WorldWideScience

Sample records for abdominal estado actual

  1. Recolecta: estado actual y perspectivas

    OpenAIRE

    López Medina, Alicia

    2010-01-01

    Estado actual del Recolector de ciencia abierta español: Recolecta y proyectos de futuro. López Medina, A. (2010). Recolecta: estado actual y perspectivas. X Workshop Rebiun sobre proyectos digitales. http://hdl.handle.net/10251/8710.

  2. Estado Actual de Ateles fusciceps fusciceps en el Noroccidente Ecuatoriano

    OpenAIRE

    Madden, R. H.; Albuja Viteri, Luis Humberto

    1989-01-01

    En este artículo se dan a conocer los resultados de los estudios sobre el estado actual de conservación del mono araña o bracilargo(Ateles f. fusciceps), que se realizó en el sector noroccidental del Ecuador, en el que se incluye una parte de la Reserva Ecológica Cotacachi, Cayapas.

  3. 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...

  4. Catálisis en Colombia: Estado actual y oportunidades para el futuro

    OpenAIRE

    Henao López, Juan David; Montes de Correa, Consuelo

    2002-01-01

    En este artículo se hace una revisión del estado actual de la catálisis en Colombia. Se empieza con una reseña sobre las tendencias mundiales en aspectos relacionados con la química y el medio ambiente, mostrando cómo dichas tendencias han influido en la investigación sobre Catálisis que se realiza en Colombia. Luego se plantean algunos retos que surgen de las necesidades de la industria nacional resaltando una serie de oportunidades, previamente identificadas, para el desarrollo de tecnologí...

  5. Estado actual de la seguridad y salud ocupacional en la construcción: el caso colombiano

    OpenAIRE

    Lalinde Castrillón, Luis Felipe; Carvajal Peláez, Gloria Isabel

    2009-01-01

    En Colombia la situación actual de seguridad y salud en el sector de la construcción es muy compleja debido a que es el sector de la actividad económica que presenta el mayor número de accidentes laborales en relación con la población ocupada en dicha actividad; constituyendo así un problema social de gran importancia. En la presente comunicación abordamos el estado actual de la seguridad y salud ocupacional en el sector de la construcción. Para ello se evaluó la evolución de las publicacione...

  6. 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

  7. ACTUAL PROBLEMS OF ABDOMINAL PATHOLOGY IN CHILDREN (ACCORDING MATERIALS OF CONGRESS OF RUSSIAN PEDIATRISTS, 2008

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    E.A. Kornienko

    2009-01-01

    Full Text Available This article describes actual problems of abdominal pathology in children: irritable colon syndrome and constipation. The questions of forming those state, criteria and standards of diagnostics and treatment, questions of differential diagnostics are discussed. This article presents modern recommendations on treatment of irritable colon syndrome and constipation, including medicamental and other methods of treatment.Key words: children, irritable colon syndrome, constipation, diagnostics, treatment.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(2:68-76

  8. Ciencias de la complejidad: estado actual

    OpenAIRE

    Cancino Quintero, David Eduardo

    2015-01-01

    Los aportes teóricos y aplicados de la complejidad en economía han tomado tantas direcciones y han sido tan frenéticos en las últimas décadas, que no existe un trabajo reciente, hasta donde conocemos, que los compile y los analice de forma integrada. El objetivo de este proyecto, por tanto, es desarrollar un estado situacional de las diferentes aplicaciones conceptuales, teóricas, metodológicas y tecnológicas de las ciencias de la complejidad en la economía. Asimismo, se pretende analizar las...

  9. Los Humedales de la Quebrada Estero en San Ramón, Costa Rica: importancia y estado actual.

    OpenAIRE

    Rodríguez-Arias, Cindy Elena; Silva Benavides, Ana Margarita

    2017-01-01

    Los humedales de la microcuenca alta de la Quebrada Estero, en San Ramón, Costa Rica, son considerados una prioridad de conservación por su representatividad y ubicación que los hace únicos en su tipo. Por eso se planteó el objetivo de conocer su importancia y estado actual para que esta información sirva de base para su recuperación y conservación. Se llevó a cabo la identificación de los servicios ecosistémicos y de las amenazas e impactos que tienen las actividades humanas en ellos mediant...

  10. SITUACION ACTUAL DEL CULTIVO DEL AGUACATE (Persea americana Mill.) EN EL ESTADO DE MÉXICO, MÉXICO

    OpenAIRE

    M. Rubí-Arriaga

    2013-01-01

    El objetivo de este trabajo fue determinar la situación actual de la producción y comercialización del cultivo del aguacate en el sur del Estado de México en 2011. El tamaño de muestra se determinó considerando el universo total de inscritos en la base de datos de la SEDAGRO conformada por 2,814 productores. Con base en la metodología de poblaciones finitas, el tamaño de muestra fue 338, a los cuales se les aplicó un cuestionario. La información cuantitativa de la encuesta se capturó e...

