el estado del Soporte nutricional (SN) en una Unidad de Terapia Intensiva (UTI) [Martinuzzi A y cols. Estado del soporte nutricional en una unidad de Cuidados críticos. RNC 2011; 20: 5-17]. En este trabajo de seguimiento nos propusimos evaluar el impacto de varias intervenciones educativas, registrales y organizativas hechas en la Unidad sobre el estado actual de los procesos del SN. Material y método: Las intervenciones incluyeron la prese...

  19. ESTADO DEL ARTE MPLS-TP CONMUTACIÓN MULTIPROTOCOLO MEDIANTE ETIQUETAS - PERFIL DE TRANSPORTE

    OpenAIRE

    Lois Albert Espinel García; Luis Fernando Martínez Pedraza; Octavio Salcedo Parra

    2013-01-01

    La creciente demanda en servicios de telecomunicaciones genera la necesidad de desarrollar diferentes modelos de red. En el año 2008, la UIT-T une sinergias con la IETF para desarrollar un protocolo llamado MPLS-TP cuya arquitectura representa el resultado la agregación de la eficiencia en el transporte de paquetes de IP/MPLS con la fiabilidad en el transporte de SONET/SDH. Este trabajo presenta un estado del arte de MPLS-TP donde se plasman los estudios actuales y avances relacionados con és...

  20. Estado de los Planes de Desarrollo Comunal de la Región Metropolitana de Santiago

    OpenAIRE

    UBILLA-BRAVO, Gerardo; Sepúlveda-Miranda, Nelson; Galaz-Soto, Ricardo

    2010-01-01

    El presente documento, constituye un aporte técnico del Gobierno Regional Metropolitano de Santiago, a los distintos Servicios Públicos Regionales y principalmente, a los Municipios de la región. Lo cual, obedece al compromiso del GORE RMS con la gestión y desarrollo de los Gobiernos Locales. Es necesario señalar, que este documento consiste en un ejercicio de investigación descriptivo, cuyos resultados permiten visualizar el estado actual (a Diciembre de 2009) de los instrumentos de planific...

  1. Traspasando fronteras:los migrantes indígenas de México en Estados Unidos

    OpenAIRE

    Alicia M Barabas

    2006-01-01

    Los migrantes indígenas de México son un ejemplo muy  sugerente de la polisemia, de la rápida mutabilidad y de la creatividad cultural que se desenvuelven en las regiones fronterizas internacionales, en especial en el presente cuando las lógicas de la globalización crean nuevas y complejas formas de territorialidad y de co-gestión multinacionales. Estudios actuales sobre la frontera entre México y Estados Unidos enfatizan, desde una perspectiva constructivista, que la frontera es una realidad...

  2. Estado de arte de los repositorios de materiales educativos en Latinoamérica

    OpenAIRE

    Astudillo, Gustavo Javier; Willging, Pedro; García, Pablo

    2011-01-01

    La creciente producción de materiales educativos en formato digital ha promovido la aparición, en estos últimos años, de repositorios que concentran valiosos recursos para docentes, estudiantes e instituciones educativas en general. Se intenta conocer el estado actual, en Latinoamérica, de los repositorios de materiales educativos en formato digital. Se caracterizan los materiales educativos que se alojan en estas bibliotecas digitales, se definen conceptos básicos asociados con la temática (...

  3. A diagnostic approach to abdominal tuberculosis

    Institute of Scientific and Technical Information of China (English)

    Eser Vardareli; Baybora Kircali

    2005-01-01

    @@ TO THE EDITOR We read with interest the article by Uzunkoy et al[1]. about diagnosis of abdominal tuberculosis. In this article authors concluded that PCR for mycobacterium tuberculosis complex is a noninvasive method which can provide the diagnosis in most cases. If this tests negative or not feasible, laparotomy should be performed.

  4. Unusual Differential Diagnosis of Upper Abdominal Pain

    Directory of Open Access Journals (Sweden)

    Lanthaler Monika

    2009-01-01

    The peculiarity of this case is the rarity of toothpick ingestion and gastric perforation in a young and healthy white Caucasian followed by development of a liver abscess after primary uneventful endoscopic removal. In light of this case, gastric perforation due to ingested foreign bodies such as toothpicks can be considered a rare cause of upper abdominal pain.

  5. [Albert Einstein and his abdominal aortic aneurysm].

    Science.gov (United States)

    Cervantes Castro, Jorge

    2011-01-01

    The interesting case of Albert Einstein's abdominal aortic aneurysm is presented. He was operated on at age 69 and, finding that the large aneurysm could not be removed, the surgeon elected to wrap it with cellophane to prevent its growth. However, seven years later the aneurysm ruptured and caused the death of the famous scientist.

  6. CT features of abdominal plasma cell neoplasms

    Energy Technology Data Exchange (ETDEWEB)

    Monill, J.; Pernas, J.; Montserrat, E.; Perez, C.; Clavero, J.; Martinez-Noguera, A.; Guerrero, R.; Torrubia, S. [Universitat Autonoma de Barcelona, Hospital de Sant Pau, Barcelona (Spain)

    2005-08-01

    The aim of this study was to describe the CT features of abdominal plasma cell neoplasms. We reviewed CT imaging findings in 11 patients (seven men, four women; mean age 62 years) with plasma cell neoplasms and abdominal involvement. Helical CT of the entire abdomen and pelvis was performed following intravenous administration of contrast material. Images were analyzed in consensus by two radiologists. Diagnoses were made from biopsy, surgery and/or clinical follow-up findings. Multiple myeloma was found in seven patients and extramedullary plasmacytoma in four patients. All patients with multiple myeloma had multifocal disease with involvement of perirenal space (4/7), retroperitoneal and pelvic lymph nodes (3/7), peritoneum (3/7), liver (2/7), subcutaneous tissues (2/7) and kidney (1/7). In three of the four patients with extramedullary plasmacytoma, a single site was involved, namely stomach, vagina and retroperitoneum. In the fourth patient, a double site of abdominal involvement was observed with rectal and jejunal masses. Plasma cell neoplasm should be considered in the differential diagnosis of single or multiple enhancing masses in the abdomen or pelvis. Abdominal plasma cell neoplasms were most frequently seen as well-defined enhancing masses (10/11). (orig.)

  7. Abdominal CT in acute arterial pathology

    International Nuclear Information System (INIS)

    The abdominal arterial pathology as studied by CT imagings is reviewed. The illustrated morphology of aortic aneurysms complications (arterial embolism, dissection and arteriosclerotic ulcer ) are studied. The signs that lead to diagnosis are assessed and the major points on which to base a correct radiological study are reviewed

  8. CT features of abdominal plasma cell neoplasms

    International Nuclear Information System (INIS)

    The aim of this study was to describe the CT features of abdominal plasma cell neoplasms. We reviewed CT imaging findings in 11 patients (seven men, four women; mean age 62 years) with plasma cell neoplasms and abdominal involvement. Helical CT of the entire abdomen and pelvis was performed following intravenous administration of contrast material. Images were analyzed in consensus by two radiologists. Diagnoses were made from biopsy, surgery and/or clinical follow-up findings. Multiple myeloma was found in seven patients and extramedullary plasmacytoma in four patients. All patients with multiple myeloma had multifocal disease with involvement of perirenal space (4/7), retroperitoneal and pelvic lymph nodes (3/7), peritoneum (3/7), liver (2/7), subcutaneous tissues (2/7) and kidney (1/7). In three of the four patients with extramedullary plasmacytoma, a single site was involved, namely stomach, vagina and retroperitoneum. In the fourth patient, a double site of abdominal involvement was observed with rectal and jejunal masses. Plasma cell neoplasm should be considered in the differential diagnosis of single or multiple enhancing masses in the abdomen or pelvis. Abdominal plasma cell neoplasms were most frequently seen as well-defined enhancing masses (10/11). (orig.)

  9. Connective tissue alteration in abdominal wall hernia

    DEFF Research Database (Denmark)

    Henriksen, N A; Yadete, D H; Sørensen, Lars Tue;

    2011-01-01

    The aetiology and pathogenesis of abdominal wall hernia formation is complex. Optimal treatment of hernias depends on a full understanding of the pathophysiological mechanisms involved in their formation. The aim of this study was to review the literature on specific collagen alterations in abdom...

  10. Case series of abdominal sacral colpopexy

    Directory of Open Access Journals (Sweden)

    Vandana Dhama

    2016-06-01

    Conclusions: Abdominal sacral colpopexy with polypropylene mesh is a safe, effective treatment in patients having post hysterectomy vaginal vault proplase. When done by experienced gynecologist, major post-operative complications seem to be very few in patients having normal BMI and no major systemic illnesses. [Int J Reprod Contracept Obstet Gynecol 2016; 5(6.000: 1992-1995

  11. Intra-abdominal tumors in children

    International Nuclear Information System (INIS)

    Objective: The objective of the present study was to observe the histopathological pattern of intra-abdominal tumors in children less than 16 years. Place and Duration of Study: The study was carried out at the Department of Histopathology, Children's Hospital and the Institute of Child Health and King Edward Medical College, Lahore, over a period of 5 years, from January 1997 to December 2002. Subjects and Methods: The histopathological and demographic data of 264 intra-abdominal tumors of both the sexes under 16 years of age was collected and analyzed to determine the various morphological types of intra- abdominal tumors in relation to age and sex. Results: Neuroblastoma was the most common tumor constituting 29.6% of all cases, followed by Wilms' tumor (25.1%). Others were non-Hodgkins Iymphomas (15.5%), germ cell tumors and hepatoblastoma (9%) each, rhabdomyosarcoma (4.4%), hepatocellular carcinoma (1.4%) and miscellaneous (6%). Majority of the patients (77.2%) were under 5 years of age. The male to female ratio was 1.1 :0.9. Conclusion: Intra-abdominal tumors are more common in males. Most of the tumors were noted in children less than 5 years of age. (author)

  12. The Principles of Abdominal Wound Closure

    NARCIS (Netherlands)

    Meijer, E. -T.; Timmermans, L.; Jeekel, J.; Lange, J. F.; Muysoms, F. E.

    2013-01-01

    Background : Incisional hernia (IH) is a common complication of abdominal surgery. Its incidence has been reported as high as 39.9%. Many factors influence IH rates. Of these, surgical technique is the only factor directly controlled by the surgeon. There is much evidence in the literature on the op

  13. Splenic trauma during abdominal wall liposuction: a case report

    OpenAIRE

    Harnett, Paul; Koak, Yashwant; Baker, Daryl

    2008-01-01

    A 35-year-old woman collapsed 18 hours after undergoing abdominal wall liposuction. Abdominal CT scan revealed a punctured spleen. She underwent an emergency splenectomy and made an uneventful recovery.

  14. Trabalho em turnos: estado geral de saúde relacionado ao sono em trabalhadores de enfermagem

    Directory of Open Access Journals (Sweden)

    Sandra Soares Mendes

    2012-12-01

    Full Text Available O objetivo deste estudo foi identificar os sintomas referentes ao estado geral de saúde associado ao trabalho em turnos de enfermagem e relacioná-los com a qualidade do sono. O estudo foi realizado no Hospital da Irmandade da Santa Casa de Poços de Caldas, Minas Gerais. Participaram 136 profissionais de enfermagem, com média de idade de 33,1 anos, divididos nas seguintes categorias: enfermeiro (8,1%; técnico de enfermagem (80,9%; auxiliar de enfermagem dos turnos diurno e noturno (11%. Os sintomas de saúde foram identificados a partir do Inventário de Estado Geral de Saúde, e a qualidade do sono foi avaliada pelo Diário do Sono. Os dados foram estatisticamente significativos pelo Teste Qui-Quadrado (p=0,021 para a presença do sintoma de flatulência ou distensão abdominal no turno noturno. Constatou-se com a análise de regressão linear múltipla que os sujeitos do turno diurno que apresentaram os sintomas de má digestão (às vezes ou sempre e irritabilidade (sempre tiveram pior qualidade de sono noturno.

  15. Evaluation of abdominal CT in the initial treatment of abdominal trauma

    International Nuclear Information System (INIS)

    During the last four years 102 patients with abdominal trauma were examined by CT for preoperative evaluation in our hospital. In 35 patients (34 %), the CT scans revealed no abnormal findings. They were all managed conservatively except for one case of perforated small bowel. In 67 patients (66 %) CT revealed evidences of substantial abdominal or retroperitoneal trauma. In 30 of them CT findings were confirmed by surgery. Hepatic injury is usually easily recognized by CT. CT is also useful for the detection of renal or splenic injuries. The majority of those parenchymatous organ injuries were successfully managed with conservative therapy, despite apparent traumatic lesions revealed by CT. Repeat CT scans is proved to be very useful to follow the changes of these traumatic lesions. In conclusion, application of abdominal CT is extremely useful for the initial decision making in treatment of patients with abdominal trauma and for the follow-up observation of injured lesions. (author)

  16. [Systolic pressure, abdominal obesity and body fat, metabolic syndrome predictors in Spanish preschoolers].

    Science.gov (United States)

    Gutiérrez Hervás, Ana Isabel; Rizo Baeza, María Mercedes; Martínez Amorós, Natalia; Cortés Castell, Ernesto

    2015-05-01

    Se plantea como objetivo determinar la presencia de predictores de síndrome metabólico en niños de 2 a 7 años en relación a su estado nutricional. Método: Estudio descriptivo con análisis cuantitativo en 260 niños de 2-7 años (135 niñas y 125 niños), 66% del total censados. Se midieron parámetros antropométricos y tensión arterial y se calcularon IMC, grasa corporal según Hoffman e índice cintura-talla (ICT). Se realizaron subgrupos con Z-Score del IMC según edad y sexo (bajo peso, normopeso, sobrepeso y obesidad), según grasa corporal (normal y con exceso), ICT (normal y obesidad abdominal) y tensión sistólica (normotensos e hipertensos según edad y sexo). Se utilizó como variable principal la clasificación según Z-Score del IMC. Resultados: La prevalencia combinada de sobrepeso y obesidad fue del 27%, sin diferencias por sexo. El estado nutricional relacionó significativamente con tensión arterial, grasa corporal e índice cintura-talla. Mayor porcentaje de obesos con tensión arterial sistólica alta que de normonutridos (OR=4.1; IC95% 1.7-9.8; p.

  17. Towards Designing Android Faces after Actual Humans

    DEFF Research Database (Denmark)

    Vlachos, Evgenios; Schärfe, Henrik

    2015-01-01

    Using their face as their prior affective interface, android robots and other agents embody emotional facial expressions, and convey messages on their identity, gender, age, race, and attractiveness. We are examining whether androids can convey emotionally relevant information via their static...... human) and its’ Original (the actual human). The emotional judgments were achieved through an online survey with video-stimuli and questionnaires, following a forced-choice design. Analysis of the results indicated that the emotional judgments for the Geminoid-DK highly depend on the emotional judgments...... of the robotic task, in order to increase the chance of sustaining a more emotional interaction....

  18. Isolated duodenal rupture due to blunt abdominal trauma

    Directory of Open Access Journals (Sweden)

    Celik Atilla

    2006-01-01

    Full Text Available Duodenal rupture following blunt abdominal trauma is rare and it usually seen with other abdominal organ injuries. It represents approximately 2% to 20% of patients with blunt abdominal injury and often occurs after blows to the upper abdomen, or abdominal compression from high-riding seat belts. Two cases of blunt duodenal rupture successfully treated surgically, are presented with their preoperative diagnosis and final out comes.

  19. Abdominal fedme og fedmerelaterede sygdomme hos patienter i almen praksis

    DEFF Research Database (Denmark)

    Haugan, Ketil; Rost, Dan; Knudsen, Nils;

    2010-01-01

    Abdominal obesity is associated with type 2 diabetes, cardiovascular disease, dyslipidemia and hypertension. The prevalence of abdominal obesity and its relationship with these comorbidities have not previously been examined in Danish primary care patients.......Abdominal obesity is associated with type 2 diabetes, cardiovascular disease, dyslipidemia and hypertension. The prevalence of abdominal obesity and its relationship with these comorbidities have not previously been examined in Danish primary care patients....

  20. Gerardo Molina y el Estado providente

    Directory of Open Access Journals (Sweden)

    Cataño , Gonzalo

    2004-12-01

    Full Text Available En este ensayo Gonzalo Cataño examina la visión del Estado del notable pensador y dirigente socialista colombiano, Gerardo Molina. Ofrece una breve información biográfica y comenta su enfoque sobre las funciones del aparato estatal. Aunque en la exposición predomina un tono crítico, muestra que las limitaciones de un analista inteligente de los asuntos públicos son más instructivas que las consideraciones correctas de un comentarista trivial de la política. En este trabajo se denomina por Estado providente ¿conocido también como asistencial o de bienestar¿ al que garantiza niveles mínimos de ingreso, salud, alimentación, vivienda, educación y trabajo, como derecho político y no como beneficencia.

  1. Para uma genealogia do estado territorial soberano

    Directory of Open Access Journals (Sweden)

    Paulo Esteves

    2006-11-01

    Full Text Available Com base no método genealógico, conforme proposto por Michel Foucault, o artigo analisa as condições de existência do Estado territorial moderno. Trata-se de uma forma política que emergiu na Idade Clássica (séculos XVII e XVIII e prosperou por meio da articulação de um regime de poder próprio: a soberania. Nesse sentido, o artigo argumenta que a soberania, na Idade Clássica, foi capaz de articular poder e saber em um mesmo quadro, produzindo um conjunto de dispositivos, estratégias e tecnologias de poder que terminaram por estabelecer modos de conhecer e de agir no mundo que tinham como referência ubíqua o estado territorial soberano.

  2. Effects of ovariohysterectomy on intra-abdominal pressure and abdominal perfusion pressure in cats.

    Science.gov (United States)

    Bosch, L; Rivera del Álamo, M M; Andaluz, A; Monreal, L; Torrente, C; García-Arnas, F; Fresno, L

    2012-12-15

    Intra-abdominal pressure (IAP) and abdominal perfusion pressure (APP) have shown clinical relevance in monitoring critically ill human beings submitted to abdominal surgery. Only a few studies have been performed in veterinary medicine. The aim of this study was to assess how pregnancy and abdominal surgery may affect IAP and APP in healthy cats. For this purpose, pregnant (n=10) and non-pregnant (n=11) queens undergoing elective spaying, and tomcats (n=20, used as controls) presented for neutering by scrotal orchidectomy were included in the study. IAP, mean arterial blood pressure (MAP), APP, heart rate and rectal temperature (RT) were determined before, immediately after, and four hours after surgery. IAP increased significantly immediately after abdominal surgery in both female groups when compared with baseline (P<0.05) and male (P<0.05) values, and returned to initial perioperative readings four hours after surgery. Tomcats and pregnant females (P<0.05) showed an increase in MAP and APP immediately after surgery decreasing back to initial perioperative values four hours later. A significant decrease in RT was appreciated immediately after laparotomy in both pregnant and non-pregnant queens. IAP was affected by abdominal surgery in this study, due likely to factors, such as postoperative pain and hypothermia. Pregnancy did not seem to affect IAP in this population of cats, possibly due to subjects being in early stages of pregnancy. PMID:23118052

  3. Neoliberalismo y crimen organizado en México: El surgimiento del Estado narco

    Directory of Open Access Journals (Sweden)

    José Luis Solís González

    2013-01-01

    Full Text Available Este trabajo estudia el surgimiento de una nueva forma de Estado capitalista periférico en México: el Estado narco, cuya manifestación externa es la de un régimen político neolibe- ral tecnocrático con una fuerte presencia de representantes del crimen organizado en sus distintos gobiernos, la economía y las finanzas. Este fenómeno es parte de la crisis actual del capitalismo global, la cual ha tomado la forma, en el caso de la sociedad mexicana, de una profunda crisis orgánica constituida por un déficit de racionalidad (más de tres décadas sin crecimiento económico y un déficit de legitimidad institucional. Esto ha llevado al país a altos niveles de violencia e inseguridad pública sin precedentes en la historia reciente de México, así como a la militarización del aparato de Estado, comprometido en una guerra fallida contra el narcotráfico.

  4. Crisis del etado y estado constitucional

    Directory of Open Access Journals (Sweden)

    Alfonso de Julios-Campuzano

    2008-09-01

    Full Text Available el Estado Constitucional comporta la aparición de un nuevo paradigma de Estado de Derecho que alcanza de lleno a los modelos teóricos de la Ciencia del Derecho y a las categoríasepist��micas sobre las que ésta se había construido. De otra parte, la globalización implica también una mutación profunda del paradigma jurídico dominante que provoca una crisis del modelo jurídico estatalista. En este contexto teórico y práctico emerge la pregunta sobre el futuro del Estado Constitucional y de sus contenidos emancipadores en una época de crisis del Estado y de la Ciencia jurídica que le había dado soporte, de creciente interdependencia y de disolución de las fronteras estatales. ¿En qué condiciones puede el constitucionalismo sobrevivir a estas transformaciones?Abstract: Constitutional State entails theappearance of a new paradigm of State that reachessquarely the theoretical models of Legal Scienceand epistemic categories on that this one had beenconstructed. On the other hand, globalizationimplies also a deep mutation of the juridicaldominant paradigm that provokes a crisis of thejuridical model of statalism. In this theoretical andpractical context, emerges the question on thefuture of the Constitutional State and of itsemancipating contents in an era of crisis of theState and the Legal Science model that had given itsupport, of increasing interdependence and ofdissolution of the state borders. In what conditionscan constitutionalism survive to thesetransformations?

  5. Ventajas y placeres secretos de estados depresivos

    OpenAIRE

    Günter Jursch

    2005-01-01

    Las depresiones y los estados depresivos varían de una persona a otra. Si se quiere trabajar para mejorar la situación de las víctimas de estos males, sería indicado saber en qué se distinguen los diferentes fenómenos y dónde se encuentra la causa. Pues las depresiones a menudo cumplen una función que suele aparecer camuflada.

  6. Ventajas y placeres secretos de estados depresivos

    Directory of Open Access Journals (Sweden)

    Günter Jursch

    2005-04-01

    Full Text Available Las depresiones y los estados depresivos varían de una persona a otra. Si se quiere trabajar para mejorar la situación de las víctimas de estos males, sería indicado saber en qué se distinguen los diferentes fenómenos y dónde se encuentra la causa. Pues las depresiones a menudo cumplen una función que suele aparecer camuflada.

  7. Abdominal wall paresis as a complication of laparoscopic surgery

    NARCIS (Netherlands)

    G.H. van Ramshorst (Gabrielle); G.J. Kleinrensink (Gert Jan); J.J. Hermans (John); T. Terkivatan (Türkan); J.F. Lange (Johan)

    2009-01-01

    textabstractPurpose: Abdominal wall nerve injury as a result of trocar placement for laparoscopic surgery is rare. We intend to discuss causes of abdominal wall paresis as well as relevant anatomy. Methods: A review of the nerve supply of the abdominal wall is illustrated with a rare case of a patie

  8. 2013 WSES guidelines for management of intra-abdominal infections

    Directory of Open Access Journals (Sweden)

    Sartelli Massimo

    2013-01-01

    Full Text Available Abstract Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The 2013 update of the World Society of Emergency Surgery (WSES guidelines for the management of intra-abdominal infections contains evidence-based recommendations for management of patients with intra-abdominal infections.

  9. Primary abdominal pregnancy following intra-uterine insemination

    OpenAIRE

    Sujata Kar

    2011-01-01

    Primary abdominal pregnancy is an extremely rare type of extrauterine pregnancy. It has been reported from many unusual intra-abdominal sites. We report a case of primary abdominal pregnancy following intra-uterine insemination (not reported earlier to our knowledge). Implanted on the anterior surface of the uterus possibly related to an endometriotic foci. Early diagnosis enabled laparoscopic management of this case.

  10. Can release of urinary retention trigger abdominal aortic aneurysm rupture?

    Science.gov (United States)

    Luhmann, Andreas; Powell-Bowns, Matilda; Elseedawy, Emad

    2013-04-04

    Only 50% of abdominal aortic aneurysms present with the classic triad of hypotension, back pain and a pulsatile abdominal mass. This variability in symptoms can delay diagnosis and treatment. We present the case of a patient presenting with a unique combination of symptoms suggesting that decompression of urinary retention can lead to abdominal aortic aneurysm rupture.

  11. Violencia y Estado. La posición de Hegel acerca del estado de naturaleza

    Directory of Open Access Journals (Sweden)

    Juan Ignacio Arias Krause

    2015-01-01

    Full Text Available La dualidad entre “estado de naturaleza” y “Estado civil”, propuesta por los teóricos modernos del derecho natural, es asumida por G. W. F. Hegel sometiéndola a una crítica radical que deriva en su singular comprensión de política y derecho. Según el filósofo, ambos “estados” se encuentran operando activamente en distintos niveles de la realidad política sin constituir más que en apariencia una dualidad dicotómica. Lo que se propone mostrar es que [1] la violencia que caracteriza tradicionalmente al estado de naturaleza es un momento fundacional de la política; [2] la crítica a la presentación de un estado de naturaleza sustantivizado, para [3] concluir con la interiorización que hace Hegel de aquellos elementos que habían sido expuestos como exteriores, y que cumplen una función fundamental en el desarrollo del Estado.

  12. El papel de la laparoscopia en la cirugía abdominal urgente The role of laparoscopy in emergency abdominal surgery

    Directory of Open Access Journals (Sweden)

    E. Balén

    2005-01-01

    Full Text Available La urgencia abdominal también puede ser intervenida mediante abordaje laparoscópico: el planteamiento puede ser de laparoscopia diagnóstica, cirugía asistida por laparoscopia o laparotomía dirigida según los hallazgos de la laparoscopia. Las contraindicaciones generales se refieren sobre todo al estado de inestabilidad hemodinámica del paciente y a pacientes graves (ASA IV. En ausencia de contraindicación específica para el procedimiento laparoscópico concreto a realizar, muchas enfermedades abdominales que requieren cirugía urgente pueden realizarse con abordaje laparoscópico. Las indicaciones más frecuentes son la apendicitis, la colecistitis aguda, la perforación gastroduodenal, la oclusión de intestino delgado, y algunos traumas abdominales. Con una correcta selección de pacientes y la oportuna experiencia del cirujano, los resultados son excelentes, y mejoran la cirugía abierta (menos infección de herida, complicaciones, estancia hospitalaria y dolor postoperatorio. Se explican con detalle los aspectos básicos de la técnica quirúrgica en los procedimientos más frecuentes de laparoscopia de urgencia.Abdominal emergencies can also be operated on through the laparoscopic approach: the approach can be diagnostic laparoscopy, surgery assisted by laparoscopy or laparotomy directed according to the findings of the laparoscopy. The general contraindications refer above all to the state of haemodynamic instability of the patient and to seriously ill patients (ASA IV. In the absence of any specific counter-indications for the specific laparoscopic procedure to be carried out, many abdominal diseases requiring emergency surgery can be performed with the laparoscopic approach. The most frequent indications are appendicitis, acute colecistitis, gastroduodenal perforation, occlusion of the small intestine, and some abdominal traumas. With a correct selection of patients and the appropriate experience of the surgeon, the results are

  13. Mesenteric thrombosis in patient victim of blunt abdominal trauma Trombose mesentérica em vítima de trauma abdominal fechado

    Directory of Open Access Journals (Sweden)

    Iwan Augusto Collaço

    2008-06-01

    Full Text Available INTRODUCTION: Mesenteric thrombosis related to trauma is an uncommon entity and has poor prognosis when associated to low perfusion and hemorrhagic shock. Usually presents a challenging diagnosis and high mortality rates, despite appropriate treatment. OBJECTIVE: To relate a case of a car accident and blunt abdominal trauma with terminal ileum and right colon necrosis. CASE REPORT: After initial procedures, complementary exams showed ribs and humerus fractures. Computerized tomography evidenced aerial distension in small bowel, gastric stasis and hidro-pneumothorax. Hypotension was observed during clinical observation followed by cardiopulmonary arrest, responding to reanimation. At surgery, it was found extensive necrosis of right colon and terminal ileum, and an ileum-transversostomy was performed with primary anastomosis. During the staying in intensive care unit, oliguria, miosis, convulsion and pulseless electric activity happened with death in three days after hospital admission. CONCLUSION: Although uncommon, mesenteric ischemia with venous thrombosis might be secondary to blunt abdominal trauma and must be considered in a bad abdominal evolution.INTRODUÇÃO: Trombose mesentérica, relacionada à trauma é entidade incomum com pobre prognóstico quando seguida de estados de baixo fluxo e choque hipovolêmico. Geralmente se apresenta com quadro de difícil diagnóstico, mortalidade elevada a despeito de tratamento adequado. OBJETIVO: Apresentar um caso de vítima de atropelamento que evoluiu com necrose de cólon direito e íleo terminal. RELATO DO CASO: Após admissão hospitalar e atendimento inicial, os exames complementares mostraram fratura de costela e úmero. Tomografia computadorizada evidenciou distensão aérea em intestino delgado associada à estase gástrica e hidropneumotórax. O paciente evoluiu com hipotensão durante o período de observação clínica, com parada cardiorespiratória, respondendo à reanimação. Levado

  14. Naturaleza del Estado de Ánimo

    Directory of Open Access Journals (Sweden)

    René V. Gallardo

    2006-07-01

    Full Text Available Se presenta una revisión de diversas facetas del estado de ánimo, destacando algunas propiedades psicológicas y principalmente biológicas de su naturaleza. De esta forma se aborda su relación con las emociones, caracterizándose como una propiedad afectiva de penetrante influencia en la memoria, las evaluaciones y en la reacción emocional propiamente tal. Se identifican factores externos, ambientales que afectan nuestro estado de ánimo de forma variable, así como factores endógenos e internos que le confieren un patrón relativamente estable y cíclico de variación en el curso de un día, y meses (estacional al mismo. Se destaca su participación en dos amplios sistemas afectivos, de aproximación (BAS y evitación (BIS, y la presencia de la corteza prefrontal y la amígdala como estructuras cerebrales decisivas en la gestación y/o mantención de estados de ánimo.

  15. Estado de Exceção

    Directory of Open Access Journals (Sweden)

    Angelita Matos Souza

    2010-09-01

    Full Text Available

    Abordaremos duas obras de Giorgio Agamben - Homo Sacer (2002 e Estado de Exceção (2004. Nas duas obras a noção-chave é a de exceção, definida em relação à vida “política” dos indivíduos, mas na primeira (2002 interessa a exceção identificada à vida nua dos “súditos”, enquanto a segunda (2004 volta-se mais ao Estado, em sua dimensão biopolítica e (ahistórica. Recorreremos a Thomas Hobbes e Carl Schmitt a fim de melhor compreender o autor, indicando que, além da dívida para com Hobbes, sua idéia de exceção e a crítica ao estado de direito deve muito a Carl Schmitt.

  16. Figuras del otro: formas de la diferencia en la prensa argentina actual

    Directory of Open Access Journals (Sweden)

    Lic. María Ximena Ávila Barei

    2002-01-01

    Full Text Available El presente trabajo se plantea leer algunas de las formas actuales de construcción del discurso acerca del "otro" en circulación en nuestra sociedad.El tratamiento de la información en la prensa gráfica muestra formas de discriminación de los sujetos que se perciben desde la "diferencia", sea ésta sexual, racial, ideológica o cultural, y entran en juego operaciones complejas que en la actualidad se entienden como actitudes discriminatorias aún cuando no lo parezcan explícitamente. Históricamente, estas operaciones han estado en relación con los intereses simbólicos y los juegos de poder de los grupos sociales. Desarrollamos breves consideraciones acerca de la construcción social del discurso estigmatizante y ejemplificamos con distintos modos de circulación de este discurso en la actualidad.

  17. SALUD MENTAL: UN ABORDAJE DESDE LA PERSPECTIVA ACTUAL DE LA PSICOLOGÍA DE LA SALUD

    Directory of Open Access Journals (Sweden)

    Moisés Mebarak

    2009-01-01

    Full Text Available Este artículo está basado en un estudio estado del arte acerca del entendimiento actual que se tiene sobre el concepto de salud mental, especialmente desde la perspectiva de la psicología de la salud. Con el fin de ilustrar este campo, se presentan algunos aportes y/o investigaciones tanto a nivel general como de la región costa Caribe colombiana. Se ha encontrado que el concepto de salud mental implica el desarrollo de estilos de vida y de características personales, interpersonales, sociales y laborales que apuntan a una idea integrada de bienestar biopsicosocial. De esta forma, la salud mental se entiende que sobrepasa y no es reducida a la simple ausencia de síntomas.

  18. Integración económica centroamericana: situación actual y conjeturas sobre sus perspectivas

    OpenAIRE

    Alfredo Guerra-Borges

    2010-01-01

    El presente trabajo trata de la situación actual de la integración económica en Centro América al igual que adelanta algunas conjeturas sobre sus perspectivas futuras. En una primera parte hace una breve reseña de la integración original, la de los años sesenta, como un antecedente de lo que en las últimas décadas se ha venido reconstituyendo en condiciones nuevas muy complejas, entre las que se incluyen la relación con Estados Unidos, la Unión Europea y los Tratados de Libre Comercio, que se...

  19. Relaciones entre los Estados Unidos y el Perú en la década de los noventa: dinámicas, antecedentes y proyecciones

    OpenAIRE

    David Scott PALMER

    1998-01-01

    RESUMEN: Desde los primeros arios de la década de los 60, la dinámica de las relaciones bilaterales entre los Estados Unidos y el Perú ha sido bastante complicada y difícil. Es más, a pesar de la asimetría de poder entre los dos países que mucho favorece a los Estados Unidos, el Perú con frecuencia ha logrado sus objetivos y ha forzado a sus contrapartes norteamericanos a responder a sus prioridades. Siguen complicadas las relaciones actuales y sus proyecciones, con dinámicas muy positivas en...

  20. Políticas de escolarización del alumnado de origen extranjero en el estado español hoy. Análisis y propuestas

    OpenAIRE

    Essomba, Miquel Àngel

    2014-01-01

    Este texto refleja los puntos fuertes del debate de la red SIRIUS en el estado español en 2013. El objetivo de dicho encuentro fue diagnosticar el estado actual de implementación de las políticas de escolarización básica obligatoria del alumnado de origen extranjero, y explorar soluciones, aportar experiencias y buenas prácticas que puedan servir de paliativo a las problemáticas identificadas. El documento sigue una estructura lógica vertebrada en dos partes. La primera está dedicada a recoge...

  1. Pincio y los Estados Unidos que no son los Estados Unidos

    Directory of Open Access Journals (Sweden)

    Franco Zangrilli

    2015-07-01

    Full Text Available Lo neofantástico en Tommaso Pincio se distingue de lo fantástico posmoderno de nuestros escritores. Se basa en la realidad estadounidense contemporánea; la introduce en un proceso de elaboraciones enfáticas, mezclas, transfiguraciones, y la convierte en el símbolo de otro mundo, de un planeta extraño. Pincio llega a esta operación creativa gracias a su conocimiento de las tradiciones y de las costumbres, de la historia, de la cultura y de la literatura de los Estados Unidos. De todo eso quiere darse una idea en este ensayo, analizando la segunda novela de Pincio, Spazio sfinito, en la que se representa a unos Estados Unidos que no son Estados Unidos.

  2. Removal of Intra-abdominal Visceral Adipose Tissue Improves Glucose Tolerance in Rats: Role of Hepatic Triglyceride Storage

    OpenAIRE

    Foster, Michelle T.; Shi, Haifei; Seeley, Randy J.; Woods, Stephen C.

    2011-01-01

    Epidemiological studies have demonstrated a strong link between increased visceral fat and metabolic syndrome. In rodents, removal of intra-abdominal but non-visceral fat improves insulin sensitivity and glucose homeostasis, though previous studies make an imprecise comparison to human physiology because actual visceral fat was not removed. We hypothesize that nutrient release from visceral adipose tissue may have greater consequences on metabolic regulation than nutrient release from non-vis...

  3. Tendencias y Direcciones Del Teatro Chileno Actual

    Directory of Open Access Journals (Sweden)

    Sergio Pereira Poza

    1997-01-01

    Full Text Available Este artículo se propone entregar una visión panorámica del teatro contemporáneo en Chile en el contexto de lo que se ha denominado la crisis de la modernidad. A partir de la premisa de que las muestras tendenciales del teatro de hoy son el resultado del proceso de revisión que vive la cultura de la modernidad, el trabajo se ocupa, primeramente, de examinar las características que presenta en el mundo occidental el recusamiento de la modernidad y sus reflejos en el teatro actual y en el nuevo teatro chileno. En un segundo momento, se estudian los términos con los que nuestro teatro responde a la crisis en desarrollo, proponiendo las tres direcciones que muestra la práctica escénica contemporánea en Chile: Teatro Verbal, Teatro Espectáculo y Teatro Gestual

  4. La filosofía alemana actual

    OpenAIRE

    Sobrevilla, David

    2011-01-01

    En su libro La filosofía actual, publicado en segunda edición en1969, señalaba el profesor español José Ferrater Mora que antes de esa fecha habían existido tres imperios filosóficos: el continental, el angloamericano y el ruso, que eran en cierto modo aglutinados por la fenomenología --existencial o no--, la filosofía analítica -formal o lingüística-- y el marxismo -ortodoxo o heterodoxo--. Pero que en ese momento, la situación había cambiado; pues había una interrelaciónfecunda entre las tr...

  5. Actual service life prediction of building components

    DEFF Research Database (Denmark)

    Aagaard, Niels-Jørgen; Brandt, Erik; Hansen, Ernst Jan de Place

    2014-01-01

    , the paper presents an analysis of service life of buildings as such with respect to the use of the building partially based on analysis of data from the nationwide Danish register of buildings and housing as well as turnover in the Danish construction industry from refurbishment and demolition activities...... a condensed method for assessment of life cycle costs for buildings. Estimation of life cycle costs has traditionally been based on predicted service life for building components in terms of technical performance. This paper suggests a method for taking into account other contributing factors...... such as economics, aesthetics and use of the building. Each of these factors is regarded as a stochastic variable and can be seen as competing causes of bringing service life to an end. A model is proposed for combining such variables resulting in the actual service life of building components. Furthermore...

  6. What galvanic vestibular stimulation actually activates

    Directory of Open Access Journals (Sweden)

    Ian S Curthoys

    2012-07-01

    Full Text Available In a recent paper in Frontiers Cohen et al. (2012 asked What does galvanic vestibular stimulation actually activate? and concluded that galvanic vestibular stimulation (GVS causes predominantly otolithic behavioural responses. In this Perspective paper we show that such a conclusion does not follow from the evidence. The evidence from neurophysiology is very clear: galvanic stimulation activates primary otolithic neurons as well as primary semicircular canal neurons (Kim and Curthoys, 2004. Irregular neurons are activated at lower currents. The answer to what behaviour is activated depends on what is measured and how it is measured, including not just technical details, such as the frame rate of video, but the exact experimental context in which the measurement took place (visual fixation vs total darkness. Both canal and otolith dependent responses are activated by GVS.

  7. Can professionals actually enable occupational justice?

    Directory of Open Access Journals (Sweden)

    Elizabeth Townsend

    2013-08-01

    Full Text Available : Where everyday injustice – occupational injustice – persists, health and social professionals have an ethical, moral and professional obligation to reduce injustice with and for destitute as well as privileged members of society. But can professionals actually enable occupational justice? This reflective paper takes readers on a journey toward optimistically responding maybe. The analytic approach is summarized in preparation for tracing when and how the awakening to occupational injustice began. The journey continues by highlighting resources – namely a YouTube film: Reaching Out: Today’s Activist Occupational Therapy and selected English language references from occupational science and occupational therapy that display an emerging knowledge bank for six population-based occupational justice practices which could be enriched with resources in other languages and fields. The journey ends with reflections on the complex professional power relations that need careful attention by professionals who intend to enable occupational justice.

  8. 7 CFR 1437.101 - Actual production history.

    Science.gov (United States)

    2010-01-01

    ... Determining Yield Coverage Using Actual Production History § 1437.101 Actual production history. Actual production history (APH) is the unit's record of crop yield by crop year for the APH base period. The APH... 7 Agriculture 10 2010-01-01 2010-01-01 false Actual production history. 1437.101 Section...

  9. Role of plasma ammonia level in detecting intra-abdominal hemorrhage following blunt abdominal trauma

    Directory of Open Access Journals (Sweden)

    Davood Farsi

    2014-01-01

    Full Text Available Background: Blunt abdominal injury is a leading cause of death in trauma patients. A reliable test predicting intra-abdominal hemorrhage would be a novel method. The study objective was to assess the diagnostic accuracy of plasma ammonia in detection of intra-abdominal bleeding in patients with blunt abdominal trauma (BAT. Materials and Methods: In this observational study, all patients suffering from BAT, referred to our university teaching hospital included. The levels of ammonia were measured at the time of emergency department admission and 1 h after initial treatment. Demographic data, vital signs, and venous blood gas reports were recorded. Findings of contrast-enhanced abdominopelvic computed tomography scan and laparotomy were assumed as a gold standard for abdominal injuries. Results: A total of 104 patients was enrolled in the study. 15 patients (14.4% had intra-abdominal hemorrhage and the mean plasma ammonia level in this group was significantly higher than the other patients on admission time (101.73 ± 5.41 μg/dL vs. 47.36 ± 26.31 μg/dL, P < 0.001. On receiver-operator characteristic curve analysis, in cutoff point of 89 μg/dL, the sensitivity, specificity, positive and negative likelihood ratios were 100% (95% confidence interval [CI], 79.6-100, 93.26% (95% CI, 86-96.8, 14.83 (95% CI, 6.84-32.12, and 0, respectively. Conclusion: The study findings suggest the measurement of ammonia level at the time of admission in the patients with BAT would be a useful test predicting intra-abdominal hemorrhage. Furthermore, decrease in the ammonia level could be a useful marker for monitoring response to treatment in these patients.

  10. Atrophic coarctation of the abdominal aorta.

    Science.gov (United States)

    Wiest, J W; Traverso, L W; Dainko, E A; Barker, W F

    1980-01-01

    Two cases illustrate the clinical manifestations and angiographic findings associated with segmental stenosis of the abdominal aorta. Such lesions represent the chronic occlusive stage of Takayasu's disease, a nonspecific inflammatory arteritis of uncertain etiology. While the disease is considered autoimmune, an infectious process may be involved. Complications typically associated with stenotic lesions of the abdominal aorta are secondary renal hypertension and ischemic symptoms secondary to vascular insufficiency. Surgical correction, the treatment of choice, has achieved excellent results for these well-localized lesions. Secondary renal hypertension was relieved by a spenorenal shunt and the disease has since been controlled with conservative management in the first patient. An aortofemoral bypass graft successfully alleviated the vascular insufficiency in the second patient, although the patient unfortunately expired from a refractory postoperative cardiac complication. Images Fig. 1. Fig. 2. Fig. 3. Fig. 4. PMID:6102453

  11. [Traumatic and iatrogenic lesions of abdominal vessels].

    Science.gov (United States)

    Farah, I; Tarabula, P; Voirin, L; Magne, J L; Delannoy, P; Gattaz, F; Guidicelli, H

    1997-01-01

    Gravity of abdominal vessels traumatisms is secondary to multiple factors. It depends on the type of injured vessels, aetiology and associated lesions. Between September 1984 and March 1995, 22 abdominal vessel traumatisms in 16 patients (mean age: 39 years) were treated. At surgical exploration, 4 aortic and 2 renal vein lesions, 7 iliac artery and 3 renal artery contusions, 2 superior mesenteric artery dissections; 3 infra-renal vena cava ruptures and 1 superior mesenteric vein dilaceration were found. All lesions were caused by penetrant wounds secondary to firearm or blade injury or secondary to injuries due to ski or traffic accidents. In 5 cases, lesions were iatrogenic. There was no mortality in the post-operative period, 14 patients out of the 16 patients operated on have been followed during a period from 1 to 120 months.

  12. Drug Therapy for Small Abdominal Aortic Aneurysm

    Directory of Open Access Journals (Sweden)

    Ramachandran Meenakshisundaram

    2010-03-01

    Full Text Available Abdominal aortic aneurysm is often asymptomatic, less recognized, and causes considerable mortalityand morbidity, if missed. The incidence varies from country to country and the occurrence is influencedby modifiable (smoking, coronary heart disease, hypertension, dyslipidemia, and prolonged steroid therapyand non-modifiable risk factors (increasing age, male gender, and positive family history. Most ofthe patients with such aneurysm do not exhibit symptoms and the diagnosis is made accidentally duringroutine medical investigations, abdominal ultrasonography, or by an astute surgeon during an abdominalprocedure. Sometimes the diagnosis is made in an emergency room, if the attending resident/doctor isaware of it. Despite good diagnosis and effective management, the outcomes of complicated cases arepoor and the treatment cost is prohibitive. Hence, we reviewed the literature to find out the pathogenesisof such aneurysms and the usefulness of available drugs in its prevention.