  11. del Estado Aragua

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    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

  12. SITUACION ACTUAL DEL CULTIVO DEL AGUACATE (Persea americana Mill. EN EL ESTADO DE MÉXICO, MÉXICO

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    Martín Rubí Arriaga

    2013-04-01

    Full Text Available El objetivo de este trabajo fue determinar la situación actual de la producción y comercialización del cultivo del aguacate en el sur del Estado de México en 2011. El tamaño de muestra se determinó considerando el universo total de inscritos en la base de datos de la SEDAGRO conformada por 2,814 productores, con base en la metodología de poblaciones finitas, el tamaño de muestra fue 539, a los cuales se les aplicó un cuestionario. La información cuantitativa de la encuesta se capturó en una base de datos y se procesó mediante Microsoft Office Excel 2007©, para obtener medidas de tendencia central. En el Estado de México 85% de la población de estudio, son pequeños productores y tan solo 15% cuentan con extensiones superiores a 10 ha. La producción se basa en una explotación univarietal con predominio del 90% de la variedad Hass. El incremento en plantaciones de aguacate se ha realizado en 77% con planta proveniente del estado de Michoacán. La producción se destina para el consumo nacional, se comercializa principalmente en las centrales de abasto de Toluca, Estado de México, Distrito Federal y en mercados regionales. Aguacate Hass; producción; comercialización; consumo;

  13. Análisis y terapia del comprtamiento en Chile: origenes, estado actual y proyectos

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    Pablo E. Vera-Villarroel

    2010-07-01

    Full Text Available El presente artículo realiza una revisión sobre los orígenes, estado actual y proyecciones del análisis 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 introduce la terapia conductual en los cursos de psicoterapia. Durante los primeros años se realizan variadas aplicaciones tanto en área básica como aplicada. Durante el año 1973 muchos docentes 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 la formación de los futuros psicólogos y otros profesionales de la salud aun cuando no se cuente con la mayor preferencia entre la comunidad psicológica chilena. No existe ni en la formación ni en el país en la actualidad la fuerte presencia del conductismo que existió a finales de los setentaEl presente artículo realiza una revisión sobre los orígenes, estado actual y proyecciones del análisis 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 introduce la terapia conductual en los cursos de psicoterapia. Durante los primeros años se realizan variadas aplicaciones tanto en área básica como aplicada. Durante el año 1973 muchos docentes 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 la formación de los futuros psicólogos y otros profesionales de la salud aun cuando no se cuente con la mayor preferencia entre la comunidad psicológica chilena. No existe ni en la formación ni en el país en la actualidad la fuerte presencia del conductismo que existió a finales de los setenta

  14. Demanda actual y potencial de la carne de conejo en el Municipio de Texcoco, Estado de México.

    OpenAIRE

    Rosas Peralta, Natividad

    2013-01-01

    La carne de conejo es un alimento sano para el consumo humano por su alto contenido proteico, bajo porcentaje de grasa y colesterol, es de fácil digestión, reducida en calorías, rica en vitaminas B y en minerales. El objetivo del presente estudio fue estimar la demanda actual y potencial de la carne de conejo en el municipio de Texcoco, estado de México. Se realizó un estudio por muestreo probabilístico en 105 hogares. Se estimó un modelo binario probit, en el cual, el consumo de carne de con...

  15. 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.

  16. Estado actual del bosque de polylepis y su eficiencia en la captura de CO2 en la provincia de Tarata, departamento de Tacna

    OpenAIRE

    Morales Aranibar, Luis Fortunato

    2014-01-01

    La presente investigación tuvo como objetivo evaluar las poblaciones actuales de Polylepis y su eficiencia en la captura de CO2 en la Provincia de Tarata (Susapaya, Estique Pueblo, Tarucachi, Sitajara, Ticaco y Tarata). Se establecieron parcelas de 25 x 20 m. (0, 1 ha.); ubicado al azar con la ayuda de estacas, rafia y brújula; luego se levanto información del estado actual para luego calcular su eficiencia de captura de CO2. En una área de 453 km2; la capacidad de captación de CO2 es d...