  13. Abdominal pregnancy as a cause of hemoperitoneum

    Directory of Open Access Journals (Sweden)

    Shafi Sheikh

    2009-01-01

    Full Text Available The coexistence of intrauterine and extrauterine pregnancy, the heterotopic pregnancy, is a rare obstetric phenomenon. The preoperative diagnosis of this condition is very difficult; leading to a higher maternal morbidity and fetal loss. We experienced a case of intrauterine pregnancy and ruptured abdominal pregnancy implanted on the illeocaecal region in a 26-year-old primiparous woman. She was clinically misdiagnosed as a case of ruptured ectopic pregnancy, but ultrasonography showed it to be a case of heterotopic pregnancy. Subsequently, the patient was subjected to laparotomy and the ruptured abdominal pregnancy was evacuated. She continued with the intrauterine pregnancy till term and delivered a healthy female baby. Although this condition is unusual, any general surgeon in the emergency department must be aware of this complication and its management, which is often initially misdiagnosed.

  14. Abdominal leiomyosarcomas: radiologic appearances at various locations

    Energy Technology Data Exchange (ETDEWEB)

    Kurugoglu, Sebuh; Ogut, Gunduz; Mihmanli, Ismail; Korman, Ugur [Department of Radiology, Istanbul University, Cerrahpasa Medical Faculty, 34300 Istanbul (Turkey); Durak, Haydar [Department of Pathology, Istanbul University, Cerrahpasa Medical Faculty, 34300 Istanbul (Turkey)

    2002-12-01

    Leiomyosarcomas are soft tissue tumors that account for approximately 15% of all soft tissue sarcomas. Leiomyosarcomas may be located at almost any part of the abdomen but especially are more common in the retroperitoneum, followed by gastrointestinal tract and genital system. They develop mainly in adult life and are very rare in children. In this article, imaging findings of leiomyosarcomas in various abdominal locations are presented. Radiologic studies are capable of providing useful information on the localization, size, changes in the internal structure of the tumor, its extension and invasion. Leiomyosarcoma should be considered in the differential diagnosis in case of detection of a large, circumscribed, and heterogenous abdominal mass. Histopathologically, diagnosis of malignancy depends particularly on mitotic counts, size, rate of necrosis, and infiltrating margins. (orig.)

  15. Idiopathic sclerosing encapsulating peritonitis: Abdominal cocoon

    Institute of Scientific and Technical Information of China (English)

    Jenny N Tannoury; Bassam N Abboud

    2012-01-01

    Abdominal cocoon,the idiopathic form of sclerosing encapsulating peritonitis,is a rare condition of unknown etiology that results in an intestinal obstruction due to total or partial encapsulation of the small bowel by a fibrocollagenous membrane.Preoperative diagnosis re quires a high index of clinical suspicion.The early clinical features are nonspecific,are often not recognized and it is difficult to make a definite pre-operative diagnosis.Clinical suspicion may be generated by the recurrent episodes of small intestinal obstruction combined with relevant imaging findings and lack of other plausible etiologies.The radiological diagnosis of abdominal cocoon may now be confidently made on computed tomography scan.Surgery is important in the management of this disease.Careful dissection and excision of the thick sac with the release of the small intestine leads to complete recovery in the vast majority of cases.

  16. [Adrenal injury in blunt abdominal trauma].

    Science.gov (United States)

    Abakumov, M M; Smoliar, A N; Barmina, T G; Boĭko, A V; Shalimova, I G

    2009-01-01

    10 patients with adrenal damage were observed during 2.5 years. It amounted 0.93% of all patients with closed abdominal injuries. The right adrenal gland was traumatized in all cases evidently due to it's compression between right lobe of liver and vertebral column. Adrenal damage is observed quite often in combination with injuries of right liver lobe, right kidney and retroperitoneal hematoma formation. 5 patients underwent laparotomy on account of intra-abdominal bleeding, but adrenal damage was never revealed. Ultrasound and tomographic semiotics of adrenal damage was worked out, which allowed ascertaining diagnosis in 80% on application of ultrasound study and in 100% at computer tomography. Injury of one adrenal gland was not accompanied by adrenal failure and did not require hormonal replacement therapy.

  17. El Fondo Monetario Internacional ante la crisis financiera actual

    Directory of Open Access Journals (Sweden)

    Romualdo Bermejo y Rosana Garciandía

    2009-01-01

    Full Text Available La convulsión financiera iniciada en octubre de 2008 ha reavivado el debate político, social y doctrinal sobre las debilidades del sistema monetario y financiero internacional. Desde su consolidación institucional en la segunda post-guerra mundial, su legitimidad,eficiencia y justicia se han cuestionado constantemente. En estos últimos meses, su incapacidad para prever y evitar crisis como la actual se ha criticado especialmente. La crisis de la deuda de los años ochenta, el “tequilazo” mexicano de 1994 o la crisisasiática de finales de los años noventa ponen de manifiesto la existencia de elementos que dichas instituciones no han sido capaces de controlar. La cadena de infortunios financieros de los últimos meses lo corrobora y hace necesaria una profunda reflexión en términos económicos, jurídicos y también institucionales.El Fondo Monetario Internacional constituye, junto con el Banco Internacional de Reconstrucción y Fomento, el núcleo del sistema monetario y financiero internacional. Creado por los acuerdos de Bretton Woods en diciembre de 1945, el Fondo debía encargarse en su origen de favorecer la estabilidad financiera y el crecimiento económico de los Estados, poniendo a disposición de éstos sus recursos. Con el paso de los años, su cometido se ha ampliado abarcando cada vez más aspectos como la supervisión de las políticas económicas de los países miembros o la influencia en las políticas macroeconómicas nacionales. Esa extensión de sus facultades va unida, sin lugar a duda, a una creciente responsabilidad por el cumplimiento satisfactorio de su misión.Teniendo esto en cuenta, el actual debate sobre la necesidad de una nueva arquitectura financiera internacional debe ahondar en las fortalezas y debilidades del Fondo, por su papel fundamental en la misma. En este sentido, la reforma iniciada en 2005 bajo ladirección del español Rodrigo Rato se ha enfrentado a la evaluación más exigente: una crisis

  18. Child abdominal tumour in tropical context: Think about schistosomiasis!

    Directory of Open Access Journals (Sweden)

    A. M. Napon

    2014-01-01

    Full Text Available Schistosomiasis presenting as an abdominal mass with chronic pain in a child is not common. This report presents case of child presenting with schistosomiasis presenting as an abdominal mass with chronic pain. Abdominal ultrasonography did not particularly contribute to definitive pre-operative diagnosis. However, pathological examination of surgical specimen confirmed Schistosoma mansoni eggs in the biospy. A decrease in the mass volume was noticed under medical treatment (Biltricide. The aim of this report was to intimate clinicians on possible abdominal schistosomiasis as differential diagnosis of childhood abdominal mass. This is a clarion call for a high index of suspicion of childhood abdominal schistosomiasis in children presenting with abdominal mass in a tropical setting.

  19. [Surgical criteria for reoperation in abdominal surgery].

    Science.gov (United States)

    Bricot, R

    1975-07-01

    Analysis of the surgical criteria for reintervention in Abdominal Surgery led to the accentuation of a certain number of pictures of occlusion, general infectious syndromes, postoperative peritonitis, gastro-intestinal fistula and hemorrhagic syndrome. In all cases, the clinical examination can be misleading in particular in the case of peritonitis, and the history and non-surgical criteria must be strongly borne in mind. PMID:2036

  20. Malignant peritoneal mesothelioma after remote abdominal radiation

    International Nuclear Information System (INIS)

    Peritoneal mesothelioma in a 61-year-old man, occurred 26 years after abdominal radiotherapy for a testicular seminoma. The patient had no history of asbestos exposure. After asbestos, radiation is the second most frequent defined cause of mesothelioma in North America, but the number of well-documented cases is small; this case represents only the fifth example of peritoneal mesothelioma after therapeutic irradiation of the abdomen. 16 references

  1. Mycobacterium fortuitum abdominal wall abscesses following liposuction

    OpenAIRE

    Al Soub, Hussam; Al-Maslamani, Eman; Al-Maslamani, Mona

    2008-01-01

    We describe here a case of abdominal abscesses due to Mycobacterium fortuitum following liposuction. The abscesses developed three months after the procedure and diagnosis was delayed for five months. The clues for diagnosis were persistent pus discharge in spite of broad spectrum antibiotics and failure to grow any organisms on routine culture. This condition has been rarely reported; however, the increasing number of liposuction procedures done and awareness among physicians will probably r...

  2. Computed tomography of pediatric abdominal masses

    Energy Technology Data Exchange (ETDEWEB)

    Kook, Shin Ho; Ko, Eun Joo; Chung, Eun Chul; Suh, Jung Soo; Rhee, Chung Sik [College of Medicine, Ewha Womans University, Seoul (Korea, Republic of)

    1988-02-15

    Ultrasonography is a very useful diagnostic modality for evaluation of the pediatric abdominal masses, due to faster, cheaper, and no radiation hazard than CT. But CT has more advantages in assessing precise anatomic location, and extent of the pathologic process, and also has particular value in defining the size, relation of the mass to surrounding organs and detection of lymphadenopathy. We analyzed CT features of 35 cases of pathologically proven pediatric abdominal masses for recent 2 years at Ewha Woman's University Hospital. The results were as follows: 1.The most common originating site was kidney (20 cases, 57.1%); followed by gastrointestinal (5 cases, 14.3%), nonrenal retroperitoneal (4 cases, 11.4%), hepatobiliary (3 cases, 8.6%), and genital (3 cases, 8.6%) in order of frequency. 2.The most common mass was hydronephrosis (11 cases, 31.4%), Wilms' tumor (7 cases, 20.0%), neuroblastoma, choledochal cyst, periappendiceal abscess (3 cases, 8.6%, respectively), ovarian cyst (2 cases, 5.7%) were next in order of frequency. 3.Male to female ratio was 4:5 and choledochal cyst and ovarian cyst were found only in females. The most prevalent age group was 1-3 year old (12 cases, 34.3%). 4.With CT, the diagnosis of hydronephrosis was easy in all cases and could evaluate of its severity, renal function and obstruction site with high accuracy. 5.Wilms' tumor and neuroblastoma were relatively well differentiated by their characteristic CT features; such as location, shape, margin, middle cross, calyceal appearance and calcification, etc. 6.Ovarian and mensentric cysts had similar CT appearance. 7.In other pediatric abdominal masses, CT provided excellent information about anatomic detail, precise extent of tumor and differential diagnostic findings. So, CT is useful imaging modality for the demonstration and diagnosis of abdominal mass lesions in pediatric patients.

  3. Abdominal pregnancy as a cause of hemoperitoneum

    OpenAIRE

    Shafi Sheikh; Malla Misbha; Salaam Parvaiz; Kirmani Omer

    2009-01-01

    The coexistence of intrauterine and extrauterine pregnancy, the heterotopic pregnancy, is a rare obstetric phenomenon. The preoperative diagnosis of this condition is very difficult; leading to a higher maternal morbidity and fetal loss. We experienced a case of intrauterine pregnancy and ruptured abdominal pregnancy implanted on the illeocaecal region in a 26-year-old primiparous woman. She was clinically misdiagnosed as a case of ruptured ectopic pregnancy, but ultrasonography showed it to ...

  4. Reconstruction of chest, abdominal walls and perineum

    OpenAIRE

    Vijaykumar D; Vijayaraghavan Sundeep

    2007-01-01

    The structural integrity of the chest and abdominal walls and perineum is frequently altered by cancer extirpation. Advances in reconstructive surgery and the availability of innovative techniques have helped the cancer surgeon to proceed with radical excisions with minimum morbidity. The ability to harvest flaps from distant sites and the availability of good prosthetic materials have now become part of the routine armamentarium of the plastic surgeon engaged in reconstructive surgery of the...

  5. Sagittal Abdominal Diameter: Application in Clinical Practice

    Directory of Open Access Journals (Sweden)

    Thaís Da Silva-Ferreira

    2014-05-01

    Full Text Available Excess visceral fat is associated with cardiovascular risk factors. Sagittal abdominal diameter (SAD has recently been highlighted as an indicator of abdominal obesity, and also may be useful in predicting cardiovascular risk. The purpose of the present study was to review the scientific literature on the use of SAD in adult nutritional assessment. A search was conducted for scientific articles in the following electronic databases: SciELO , MEDLINE (PubMed and Virtual Health Library. SAD is more associated with abdominal fat (especially visceral, and with different cardiovascular risk factors, such as, insulin resistance, blood pressure, and serum lipoproteins than the traditional methods of estimating adiposity, such as body mass index and waist-to-hip ratio. SAD can also be used in association with other anthropometric measures. There are still no cut-off limits established to classify SAD as yet. SAD can be an alternative measure to estimate visceral adiposity. However, the few studies on this diameter, and the lack of consensus on the anatomical site to measure SAD, are obstacles to establish cut-off limits to classify it.

  6. Endovascular repair of abdominal aortic aneurysms.

    Science.gov (United States)

    Arnaoutakis, Dean J; Zammert, Martin; Karthikesalingam, Alan; Belkin, Michael

    2016-09-01

    Endovascular repair of abdominal aortic aneurysms is an important technique in the vascular surgeon's armamentarium, which has created a seismic shift in the management of aortic pathology over the past two decades. In comparison to traditional open repair, the endovascular approach is associated with significantly improved perioperative morbidity and mortality. The early survival benefit of endovascular abdominal aortic aneurysm repair is sustained up to 3 years postoperatively, but longer-term life expectancy remains poor regardless of operative modality. Nonetheless, most abdominal aortic aneurysms are now repaired using endovascular stent grafts. The technology is not perfect as several postoperative complications, namely endoleak, stent-graft migration, and graft limb thrombosis, can develop and therefore lifelong imaging surveillance is required. In addition, a postoperative inflammatory response has been documented after endovascular repair of aortic aneurysms; the clinical significance of this finding has yet to be determined. Subsequently, the safety and applicability of endovascular stent grafts are likely to improve and expand with the introduction of newer-generation devices and with the simplification of fenestrated systems. PMID:27650343

  7. Endovascular repair of ruptured abdominal aortic aneurysm

    Directory of Open Access Journals (Sweden)

    Šarac Momir

    2014-01-01

    Full Text Available Introduction. Rupture of an abdominal aortic aneurysm (AAA is a potentially lethal state. Only half of patients with ruptured AAA reach the hospital alive. The alternative for open reconstruction of this condition is endovascular repair (EVAR. We presented a successful endovascular reapir of ruptured AAA in a patient with a number of comorbidities. Case report. A 60-year-old man was admitted to our institution due to diffuse abdominal pain with flatulence and belching. Initial abdominal ultrasonography showed an AAA that was confirmed on multislice computed tomography scan angiography which revealed a large retroperitoneal haematoma. Because of patient’s comorbidites (previous surgery of laryngeal carcinoma and one-third laryngeal stenosis, arterial hypertension and cardiomyopathy with left ventricle ejection fraction of 30%, stenosis of the right internal carotid artery of 80% it was decided that endovascular repair of ruptured AAA in local anaesthesia and analgosedation would be treatment of choice. Endovascular grafting was achieved with aorto-bi-iliac bifurcated excluder endoprosthesis with complete exclusion of the aneurysmal sac, without further enlargment of haemathoma and no contrast leakage. The postoperative course of the patient was eventless, without complications. On recall examination 3 months after, the state of the patient was well. Conclusion. The alternative for open reconstruction of ruptured AAA in haemodynamically stable patients with suitable anatomy and comorbidities could be emergency EVAR in local anesthesia. This technique could provide greater chances for survival with lower intraoperative and postoperative morbidity and mortality, as shown in the presented patient.

  8. Multidetector CT of blunt abdominal trauma.

    Science.gov (United States)

    Soto, Jorge A; Anderson, Stephan W

    2012-12-01

    The morbidity, mortality, and economic costs resulting from trauma in general, and blunt abdominal trauma in particular, are substantial. The "panscan" (computed tomographic [CT] examination of the head, neck, chest, abdomen, and pelvis) has become an essential element in the early evaluation and decision-making algorithm for hemodynamically stable patients who sustained abdominal trauma. CT has virtually replaced diagnostic peritoneal lavage for the detection of important injuries. Over the past decade, substantial hardware and software developments in CT technology, especially the introduction and refinement of multidetector scanners, have expanded the versatility of CT for examination of the polytrauma patient in multiple facets: higher spatial resolution, faster image acquisition and reconstruction, and improved patient safety (optimization of radiation delivery methods). In this article, the authors review the elements of multidetector CT technique that are currently relevant for evaluating blunt abdominal trauma and describe the most important CT signs of trauma in the various organs. Because conservative nonsurgical therapy is preferred for all but the most severe injuries affecting the solid viscera, the authors emphasize the CT findings that are indications for direct therapeutic intervention. PMID:23175542

  9. [Hereditary angioedema: strange cause of abdominal pain].

    Science.gov (United States)

    Salas-Lozano, Nereo Guillermo; Meza-Cardona, Javier; González-Fernández, Coty; Pineda-Figueroa, Laura; de Ariño-Suárez, Mauricio

    2014-01-01

    Antecedentes: el angioedema hereditario es un trastorno inflamatorio episódico, que se hereda de manera autosómica dominante y se caracteriza por episodios de edema periférico. Los pacientes pueden tener edema de la pared de cualquier víscera hueca, incluido el intestino. Caso clínico: se comunica el caso de un paciente masculino de 33 años de edad, sin antecedentes de importancia, con dolor abdominal, localizado en el epigastrio, irradiado al cuadrante inferior derecho, acompañado de 5 vómitos. La tomografía abdominal mostró engrosamiento de la pared de la segunda y tercera porción del duodeno, con infiltración de grasa y líquido libre. Los exámenes de laboratorio mostraron: concentraciones bajas del complemento C4 (5.5 mg/dL) y actividad del inhibidor de C1 del complemento de 30%. Conclusiones: el angioedema hereditario es consecuencia de la deficiencia (tipo I) o disfunción (tipo II) del inhibidor C1 del complemento. El dolor abdominal asociado con angioedema es de inicio súbito, como dolor cólico, recurrente y de intensidad moderada. En la actualidad existen dos medicamentos aprobados por la Food and Drug Administration para el tratamiento de pacientes con esta afección.

  10. Risk factors of thrombosis in abdominal veins

    Institute of Scientific and Technical Information of China (English)

    Amit Kumar Durra; Ashok Chacko; Biju George; Joseph Anjilivelil Joseph; Sukesh Chandran Nair; Vikram Mathews

    2008-01-01

    AIM: To estimate the prevalence of inherited and acquired thrombophilic risk factors in patients with abdominal venous thrombosis and to compare the risk factor profiles between Budd-Chiari syndromes (BCS) and splanchnic vein thrombosis (SVT).METHODS: In this retrospective study, 36 patients with abdominal venous thrombosis were studied.The patients were divided into Budd-Chiari group (hepatic vein, IVC thrombosis) and splanchnic venous thrombosis group (portal, splenic, superior mesenteric veins) based on the veins involved. Hereditary and acquired thrombophilic risk factors were evaluated in all patients.RESULTS: Twenty patients had SVT, 14 had BCS,and 2 had mixed venous thrombosis. Ten patients (28%) had hereditary and 10 patients (28%) acquired thrombophilic risk factors. The acquired risk factors were significantly more common in the SVT group (SVT vs BCS:45% vs 7%,x2=5.7,P=0.02) while hereditary risk factors did not show significant differences between the two groups (SVT vs BCS: 25%vs 36%, x2=0.46,P=0.7). Multiple risk factors were present in one (7%) patient with BCS and in 3 patients (15%) with SVT. No risk factors were identified in 57% of patients with BCS and in 45% of patients with SVT.CONCLUSION: Hereditary and acquired risk factors play an important role in the etiopathogenesis of abdominal venous thrombosis. Acquired risk factors are significantly more common in SVT patients while hereditary factors are similar in both groups.

  11. Quantification of abdominal aortic deformation after EVAR

    Science.gov (United States)

    Demirci, Stefanie; Manstad-Hulaas, Frode; Navab, Nassir

    2009-02-01

    Quantification of abdominal aortic deformation is an important requirement for the evaluation of endovascular stenting procedures and the further refinement of stent graft design. During endovascular aortic repair (EVAR) treatment, the aortic shape is subject to severe deformation that is imposed by medical instruments such as guide wires, catheters, and, the stent graft. This deformation can affect the flow characteristics and morphology of the aorta which have been shown to be elicitors for stent graft failures and be reason for reappearance of aneurysms. We present a method for quantifying the deformation of an aneurysmatic aorta imposed by an inserted stent graft device. The outline of the procedure includes initial rigid alignment of the two abdominal scans, segmentation of abdominal vessel trees, and automatic reduction of their centerline structures to one specified region of interest around the aorta. This is accomplished by preprocessing and remodeling of the pre- and postoperative aortic shapes before performing a non-rigid registration. We further narrow the resulting displacement fields to only include local non-rigid deformation and therefore, eliminate all remaining global rigid transformations. Finally, deformations for specified locations can be calculated from the resulting displacement fields. In order to evaluate our method, experiments for the extraction of aortic deformation fields are conducted on 15 patient datasets from endovascular aortic repair (EVAR) treatment. A visual assessment of the registration results and evaluation of the usage of deformation quantification were performed by two vascular surgeons and one interventional radiologist who are all experts in EVAR procedures.

  12. [Abdominal aortic aneurysm: an uncommon presentation].

    Science.gov (United States)

    Taborda, Lúcia; Pereira, Laurinda; Amona, Eurides; Pinto, Erique Guedes; Rodrigues, Joaquim

    2011-01-01

    Most abdominal aortic aneurysms are asymptomatic, being accidentally found on physical examination or in routinely performed imaging studies. They only require surveillance (which is variable according to the aneurism size) and medical therapy in order to achieve risk factor reduction. However, in certain situations, according to the risk of aneurism rupture, elective surgery or endovascular procedure may be necessary. About 80% of the cases of aneurism rupture occur into the retroperitoneal space, with a high mortality rate. There are uncommon presentations of aneurism rupture as the aorto-caval fistula, which also require fast diagnosis and intervention. The authors present the case of a 71-year-old man, with the previous diagnosis of hypertension, acute myocardial infarction 2 months earlier (undergone primary Percutaneous Coronary Intervention) and tabagism, who was admitted at the emergency department with intense 24-hour-evolution epigastric pain. On physical examination, the Blood Pressure values measured at the lower limbs were about half the ones measured at the upper limbs and there was an abdominal pulsatile mass, with a high-intensity murmur. As the authors suspected aortic dissection, aneurysm, coarctation or thrombosis, it was done a Computed Tomography scanning with intravenous contrast, which revealed a ruptured abdominal aorta aneurysm with a mural thrombus. The doppler ultrasound confirmed the presence of a high debit aorto-caval fistula. The patient was immediately transferred to the Vascular Surgery. However he died 2 hours later, during surgery. PMID:22525642

  13. [Abdominal multi-organ transplantation in dogs].