  17. Estado actual y futuro de la terapia anti-leishmaniásica en Colombia

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    Jaime Soto

    2006-10-01

    Full Text Available Los antimoniales pentavalentes son la primera elección para el tratamiento de la leishmaniasis en Colombia pero la dosis ha tenido que incrementarse en mas de 600% para mantener su eficacia que en distintos reportes varía entre 93 y 25%, lo cual puede reflejar diferencias en la sensibilidad de los parásitos pero más probablemente incumplimiento de los esquemas recomendados. Los resultados de su empleo, así como la situación actual de pentamidina, anfotericina B y miltefosina son revisados y se hace una proyección sobre el desarrollo de la terapia en los próximos años. Para definir el real estado de la respuesta a los medicamentos anti-leishmaniásicos y prolongarles su vida útil, es indispensable establecer mecanismos de vigilancia de los factores implicados en el manejo de la enfermedad por lo que se plantea una estrategia de sitios centinela que permitan observaciones puntuales en el tiempo, en áreas específicas y sobre situaciones particulares.

  18. Estado actual de la programación del riego en limonero mediante medidas del estado hídrico

    OpenAIRE

    Moreno, F.; Ortuño, M.F.; García-Orellana, Y.; Alarcón, J.J.; Conejero, W.; Nicolás, E.; Fernández, J.E.; Martín-Palomo, M.J.; Torrecillas, A.

    2007-01-01

    En el presente trabajo se realiza una visión sobre aspectos relativos a la utilización de medidas continuas del estado hídrico del limonero en la programación del riego. Para ello, se analizó, la sensibilidad de distintos indicadores del estado hídrico medidos de forma continua o discontinua en las plantas, su significado fisiológico, la obtención de niveles de referencia de los indicadores y los primeros resultados sobre programación de riego. Peer Reviewed

  19. 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.

  20. Deporte, cultura y sociedad: un estado actual de la cuestión = Sport, culture and society: current state of the art

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    Antonio Manuel Pérez-Flores

    2018-06-01

    Full Text Available Resumen: En el siguiente artículo realizamos un análisis de contenidos teóricos y empíricos referentes a la vinculación entre deporte, la cultura y la sociedad contemporánea con la finalidad de realizar un estudio sobre el estado actual de la cuestión. Para ello se ha realizado una revisión bibliográfica de las  referencias publicadas en Web of Science y Scopus entre los años 2000 y 2017. Se realiza un meta análisis teórico de las diferentes categorías de estudio en las que se subdividen las referencias internacionales sobre el tema de estudio. También se realiza un análisis secundario de los datos aportados en las investigaciones que forman parte del monográfico. Como resultados principales se muestra el actual estado del desarrollo académico sobre el estudio del deporte la cultura y la sociedad, y  varias reflexiones sobre las actuales características del mundo del deporte en la sociedad contemporánea. Abstract: In the next article we set out to analyse the theoretical and empirical content of the link between sport, culture and contemporary society, so as to assess the current state of play. This involves reviewing the literature published on Web of Science and Scopus between 2000 and 2017. The categories of the study into which the international references on the theme of the study can be subdivided are subjected to theoretical meta-analysis, dividing them into classic and current themes. A secondary analysis is also carried out on the data contributed by the research that forms part of the paper. The main findings reveal the current state of academic development of the study of sport, culture and society, offering a range of reflections on the current characteristics of the world of sport in contemporary society.

  1. 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.

  2. Tratamiento endovascular de las patologías de aorta -Estado del arte-: Parte 1 - Aneurismas de aorta abdominal Endovascular treatment of aortic pathologies -State of the art-: Part 1 - Aneurysms of abdominal aorta

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    Carlos E Uribe

    2007-12-01

    Full Text Available En la actualidad, el tratamiento endovascular de las patologías de aorta es una alternativa a la cirugía abierta. Éste ha demostrado ser seguro ya que arroja resultados iguales o superiores que el grupo quirúrgico. En este artículo se presenta el estado actual del tratamiento con endoprótesis de las patologías de aorta, así como las indicaciones, las contraindicaciones y el futuro del tratamiento con este tipo de dispositivos.Endovascular treatment of aortic pathologies is actually an alternative to open surgery. It has proven to be safe, showing similar or better results to those achieved by surgery. In this article, treatment of aortic pathologies by means of endoprosthesis is presented, as well as its indications, contraindications and future treatment with this kind of devices.

  3. 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. 

  4. Estado actual de los cultivos transgénicos en Colombia

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    Duwan Ernesto Arismendy

    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...