    Science.gov (United States)

    Kumagae, T

    1988-07-01

    Abdominal multi-organ transplantation including the liver, gallbladder, spleen, pancreas, kidneys, adrenal glands and gastrointestinal tract was attempted in 8 dogs. Each experiment was discontinued when the recipient deteriorated. Immersion hypothermia was introduced in both the donor and recipient until the esophageal temperature reached 27-30 degrees C. Whole abdominal organs of the donor were removed in an en-bloc fashion at 20 degrees C of the graft temperature after additional cooling by ice slush scattering into the abdominal cavity. Transplantation was carried out orthotopically in the following sequence: (1) the proximal aorta, (2) suprahepatic vena cava, (3) distal aorta, (4) infrahepatic vena cava. The alimentary tract was reconstructed by gastro-gastrostomy and colo-colostomy. The ureters were implanted in the bladder. Cold ischemic time of the graft was about 40 minutes. Heparin was not used throughout the procedure. Five out of eight dogs were alive for more than 24 hours and two of them survived for 60 hours with good recovery. No immunosuppressant was given. Though the result in the present study was far from satisfaction, the experiment may provide a possibility of a new experimental model for transplantation, especially regarding pathophysiology and interrelationship of the transplanted complex organs.

  14. Estados Grafo Entrelazamiento e Imposibilidad de elementos de realidad locales

    OpenAIRE

    Moreno Martín, María del Pilar

    2011-01-01

    Este trabajo trata de un tipo particular de estados puros de n >qubits, los estados grafo. En el Capítulo 1 se presentan tres definiciones de estados grafo (en base a su representación geométrica, al modelo de interacción y en términos del formalismo estabilizador) que posteriormente relacionaremos entre sí. A partir de estas definiciones introduciremos el formalismo estabilizador y obtendremos el estabilizador correspondiente a un estado grafo. Esta es una representación compacta de los esta...

  15. Significance of residual abdominal masses in children with abdominal Burkitt's lymphoma

    International Nuclear Information System (INIS)

    Purpose: To evaluate the natural history of children with abdominal Burkitt's lymphoma who had complete clinical remission and residual abdominal mass after treatment. Material and methods: The charts and imaging findings of all children with abdominal Burkitt's lymphoma treated and followed at our medical center between 1988 and 1999 were reviewed for the presence, management, clinical course, and prognosis of residual mass. Results: Only children who achieved complete clinical remission were included. The study group consisted of 33 children (20 boys and 13 girls) aged 2.6-17.6 years (mean 7.2 years). Of these, seven (20.6 %) were found to have a residual abdominal mass. Two underwent second-look operation with no evidence of viable tumor on histology. The remaining five were followed by imaging studies for 2.2-9.1 years (mean 6.1 years); none relapsed. Conclusion: Residual mass is not uncommon in children with abdominal Burkitt's lymphoma. The presence of residual mass in a child with complete clinical remission does not alter the long-term prognosis. Therefore, in children with Burkitt's lymphoma and residual mass with no other signs of disease activity, expectant watching may be appropriate. (orig.)

  16. Significance of residual abdominal masses in children with abdominal Burkitt's lymphoma

    Energy Technology Data Exchange (ETDEWEB)

    Karmazyn, B.; Horev, G.; Kornreich, L. [Dept. of Diagnostic Radiology, Schneider Children' s Medical Center of Israel, Petah-Tikva (Israel); Ash, S.; Goshen, Y.; Yaniv, I. [Dept. of Hematology and Oncology, Schneider Children' s Medical Center of Israel, Petah-Tikva (Israel)

    2001-11-01

    Purpose: To evaluate the natural history of children with abdominal Burkitt's lymphoma who had complete clinical remission and residual abdominal mass after treatment. Material and methods: The charts and imaging findings of all children with abdominal Burkitt's lymphoma treated and followed at our medical center between 1988 and 1999 were reviewed for the presence, management, clinical course, and prognosis of residual mass. Results: Only children who achieved complete clinical remission were included. The study group consisted of 33 children (20 boys and 13 girls) aged 2.6-17.6 years (mean 7.2 years). Of these, seven (20.6 %) were found to have a residual abdominal mass. Two underwent second-look operation with no evidence of viable tumor on histology. The remaining five were followed by imaging studies for 2.2-9.1 years (mean 6.1 years); none relapsed. Conclusion: Residual mass is not uncommon in children with abdominal Burkitt's lymphoma. The presence of residual mass in a child with complete clinical remission does not alter the long-term prognosis. Therefore, in children with Burkitt's lymphoma and residual mass with no other signs of disease activity, expectant watching may be appropriate. (orig.)

  17. Intra-abdominal pressure and abdominal compartment syndrome in acute general surgery.

    LENUS (Irish Health Repository)

    Sugrue, Michael

    2012-01-31

    BACKGROUND: Intra-abdominal pressure (IAP) is a harbinger of intra-abdominal mischief, and its measurement is cheap, simple to perform, and reproducible. Intra-abdominal hypertension (IAH), especially grades 3 and 4 (IAP > 18 mmHg), occurs in over a third of patients and is associated with an increase in intra-abdominal sepsis, bleeding, renal failure, and death. PATIENTS AND METHODS: Increased IAP reading may provide an objective bedside stimulus for surgeons to expedite diagnostic and therapeutic work-up of critically ill patients. One of the greatest challenges surgeons and intensivists face worldwide is lack of recognition of the known association between IAH, ACS, and intra-abdominal sepsis. This lack of awareness of IAH and its progression to ACS may delay timely intervention and contribute to excessive patient resuscitation. CONCLUSIONS: All patients entering the intensive care unit (ICU) after emergency general surgery or massive fluid resuscitation should have an IAP measurement performed every 6 h. Each ICU should have guidelines relating to techniques of IAP measurement and an algorithm for management of IAH.

  18. La Defensa, Política de Estado

    Directory of Open Access Journals (Sweden)

    Muñoz-Alonso, Alejandro

    2008-12-01

    Full Text Available The areas of the State Policy are set, specially focussing on the Defense as it is closely related to concepts like National Interest and Anglo-Saxon bipartisan policy. Nevertheless, the political alternation will cause differences. It is also necessary to tell the difference between the State Policy and the Policy carried out by the State. That’s why the democratic Parliaments play a fundamental role in shaping the defence policy. Although the Parliament symbolizes the National Sovereignty there can be and there are actually differences with the Public Opinion. This sort of divorce is not really new as, in Spain, it became evident in a very intensive way on the occasion of decisions such as the Spanish entry into the NATO. A State Policy related to Defense, kept during a long time and resistant to political alternation would certainly be the best instrument to reach a culture of defense.Se establecen los ámbitos de las políticas de estado, con especial énfasis en la Defensa al estar esta vinculada al concepto de interés nacional, y al anglosajón bipartisan policy. No obstante, la alternancia política va a crear discrepancias. Conviene diferenciar la “Política de Estado” y la “Política del Estado”. Por ello, los Parlamentos democráticos juegan un papel fundamental en la conformación de la política de defensa. Pese a que el Parlamento representa a la soberanía nacional pueden producirse, y de hecho se producen, discrepancias con la opinión pública. Este divorcio no es nuevo y en España se ha manifestado de forma muy intensa con ocasión de tomas de decisión como la incorporación a la OTAN. Una política de Estado en defensa, mantenida en el tiempo y resistente a las alternancias políticas sería el instrumento más adecuado para lograr una cultura de defensa.

  19. La estructura resistente en la arquitectura actual

    Directory of Open Access Journals (Sweden)

    Manterola Armisén, J.

    1998-10-01

    Full Text Available A significant portion in nowadays architecture uses the resistant structures as a fundamental element conveying expression to a building. Resistant structures usually designed, calculated and built by engineers are in some occasions -those that draw our attention now- designed by architects who stress the plastic dimension. Sometimes architects have just tried to soften the elementality of the resistance per se. To abandon the quantitative element to get centered in the qualitative and expressive is a leitmotiv in the architectural proceedings that has been brilliantly fruitful in many an occasion -notice Frei Otto's work among others- but that, in other cases, damages the understanding of the resistant aspect by excessively priorizing the structure appearance upon the structure itself. This article makes a critical account of a series of structures in recent buildings, classified by resistance typologies, flat or spatial trusses, frames, domes, hanging and distensible roofs, tensigrity structures, etc., preceded by a retrospect on how resistance has been traditionally understood.

    Una parte de la arquitectura actual se caracteriza por utilizar la estructura resistente como el elemento expresivo fundamental del edificio. Las estructuras resistentes, diseñadas, calculadas y construidas hasta ahora por ingenieros, han pasado, en algunas ocasiones -las que aquí nos interesan-, a ser diseñadas por arquitectos que acentúan su dimensión plástica. En otras ocasiones los arquitectos se han reducido a dulcificar la elementalidad de lo resistente en cuanto tal. El abandono de lo cuantitativo, para centrarse en lo cualitativo y expresivo, es el "leit motiv" de ese proceder arquitectónico que ha dado frutos muy brillantes en bastantes ocasiones, no hay sino que ver el trabajo de Frei Otto y otros, pero que, en otros casos, perjudican el entendimiento de lo resistente al primar, excesivamente, la apariencia de estructura sobre lo que es la

  20. El papel del Estado en el microfinanciamiento

    OpenAIRE

    Celia Hernández Cortés; Isabel Castillo Ramos; Jaime Ornelas Delgado

    2015-01-01

    La intervención del Estado tradicionalmente se ha justificado al afirmar que: “el propósito de toda intervención es mejorar el nivel de bienestar de la sociedad y, en el caso de la intervención en los mercados financieros, ese objetivo adopta la forma de aseguramiento de solvencia y eficiencia del sistema” (Martínez, 2002: 747). Más allá de las limitaciones y críticas que sostenemos en este artículo respecto a la viabilidad de este instrumento de política pública, para incidir sobre los facto...

  1. Estado de Derecho y Desobediencia civil

    OpenAIRE

    Pressacco, Carlos Fabián

    2012-01-01

    Los actos de desobediencia civil son parte de un estado de derecho democrático y se desarrollan en sociedades maduras que logran procesar sus conflictos aceptando que las leyes e instituciones legalmente establecidas pueden “fallar”, admitiendo un espacio para la construcción de interpretaciones distintas a las predominantes que, sin embargo, pretenden ser consideradas justas. La opinión generalizada de que todo acto contrario a la ley es siempre un acto ilegal que merece tanto el castigo pos...

  2. EMPRESARIOS MIGRANTES MEXICANOS EN ESTADOS UNIDOS

    OpenAIRE

    Eduardo Fernández Guzmán; Eloy Mosqueda Tapia; Perla Shiomara del Carpio Ovando

    2013-01-01

    Se podría pensar que por definición el migrante se desempeña en los nichos laborales menos redituables y de exigua movilidad social. Sin embargo, un grupo nutrido de migrantes en diferentes países económicamente desarrollados han emprendido con éxito negocios de diversa naturaleza y volumen. Es por esto que el espíritu empresarial de los migrantes es un tema que ha merecido una creciente atención en los últimos años. Comparados con otros grupos de inmigrantes en Estados Unidos, los mexicanos ...

  3. Os Estados Unidos e os Direitos Humanos

    OpenAIRE

    Patrício, João

    2009-01-01

    Com a nomeação de Barack Obama para a presidência dos Estados Unidos da América, o tema dos direitos humanos voltou a estar na agenda interna e internacional. O objectivo deste breve estudo é analisar se estaremos perante uma nova era da política americana relativamente aos direitos humanos, numa clara ruptura com o passado. Inicialmente, será referenciado o Tribunal Penal Internacional e a Convenção contra a Tortura e outros Tratamentos ...

  4. Los "intelectuales" y el Estado Novo

    Directory of Open Access Journals (Sweden)

    Luís REIS TORGAL

    2010-02-01

    Full Text Available RESUMEN: El concepto de “intelectual” es difícil de definir y sin duda se debate constantemente. Sin embargo, es importante reflexionar sobre él a fin de comprender su significado y los problemas que implica. Sea como fuere, a un Estado autoritario “moderno” se le supone una única ideología que tiene que difundirse por medio de una propaganda bien organizada, proceso en el que los intelectuales desempeñan un papel significativo. El “Nuevo Estado” de Salazar encaja en esta categoría y sin duda el conocimiento acerca de sus “intelectuales” es fundamental. En este artículo, el objetivo es proporcionar algunos ejemplos interesantes de “intelectuales” o de simples “funcionarios políticos” con inclinación intelectual a fin de indicar el sentido y complejidad de un estudio con una dimensión distinta sobre este asunto. A este fin han sido seleccionadas tres personalidades responsables de la actividad ideológica y cultural de gran relieve en el Estado de Salazar: António Ferro, João Ameal y Costa Brochado. Palabras clave: Estado Novo; Authotitarianism; Salazar, António de Oliveira; Intellectuals; Ferro, António; Brochado, Idalino da Costa; Ameal, João. ABSTRACT: The concept of the “intellectual” is difficult to define and undoubtedly constantly debated. It is nevertheless important to reflect on it in order to understand its meaning and the problems involved with it. Be that as it may, a “modern” authoritarian State presumes a single ideology which has to be diffused by means of well-organised propaganda, in which process “intellectuals” play a significant role. Salazar’s “New State” fits this category and, undoubtedly, knowledge about its “intellectuals” is fundamental. The objective in this article is to provide some interesting examples of “intellectuals” or simple “political functionar- ies” with an intellectual bent so as to indicate the sense and complexity of a study of a

  5. Evaluation of Forty-Nine Patients with Abdominal Tuberculosis

    Directory of Open Access Journals (Sweden)

    Murat Kilic

    2014-12-01

    Full Text Available Aim: Abdominal tuberculosis is an uncommon form of extrapulmonary infection. In this study, we aimed to highlight the nonspecific clinical presentations and diagnostic difficulties of abdominal tuberculosis. Material and Method: Clinical features, diagnostic methods, and the therapeutic outcomes of 49 patients diagnosed as abdominal tuberculosis between 2003 and 2014 were retrospectively analyzed. Results: The patients were classified into four subgroups including peritoneal (28, nodal (14, intestinal (5, and solid organ tuberculosis (2. The most frequent symptoms were abdominal pain, abdominal distention and fatique. Ascites appeared to be the most frequent clinical finding. Ascites and enlarged abdominal lymph nodes were the most frequent findings on ultrasonography and tomography. Diagnosis of abdominal tuberculosis was mainly depended on histopathology of ascitic fluid and biopsies from peritoneum, abdominal lymph nodes or colonoscopic materials. Forty patients healed with standart 6-month therapy while extended treatment for 9-12 months was needed in 8 whom had discontinued drug therapy and had persistent symptoms and signs. One patient died within the treatment period due to disseminated infection. Discussion: The diagnosis of abdominal tuberculosis is often difficult due to diverse clinical presentations. The presence of ascites, personal/familial/contact history of tuberculosis, and coexisting active extraabdominal tuberculosis are the most significant marks in diagnosis. Diagnostic laparoscopy and tissue sampling seem to be the best diagnostic approach for abdominal tuberculosis.

  6. Remote revascularization of abdominal wall transplants using the forearm.

    Science.gov (United States)

    Giele, H; Bendon, C; Reddy, S; Ramcharan, R; Sinha, S; Friend, P; Vaidya, A

    2014-06-01

    Primary abdominal wall closure following small bowel transplantation is frequently impossible due to contraction of the abdominal domain. Although abdominal wall transplantation was reported 10 years ago this, technique has not been widely adopted, partly due to its complexity, but largely because of concerns that storing the abdominal allograft until the end of a prolonged intestinal transplant procedure would cause severe ischemia-reperfusion injury. We report six cases of combined small bowel and abdominal wall transplantation where the ischemic time was minimized by remotely revascularizing the abdominal wall on the forearm vessels, synchronous to the intestinal procedure. When the visceral transplant was complete, the abdominal wall was removed from the forearm and revascularized on the abdomen (n = 4), or used to close the abdomen while still vascularized on the forearm (n = 2). Primary abdominal wall closure was achieved in all. Mean cold ischemia was 305 min (300-330 min), and revascularization on the arm was 50 min (30-60 min). Three patients had proven abdominal wall rejection, all treated successfully. Immediate revascularization of the abdominal wall allograft substantially reduces cold ischemia without imposing constraints on the intestinal transplant. Reducing storage time may also have benefits with respect to ischemia-reperfusion-related graft immunogenicity. PMID:24797611

  7. Efecto de la obesidad abdominal, la resistencia a la insulina y la leptina intrafolicular en la fecundación "in vitro"

    OpenAIRE

    Llaneza Suárez, David

    2014-01-01

    La relación existente entre el balance energético y la fertilidad se conoce desde hace tiempo y puede asociarse a infertilidad y peores tasas de respuesta en pacientes que están realizando ciclos de Fecundación In Vitro (FIV/ICSI). La obesidad abdominal se asocia frecuentemente con un estado inflamatorio, con Resistencia a la Insulina (RI) y con niveles elevados de leptina La relación de estos cambios con los resultados de los ciclos FIV/ICSI aun no es conocido del todo. HIPÓTESIS El...

  8. Component Separation for Complex Abdominal Wall Reconstruction

    Medline Plus

    Full Text Available ... several years ago. He has a history of COPD, pancreat-- he had some pancreotitis. He also has ... now? Which is 26. The patient does have COPD, and now that we're closing him -- actually, ...

  9. La crisis financiera de los Estados unidos

    Directory of Open Access Journals (Sweden)

    Héctor J. Rubini

    2009-08-01

    Full Text Available El trabajo ofrece una visión comprehensiva de la presente crisis económica de los Estados Unidos, con énfasis en los determinantes y factores de riesgo que se encuentran en el sistema financiero de ese país.Se concluye que: a ha sido una crisis de desarrollo gradual, pero no prevista por la mayoría de los economistas, sorprendiendo pro su impacto recesivo y la diseminación internacional observada desde mediados de 2008, b es claro (ex post que Estados Unidos debe introducir reformas institucionales en su sistema financiero y en sus mercados de capitales, pero sus autoridades no parecen tener claro cuáles, c se trata de una crisis del sistema financiero, no de las instituciones jurídicas del capitalismo; d en materia macroeconómica, aún bajo el maquillaje de "reglas flexibles", es claro el fracaso de la discrecionalidad en la políticas monetaria, así como también el del implícito enfoque de la "autorregulación" de los mercados de la llamada "doctrina Greenspan", e Esta crisis ha evidenciado las notables falencias de la moderna macroeconomía dinámica basada en el paradigma de las expectativas racionales y de los mercados eficientes.

  10. Reflexiones acerca de las familias transfronterizas y las familias transnacionales entre México y Estados Unidos

    Directory of Open Access Journals (Sweden)

    Norma Ojeda

    2009-01-01

    diferentes pero que no se excluyen entre sí, ya que algunas familias pueden comprender ambos tipos. Las familias transfronterizas forman parte de un fenómeno regional propio del espacio de la frontera geográfica entre los dos países, y que data de la creación de la misma. Las familias transnacionales, en cambio, se integran a una situación social más amplia ligada con los flujos de migrantes entre dichos países y con el fenómeno de la globalización. Ambos tipos de familia forman parte de los actuales sistemas de familias de México y Estados Unidos, y se espera que sigan creciendo en número y en complejidad social en cada uno de estos dos países. México-Estados Unidos.

  11. Neurocisticercose incidência no estado do Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Hamilton A. Martins Clemente

    1990-06-01

    Full Text Available Cem pacientes com neurocisticercose, nascidos e residentes no Estado do Rio de Janeiro, foram estudados no período de setembro-1981 a dezembro-1989. A incidência aproximada de um caso por mês mostra que a doença não é rara neste Estado brasileiro.

  12. Redefinições no papel do Estado e a política educacional brasileira

    Directory of Open Access Journals (Sweden)

    Vera Maria Vidal Peroni

    2015-10-01

    Full Text Available En este artículo se pretende analizar cómo la redefinición del papel del Estado en la reorganización de los límites entre público y privado se materializan en la política brasileña de educación a través de la asociación del sector público con el mercado del tercer sector, con implicaciones para la democratización de la educación. El texto presenta una breve historia de la educación brasileña, un ejemplo de una asociación entre el sector público y el tercero, el Instituto Ayrton Senna y un sistema público de educación básica representada por una escuela pública del estado de Rio Grande do Sul y el debate sobre la redefinición del papel del Estado que se produjo y el actual contexto de cambios en la configuración entre el sector público y privado. AbstractThis article aims to analyze how the redefinitions of the state role in reorganizing the boundaries between public and private materialize in the Brazilian educational policy through the partnership of the public sector with the third sector market, with implications for the democratization of education. The text presents a brief history of Brazilian education, an example of a partnership between the public and third sector, the Ayrton Senna Institute and a public system of basic education represented by a public school of the state of Rio Grande do Sul and debate about redefining the role of the state occurred and the current context of changes in settings between the public and private. SumárioO artigo Redefinições no papel do Estado e a política educacional brasileira tem como objetivo analisar as conexões entre o público e o privado, enfocando o contexto da relação entre o diagnóstico neoliberal, incorporado pela Terceira Via, de que o “culpado” pela crise é o Estado, e as estratégias que propõem o deslocamento da execução das políticas sociais do Estado para a sociedade, e o que fica como propriedade do Estado adquire a

  13. Abdominal irradiation modulates 5-Fluorouracil pharmacokinetics

    Directory of Open Access Journals (Sweden)

    Shueng Pei-Wei

    2010-03-01

    Full Text Available Abstract Background Concurrent chemoradiation with 5-fluorouracil (5-FU is widely accepted for treatment of abdominal malignancy. Nonetheless, the interactions between radiation and 5-FU remain unclear. We evaluated the influence of abdominal irradiation on the pharmacokinetics of 5-FU in rats. Methods The radiation dose distributions of cholangiocarcinoma patients were determined for the low dose areas, which are generously deposited around the intrahepatic target volume. Then, corresponding single-fraction radiation was delivered to the whole abdomen of Sprague-Dawley rats from a linear accelerator after computerized tomography-based planning. 5-FU at 100 mg/kg was intravenously infused 24 hours after radiation. A high-performance liquid chromatography system equipped with a UV detector was used to measure 5-FU in the blood. Ultrafiltration was used to measure protein-unbound 5-FU. Results Radiation at 2 Gy, simulating the daily human treatment dose, reduced the area under the plasma concentration vs. time curve (AUC of 5-FU by 31.7% compared to non-irradiated controls. This was accompanied by a reduction in mean residence time and incremental total plasma clearance values, and volume of distribution at steady state. Intriguingly, low dose radiation at 0.5 Gy, representing a dose deposited in the generous, off-target area in clinical practice, resulted in a similar pharmacokinetic profile, with a 21.4% reduction in the AUC. This effect was independent of protein binding capacity. Conclusions Abdominal irradiation appears to significantly modulate the systemic pharmacokinetics of 5-FU at both the dose level for target treatment and off-target areas. This unexpected and unwanted influence is worthy of further investigation and might need to be considered in clinical practice.