  5. El estado laico: ¿importa su vigencia?

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    María del Luján Flores

    2014-07-01

    Full Text Available El objetivo del presente trabajo es el de reflexionar acerca del Estado Laico y de alguno de sus actuales desafios sin pretender dar respuestas sino más bien plantear interrogantes.La cuestión fundamental a nuestro entender es la de determinar si se entiende o no que el Estado Laico es el sistema adecuado a adoptarse en el mundo contemporáneo y en caso afirmativo qué implicancias tendría la violación de sus postulados.Contenido: El principio de laicidad y la libertad de pensamiento. El estado laico como garantía del desarrollo de los derechos humanos. La exigencia ética. Etica y derecho.Conclusiones

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

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    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.

  7. Los mapuches: cambio social y asimilación de una sociedad sin Estado

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    Juan Pacheco Rivas

    2012-01-01

    Full Text Available El actual conflicto del pueblo mapuche con el estado de Chile comprende dimensiones complejas y estructurales. La imposición de un dominio territorial del Estado llevó a la condición de pobreza, reducción y transformación social de una sociedad. La transformación estructural puede ser vista como un mecanismo de resistencia y adaptación de sus instituciones sociales. A aquellas estructuras es lo que se pueden denominar estructuras de transición. Así las actuales condiciones políticas entre Estado y pueblo mapuche pueden ser vistas como una estructura que se mantiene para evitar el término de una cultura.

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

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    Vicente Sánchez Munguía

    2011-01-01

    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 responsables del control fronterizo y la seguridad son parte del problema al asociarse con las bandas criminales, mientras que éstas han fortalecido su presencia echando raíces entre sectores de la sociedad fronteriza.

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

    International Nuclear Information System (INIS)

    Rosen, Max P.; Siewert, Bettina; Bromberg, Rebecca; Raptopoulos, Vassilios; Sands, Daniel Z.; Edlow, Jonathan

    2003-01-01

    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.)

  10. Estado del bienestar y salud pública, una relación que debe ser actualizada

    Directory of Open Access Journals (Sweden)

    Fernando G. Benavides

    2018-03-01

    Full Text Available La salud de las personas ha mejorado a lo largo del siglo xx, al mismo tiempo que se consolidaba el Estado del bienestar. Este trabajo explora la relación actual del Estado del bienestar y la salud pública. Las funciones esenciales de la salud pública se ejercen como parte del Estado, y su principal reto en la actualidad es conseguir que la salud sea protegida y promocionada en las diferentes políticas públicas, entre otras las de empleo. Los resultados de los estudios que valoran el efecto sobre la salud de los distintos tipos de Estado del bienestar son contradictorios, pero cuando se valora el impacto de políticas concretas, como por ejemplo el subsidio de desempleo, los resultados son positivos y consistentes. Sin embargo, la actual crisis del Estado del bienestar dificulta su continuidad, en gran medida por los cambios en el mercado de trabajo, con empleos más flexibles e inseguros.

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

    Directory of Open Access Journals (Sweden)

    Juan Ramón González Sáenz Pardo

    2012-01-01

    Full Text Available 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 colaboración entre ambos países para la identificación de especies de garrapatas y la rastreabilidad de los casos que sean cuarentenados, desde la línea fronteriza hasta su origen en los diferentes estados mexicanos. Se generó un Proyecto de la Franja Fronteriza para la erradicación de la garrapata Boophilus en los estados mexicanos limítrofes con el estado de Texas, consistente en la identificación de predios infestados, tratamientos ixodicidas e inspección del ganado para exportación a los Estados Unidos. Se discuten las acciones que ambos países están llevando a cabo para la erradicación de garrapata Boophilus en la frontera y para evitar la llegada de ganado con garrapatas a las estaciones cuarentenarias de exportación. Se concluye sobre la necesidad de reforzar y mejorar estos programas.

  12. Rol del estado en los ensayos clínicos

    Directory of Open Access Journals (Sweden)

    Pilar Mazzetti

    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.

  13. 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.

  14. 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.

  15. Bladder distension as a cause of abdominal compartment syndrome

    International Nuclear Information System (INIS)

    Yasir, M.; Hoda, M.Q.

    2018-01-01

    Abdominal compartment syndrome (ACS) is increasingly identified in critically ill patient and its harmful effects are well documented. The disparity among the pressure, volume in abdominal cavity and its contents, results in ACS. The actual incidence of ACS is not known. However, it has been observed predominantly in patients with severe blunt and penetrating abdominal trauma, ruptured abdominal aortic aneurysms, retro- and intra-peritoneal hemorrhage, pneumoperitoneum, neoplasm, pancreatitis, ascites and multiple bone fracture. We present a case of 40-year female who underwent emergency cesarean section and developed abdominal compartment syndrome due to urinary bladder distension secondary to blockade of urinary catheter with blood clots. This is a very unusual cause of ACS. (author)

  16. ANÁLISIS DEL ESTADO ACTUAL DE LA ENSEÑANZA DE LOS GRUPOS SANGUÍNEO

    Directory of Open Access Journals (Sweden)

    Cristo Alberto Palacio Muñoz

    2015-12-01

    Full Text Available El presente artículo realiza un acercamiento al estado actual de la enseñanza del concepto de los grupos sanguíneos a partir de la revisión documental de cuatro documentos previamente seleccionados  de las bases de datos ERIC, Dialnet y SciELO, resultado de la construcción de los parámetros de selección a la hora de la aplicación de la herramienta bibliométrica, y estudiados desde las categorías de análisis de:  las concepciones para la construcción de las narraciones históricas del concepto o metodologías utilizadas en la enseñanza del mismo, la relación con conceptos asociados, el uso del laboratorio, los tipos de enfoques utilizados en la enseñanza de las ciencias, el uso de las tecnologías de la información y la comunicación (TIC en la enseñanza y por último, el rol del maestro en el proceso enseñanza aprendizaje, abordando de este modo distintas dimensiones y percepciones que se dan frente  a este proceso de enseñanza-aprendizaje, siendo este un concepto utilizado habitualmente en la vida diaria, como en el caso de las historias clínicas o por el contrario en escenarios de educación superior en dónde predomina las investigaciones enfocadas al estudio de enfermedades, estudios estadísticos poblacionales en relación con enfoques didácticos de su enseñanza.

  17. El Estado de bienestar: algunas propuestas de financiación

    OpenAIRE

    Hernández Rotllan, Eduard

    2015-01-01

    El objetivo principal de este trabajo es determinar si el actual estado del bienestar en España es sostenible a largo plazo. ¿Que iniciativas debemos adoptar para salvar el estado de bienestar? ¿De qué forma reformamos el sistema fiscal español para disponer de una fiscalidad justa y suficiente, con la que obtengamos una estabilidad en los ingresos públicos que acabe con el fraude y la elusión en el pago de los impuestos?

  18. ADAPTACIÓN DEL MODELO DE ESTADO Y DEL DERECHO NACIONAL A LA GLOBALIZACIÓN ECONÓMICA Y COMPATIBILIZACIÓN CON LA VIGENCIA DEL ESTADO SOCIAL DE DERECHO

    Directory of Open Access Journals (Sweden)

    Manuel Alberto Restrepo Medina

    2012-05-01

    Full Text Available La globalización económica ha determinado una redefinición del papel del Estado, que de intervencionista y prestador pasa a regulador y garante de la prestación, determinando una adaptación del régimen jurídico aplicable por los Estados nacionales y propiciando la creación de un nuevo orden en el ámbito global, que pone en entredicho la capacidad actual de las organizaciones políticas de las sociedades para cumplir con los cometidos del Estado social, cuya vía de resolución parece ser la calidad del sistema regulatorio.

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

    Directory of Open Access Journals (Sweden)

    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.

  20. Conflicto armado colombiano, estado mínimo y utopías

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    Boris Salazar

    2002-12-01

    Full Text Available Se recurre al enfoque de Robert Nozick (Anarquía, Estado y Utopía, para analizar la situación actual del Estado colombianos. Nozick se basa en la teoría económica para representar a los grupo como competidores en un mercado que vende protección y que resulta, de manera contraintuitiva, en un monopolio. En Colombia, muchos sienten que las cuestiones de vida o muerte no pasan por el Estado y que han de atenerse a la oferta de protección de distintas agencias armadas para intentar, mediantes ensayos e interacciones con ellas y con el Estado, cierto orden social local. El artículo propone alternativas conjeturables sobre el tipo de arden que podría resultado de confrontaciones violentas no ajenas a la utopía.

  1. 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.

  2. El Maquiavelo de Don Manuel García-Pelayo : algunas reflexiones sobre el significado de la aportación de la teoría del estadoal derecho político desde la perspectiva del actual momento del derecho constitucional

    Directory of Open Access Journals (Sweden)

    Eloy García

    2009-05-01

    Full Text Available Se trata de tomar como hilo conductor la lectura que Manuel García- Pelayo hace del pensamiento de Maquiavelo, para reflexionar acerca de la conveniencia de efectuar una reflexión sobre nuestra vida política desde la Teoría del Estado constitucional. La Teoría del Estado parece ser una categoría prescindible para los actuales estudiosos de la Constitución, cuando los problemas a que asistimos no pueden ser satisfactoriamente explicados acudiendo sólo a las explicaciones que nos dan las normas del Derecho. Por eso se hace necesario considerar lo que ahora están diciendo los autores de Cambridge (Pocock, Dunn, Skinner, Tuck, Pagden para saber si es posible reconstruir una Teoría del Estado que satisfaga las deficiencias del Derecho Constitucional para abordar una realidad política que parece desbordada por los problemas de la gobernabilidad, el declive de la libertad política o la corrupción