  14. Abdominal perimeter is associated with food intake, sociodemographic and behavioral factors among adults in southern Brazil: a population-based study.

    Science.gov (United States)

    Longo, Giana Zarbato; Segheto, Wellington; Silva, Danielle Cristina Guimarães da; Ribeiro, Andréia Queiroz; Franco, Fernanda Silva; Souza, Jacqueline Danesio de; Coelho, France Araujo; Oliveira, Julicristie M

    2014-10-06

    Objetivo: El objetivo de este estudio fue investigar los determinantes del perímetro abdominal en adultos que viven en la ciudad de Lages, SC. Diseño: Estudio transversal de base poblacional en adultos 20-59 años de edad, de la zona urbana (n= 2022). La variable dependiente fue el perímetro abdominal y las variables independientes fueron: edad, color de la piel auto dicho, estado civil, número de hijos, renta per cápita, nivel educacional, actividad física, tabaquismo, nutrición, diabetes mellitus auto dicho, presión arterial alta e índice de masa corporal. Las diferencias entre los promedios de perímetros se probaron a través de la ANOVA y de la regresión lineal múltiple, ajustada para los factores de confusión. Resultados: La tasa de respuesta fue de un 98,2%, de los cuales un 52,3% eran mujeres. El perímetro abdominal promedio para los hombres fue 93,66 cm (SD= 13,8 cm) y para las mujeres 92,80 cm (SD= 14,5). Hubo asociación positiva entre la circunferencia abdominal y la edad (p.

  15. Los trastornos del estado de ánimo

    Directory of Open Access Journals (Sweden)

    Roberto Anselmo Ramos Valverde

    2014-09-01

    alteraciones en la neurotransmisión y en la integración funcional del cerebro, lo cual cristaliza su determinación predominantemente endógena, posibilitando una disposición meyoprajica del sujeto, que lo hace vulnerable a las noxas psicosociales y le resta capacidades adaptativas. Actualmente se reconocen las formas clínicas bipolares, cuando se han acontecido episodios maníacos, depresivos o mixtos y las formas monopolares, representadas por una polaridad. (1 Clínicamente estos trastornos se caracterizan por manifestaciones afectivas primarias de tipo exaltado o depresivo, con toma de las necesidades, y afectación de la adaptación creadora al medio. Pueden producir funcionamiento de nivel psicótico, con alucinaciones y delirios insertados, o expresarse de manera enmascarada, confundiéndose con cuadros neuróticos ansiosos y depresivos y, en algunos casos, evolucionan de manera persistente a la cronicidad. (1 En la última clasificación de los trastornos mentales y del comportamiento que data de dos décadas, se reconocen múltiples formas clínicas de los trastornos del estado de ánimo, pero los estudios taxonómicos, bioquímicos y genéticos actuales aportan nuevos conocimientos necesarios a considerar, para tener una visión diagnóstica más precisa de los mismos, evitándose confusiones para el clínico, que entorpecen el establecimiento de estrategias terapéuticas, sobre todo en el arsenal biológico disponible, que imposibilitan la rehabilitación y ensombrecen el pronóstico de estos pacientes. (1

  16. Functional Abdominal Pain: "Get" the Function, Loose the Pain.

    Science.gov (United States)

    Draeger-Muenke, Reinhild

    2015-07-01

    Functional abdominal pain is a mind-body, psychosocial, and self-reinforcing experience with significant consequences for the sufferer and the surrounding support network. The occurrence of unpredictable symptoms and their severity add an element of dread and feeling out-of-control to daily life and often reduce overall functioning in a downward spiral. Two clinical presentations of functional abdominal pain are offered in this article (composites to protect confidentiality) dealing with abdominal pain syndrome and abdominal migraines. The treatment demonstrates the use of hypnotic principles for self-regulation, exploration, and meaning-making. Hypnosis treatment is conducted in combination with mindfulness-based interventions and Traditional Chinese Medicine's (TCM) teachings regarding abdominal health and illness. The clinical examples illustrate medical findings that suggest children with early life stress and an early onset of gastrointestinal somatization may not simply outgrow their functional abdominal pain but may suffer into adulthood. PMID:26046716

  17. A Rare Cause of Abdominal Pain; Celiac Truncus Aneurysm

    Directory of Open Access Journals (Sweden)

    Zulfu Birkan

    2016-01-01

    In this case we presented a patient who were admitted to surgery department with complaints of abdominal pain and nausea. There were no pathological findings on physical examination, direct abdominal x-ray, chest radiograph and biochemical parameters. At proximal of the celiac trunk, it was shown approximately 3x2 cm in size fusiform aneurysmal dilatation on the patient%u2019s abdominal ultrasonography and turbulence, arterial flow on the patient%u2019s abdominal doppler ultrasonography subsequently. In abdominal computed tomography we detected dense calcifications, dilatation and hypodensities that may belong to a thrombus in the lumen superior mesenteric vein (SMV. At the same time, approximately 3.5 cm segment of trunk celiak we observed aneurysm dilatation which reaching 2 cm at the widest point. Celiac trunk aneurysm is a rare cause of abdominal pain and often noticed after the complicated, thus it must always be kept in mind in the differential diagnosis.

  18. Simulation-Based Abdominal Ultrasound Training

    DEFF Research Database (Denmark)

    Østergaard, Mikkel; Ewertsen, C; Konge, L;

    2016-01-01

    PURPOSE: The aim is to provide a complete overview of the different simulation-based training options for abdominal ultrasound and to explore the evidence of their effect. MATERIALS AND METHODS: This systematic review was performed according to the PRISMA guidelines and Medline, Embase, Web....... CONCLUSION: The included studies were heterogeneous in the choice of simulator, study design, participants, and outcome measures, and the level of evidence for effect was inadequate. In all studies simulation training was equally or more beneficial than other instructions or no instructions. Study designs...

  19. Mycobacterium fortuitum abdominal wall abscesses following liposuction

    Directory of Open Access Journals (Sweden)

    Al Soub Hussam

    2008-01-01

    Full Text Available We describe here a case of abdominal abscesses due to Mycobacterium fortuitum following liposuction. The abscesses developed three months after the procedure and diagnosis was delayed for five months. The clues for diagnosis were persistent pus discharge in spite of broad spectrum antibiotics and failure to grow any organisms on routine culture. This condition has been rarely reported; however, the increasing number of liposuction procedures done and awareness among physicians will probably result in the identification of more cases. Combination antibiotic therapy with surgical drainage in more extensive diseases is essential for cure.

  20. Chylous complications after abdominal aortic surgery.

    Science.gov (United States)

    Haug, E S; Saether, O D; Odegaard, A; Johnsen, G; Myhre, H O

    1998-12-01

    Two patients developed chylous complications following abdominal aortic aneurysm repair. One patient had chylous ascitis and was successfully treated by a peritoneo-caval shunt. The other patient developed a lymph cyst, which gradually resorbed after puncture. Chylous complications following aortic surgery are rare. Patients in bad a general condition should be treated by initial paracentesis and total parenteral nutrition, supplemented by medium-chain triglyceride and low-fat diet. If no improvement is observed on this regimen, the next step should be implementation of a peritoneo-venous shunt, whereas direct ligation of the leak should be reserved for those who are not responding to this treatment. PMID:10204656

  1. Exercise-related transient abdominal pain (ETAP).

    Science.gov (United States)

    Morton, Darren; Callister, Robin

    2015-01-01

    Exercise-related transient abdominal pain (ETAP), commonly referred to as 'stitch', is an ailment well known in many sporting activities. It is especially prevalent in activities that involve repetitive torso movement with the torso in an extended position, such as running and horse riding. Approximately 70% of runners report experiencing the pain in the past year and in a single running event approximately one in five participants can be expected to suffer the condition. ETAP is a localized pain that is most common in the lateral aspects of the mid abdomen along the costal border, although it may occur in any region of the abdomen. It may also be related to shoulder tip pain, which is the referred site from tissue innervated by the phrenic nerve. ETAP tends to be sharp or stabbing when severe, and cramping, aching, or pulling when less intense. The condition is exacerbated by the postprandial state, with hypertonic beverages being particularly provocative. ETAP is most common in the young but is unrelated to sex or body type. Well trained athletes are not immune from the condition, although they may experience it less frequently. Several theories have been presented to explain the mechanism responsible for the pain, including ischemia of the diaphragm; stress on the supportive visceral ligaments that attach the abdominal organs to the diaphragm; gastrointestinal ischemia or distension; cramping of the abdominal musculature; ischemic pain resulting from compression of the celiac artery by the median arcuate ligament; aggravation of the spinal nerves; and irritation of the parietal peritoneum. Of these theories, irritation of the parietal peritoneum best explains the features of ETAP; however, further investigations are required. Strategies for managing the pain are largely anecdotal, especially given that its etiology remains to be fully elucidated. Commonly purported prevention strategies include avoiding large volumes of food and beverages for at least 2 hours

  2. Gubernamentalización y Estado Social en Colombia

    Directory of Open Access Journals (Sweden)

    Esther Parra Ramírez

    2005-01-01

    Full Text Available En este ensayo se pretende analizar la relación entre el proceso de gubernamentalización del Estado colombiano y el sistema de reproducción bipartidista luego de la crisis del modelo liberal clásico. Si bien, entre la I y la II Guerra Mundial se dio en Occidente un replanteamiento de la figura Estado a través del inevitable reconocimiento de la clase obrera como sujeto colectivo dinámico y de la adecuación de las instituciones hacia el Estado social, en Colombia la pretendida intervención del Estado bajo el principio de justicia social, sería obstaculizada por el reclutamiento partidista del personal administrativo y por la primacía de los intereses privados sobre los del Estado.

  3. La adecuación del derecho administrativo al Estado contemporáneo

    Directory of Open Access Journals (Sweden)

    Manuel Alberto Restrepo-Medina

    2010-03-01

    Full Text Available La concepción  que se tenga  del Estado  determina  su régimen  jurídico,  especialmente en cuanto tiene que ver con la actividad y estructura de la Administración, de manera que, además de su actual complejidad, el cambio de paradigma del Estado intervencionista al Estado regulador ha implicado que el ordenamiento jurídico de actuación y organización  de los entes estatales,  particularmente de la rama ejecutiva, se haya tenido que venir ajustando a ese nuevo modelo de Estado, proceso de cambio cuyo contenido y alcance ha sido determinado por las tendencias contemporáneas que lo orientan. La más connotada de esas tendencias es la denominada "huida del derecho administrativo", cuya implementación ha venido operan­ do mediante la adopción directa del derecho privado a la actividad y estructura de la administración pública o a través de la introducción de elementos del derecho privado dentro de las formas institucionales del derecho público, ya sea atendiendo a la naturaleza de la actividad o a la estructura del órgano que la lleva a cabo. Teniendo en cuenta que el objeto de estudio del Derecho Administrativo lo constituye entonces en buena medida la regulación de la actividad y estructura de la Administración, en este artículo se hace un análisis de  la manera en que a través de la tendencia antes mencionada se han pretendido adecuar los contenidos de esa disciplina jurídica al cambio del modelo de Estado imperante y de los riesgos que ese proceso de adecuación entraña.

  4. Report of a Case of Primary Abdominal Pregnancy

    OpenAIRE

    Sh Beigi

    2006-01-01

    Ectopic pregnancy (EP) is a potentially life-threatening condition in which the embryo implants outside the uterine endometrial cavity. Abdominal pregnancy is an atypical site wherein the product of conception lies totally outside the reproductive tract. Primary abdominal pregnancy is a very rare condition with a high mortality rate. Diagnosis is often late or misdiagnosed. The aim of introducing this case report is to present a new case of early primary abdominal pregnancy. Despite regular m...

  5. A large abdominal desmoid tumour associated with pregnancy and puerperium

    OpenAIRE

    Setu Rathod; Sunil Kumar Samal; Purna Chandra Mahapatra

    2014-01-01

    We report a rare case of huge abdominal desmoid tumour first detected during pregnancy. The patient delivered vaginally and the size of the tumour increased during puerperium for which resection was done. Most of these tumours occur in the abdominal muscles particularly right rectus abdominis, perhaps related to trauma from abdominal stretching and movement. These tumours are known to regress spontaneously after delivery which was not in our case. Subsequent pregnancies do not appear to resul...

  6. A prospective study on geriatric abdominal surgical emergencies

    OpenAIRE

    Deepak R. Chavan; Shailesh Kannur; B. B. Metan; Girish Kullolli

    2014-01-01

    Background: Geriatric population is a special subgroup of population undergoing emergency abdominal surgeries. Both higher age group and emergency surgical procedure are considered as high risk factors. In this study, we study the most common cause for geriatric population to undergo an emergency abdominal surgery and the therapeutic outcomes. Methods: All the patients aged more than 60 years coming to surgical department, BLDEU's hospital with acute abdominal conditions. Study period was ...

  7. Abdominal Computed Tomography Findings of Malaria Infection with Plasmodium vivax

    OpenAIRE

    Kim, Eun Mi; Cho, Hyeon Je; Cho, Chong Rae; Kwak, Yee Gyung; Kim, Mi Young; Cho, Yun Ku

    2010-01-01

    Abdominal computed tomography (CT) findings of malaria are not well-known even though malaria is a serious infectious disease. To identify abdominal CT findings, we selected 34 of 405 patients who had a positive peripheral blood smear for Plasmodium vivax and had underwent abdominal CT as the malaria group. We also selected 80 patients who had fever and a negative peripheral blood smear as the control group and 120 healthy people as the normal group. We reviewed and analyzed their medical rec...

  8. Primary abdominal pregnancy following intra-uterine insemination

    Directory of Open Access Journals (Sweden)

    Sujata Kar

    2011-01-01

    Full Text Available Primary abdominal pregnancy is an extremely rare type of extrauterine pregnancy. It has been reported from many unusual intra-abdominal sites. We report a case of primary abdominal pregnancy following intra-uterine insemination (not reported earlier to our knowledge. Implanted on the anterior surface of the uterus possibly related to an endometriotic foci. Early diagnosis enabled laparoscopic management of this case.

  9. Evaluación del riesgo de ruptura de aneurismas de aorta abdominal personalizados mediante factores biomecánicos/Patient-specific abdominal aortic aneurysms rupture risk assessment by means of biomechanical factors

    Directory of Open Access Journals (Sweden)

    Ariel Zúñiga‐Reyes

    2014-05-01

    Full Text Available El Aneurisma de Aorta Abdominal es la dilatación localizada, irreversible y progresiva que experimenta la pared aortica. Esta patología ha sido reconocida como un importante problema de salud, puesto que su ruptura está asociada mayormente a consecuencias fatales. La falta de criterios fiables, respecto a los actualmente utilizados, para la evaluación del riesgo de ruptura, constituye un inconveniente en la gestión clínica de la enfermedad. El presente trabajo tiene como objetivo evaluar el riesgo de ruptura de Aneurismas de Aorta Abdominal, mediante indicadores numéricos, como es previsto por el enfoque biomecánico. Fueron utilizadas técnicas de modelación por elementos finitos para determinar el comportamiento del flujo sanguíneo y el estado tensional de la pared arterial. Los resultados mostraron que ninguno de los aneurismas analizados presenta riesgo de ruptura elevado y que la evaluación del riesgo de ruptura mediante índices numéricos, es un camino viable para prever la ruptura de un aneurisma específico.Palabras claves: aneurisma de aorta abdominal, factores biomecánicos, interacción fluido-sólido, riesgo de ruptura.______________________________________________________________________________AbstractAbdominal Aortic Aneurysm is a localized, progressive and permanent dilation of the infra-renal aorta.AAA has increasingly been recognized as an important health problem in the last decades. The AAA rupture is mostly associated with fatal consequences. The lack of more reliable criteria for rupture riskassessing, results in a problem in the clinical management of the disease. This paper aims to assess the rupture risk of abdominal aortic aneurysms by means of numerical indexes, as envisaged by the biomechanical approach. Finite Volume Techniques were used to determine the blood flow behavior within aneurysmatic sac and the structural state of the arterial wall. The results showed that none of the assessed aneurysms is at

  10. El Estado sin territorio: La desaparición del territorio debido al cambio climático

    Directory of Open Access Journals (Sweden)

    Mariano J. Aznar Gómez

    2013-12-01

    Full Text Available Diversos y fundados análisis científicos demuestran que una de las derivadas del denominado “cambio climático” es el calentamiento global del planeta y, con él, la posible elevación significativa de los niveles de mares y océanos en el planeta. Ello podría suponer, en determinados casos, la desaparición bajo las aguas de amplias porciones del territorio de diversos Estados, muy particularmente de ciertos Estados archipelágicos del Pacífico que podrían ver, incluso, la total desaparición de sus espacios terrestres. Con ello desaparecería uno de los elementos constitutivos del Estado, cuestionándose entonces sus efectos en la soberanía e, incluso, en la propia existencia de dicho Estado. Quedaría igualmente afectado otro elemento de la estatalidad: la población, que podría verse desplazada conformando una nueva tipología de “desplazados climáticos”. El Derecho internacional actual ofrece diversas soluciones a dichos problemas, si bien parte de la adopción de esas soluciones implicarían la asunción de opciones políticas de cierta envergadura con efectos jurídicos reseñables. Este trabajo analiza parte de estas cuestiones, proponiendo algunas de las mismas como posibles soluciones a la posible alteración territorial o la desaparición de ciertos Estados debida al cambio climático.

  11. Endovascular Exclusion of an Abdominal Aortic Aneurysm in Patients with Concomitant Abdominal Malignancy: Early Experience

    Energy Technology Data Exchange (ETDEWEB)

    Choi, You Ri; Chang, Nam Kyu [Chonnam National University Hwasun Hospital, Hwasun (Korea, Republic of); Shin, Hyo Hyun; Oh, Hyun Jun; Kim, Jae Kyu; Choi, Soo Jin Na; Chung, Sang Young [Chonnam National University Hospital, Gwangju (Korea, Republic of); Yim, Nam Yeol [Armed Forces Yangju Hospital, Yangju (Korea, Republic of)

    2010-08-15

    To assess the outcomes of endovascular aortic aneurysm repair (EVAR) for the treatment of an abdominal aortic aneurysm in patients undergoing curative surgical treatment for concomitant abdominal malignancy. The study included 12 patients with abdominal neoplasia and an abdominal aortic aneurysm (AAA), which was treated by surgery and stent EVAR. The neoplasm consisted of the gastric, colorectal, pancreas, prostate, and gall bladder. The follow up period was 3-21 months (mean 11.8 months). All medical records and imaging analyses were reviewed by CTA and/or color Doppler US, retrospectively. Successful endoluminal repair was accomplished in all twelve patients. The mean interval time between EVAR and surgery was 58.6 days. Small amounts of type 2 endoleaks were detected in two patients (17%). One patient developed adult respiratory distress syndrome after Whipple's operation 20 days after surgery, which led to hopeless discharge. No procedure-related mortality, morbidity, or graft-related infection was noted. Exclusion of AAA in patients with accompanying malignancy show with a relatively low procedure morbidity and mortality. Hence, endoluminal AAA repair in patients with synchronous neoplasia may allow greater flexibility in the management of an offending malignancy

  12. Prevalence of abdominal migraine and recurrent abdominal pain in a Japanese clinic.

    Science.gov (United States)

    Hikita, Toshiyuki

    2016-07-01

    Prevalence of abdominal migraine (AM) and recurrent abdominal pain (RAP) was evaluated in patients who visited Hikita Pediatric Clinic between May 2010 and April 2015. Patient data were collected prospectively using a questionnaire. Out of a total of 3611 cases, observed prevalence was 2.44% for repeated abdominal pain over a period of ≥3 months, 1.47% for RAP, and 0.19% for AM. Duration of abdominal pain was longer for AM than for non-AM RAP. Certain clinical features were significantly different between AM and non-AM RAP. No correlations were found among age at onset, frequency of attack, and duration of attack for various types of RAP. It was difficult to determine useful diagnostic criteria for distinguishing between AM and non-AM RAP. They did not appear to be separate disease entities but, instead, lie on a disease spectrum. The present prevalence of AM (0.19%) was lower than that in many previous studies from countries other than Japan. PMID:27460403

  13. Prevalence of obesity and abdominal obesity in a sample of users of an Integrated Medicine Ambulatory Prevalência de Obesidade e Obesidade Abdominal em amostra de usuários de um ambulatório de Medicina Integral

    Directory of Open Access Journals (Sweden)

    Rosimere J. Teixeira

    2010-11-01

    Full Text Available

    Obesity is a progressively prevalent clinical condition increasingly associated with mortality and morbidity from cardiovascular diseases. Visceral fat accumulation worsens such risk and for that reason measuring the waist circumference as a way for evidencing Abdominal Obesity is considered as necessary and important as calculating the Body Mass Index (BMI. The objective of this study is to determine the prevalence of obesity and abdominal obesity and associate them with cardiovascular risk factors. A sample of patients, users of an Integrated Medicine Ambulatory, was analyzed as to age, sex, BMI, waist circumference and clinical conditions such as arterial hypertension, diabetes mellitus type 2, metabolic syndrome (MS, tobacco use and sedentary lifestyle. Patients who already had their waist circumference measured or BMI calculated were selected from the sample, so that 119 patients actually entered the study. Their age mean was 50±13,4 years, 89% were females. The prevalence of obesity and abdominal obesity was 44% and 66% respectively. Both obesity and abdominal obesity were associated with MS (p=0,01, OR=3,42; p=0,0005, OR=7,55 and with each other (p<0,0001, OR=22,1. Circumference measurement was a diagnostic test for MS presenting sensitivity (89.5% and a good negative prediction value (80% in our patients. The prevalence of obesity and abdominal obesity was high in this sample. Obesity and abdominal obesity are associated with MS. These data confirm circumference measurement as an important diagnostic tool in the clinical practice.

    A obesidade é uma condição clínica cuja prevalência aumenta progressivamente e que está cada vez mais associada à morbi-mortalidade cardiovascular. A concentração visceral de gordura aumenta tal risco, portanto, a medida da cintura abdominal, de forma a evidenciar obesidade abdominal, torna-se necessária e tão importante quanto o índice de massa corporal (IMC. Nosso objetivo foi determinar

  14. Abdominal alterations in disseminated paracoccidioidomycosis: computed tomography findings

    Energy Technology Data Exchange (ETDEWEB)

    Vermelho, Marli Batista Fernandes; Correia, Ademir Silva; Michailowsky, Tania Cibele de Almeida; Suzart, Elizete Kazumi Kuniyoshi; Ibanes, Aline Santos; Almeida, Lanamar Aparecida; Khoury, Zarifa; Barba, Mario Flores, E-mail: marlivermelho@globo.com [Instituto de Infectologia Emilio Ribas (IIER), Sao Paulo, SP (Brazil)

    2015-03-15

    Objective: to evaluate the incidence and spectrum of abdominal computed tomography imaging findings in patients with paracoccidioidomycosis. Materials and methods: retrospective analysis of abdominal computed tomography images of 26 patients with disseminated paracoccidioidomycosis. Results: abnormal abdominal tomographic findings were observed in 18 patients (69.2%), while no significant finding was observed in the other 8 (30.8%) patients. Conclusion: computed tomography has demonstrated to play a relevant role in the screening and detection of abdominal abnormalities in patients with disseminated paracoccidioidomycosis. (author)

  15. Abdominal alterations in disseminated paracoccidioidomycosis: computed tomography findings

    International Nuclear Information System (INIS)

    Objective: to evaluate the incidence and spectrum of abdominal computed tomography imaging findings in patients with paracoccidioidomycosis. Materials and methods: retrospective analysis of abdominal computed tomography images of 26 patients with disseminated paracoccidioidomycosis. Results: abnormal abdominal tomographic findings were observed in 18 patients (69.2%), while no significant finding was observed in the other 8 (30.8%) patients. Conclusion: computed tomography has demonstrated to play a relevant role in the screening and detection of abdominal abnormalities in patients with disseminated paracoccidioidomycosis. (author)

  16. Treatment of infrarenal abdominal aortic dissection concomitant with an aneurysm

    Institute of Scientific and Technical Information of China (English)

    WANG Li-xin; ZHU Ting; FU Wei-guo; WANG Yu-qi; XI Xun; GUO Da-qiao; CHEN Bin; JIANG Jun-hao; YANG Ju; SHI Zhen-yu

    2007-01-01

    @@ Aortic dissection occurs when layers of the aortic walls are separated by the blood flow through an intimal tear. Dissection of the aorta most frequently originates in the ascending aorta (70%), followed by the descending aorta (22%), the aortic arch (7%) and the abdominal aorta (1/%).1 The dissection limited to the abdominal aorta is rare.2 An isolated abdominal aortic dissection (IAAD) concomitant with an abdominal aortic aneurysm (AAA) is uncommon. We present here one patient with IAAD and AAA treated by endovascular therapy.

  17. [Ruptured abdominal aortic aneurysm. A rare form of presentation].

    Science.gov (United States)

    Rettedal, E A; Vennesland, O

    1993-05-10

    In most cases a ruptured abdominal aortic aneurism is dramatic, with rapid deterioration of the clinical condition of the patient. With abdominal and back pain, pulsatile tumour, and development of bleeding shock the diagnosis is obvious. In some cases the symptoms are not clear and the condition can be misinterpreted. The authors describe a case to illustrate this. A 74 year-old male was admitted to hospital with vague abdominal pain and left inguinal hernia. It later turned out that a ruptured abdominal aortic aneurism was the reason for his symptoms and signs. 14 similar cases are reported in the literature. PMID:8332976

  18. Cirurgia para controle de danos: estado atual

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    Rodrigo Camargo Leão Edelmuth

    2013-04-01

    Full Text Available A cirurgia de controle de danos é um conceito amplamente aceito atualmente entre os especialistas em trauma abdominal quando se trata de doentes gravemente traumatizados. Nestes pacientes a morte decorre, na maioria das vezes, da instalação da tríade letal (hipotermia, coagulopatia e acidose e não da incapacidade de reparar as graves lesões presentes. Nesta revisão, os autores abordam a tríade letal, em suas três fases, e enfatizam as medidas adotadas para preveni-las. Além de discutirem a indicação e o emprego da cirurgia para o controle de danos em seus vários estágios. A restauração dos padrões fisiológicos do doente na UTI, para que o mesmo possa ser submetido à operação definitiva e ao fechamento da cavidade abdominal, outro desafio no paciente traumatizado grave, também é discutida.

  19. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon

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    Legakis Nikolaos

    2006-02-01

    Full Text Available Abstract Background Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations. Case presentation A 56 year-old man presented in A&E department with small bowel ileus. He had a history of 6 similar episodes of small bowel obstruction in the past 4 years, which resolved with conservative treatment. Pre-operative work-up did not reveal any specific etiology. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up. Conclusion Idiopathic sclerosing encapsulating peritonitis, although rare, may be the cause of a common surgical emergency such as small bowel ileus, especially in cases with attacks of non-strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel ileus combined with relevant imaging findings and lack of other plausible etiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a "surprise" upon laparotomy and result in proper management.

  20. [Endometriosis in the abdominal wall (author's transl)].

    Science.gov (United States)

    Caligaris, P; Masselot, R; Ducassou, M J; Le Treut, Y; Bricot, R

    1981-01-01

    The authors give 9 case histories of endometriosis localised to the abdominal wall : 3 of them in the umbilicus, 3 in laparotomy incisions (2 of those were Caesareans), 2 of them in the round ligaments at the external opening of the inguinal canal and 1 of them in the right rectus muscle sheath in the abdomen. The functional symptomatology is rhythmical according to menstruation; it is associated with a burning type of pain, a tumour and blood loss. Over and above the theories of aetiology that are now classical, namely tubal retrograde spill, and lymphatic or venous spread, it would seem that prostaglandins and in particular the ratio of P.G.E. divided by P.D.F2 alpha can play a big role. Although Danazol is an effective treatment for endometriosis, the treatment of choice is, in these lesions that are superficial in localisation and easily accessible, to cut them out surgically. This makes it possible on the one hand to look for other intra-abdominal lesions and also on the other hand to confirm the anatomy and pathology (this was done in 7 out of 9 of our cases). PMID:6459361

  1. Hepatic infarction following abdominal interventional procedures.

    Directory of Open Access Journals (Sweden)

    Fujiwara H

    2004-04-01

    Full Text Available To clarify the incidence, background, and progress of hepatic infarction following interventional procedures, cases of hepatic infarction following interventional procedures at our department during the last decade were identified by reviewing the clinical records of 1982 abdominal angiography and interventional procedures and records of abdominal CT. Nine episodes (0.5% in 8 patients were identified as hepatic infarction following an interventional procedure. Five episodes were preceded by embolization of the hepatic or celiac artery at emergency angiography for postoperative bleeding with hemorrhagic shock. Three episodes followed the elected interventional procedure for hepatocellular carcinoma, and the remaining episode occurred after 12 months of chemoinfusion through an indwelling catheter in the hepatic artery and portal vein. Hepatic arterial occlusion in all episodes and portal venous flow abnormality in 5 episodes were observed on angiography. Four patients whose liver function was initially impaired died of hepatic infarction, although the extent of the disease on CT did not appear to be related to the mortality. Multiple risk factors, including arterial insufficiency, were observed in each patient. The incidence of hepatic infarction following interventional procedures in this series was low but sometimes fatal, and occurred most frequently in emergency embolization in hemorrhagic shock.

  2. Fatigue and cardiorespiratory function following abdominal surgery.

    Science.gov (United States)

    Christensen, T; Bendix, T; Kehlet, H

    1982-07-01

    Subjective feelings of fatigue were assessed before operation and 10, 20 and 30 days after uncomplicated elective abdominal surgery in 16 otherwise healthy patients, using a constructed fatigue scale model. In addition, all patients had an orthostatic stress test performed at the same times. Six of the patients also underwent a bicycle ergometer test measuring heart rate and oxygen consumption. Subjective feelings of fatigue were increased (P less than 0.01) at all three postoperative observations, and only 5 of 16 patients returned to their preoperative level. The increased subjective feeling of fatigue correlated positively (RS = 0.53, P less than 0.001) with the increased pulse rate seen during orthostatic stress after operation. Heart rate was about 5 per cent higher (n.s.) after operation when bicycling at the same work loads, while oxygen consumption decreased by about 2 per cent (P less than 0.01) at all three postoperative bicycle tests. It is concluded that even electric uncomplicated abdominal surgery is followed by a pronounced feeling of fatigue, which may persist 1 month after surgery in about one-third of patients. The fatigue scale model seems applicable for future studies on the pathogenesis and treatment of the postoperative fatigue syndrome.

  3. Volumetric analysis of abdominal aortic aneurysm

    Science.gov (United States)

    Baskin, Kevin M.; Kusnick, Catherine A.; Shamsolkottabi, Susanne; Lang, Elvira V.; Corson, J. D.; Stanford, William; Thompson, Brad H.; Hoffman, Eric A.

    1996-04-01

    The purpose of this study was to develop a valid, reliable and accurate system of measurement of abdominal aortic aneurysms, using volumetric analysis of x-ray computed tomographic data. This study evaluates illustrative cases, and compares measurements of AAA phantoms, using standard 2D versus volumetric methods. To validate the volumetric analysis, four phantom aneurysms were constructed in a range of diameters (4.5 - 7.0 cm) which presents the greatest management challenge to the clinician. These phantoms were imaged using a Toshiba Xpress SX helical CT. Separate scans were obtained at conventional (10 mm X 10 mm) and thin slice (5 mm X 5 mm) collimations. The thin slices were reconstructed at 2 mm intervals. Data from each of the 96 scans were interpreted using a standard 2D approach, then analyzed using task-oriented volumetric software. We evaluate patient assessments, and compare greatest outer diameters of phantoms, by standard versus volumetric methods. Qualitative differences between solutions based on standard versus volumetric analysis of illustrative patient cases are substantial. Expert radiologists' standard measurements of phantom aneurysms are highly reliable (r2 equals 0.901 - 0.958; p aneurysm diameters in the range of clinical interest. For the same phantoms, volumetric analysis was both more reliable (r2 equals 0.986 - 0.996; p abdominal aortic aneurysms. It is particularly valuable in the presence of aortic tortuosity, vessel eccentricity, and uncertain involvement of critical vessels.

  4. Abdominal-Pelvic Actinomycosis Mimicking Malignant Neoplasm

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    Teresa Pusiol

    2011-01-01

    Full Text Available Abdominal-pelvic actinomycosis is often mistaken for other conditions, presenting a preoperative diagnostic challenge. In a 46-year-old female, computed tomography showed an abdominal-pelvic retroperitoneal mass extending from the lower pole of the right kidney to the lower pelvis. The patient had a 3-year history of intrauterine device. The mass appeared to involve the ascending colon, cecum, distal ileum, right Fallopian tube and ovary, and ureter anteriorly and the psoas muscle posteriorly. The resection of retroperitoneal mass, distal ileum appendicectomy, right hemicolectomy, and right salpingo-oophorectomy was performed. The postoperative period was uneventful. Penicillin therapy was given for six months without any complication. The retroperitoneal mass measured 4.5 × 3.5 × 3 cm, surrounded adjacent organs and histologically showed inflammatory granulomatous tissue, agglomeration of filaments, and sulfur granules of Actinomyces, with positive reaction with periodic acid Schiff. Right tubo-ovarian abscess was present. Abdominalpelvic actinomycosis should always be considered in patients with a pelvic mass especially in ones using intrauterine device.

  5. Abdominal manifestations of cystic fibrosis in children

    Energy Technology Data Exchange (ETDEWEB)

    Chaudry, Gulraiz; Navarro, Oscar M.; Levine, Daniel S.; Oudjhane, Kamaldine [University of Toronto, Department of Diagnostic Imaging, Hospital for Sick Children, Toronto, ON (Canada)

    2006-03-15

    Pulmonary complications remain the main cause of mortality in cystic fibrosis, but the presenting symptoms in children are often related to gastrointestinal or pancreaticobiliary disease. Furthermore, abdominal manifestations are now seen throughout childhood, from infancy to adolescence. The child might present in the neonatal period with meconium ileus or its attendant complications. The older child might present with distal intestinal obstruction syndrome or colonic stricture secondary to high doses of pancreatic enzyme replacement. Less-common gastrointestinal manifestations include intussusception, duodenitis and fecal impaction of the appendix. Most children also show evidence of exocrine pancreatic deficiency. Radiologically, the combination of fat deposition and pancreatic fibrosis leads to varying CT and MR appearances. A higher than normal incidence of pancreatic cysts and calcification is also seen. Decreased transport of water and chloride also increases the viscosity of bile, with subsequent obstruction of the biliary ductules. If extensive, this can progress to obstructive cirrhosis, portal hypertension and esophageal varices. Diffuse fatty infiltration, hypersplenism and gallstones are also commonly seen in these patients. We present a pictorial review of the radiological appearance of these abdominal manifestations. The conditions are dealt with individually, together with typical appearances in various imaging modalities. (orig.)

  6. Abdominal manifestations of cystic fibrosis in children

    International Nuclear Information System (INIS)

    Pulmonary complications remain the main cause of mortality in cystic fibrosis, but the presenting symptoms in children are often related to gastrointestinal or pancreaticobiliary disease. Furthermore, abdominal manifestations are now seen throughout childhood, from infancy to adolescence. The child might present in the neonatal period with meconium ileus or its attendant complications. The older child might present with distal intestinal obstruction syndrome or colonic stricture secondary to high doses of pancreatic enzyme replacement. Less-common gastrointestinal manifestations include intussusception, duodenitis and fecal impaction of the appendix. Most children also show evidence of exocrine pancreatic deficiency. Radiologically, the combination of fat deposition and pancreatic fibrosis leads to varying CT and MR appearances. A higher than normal incidence of pancreatic cysts and calcification is also seen. Decreased transport of water and chloride also increases the viscosity of bile, with subsequent obstruction of the biliary ductules. If extensive, this can progress to obstructive cirrhosis, portal hypertension and esophageal varices. Diffuse fatty infiltration, hypersplenism and gallstones are also commonly seen in these patients. We present a pictorial review of the radiological appearance of these abdominal manifestations. The conditions are dealt with individually, together with typical appearances in various imaging modalities. (orig.)

  7. Cimentaciones actuales de los rascacielos de Chicago

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    López Ruiz, Álvaro

    1972-05-01

    Full Text Available The main characteristics of the land and the supporting rock are given, and the pattern of present performance of Chicago's deep foundations is briefly described. This city probably has some of the highest skyscrapers in the world with deep foundations resting on rock, and possibly as well, the highest building with foundations resting on soil. The construction of piles of large diameter, resting on rock and concreted dry, as prescribed by the City Code, is the weak point which sometimes makes it necessary to insert a permanent lining tube deep into the rock in order to obtain the required leaktightness, or to pump out significant quantities of water from the bottom of the excavations. The latter can cause the dragging away of earth from adjacent foundations resting on soil at a higher level, as with the drift of the phreatic level, with the consequent risk of producing appreciable subsidence, and even undermining. To overcome this problem we carried out for the first time in Chicago, a pre-sealing, by means of chemical injections, of the supporting rock of the periphery piles of some deep foundations, by drilling into the centre of each pile, which has also been useful as a means of examining the subsoil before proceeding to the perforation of each pile. This operation was carried out on the large diameter piles of the foundations of the Northern Trust Bank skyscraper, at present under construction, with very satisfactory results. The method of pre-sealing the rock used and the results obtained are described.Se presentan las características principales del terreno y de la roca de apoyo y se describe someramente la forma de ejecución actual de las cimentaciones profundas de Chicago. Esta ciudad tendrá (en breve varios de los rascacielos más altos del mundo apoyados en cimentaciones profundas sobre roca y, posiblemente, también el edificio más alto apoyado sobre suelo. La construcción de pilotes de gran diámetro apoyados sobre roca y

  8. Ultrasonographic findings of pediatric abdominal masses

    Energy Technology Data Exchange (ETDEWEB)

    Juhng, Seon Kwan; Kim, Jae Gyu; Park, Jin Gyoon; Kang, Heoung Keun; Chung, Hyun De [Chonnam University College of Medicine, Gwangju (Korea, Republic of)

    1986-02-15

    Ultrasonography is a very useful diagnostic modality for the evaluation of clinically suspicious abdominal masses in infants and children, especially in assessing their existence, size, location, origin and internal consistency. Authors analyzed and present ultrasonographic findings of 92 pathologically and/or clinically proven pediatric abdominal masses that were studied and treated in Chonnam University Hospital during recent 4 years. The results were as follows: 1. The most common originating site was kidney (26 cases: 28.3%), followed by gastrointestinal tract (21 cases: 22.8%), genital organ (17 cases: 18.5%), non-renal retroperitoneum (13 cases: 18.5%), hepatobiliary tract (12 cases: 13.0%), and anterior abdominal wall (3 cases: 3.3%) in order to frequency. 2. The most common mass was hydronephrosis (18 cases: 19.6%). Neuroblastoma (7 cases: 7.6%), hepatoblatoma, ovarian teratoma, periappendiceal abscess and abdominal tuberculosis (6 cases: 6.5%, respectively), Wilms tumor (5 cases: 5.4%) were next in order of frequency. 3. The sex distribution is rather similar, that is, male 42 (45.7%) and female 50 (54.3%), but characteristically choledochal cyst (2 cases) and genital mass (17 cases) were found only in females. Considering age distribution, 78 cases (84.8%) were found within the range of one to 15 years of age. The rest, 14 cases (15.2%), were under the age of one year. 4. With ultrasonography, the diagnosis of hydronephrosis could be made easily in every case and we could evaluate its severity and level of obstruction with high accuracy. 5. All Wilms tumor were large, round or oval, sharply marinated and relatively homogeneous solid masses. 6. All neuroblastomas were irregular shaped, poorly defined, heterogeneous solid masses. Tumor calcification and extension across the midline were noted in 6 cases (85.7%) and 5 cases (71.4%), respectively. 7. All periappendiceal abscess had irregular thickened wall and posterior acoustic enhancement; 4 cases (66

  9. Fiesta y golpe de estado en Colombia

    Directory of Open Access Journals (Sweden)

    César Augusto Ayala Diago

    2010-10-01

    Full Text Available El proceso histórico que terminó con el establecimiento en Colombia de la República Liberal (1930 1946, llevó a que los conservadores, que habían gobernado la sociedad colombiana durante 45 años, se sintieran violentados física y espiritualmente. Para las regiones del país de mayorías conservadoras, fue la llegada de los liberales al poder, el episodio que dio inicio a la violencia en Colombia. En los tiempos de la Revolución en Marcha (1934-1938, las élites conservadoras, gracias a su beligerante oposición, consiguieron enfriar los ímpetus liberales de secularizar el país. Las reformas en la educación, en las relaciones entre la Iglesia y el Estado, al igual que la reforma agraria se echaron atrás.

  10. Estado, política y envejecimiento

    Directory of Open Access Journals (Sweden)

    Gustavo Mariluz

    2012-01-01

    Full Text Available El artículo analiza el tema del capital-trabajo en Argentina durante la década del '40. El gobierno justicialista de entonces intentó establecer un Estado Social pleno para la sociedad no exento de conflictos. Con un amplio criterio de cobertura, se pretendió proteger a los estratos más vulnerables de una sociedad injustamente inequitativa. No siempre se logró de la manera que se planificó. El sector etáreo y social expresado por el colectivo de la Ancianidad tuvo, bajo esta modalidad de implementación, un rol preponderante llegando a establecerse, con rango constitucional, derechos particulares para este sector posicionando a la República Argentina entre los países pioneros en la región.

  11. MEGAMINERIA, DESTERRITORIALIZACION DEL ESTADO Y BIOPOLITICA

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    Mirta Alejandra Antonelli

    2011-12-01

    Full Text Available Este artículo desarrolla algunos aspectos relativos a la mega-minería en tanto modelo biopolítico, a partir del marco regulatorio sancionado a comienzos de los 90 en la región. Focaliza para ello en dos macro-fenómenos que se verifican en su acelerada implantación: la desestatalización del territorio y la desterritorialización del Estado. A partir de este marco se propone señalar ciertas estrategias desplegadas por los dispositivos hegemónicos que vienen procurando su legitimación, y destacar un conjunto de consecuencias que de ellas se derivan para la condición de existencia de subjetividades y cuerpos que distingue al extractivismo mega-minero: el vivir en la corteza.

  12. DEMOCRACIA SIN PUEBLO EN EL ESTADO GUERRERO

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    José Gilberto Garza Grimaldo

    2008-05-01

    Full Text Available La democracia participativa que formalmente existe en el Estado de Guerreo (México es, en realidad, una democracia de carácter ilusionista, fundamentalmente por dos razones: a. Su redacción en la norma constitucional y legal es muy restringida; b. No están debidamente reglamentadas las figuras de democracia participativa. Se debe replantear la soberanía para que deje de ser una institución guardada en el ropero y el ciudadano deje de ser un 'soberano don nadie' (Muñueco, 2006, p. 186. Se deben adoptar nuevas formas de participación ciudadana como el presupuesto participativo y la nueva visión del poder ciudadano en Venezuela.

  13. 腹型肥胖的中医针灸治疗现状%Acupuncture for Abdominal Obesity

    Institute of Scientific and Technical Information of China (English)

    梁翠梅; 胡慧

    2012-01-01

    当肥胖超过一定限度并出现相关症状时就演变为肥胖症.肥胖症患者中,腹型肥胖患者发生动脉硬化、脑卒中、高血压、冠心病、糖尿病、高脂血症等各种并发症的危险性很高.本研究不仅对腹型肥胖的概念和治疗现状进行了回顾,还从中医角度对腹型肥胖的中医病因病机进行了阐述,并记述了针灸治疗这一祖国医学瑰宝在腹型肥胖治疗领域的现状和展望.%Obesity becomes a symptom when over a certain limit and accompanying correlated symptom. Among the obesity patients, abdominal obesity inclines to suffer arteriosclerosis, stroke, hypertension, coronary heart disease, diabetes mellitus, hyperiipidemia, and other complications. This text reviews the conception and status of abdominal obesity, and explains the cause and mechanism of abdominal obesity in Chinese medicine. Meanwhile , the actuality and prospect of acupuncture and a branch of Chinese therapy for abdominal obesity are recounted.