  3. ESTADO ACTUAL DEL TRATAMIENTO MEDICO DE LA ULCERA PEPTICA, EXPERIENCIA COLOMBIANA

    Directory of Open Access Journals (Sweden)

    Alberto Albornoz Plata

    1984-07-01

    Full Text Available

    SUMARIO

    a La úlcera péptica en la actualidad ha sufrido un cambio positivo en su tratamiento médico y prevención desde el año 77, año de la introducción de la cimetidina y posteriormente con el hallazgo de otras drogas similares aún más potentes como la ranitidina, la oxmetidina y la droga antimuscarínica pirenzepina.
    En el futuro se vislumbra poder utilizar drogas anti-enzimáticas de acción sobre la célula
    parietal para bloquear sistemas enzimáticos necesarios para la producción del HCL (tipo omeprazoles, timotrazoles y fenoctimina.
    b Gracias a esas drogas la dieta es amplia, fácil de cumplir sin alterar los actos sociales y de trabajo del paciente. Todo esto obra indirectamente como un SISTEMA ANTI-STRESS ya que el paciente, sintiéndose mejor, pudiendo dormir por no tener dolor, llevando una vida normal tanto social como de trabajo, vive más tranquilo y más confiado. Todo esto le
    confiere un estado de seguridad, de tranquilidad y bienestar tanto mental como fisico.

    Los anti-ácidos se usan en plan opcional y ocupan un segundo lugar muy distante en la terapéutica antiulcerosa.
    Los antiguos anticolinérgicos prácticamente están entrando en la historia pasada de la farmacología como drogas antiulcerosas.
    c Un estudio multicéntrico colombiano con pirenzapina en 59 pacientes con enfermedad ulcerosa produce eficacia terapéutica en eI91.5% que es una cifra similar a la obtenida en otros países de Europa,

    Canadá y Estados Unidos, cifras que allí van desde el 68 hasta el 95% de éxito; los efectos colaterales son mínimos (algunos casos de sequedad bucal sin afectar las esferas sexual, hepática o cerebral.
    d La citoprotección que se logra con las drogas específicas es en la actualidad un gran avance terapéutico cuando hay necesidad de utilizar aspirinas, aspirinoides y/o esteroides en pacientes ulcerosos o con historia de enfermedad digestiva alta y

  4. 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.

  5. 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.

  6. La fatiga como estado motivacional subjetivo

    OpenAIRE

    D. Cárdenas; J. Conde-González; J.C. Perales

    2017-01-01

    Actualmente no existe consenso sobre los factores que determinan la aparición de la fatiga. Hay factores que se derivan exclusivamente del esfuerzo físico, otros que dependen del esfuerzo mental que este lleva aparejado, y otros de los resultados de la tarea que se está realizando. Como consecuencia, se han desarrollado diferentes modelos explicativos que pretenden aunar las diferentes razones de su aparición. No obstante, la tendencia actual es entender la fatiga como un estado motivacion...

  7. Evolución y tendencias actuales de los Web crawlers

    Directory of Open Access Journals (Sweden)

    Fernando Iván Camargo Sarmiento

    2013-12-01

    crawlers, los cuales por la misma dinámica de la información, deben mejorarse constantemente en busca de algoritmos más eficientes. Este documento presenta el estado actual de los algoritmos de rastreo de la Web, sus tendencias, avances, y nuevos enfoques dentro del contexto de la dinámica de las redes sociales.

  8. Estado atual da clínica psiquiátrica do transtorno obsessivo-compulsivo

    OpenAIRE

    Hounie, Ana G .; Sampaio, Aline S.; Ferrão, Ygor; Rosário-Campos, Maria Conceição do; Chilvarquer, Raquel; Mathis, Maria Eugênia de; Lopes, Antonio Carlos; Mathis, Maria Alice de; Gonzáles, Christina Hajaj; Taub, Anita; Vasconcelos, Marcos Salem; Seixas, André A. A.; Sá Júnior, Antonio Reis de; Miguel, Eurípedes

    2007-01-01

    Este artigo revisa a literatura sobre o transtorno obsessivocompulsivo com o objetivo de informar o estado atual da pesquisa científica nesse tema. Os autores citam a literatura internacional buscando enfatizar a pesquisa nacional, principalmente a pesquisa do seu grupo, o Projeto Transtornos do espectro Obsessivo-compulsivo. Este artículo repasa la literatura sobre el desorden obsesivo-compulsivo con el objetivo de informar el estado actual de la investigación científica en ese tema. Los ...