  14. Abdominal tuberculosis. On-going challenge to gastroenterologists

    International Nuclear Information System (INIS)

    The aim of this study is to record the observations and experience on the diagnosis and management of abdominal tuberculosis (TB) and to highlight the difficulties in the diagnosis and management of this condition. Two hundred consecutive patients attending the Gastroenterology Department of the King Khalid National Guard Hospital, Jeddah, Kingdom of Saudi Arabia between May 1991 and May 2001, suspected with abdominal TB were investigated. A detailed clinical history and physical examination were obtained. Data of 75 confirmed cases of abdominal TB were analyzed. The most common presenting symptoms were anorexia (84%), abdominal pain (84%) and weight loss (72%). Abdominal tenderness was the most common clinical finding, followed by ascites and abdominal mass (42%). The chest radiograph suggestive of pulmonary TB was diagnosed in 24 patients (32%). Computed tomographic (CT) scanning revealed abnormalities in all 51 patients who underwent the procedure, while positive findings were observed by abdominal ultrasound in 66% of the tested patients. Histopathological examination of patients showed tuberculosis granuloma, while acid fast bacilli were seen in 34%. Mycobacterium tuberculosis was identified by microbiological methods in 60% of patients. The most common presenting symptoms were anorexia (84%), abdominal pain (84%) and weight loss (72%). Abdominal tenderness was the most common clinical finding, followed by ascites and abdominal mass (42%). The chest radiograph suggestive of pulmonary TB was diagnosed in 24 patients (32%). Computed tomographic (CT) scanning revealed abnormalities in all 51 patients who underwent the procedure, while positive findings were observed by abdominal ultrasound in 66% of the tested patients. Histopathological examination of patients showed tuberculous granuloma, while acid fast bacilli were seen in 34%. Mycobacterium tuberculosis was identified by microbiological methods in 60% of patients. A high index of clinical suspicion is

  15. Screening for abdominal aortic aneurysms Rastreamento de aneurismas da aorta abdominal

    Directory of Open Access Journals (Sweden)

    Telmo Pedro Bonamigo

    2003-01-01

    Full Text Available OBJECTIVE AND METHODS: Screening for abdominal aortic aneurysms may be useful to decrease mortality related to rupture. We conducted a study to assess the prevalence of abdominal aortic aneurysms in southern Brazil and to define risk factors associated with high prevalence of this disorder. The screening was conducted using abdominal ultrasound. Three groups were studied: Group 1 - cardiology clinic patients; Group 2 - individuals with severe ischemic disease and previous coronary surgery, or important lesions on cardiac catheterism; Group 3 - individuals without cardiac disease selected from the general population. All individuals were male and older than 54 years of age. The ultrasonographic diagnosis of aneurysm was based on an anteroposterior abdominal aorta diameter of 3 cm, or on an abdominal aorta diameter 0.5 cm greater than that of the supra-renal aorta. RESULTS: A total of 2.281 people were screened for abdominal aortic aneurysms in all groups: Group 1 - 768 individuals, Group 2 - 501 individuals, and Group 3 - 1012 individuals. The prevalence of aneurysms was 4.3%, 6.8% and 1.7%, respectively. Age and cigarette smoking were significantly associated with increased prevalence of aneurysms, as was the diagnosis of peripheral artery disease. DISCUSSION: We concluded that screening may be an important tool to prevent the mortality associated with abdominal aortic aneurysms surgery. Additionally, the cost of screening can be decreased if only individuals presenting significant risk factors, such as coronary and peripheral artery disease, smokers and relatives of aneurysm patients, are examined.OBJETIVO E MÉTODOS: O rastreamento de aneurisma da aorta abdominal infra-renal é importante pois pode diminuir a mortalidade relacionada à ruptura. Realizamos um estudo para definir a prevalência desses aneurismas em diversos segmentos da população em nossa região do Brasil. O rastreamento foi realizado utilizando-se a ecografia de abdômen. Tr

  16. Tabagismo e obesidade abdominal em doadores de sangue Smoking and abdominal fat in blood donors

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    Cássia da Silva Faria

    2012-06-01

    Full Text Available OBJETIVO: Analisar a associação entre tabagismo e obesidade abdominal em doadores de sangue. MÉTODOS: Estudo de corte transversal com 1.235 homens adultos doadores de sangue (idade: 20-59 anos em Cuiabá (MT. Foram coletados dados socioeconômicos, demográficos e antropométricos, bem como informações sobre o estilo de vida dos participantes. Neste estudo, a circunferência da cintura e a relação cintura/quadril foram utilizadas como marcadores de obesidade abdominal. A associação desses dois marcadores com o tabagismo foi analisada por meio de regressão linear múltipla em modelos distintos, ajustados para potenciais fatores de confusão. RESULTADOS: Dos 1.235 entrevistados, 273 (22,1% declararam ser fumantes e, desses, 99 (36,3% relataram fumar mais de 15 cigarros por dia. A média do índice de massa corpórea nos fumantes foi menor que nos não fumantes (p 11 cigarros/dia. CONCLUSÕES: Nesta amostra, o tabagismo associou-se positivamente com indicadores de obesidade abdominal, independentemente de potenciais fatores de confusão, inclusive o consumo de bebidas alcoólicas.OBJECTIVE: To assess the association between smoking and abdominal fat among male blood donors. METHODS: This was a cross-sectional study involving 1,235 adult male blood donors (age, 20-59 years in the city of Cuiabá, Brazil. Socioeconomic, demographic, and anthropometric data, as well as information on the lifestyle of the participants, were collected. In this study, waist circumference and waist-to-hip ratio were used as markers of abdominal fat. The association between these two markers and smoking was analyzed by multiple linear regression in separate models, adjusted for potential confounders. RESULTS: Of the 1,235 respondents, 273 (22.1% reported being smokers, and, of those, 99 (36.3% reported smoking more than 15 cigarettes per day. The average body mass index was lower among smokers than among nonsmokers (p 11 cigarettes/day. CONCLUSIONS: In our sample

  17. El Estado y las organizaciones sociales en Chile

    OpenAIRE

    Vergara Estévez, Jorge

    2012-01-01

    A través de un viaje histórico sobre el rol del Estado y la sociedad civil, el autor postula que las organizaciones y los movimientos sociales en el Estado postautoritario, debido a la radical modernización neoliberal de y un sistema político de democracia tutelada no tienen espacio social para tener una voz política. El Estado las acepta constreñidas a determinadas funciones, pero no estimula ni favorece su desarrollo autónomo. Frente a esto, las organizaciones deben optar entre someterse  a...

  18. Children with abdominal pain in Dutch general practice.

    NARCIS (Netherlands)

    Gieteling, M.; Wouden, H. van der; Schellevis, F.; Berger, M.

    2006-01-01

    Introduction: Abdominal pain in children is a challenging complaint for general practitioners. After ruling out an acute organic reason for the pain he has to manage the non-specific or non-organic abdominal pain. From research performed in secondary and tertiary care and from cross-sectional surve

  19. Hemoperitoneum in cirrhotic patients without abdominal trauma or tumor

    Institute of Scientific and Technical Information of China (English)

    Yuan-Ji Ma; En-Qiang Chen; Jia-Jie Lu; Ming-Zhen Tan; Hong Tang

    2011-01-01

    BACKGROUND: Hemoperitoneum is associated with several emergency conditions and is especially evident when it occurs in patients with liver cirrhosis. This study aimed to assess the clinical characteristics of cirrhotic patients who did not have abdominal trauma or tumor but who developed hemoperitoneum. METHODS: Wereviewedtheclinicalrecordsof1276consecutive cirrhotic patients with hemoperitoneum at our center between January 2007 and December 2009. Hemoperitoneum was confirmed by abdominal paracentesis. RESULTS: Of the 1276 cirrhotic patients, 19 were found to have hemoperitoneum, but only 6 did not have abdominal trauma or tumor. The occurrence of spontaneous hemoperitoneum in the cirrhotic patients was therefore 0.5%. Hemoperitoneum can occur spontaneously in severely decompensated cirrhotic patients with intra-abdominal collateral vessels and high scores on the model for end-stage liver disease and Child-Pugh-Turcotte test. Most patients presented with abdominal distension, abdominal pain, increased abdominal girth and hemodynamic instability with a significant drop in the hemoglobin level. Three patients died of hemorrhagic shock within 24 hours, and the other 3 died of hepatic encephalopathy or spontaneous bacterial peritonitis after 5 to 10 days because of further decompensation of the liver. CONCLUSIONS: Hemoperitoneum can occur in cirrhotic patients who do not have abdominal trauma or tumor. It mainly occurs in severely decompensated end-stage cirrhotic patients. Cirrhotic patients with hemoperitoneum have a poor prognosis.

  20. Abdominal aortic aneurysms : clinical insights and outcome after endovascular repair

    NARCIS (Netherlands)

    Zandvoort, H.J.A.

    2013-01-01

    Abdominal aortic aneurysm (AAA) is a focal dilatation of the abdominal aorta. The pathophysiology of AAA is a complex multifactorial process and much is still unknown. Histologic and biochemical analysis of AAA wall characteristics can contribute to a better insight in AAA pathophysiology. To make t

  1. Increased Auditory Startle Reflex in Children with Functional Abdominal Pain

    NARCIS (Netherlands)

    Bakker, Mirte J.; Boer, Frits; Benninga, Marc A.; Koelman, Johannes H. T. M.; Tijssen, Marina A. J.

    2010-01-01

    Objective To test the hypothesis that children with abdominal pain-related functional gastrointestinal disorders have a general hypersensitivity for sensory stimuli. Study design Auditory startle reflexes were assessed in 20 children classified according to Rome III classifications of abdominal pain

  2. Surgery of gigantic infrarenal aneurysm of abdominal aorta

    OpenAIRE

    N. Rustempašić; I. Arslani; D. Totić; A. Hadžimehmedagić; H. Vranić; E. Solaković

    2005-01-01

    The case shows gigantic aneurysm of abdominal aorta, localized infrarenally, as well as aneurysms of bilateral iliac arteries, which were solved successfully by resection of aneurism of abdominal aorta, closure of iliac arteries near aortic bifurcation, and interposition of aorta-bifemural vascular graft. There were no postoperative complications,and final outcome was fully satisfactory.

  3. Decreased mortality of abdominal aortic aneurysms in a peripheral county

    DEFF Research Database (Denmark)

    Lindholt, Jes Sanddal; Henneberg, E W; Fasting, H

    1995-01-01

    To analyse the effect on the mortality associated with abdominal aortic aneurysms, due to the establishment of a decentralised vascular surgical unit in the county of Viborg.......To analyse the effect on the mortality associated with abdominal aortic aneurysms, due to the establishment of a decentralised vascular surgical unit in the county of Viborg....

  4. Mesenteric ischemia after abdominal aortic aneurysm repair : a systemic review

    NARCIS (Netherlands)

    Bruggink, J. L. M.; Tielliu, I. F. J.; Zeebregts, C. J.; Pol, R. A.

    2014-01-01

    Mesenteric ischemia after abdominal aneurysm repair is a devastating complication with mortality rates up to 70%. Incidence however is relatively low. The aim of this review was to provide an overview on current insights, diagnostic modalities and on mesenteric ischemia after abdominal aortic aneury

  5. Statin use and rupture of abdominal aortic aneurysm

    DEFF Research Database (Denmark)

    Wemmelund, H; Høgh, A; Hundborg, H H;

    2014-01-01

    BACKGROUND: Ruptured abdominal aortic aneurysm (rAAA) is associated with high mortality. Research suggests that statins may reduce abdominal aortic aneurysm (AAA) growth and improve rAAA outcomes. However, the clinical impact of statins remains uncertain in relation to both the risk and prognosis...

  6. A comparative study of iliac and abdominal aortic aneurysms

    DEFF Research Database (Denmark)

    Vammen, Sten; Lindholt, Jes Sanddal; Henneberg, E W;

    2000-01-01

    The aim of the paper is to compare the epidemiology, risk factors and manifestations of iliac and abdominal aortic aneurysms.......The aim of the paper is to compare the epidemiology, risk factors and manifestations of iliac and abdominal aortic aneurysms....

  7. Surgery of gigantic infrarenal aneurysm of abdominal aorta

    Directory of Open Access Journals (Sweden)

    N. Rustempašić

    2005-08-01

    Full Text Available The case shows gigantic aneurysm of abdominal aorta, localized infrarenally, as well as aneurysms of bilateral iliac arteries, which were solved successfully by resection of aneurism of abdominal aorta, closure of iliac arteries near aortic bifurcation, and interposition of aorta-bifemural vascular graft. There were no postoperative complications,and final outcome was fully satisfactory.

  8. Small Bowel Injury in Peritoneal Encapsulation following Penetrating Abdominal Trauma

    OpenAIRE

    Naidoo, K.; Mewa Kinoo, S.; Singh, B.

    2013-01-01

    Small bowel encapsulation is a rare entity which is usually found incidentally at autopsy. We report the first case of peritoneal encapsulation encountered serendipitously at laparotomy undertaken for penetrating abdominal trauma and review the literature on peritoneal encapsulation. We also compare this phenomenon to abdominal cocoon and sclerosing encapsulating peritonitis.

  9. Small Bowel Injury in Peritoneal Encapsulation following Penetrating Abdominal Trauma

    Directory of Open Access Journals (Sweden)

    K. Naidoo

    2013-01-01

    Full Text Available Small bowel encapsulation is a rare entity which is usually found incidentally at autopsy. We report the first case of peritoneal encapsulation encountered serendipitously at laparotomy undertaken for penetrating abdominal trauma and review the literature on peritoneal encapsulation. We also compare this phenomenon to abdominal cocoon and sclerosing encapsulating peritonitis.

  10. Practical Approaches to Definitive Reconstruction of Complex Abdominal Wall Defects.

    Science.gov (United States)

    Latifi, Rifat

    2016-04-01

    With advances in abdominal surgery and the management of major trauma, complex abdominal wall defects have become the new surgical disease, and the need for abdominal wall reconstruction has increased dramatically. Subsequently, how to reconstruct these large defects has become a new surgical question. While most surgeons use native abdominal wall whenever possible, evidence suggests that synthetic or biologic mesh needs to be added to large ventral hernia repairs. One particular group of patients who exemplify "complex" are those with contaminated wounds, enterocutaneous fistulas, enteroatmospheric fistulas, and/or stoma(s), where synthetic mesh is to be avoided if at all possible. Most recently, biologic mesh has become the new standard in high-risk patients with contaminated and dirty-infected wounds. While biologic mesh is the most common tissue engineered used in this field of surgery, level I evidence is needed on its indication and long-term outcomes. Various techniques for reconstructing the abdominal wall have been described, however the long-term outcomes for most of these studies, are rarely reported. In this article, I outline current practical approaches to perioperative management and definitive abdominal reconstruction in patients with complex abdominal wall defects, with or without fistulas, as well as those who have lost abdominal domain. PMID:26585951

  11. An exceptional cause of left lower quadrant abdominal pain

    Institute of Scientific and Technical Information of China (English)

    Bassam Abboud; Ronald Daher

    2009-01-01

    Acute appendicitis is an exceptional cause of left lower quadrant abdominal pain. Computed tomography scan is the key to its diagnosis and helps to establish its early treatment. We present a case of a 35-year-old male patient who presented acute appendicitis with redundant and loosely attached cecum which was diagnosed based on his left lower quadrant abdominal pain.

  12. Relación entre el estado nutricional y el síndrome metabólico en adultos

    Directory of Open Access Journals (Sweden)

    María José Romero Ausfeld

    2015-08-01

    Full Text Available El síndrome metabólico constituye una agrupación de factores como son la obesidad abdominal, dislipidemia, glucemia y presión arterial elevadas, implicados en el desarrollo de la diabetes mellitus y enfermedades cardiovasculares. El estado nutricional refleja la condición física en la que se encuentra un individuo, evaluado comúnmente por el Índice de Masa Corporal (IMC o Índice de Quelet. El objetivo de este estudio fue evaluar la relación entre el estado nutricional y el síndrome metabólico en adultos de ambos sexos. Estudio transversal analítico con datos secundarios de sujetos que frecuentaron el parque de la salud del Instituto de Previsión Social (Asunción, Paraguay en el mes de setiembre del 2.011, realizado en 98 sujetos con rango de edad de 34 a 51 años. La prevalencia del síndrome metabólico fue del 25,5%. En mujeres con síndrome metabólico fueron más frecuentes los criterios de circunferencia de cintura (p<0,001 y triglicéridos (p<0,001 aumentados, en hombres el colesterol-HDL bajo (p=0,001, la glucemia (p=0,007 y presión arterial elevadas (p=0,002. El estado nutricional según índice de masa corporal indicó un mayor porcentaje de exceso de peso en hombres (89,6%. Al relacionar el estado nutricional con el síndrome metabólico, en general, la mayoría de los sujetos obesos presentaron síndrome metabólico (p<0,001; por sexo se observó que la mayoría de las mujeres tenían sobrepeso y que los hombres con obesidad presentaron un mayor porcentaje de síndrome metabólico (p=0,001. El estado nutricional y el síndrome metabólico se incrementan de manera proporcional, observándose una mayor prevalencia de síndrome metabólico en mujeres con sobrepeso y en hombres con obesidad. La prevalencia del síndrome metabólico fue del 25,5% siendo menor el síndrome metabólico premórbido (22,4%.

  13. Un resumen de experiencias y el estado de avance en el uso de agentes y sistemas de multiagente

    OpenAIRE

    ERRECALDE, MARCELO LUIS; Gonzalez, Fernando; Aguirre, Guillermo; Devia, Diego; Muchut, Alfredo; Sáez, Cristina

    2003-01-01

    Este trabajo describe el estado actual de las tareas de investigación realizadas en la línea de Agente y Sistemas Multiagentes del laboratorio de Investigación y Desarrollo en Inteligencia Computacional (LIDIC) de la Universidad Nacional de San Luis. Esta línea de investigación está centrada en el estudio y desarrollo de sistemas basados en el concepto de agente. Los agentes autónomos y los sistemas multiagentes constituyen una forma relativamente nueva de analizar, diseñar e implementar sist...

  14. Estudio del estado erosivo de las cuencas resistentes al río Guadarrama a su paso por Carranque (Toledo).

    OpenAIRE

    Florensa Lorente, Miguel

    2012-01-01

    Se evalua el estado erosivo actual en varias cuencas y laderas vertientes al río Guadarrama a su paso por Carranque (Toledo) con el fin de proponer los diferentes usos actuaciones y la implementación de prácticas de conservación, con carácter general, así como medidas de restauración o mitigación de la erosión en las zonas más erosionadas. Para ello, se necesita : 1) Recabar la información medioambiental y socioeconómica más relevante. 2) Caracterizar por mapas los diferentes par...

  15. Algunas consideraciones sobre la globalización y el papel del Estado en el nuevo orden mundial

    OpenAIRE

    Juan Carlos Morales Mancur; Diego Leal

    2003-01-01

    El artículo aborda algunas consideraciones sobre las transformaciones del mundo a partir del llamado proceso globalizador. Se analizan los fundamentos teóricos o sustratum de este proceso, partiendo de sus definiciones y alcances, tratando de plasmar una aproximación filosófica del mismo, para luego tratar de aproximarse al análisis del papel del Estado bajo las circunstancias que plantean los retos del mundo actual y la posible gestación de un nuevo orden mundial. De esta manera, se abarca...

  16. Principia iuris: una teoría del Derecho no (neo)constitucionalista para el Estado constitucional

    OpenAIRE

    Prieto Sanchís, Luis

    2008-01-01

    La teoría del Derecho de Principia iuris asume el nuevo paradigma del Estado constitucional de Derecho y está especialmente diseñada para dar minuciosa cuenta del mismo. Sin embargo, se distancia de las construcciones más usuales del neoconstitucionalismo en dos aspectos capitales, que aquí son objeto de análisis. En el aspecto metodológico o conceptual, se mantiene firmemente la perspectiva ilustrada y positivista de la separación conceptual entre Derecho y moral, frente a las actuales revis...

  17. PARTICULARIDADES DE FORMACIÓN Y PRINCIPALES SUELOS DE LA LLANURA COSTERA NORTE DEL ESTADO DE NAYARIT, MÉXICO

    OpenAIRE

    I. Bojórquez; O. Nájera; A. Hernández; Flores, F.; Areli González; D. García; A. Madueño

    2006-01-01

    Se realizó un enfoque genético geográfico de los suelos de la llanura costera norte del estado de Nayarit, tomando como referencia más de 100 perfiles recopilados de diferentes estudios y clasificados por el World Reference Base. Los resultados permiten constatar que en esta región se presentan siete grupos referenciales de suelos. La formación de estos suelos está relacionada con la influencia fluvio-marina y el lavado de las sales y bases, en un clima tropical subhúmedo actual. De esta form...

  18. Estados financieros tradicionales, una limitante en las decisiones gerenciales = Traditional financial reports, a limiting on managerial decisions

    OpenAIRE

    Carreño Acosta, Azucena

    2012-01-01

    Tomar decisiones gerenciales en las organizaciones, debe basarse en el estudio o análisis de las distintas herramientas de control de gestión de que se dispone, como son los Estados Financieros, según los Principios de Contabilidad Generalmente Aceptados en Colombia (PCGA) y las Normas Internacionales de Información Financiera (NIIF). Sin embargo, frente a las exigencias actuales y a los directivos de hoy, estas herramientas se perciben con cierto grado de vulnerabilidad que no permiten r...

  19. [Abdominal ischemia and lesions of the pancreas].

    Science.gov (United States)

    Myshanych, T V; Moskal', O M; Arkhiĭ, E Ĭ; Sozoniuk, O V

    2014-01-01

    The analysis of the results of 50 patients with diseases of coronary heart disease (25 pers.) And chronic pancreatitis (25 people) are submitted. Along with the standard test from these patients underwent Doppler-ultrasonography of abdominal aorta and its visceral branches. Conclusions: A characteristic feature of Doppler indices in AIC is to reduce Vps and Ved, and PI BbA, increase Vps, Ved, IR and PI after exercise in chBA, chC and BbA. At patients with CP with IHD feature is the increase in Ved and IR in the chC, and Ved and PI in BbA under act of loading Bleed a feature at CP with IHD must be taken into account for optimization of treatment of IHD at CP.

  20. Abdominal muscle function and incisional hernia

    DEFF Research Database (Denmark)

    Jensen, K K; Kjaer, M; Jorgensen, L N

    2014-01-01

    PURPOSE: Although ventral incisional hernia (VIH) repair in patients is often evaluated in terms of hernia recurrence rate and health-related quality of life, there is no clear consensus regarding optimal operative treatment based on these parameters. It was proposed that health-related quality...... of life depends largely on abdominal muscle function (AMF), and the present review thus evaluates to what extent AMF is influenced by VIH and surgical repair. METHODS: The PubMed and EMBASE databases were searched for articles following a systematic strategy for inclusion. RESULTS: A total of seven...... studies described AMF in relation to VIH. Five studies examined AMF using objective isokinetic dynamometers to determine muscle strength, and two studies examined AMF by clinical examination-based muscle tests. CONCLUSION: Both equipment-related and functional muscle tests exist for use in patients...

  1. Abdominal vascular syndromes: characteristic imaging findings*

    Science.gov (United States)

    Cardarelli-Leite, Leandro; Velloni, Fernanda Garozzo; Salvadori, Priscila Silveira; Lemos, Marcelo Delboni; D'Ippolito, Giuseppe

    2016-01-01

    Abdominal vascular syndromes are rare diseases. Although such syndromes vary widely in terms of symptoms and etiologies, certain imaging findings are characteristic. Depending on their etiology, they can be categorized as congenital-including blue rubber bleb nevus syndrome, Klippel-Trenaunay syndrome, and hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome)-or compressive-including "nutcracker" syndrome, median arcuate ligament syndrome, Cockett syndrome (also known as May-Thurner syndrome), and superior mesenteric artery syndrome. In this article, we aimed to illustrate imaging findings that are characteristic of these syndromes, through studies conducted at our institution, as well as to perform a brief review of the literature on this topic. PMID:27777480

  2. An unusual cause of abdominal pain.

    LENUS (Irish Health Repository)

    Mc Cabe, Aileen

    2011-01-01

    A 26-year-old man presented to the Emergency Department with abdominal pain, diarrhoea, anorexia and haematemesis. The patient was previously diagnosed with latent tuberculosis (TB). On examination, his abdomen was diffusely tender, with localised guarding in the right iliac fossa. CT imaging of his abdomen and pelvis demonstrated a low volume of ascites, diffuse studding of the peritoneum, omental caking and several bulky low-density lymph nodes in the retroperitoneum. A laparoscopy was performed to obtain a peritoneal biopsy. Histology demonstrated fragments of peritoneum with necrotising granulomatous inflammatory infiltrate in keeping with an infectious process, favouring TB. He was commenced on rifampicin, isoniazid, pyrazinamide, ethambutol and pyridoxine under the direct observed therapy by the infectious diseases team. In view of his extensive peritoneal involvement, he was empirically started on high-dose prednisolone for symptomatic control and to reduce complications related to peritoneal adhesions.

  3. [Abdominal ischemia and lesions of the pancreas].

    Science.gov (United States)

    Myshanych, T V; Moskal', O M; Arkhiĭ, E Ĭ; Sozoniuk, O V

    2014-01-01

    The analysis of the results of 50 patients with diseases of coronary heart disease (25 pers.) And chronic pancreatitis (25 people) are submitted. Along with the standard test from these patients underwent Doppler-ultrasonography of abdominal aorta and its visceral branches. Conclusions: A characteristic feature of Doppler indices in AIC is to reduce Vps and Ved, and PI BbA, increase Vps, Ved, IR and PI after exercise in chBA, chC and BbA. At patients with CP with IHD feature is the increase in Ved and IR in the chC, and Ved and PI in BbA under act of loading Bleed a feature at CP with IHD must be taken into account for optimization of treatment of IHD at CP. PMID:25796868

  4. A New Etiology for the Abdominal Compartment Syndrome: Pseudomyxoma Peritonei

    Directory of Open Access Journals (Sweden)

    Charles Sabbagh

    2015-09-01

    Full Text Available Pseudomyxoma peritonei (PMP is a rare diagnosis with an incidence of 1-2 per million. Most cases originate from an appendix which ruptures and releases mucin into the peritoneal cavity. The progression of the disease results in obstruction and cutaneous leak. Abdominal compartment syndrome is an uncommon complication of peritoneal pseudomyxoma. In the present article, we report the case of a patient with PMP and abdominal compartment syndrome. A laparotomy to decrease the abdominal pressure was performed. Three months later, a peritonectomy with hyperthermic intraperitoneal chemotherapy was performed. The patient was still alive 1 year after the procedure without any recurrence. In conclusion, acute abdominal pain and respiratory failure in patients with peritoneal PMP should lead to the measurement of the abdominal pressure but are not a contra indication for curative treatment of PMP.

  5. Abdominal compartment syndrome following abdominoplasty: A case report and review

    Directory of Open Access Journals (Sweden)

    Arash Izadpanah

    2014-01-01

    Full Text Available Abdominoplasty is among the most commonly performed aesthetic procedures in plastic surgery. Despite high complication rate, abdominal contouring procedures are expected to rise in popularity with the advent of bariatric surgery. Patients with a history of gastric bypass surgery have an elevated incidence of small bowel obstruction from internal herniation, which is associated with non-specific upper abdominal pain, nausea, and a decrease in appetite. Internal hernias, when subjected to elevated intra-abdominal pressures, have a high-risk of developing ischemic bowel. We present a case report of patient with previous laparoscopic Roux-en-y gastric bypass who developed acute ischemic bowel leading to abdominal compartment syndrome following abdominoplasty. To the best of our knowledge, this is the first reported case in the literature. We herein emphasise on the subtle symptoms and signs that warrant further investigations in prospective patients for an abdominal contouring procedure with a prior history of gastric bypass surgery.

  6. Laparoscopic Bullet Removal in a Penetrating Abdominal Gunshot

    Directory of Open Access Journals (Sweden)

    Christos Stefanou

    2016-01-01

    Full Text Available Penetrating abdominal trauma has been traditionally treated by exploratory laparotomy. Nowadays laparoscopy has become an accepted practice in hemodynamically stable patient without signs of peritonitis. We report a case of a lower anterior abdominal gunshot patient treated laparoscopically. A 32-year-old male presented to the Emergency Department with complaint of gunshot penetrating injury at left lower anterior abdominal wall. The patient had no symptoms or obvious bleeding and was vitally stable. On examination we identified 1 cm diameter entry wound at the left lower abdominal wall. The imaging studies showed the bullet in the peritoneal cavity but no injured intraperitoneal and retroperitoneal viscera. We decided to remove the bullet laparoscopically. Twenty-four hours after the intervention the patient was discharged. The decision for managing gunshot patients should be based on clinical and diagnostic findings. Anterior abdominal injuries in a stable patient without other health problems can be managed laparoscopically.

  7. Abdominal compartment syndrome successfully treated with neuromuscular blockade

    Directory of Open Access Journals (Sweden)

    Kris T Chiles

    2011-01-01

    Full Text Available A 48 year old male admitted to the intensive care unit after a cardiac arrest complicated by a stroke intra-operatively during automatic implantable cardioverter defibrillator placement. He post-operatively developed a rigid abdomen, elevated peak and plateau pressures, hypoxia and renal insufficiency. He was diagnosed with abdominal compartment syndrome with an intra-abdominal compartment pressure of 40mmHg. The patient was administered 10 mg of intravenous cisatracuriumbesylate in preparation for bedside surgical abdominal decompression. Cisatracurium eliminated the patients need for surgical intervention by reducing his abdominal compartment pressures to normal and improving his hypoxia and renal function. This case illustrates that neuromuscular blockade should be attempted in patients with abdominal compartment syndrome prior to surgical intervention.

  8. Fraccionamiento de la grasa abdominal de pollo

    Directory of Open Access Journals (Sweden)

    Sotero Solis, Victor

    2002-09-01

    Full Text Available The objective of this study was to determine physical and chemical properties of the products from the abdominal chicken fat fractionation. Melting point, consistency, solid fat content, fatty acid composition, iodine and saponification values were determined. Results showed that chicken fat has 67.2 % of unsaturated fatty acids. Chicken fat at 10 ºC was plastic and spreadable. A linear relationship between consistency and solid fat content was obtained. Oleins high yield (> 84 % suggest that these fractions can be used as frying oils. Stearins can be applied as components in the fat manufacturing, in pastry and in puff-pastry margarines.En este trabajo, se realizó la evaluación de las propiedades físicas y químicas de los productos del fraccionamiento de la grasa abdominal de pollo. Los análisis realizados fueron: punto de fusión, consistencia, contenido de grasa sólida, composición de los ácidos grasos e índices de iodo y de saponificación. De acuerdo a los resultados se observa que la grasa de pollo presenta 67.2 % de ácidos grasos insaturados. La grasa de pollo se presentó plástica y de buen esparcimiento a la temperatura de 10 ºC. Se obtuvo una relación lineal entre la consistencia y el contenido de grasa sólida. La alta concentración de oleínas (> 84 % sugiere la posibilidad de su aplicación como aceite de fritura. La estearina podría ser usada como base en la preparación de margarinas para pastelería.

  9. Standardized anatomic space for abdominal fat quantification

    Science.gov (United States)

    Tong, Yubing; Udupa, Jayaram K.; Torigian, Drew A.

    2014-03-01

    The ability to accurately measure subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) from images is important for improved assessment and management of patients with various conditions such as obesity, diabetes mellitus, obstructive sleep apnea, cardiovascular disease, kidney disease, and degenerative disease. Although imaging and analysis methods to measure the volume of these tissue components have been developed [1, 2], in clinical practice, an estimate of the amount of fat is obtained from just one transverse abdominal CT slice typically acquired at the level of the L4-L5 vertebrae for various reasons including decreased radiation exposure and cost [3-5]. It is generally assumed that such an estimate reliably depicts the burden of fat in the body. This paper sets out to answer two questions related to this issue which have not been addressed in the literature. How does one ensure that the slices used for correlation calculation from different subjects are at the same anatomic location? At what anatomic location do the volumes of SAT and VAT correlate maximally with the corresponding single-slice area measures? To answer these questions, we propose two approaches for slice localization: linear mapping and non-linear mapping which is a novel learning based strategy for mapping slice locations to a standardized anatomic space so that same anatomic slice locations are identified in different subjects. We then study the volume-to-area correlations and determine where they become maximal. We demonstrate on 50 abdominal CT data sets that this mapping achieves significantly improved consistency of anatomic localization compared to current practice. Our results also indicate that maximum correlations are achieved at different anatomic locations for SAT and VAT which are both different from the L4-L5 junction commonly utilized.

  10. Declinación de Estados Unidos: contexto histórico mundial

    Directory of Open Access Journals (Sweden)

    Alejandro Dabat

    2013-01-01

    Full Text Available La actual crisis de Estados Unidos y sus grandes consecuencias mundiales, culminan con un proceso de declinación de la economía y la hegemonía mundial de ese país, desde la doble perspectiva de su involución interior y de la pérdida de posiciones internacionales ante el arrollador avance de China y otros países en desarrollo mucho más dinámicos y productivos. Esto se evidencia en los más diversos planos de la economía, el desarrollo científico-técnico y político-social del país y es ampliamente registrado por los indicadores más usuales de las ciencias sociales. Dentro de estas perspectivas, el artículo asigna una gran importancia a las enormes dificultades del país para revertir las condiciones de deterioro, dada la estructura de su sistema financiero y empresarial, el lamentable estado de sus finanzas públicas y el desgarramiento socioinstitucional interior.

  11. despenalización frente al estado clínico

    Directory of Open Access Journals (Sweden)

    Israel José Pérez Calleja

    2007-01-01

    Full Text Available Este artículo pretende esbozar un análisis aproximativo sobre uno de los rasgos menos divulgados del pensamiento de Fernando Savater: el polémico asunto de la despenalización de prácticas personales como el consumo de drogas y las prácticas del aborto, la eutanasia y la clonación, dotadas aquéllas de una indudable y delicada dimensión ética. De esta manera, en el presente escrito trazaremos, de la mano del filósofo vasco, un estado general de la cuestión, así como las razones que sustentan su posición, en la mayoría de los casos muy favorable y en otros condicionada, acerca de la necesidad de legalizar unas conductas que, independientemente de la actual legislación prohibicionista, se vienen sucediendo en la clandestinidad con funestas consecuencias; todo lo cual articulado en torno a una cuestión capital que gravita permanentemente en la tesis propuesta por el autor: la crítica del Estado Clínico o Terapéutico como fatal institución intervencionista que, desde el ámbito de la salud, constriñe la autonomía y libertad del individuo, esfera personal en la que el pensador sitúa este tipo de decisiones individuales.

  12. Aneurisma de aorta abdominal na infância Abdominal aortic aneurism in childhood

    OpenAIRE

    Abdo Farret Neto; Jeancarlo Fernandes Cavalcante; Renato Vilar Furtado

    1998-01-01

    The authors report a case of an abdominal aortic aneurism involving all visceral branches minus the Inferior Mesenteric artery in a 4-year-old girl. There was sugestive evidence that the arterial disease had an inflamatory or infectious etiologic factor. The most probable etiological factors could be salmonelas infection of the arterial wall or Takayasu's disease secondary to tuberculosis. The treatment with antibiotic to salmonelas infection during ten days, followed by tuberculostatic thera...

  13. Management of penetrating abdominal and thoraco-abdominal wounds: A retrospective study of 186 patients.

    Science.gov (United States)

    Barbois, S; Abba, J; Guigard, S; Quesada, J L; Pirvu, A; Waroquet, P A; Reche, F; Risse, O; Bouzat, P; Thony, F; Arvieux, C

    2016-08-01

    This is a single center retrospective review of abdominal or abdomino-thoracic penetrating wounds treated between 2004 and 2013 in the gastrointestinal and emergency unit of the university hospital of Grenoble, France. This study did not include patients who sustained blunt trauma or non-traumatic wounds, as well as patients with penetrating head and neck injury, limb injury, ano-perineal injury, or isolated thoracic injury above the fifth costal interspace. In addition, we also included cases that were reviewed in emergency department morbidity and mortality conferences during the same period. Mortality was 5.9% (11/186 patients). Mean age was 36 years (range: 13-87). Seventy-eight percent (145 patients) suffered stab wounds. Most patients were hemodynamically stable or stabilized upon arrival at the hospital (163 patients: 87.6%). Six resuscitative thoracotomies were performed, five for gunshot wounds, one for a stab wound. When abdominal exploration was necessary, laparotomy was chosen most often (78/186: 41.9%), while laparoscopy was performed in 46 cases (24.7%), with conversion to laparotomy in nine cases. Abdominal penetration was found in 103 cases (55.4%) and thoracic penetration in 44 patients (23.7%). Twenty-nine patients (15.6%) had both thoracic and abdominal penetration (with 16 diaphragmatic wounds). Suicide attempts were recorded in 43 patients (23.1%), 31 (72.1%) with peritoneal penetration. Two patients (1.1%) required operation for delayed peritonitis, one who had had a laparotomy qualified as "negative", and another who had undergone surgical exploration of his wound under general anesthesia. In conclusion, management of clear-cut or suspected penetrating injury represents a medico-surgical challenge and requires effective management protocols. PMID:27318585

  14. Temporary abdominal closure with zipper-mesh device for management of intra-abdominal sepsis

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    Edivaldo Massazo Utiyama

    2015-02-01

    Full Text Available OBJECTIVE: to present our experience with scheduled reoperations in 15 patients with intra-abdominal sepsis. METHODS: we have applied a more effective technique consisting of temporary abdominal closure with a nylon mesh sheet containing a zipper. We performed reoperations in the operating room under general anesthesia at an average interval of 84 hours. The revision consisted of debridement of necrotic material and vigorous lavage of the involved peritoneal area. The mean age of patients was 38.7 years (range, 15 to 72 years; 11 patients were male, and four were female. RESULTS: forty percent of infections were due to necrotizing pancreatitis. Sixty percent were due to perforation of the intestinal viscus secondary to inflammation, vascular occlusion or trauma. We performed a total of 48 reoperations, an average of 3.2 surgeries per patient. The mesh-zipper device was left in place for an average of 13 days. An intestinal ostomy was present adjacent to the zipper in four patients and did not present a problem for patient management. Mortality was 26.6%. No fistulas resulted from this technique. When intra-abdominal disease was under control, the mesh-zipper device was removed, and the fascia was closed in all patients. In three patients, the wound was closed primarily, and in 12 it was allowed to close by secondary intent. Two patients developed hernia; one was incisional and one was in the drain incision. CONCLUSION: the planned reoperation for manual lavage and debridement of the abdomen through a nylon mesh-zipper combination was rapid, simple, and well-tolerated. It permitted effective management of severe septic peritonitis, easy wound care and primary closure of the abdominal wall.

  15. Evaluating clinical abdominal scoring system in predict- ing the necessity of laparotomy in blunt abdominal trauma

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    Erfantalab-Avini Peyman

    2011-06-01

    Full Text Available 【Abstract】 Objectives: Trauma is among the lead- ing causes of death. Medical management of blunt abdomi- nal trauma (BAT relies on judging patients for whom lap- arotomy is mandatory. This study aimed to determine BAT patients’ signs, as well as paraclinical data, and to clarify the accuracy, sensitivity, specificity, positive and negative predictive value of clinical abdominal scoring system (CASS, a new scoring system based on clinical signs, in predicting whether a BAT patient needs laparotomy or not. Methods: Totally 400 patients suspected of BAT that arrived at the emergency department of two university hos- pitals in Tehran from March 20, 2007 to March 19, 2009 were included in this study. They were evaluated for age, sex, type of trauma, systolic blood pressure, Glasgow coma scale (GCS, pulse rate, time of presentation after trauma, abdomi- nal clinical findings, respiratory rate, temperature, hemoglo- bin (Hb concentration, focused abdominal sonography in trauma (FAST and CASS. Results: Our measurements showed that CASS had an accuracy of 94%, sensitivity of 100%, specificity of 88%, positive predictive value of 90% and negative predictive value of 100% in determining the necessity of laparotomy in BAT patients. Moreover, in our analysis, systolic blood pressure, GCS, pulse rate, Hb concentration, time of presen- tation after trauma, abdominal clinical findings and FAST were also shown to be helpful in confirming the need for laparotomy (P<0.05. Conclusion: CASS is a promising scoring system in rapid detection of the need for laparotomy as well as in minimizing auxiliary expense for further evaluation in BAT patients, thus to promote the cost-benefit ratio and accu- racy of diagnosis. Key words: Abdominal injuries; Laparotomy; Patients; Wounds, nonpenetrating

  16. Transfer Pricing Based on Actual versus Standard Costs

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    Lengsfeld, Stephan; Schiller, Ulf

    2003-01-01

    The use of information plays an important role in the choice of transfer prices (TP). We discuss the information provision of two centralized mechanisms, namely, actual-cost and standard-cost based TP. Actual cost based TP use all available cost information whereas standard cost based TP only reflect expected cost. We analyze the impact of either regime on the incentives of two divisions that make upfront investments and - later - trade an intermediate good. Actual cost based TP allow for a f...

  17. Rol del estado en los ensayos clínicos Role of government in clinical trials

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    Pilar Mazzetti

    2012-12-01

    Full Text Available La regulación de los ensayos clínicos por el Estado es un proceso en constante cambio y adecuación, cuyo reto actual consiste en salvaguardar la seguridad de los participantes y equilibrar la carga administrativa. El desarrollo y la regulación de los ensayos clínicos en los distintos países varían según la realidad, el contexto, su ejecución nacional o multinacional, condicionando que la regulación puramente nacional resulte insuficiente y se precise conocer parte de la regulación internacional. El objetivo de esta publicación es mostrar una visión global del rol de Estado en la regulación de los ensayos clínicos en distintas realidades. Para ello, se ha realizado una revisión de la regulación en la Unión Europea, Estados Unidos de Norteamérica y algunos países de Latinoamérica, para llegar finalmente al Perú. La tendencia actual en la regulación de los ensayos clínicos, se caracteriza por el incremento en los estándares de calidad, el garantizar la seguridad de los participantes, promover la transparencia, la disminución de los procesos burocráticos y el fortalecimiento de los comités de ética, en el marco de procesos democráticos abiertos, que convoquen e integren a todos los interesados en procesos dinámicos basados en el conocimiento actual y los cambios que se suceden. El reto actual es promover el desarrollo de ensayos clínicos desde el Estado (universidades, centros de investigación, institutos especializados, hospitales, etc. para los aspectos que el país necesita, incluidos medicamentos huérfanos, enfermedades prevalentes y abandonadas, y el uso terapéutico de los principios activos originarios.The regulation of clinical trials by the Government is a process of continuous change and adaptation, current challenge is to ensure the safety of participants and get balance of administrative procedures. Development and regulation of clinical trials in different countries vary according to the situation

  18. EL ESTADO DE BIENESTAR EN AMÉRICA LATINA

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    Elys Gilbrando Mora B

    1999-01-01

    Full Text Available El artículo se propone avanzar en algunos planteamientos sobre el "Estado de Bienestar" en su concepción original y el sentido político que tiene para explicar la realidad de las sociedades latinoamericanas en su fase de apertura hacia la democracia. Desde una perspectiva normativa enfoca la contradicción, entre las promesas incumplidas en materia social por parte del Estado y la incapacidad de éste para distribuir beneficios y disminuir la conflictividad interna de cada sociedad. Antes las propuestas neoconservadoras y liberal - socialista sobre el compromiso del Estado en la distribución de beneficios, se establece la reconstrucción de condiciones de actuación colectiva del Estado sobre unas bases sociales democráticamente firmes.

  19. Estado, derecho y nuevo orden mundial

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    Orlando José Cadrazco Salcedo

    2009-01-01

    Full Text Available Resumen:Con el surgimiento de actores internacionales no estatales, aunque no solo por ellos, la política internacional seha convertido en global. Las esferas de influencia de los Estados también se encuentran bajo revisión práctica ypolítica. Si se entiende la gobernabilidad global como un proyecto normativo, basado en la cooperación internacional,la conciliación de intereses y la justicia, debería desarrollarse los mecanismos para tematizar y combatirlos problemas globales que están en el ángulo muerto del horizonte de los actores globales fuertes. El término«globalización» apareció por primera vez en un diccionario enciclopédico en idioma inglés en el año 1961; hastamediados de los años 70 había aparecido en el título de muy pocos libros; desde los 80 se convirtió en una nociónclave en el debate de las ciencias sociales, y en los 90 entró en el léxico cotidiano.Palabras claves:Derecho Internacional Público; Globalización; Nuevo Orden Mundial; Estados; Economía; Naciones; Política; Gobernabilidad.Abstract:With the emergence of international non-state actors, but not just for them, international politics has become global.Spheres of influence of states also are under review policy and practice. If global governance is understood as apolicy, based on international cooperation, reconciliation of interests and justice should develop mechanisms tofocus on and combat global problems that are in the blind spot of the horizon of strong global players. The term “globalization”first appeared in an encyclopedic dictionary in English in the year 1961 until the mid-70s had appearedin the title of very few books; from the 80 became a key concept in the debate social sciences, and at 90 enteredthe everyday lexicon.Keywords:Public International Law, Globalization, New World Order; States; Economy; Nations; Policy; Governance

  20. Estado e mercado: Uma perspetiva institucionalista e relacional

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    José Reis

    2012-12-01

    Full Text Available As relações Estado/mercado carecem de uma visão holista das relações entre as dinâmicas materiais e relacionais da sociedade, por um lado, e entre estas e as dinâmicas institucionais, por outro. Sendo o Estado a‑instituição‑das‑instituições, ele comporta mecanismos essenciais à própria existência de mercados, que não são dados “naturais”. Conceber o Estado, o mercado e a sociedade como entidades opostas é, pois, errado. Certeira é a perspetiva institucionalista que, ancorada em Polanyi, propõe uma abordagem política do Estado e do mercado. As economias são, de facto, sistemas institucionais de produção onde, aliás, a espessura material do Estado enquanto organização e administração é relevante. Por isso, a perspetiva institucionalista precisa de ser refinada, para mostrar que o Estado não é só uma entidade político‑jurídica. Esta é uma das finalidades centrais deste texto.