  9. Estado actual de la investigación sobre la influencia del lean management en los recursos humanos

    Directory of Open Access Journals (Sweden)

    Nestor Raúl Baides

    2008-07-01

    Full Text Available Este trabajo pretende evaluar el estado actual de la investigación científica sobre la in-fluencia que las prácticas del modelo Lean Management ejercen sobre los recursos humanos. Para ello, se ha procedido a realizar una revisión profunda de los trabajos publicados en revis-tas de impacto del área de operaciones, lo que ha permitido identificar un conjunto de líneas de investigación sobre el impacto que las prácticas Lean ejercen sobre los trabajadores. La iden-tificación de dichas líneas estimulará a los investigadores a profundizar en la investigación y a cubrir algunas de las lagunas detectadas. Igualmente, en el trabajo recogemos líneas de inves-tigación que pretendemos desarrollar sobre este tema en el ámbito de los países de América Latina. This paper aims to assess the current state of scientific research on the influence that the practices of Lean Management model exert on human resources. It has been proceeded to conduct a thorough review of published works in journals JCR of the operation management area which has let identify a set of lines of research into the impact that Lean practices exercise on workers. The identification of these lines will encourage researchers to deepen the investigation and cover some of the gaps. Alike, at this work we collect some of the lines we intend to develop on this topic in the context  Latin America.

  10. Competitividad de la Agroindustria del Estado de Michoacán-México

    OpenAIRE

    Javier Chávez Ferreiro; Luis Arturo Rivas Tovar

    2005-01-01

    La meta operativa de este trabajo es hacer un análisis la competitividad desde un nivel nacional hasta un nivel estatal, centrándose en las agroindustrias del estado de Michoacán. En primer lugar, conocer el concepto de competitividad, describiendo los tipos de competencia que hay y las tendencias actuales de la competitividad sistémica. Se hizo un análisis de la competitividad del estado de Michoacán, considerando la división económica de sus regiones, su producción anual, su ...

  11. Estado actual del embarazo gemelar: Revisión de la literatura

    Directory of Open Access Journals (Sweden)

    Dora Lucía Vallejo Ardila

    2012-12-01

    Full Text Available En la actualidad el diagnóstico de embarazo gemelar le confiere al binomio madre e hijo características específicas que los convierte en una población de alto riesgo para patologías que comprometen el estado de bienestar fetal como: prematurez, ruptura prematura de membranas, restricción de crecimiento intrauterino, malformaciones congénitas, problemas de entrecruzamiento del cordón, abruptio placentae, distocias de presentación y síndrome de trasfusión feto-fetal. Además de los determinantes de morbilidad materna, los cuales han incrementado su prevalencia según la etiología asociada, ya sean los trastornos de hipertensión asociados al embarazo, sepsis secundario a ruptura prematura de membranas y hemorragia postparto. En tanto así, recobra vital importancia realizar una revisión acuciosa dirigida por ejes temáticos sobre las patologías de mayor prevalencia asociadas al embarazo gemelar. Salud UIS 2012; 44 (3: 41-48

  12. 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.

  13. Estado Nueva Esparta

    Directory of Open Access Journals (Sweden)

    Cecilia Bracho Toro

    2007-01-01

    Full Text Available Se diagnostica la situación actual de los conocimientos tradicionales de la palma datilera, sus derivados y su uso como atractivo turístico cultural del Municipio Díaz, Estado Nueva Esparta. Es un estudio descriptivo y de campo realizado específicamente en la comunidad de Fuentidueño, basado en entrevistas semi-estructuradas. Se concluye que la comunidad posee un cúmulo de conocimientos tradicionales, basados en saberes. Existe poca participación de las nuevas generaciones, en aprender los conocimientos tradicionales respecto al datilero y sus derivados. Se formulan recomendaciones: legales, educativos y comunitarias para la incorporación de los conocimientos tradicionales del datilero y sus derivados dentro de los atractivos turísticos culturales del Municipio.

  14. Analysis of tumor-like shadows on abdominal plain x-ray film

    International Nuclear Information System (INIS)

    Hayashi, Hidehiro; Hiraki, Yoshio; Hashimoto, Keizi

    1986-01-01

    We found tumor-like shadows in the upper abdomen in 93 cases out of 400 abdominal plain films, although none of these 93 cases actually had a tumor. We analyzed these tumor-like shadows by computed tomography. For each of the 400 cases we measured the width of flank stripe on the abdominal plain film. Most of the tumor-like shadows in the left upper abdomen were gastric fundus, but it was significant for evaluating plain abdominal film that other organs such as a part of the left lobe of the liver, the upper pole of the left kidney, and a part of the spleen formed tumor-like shadows. The most important factors forming tumor-like shadows on plain abdominal film are the fat volume of the abdominal cauity as well as the fraciform ligament and alterations in the shape and volume of organs such as occur in liver cirrhosis. (author)

  15. Estado Actual y Retos Futuros en el Estudio del Burnout

    OpenAIRE

    Salanova Soria, Marisa; Llorens Gumbau, Susana

    2008-01-01

    El objetivo principal de este artículo es ofrecer una revisión de la actual investigación aplicada del síndrome de quemarse por el trabajo o burnout. Comenzamos con el concepto de burnout, su evolución desde los primeros estudios en ocupaciones de servicios, hasta la actualidad en donde la investigación ha demostrado la importancia de considerar otras ocupaciones, y ampliar las dimensiones clave del burnout. En segundo lugar, examinaremos cómo evaluar el burnout, en función de la pos...

  16. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  18. Prevalência de adiposidade abdominal em adultos de São Francisco do Conde, Bahia, Brasil, 2010

    Directory of Open Access Journals (Sweden)

    Luciana Carneiro de Oliveira

    Full Text Available OBJETIVO: estimar a prevalência de adiposidade abdominal e identificar fatores associados em adultos no município de São Francisco do Conde, estado da Bahia, Brasil. MÉTODOS: estudo transversal com amostra aleatória de 456 indivíduos com idade igual e superior a 18 anos, cadastrados na Estratégia Saúde da Família do município de São Francisco do Conde-BA em 2010; a presença de adiposidade abdominal foi determinada pela aferição da circunferência da cintura. RESULTADOS: a prevalência de adiposidade abdominal foi de 62,1%; nas mulheres, essa prevalência foi de 76,9% e esteve associada com maior idade (mais de 24 anos e ter mais de três filhos; nos homens, a prevalência foi de 32,9%, superior entre aqueles que referiram nunca terem fumado ou serem ex-fumantes; também foi observada associação entre adiposidade abdominal e hipertensão arterial sistêmica, em ambos os sexos. CONCLUSÃO: observou-se elevada prevalência de adiposidade abdominal, especialmente em mulheres.

  19. EL DERECHO Y LA BIOÉTICA: ESTADO ACTUAL DE LAS CUESTIONES EN BRASIL O DIREITO E A BIOÉTICA: ESTADO ATUAL DAS QUESTÕES NO BRASIL LAW AND BIOETHICS: PRESENT STATUS IN BRASIL

    Directory of Open Access Journals (Sweden)

    Eduardo de Oliveira Leite

    2002-01-01

    Full Text Available En la presente monografía, el autor examina las relaciones existentes entre los ámbitos jurídico y bioético, haciendo especial referencia al estado actual de la problématica en Brasil. A este respecto, señala que el Derecho, como norma imperativa, ha encontrado gran dificultad en la reglamentación de las materias bioéticas, pues concurre con otros sistemas normativos, no emanados de los poderes públicos, sino que de la comunidad científica. Con todo, su reconocimiento por parte del ordenamiento jurídico las legitima, al reflejar los valores dominantes en la sociedad, permitiendo su inserción en el medio socialNa presente monografia, o autor examina as relações existentes entre os campos jurídico e bioético, fazendo especial referência ao estado atual da problemática no Brasil. A este respeito, assinala que o Direito, como norma imperativa, tem encontrado grande dificuldade no ordenamento das matérias bioéticas, pois as mesmas provem de outros sistemas normativos que não os emanados dos poderes públicos, mas sim, da comunidade científica. Entretanto, o reconhecimento por parte do ordenamento jurídico as legitima ao refletir os valores dominantes na sociedade, permitindo, assim, sua inserção no meio socialIn this monograph, the author examines the existing relationship between the juridical and ethical scopes, emphasizing especially the present status of the subject in Brasil. Accordingly, he points out that Law, as an imperative norm, has found great difficulty in establishing rules for bioethical matters, because it rules simultaneously with other normative systems that are not issued by the public authorities, but by the scientific community. Nevertheless, its juridical's recognition legitimates them because it reflects the predominant values in society, allowing them to be inserted in the social system

  20. Hepatocarcinoma: estado actual

    Directory of Open Access Journals (Sweden)

    2014-12-01

    Full Text Available El carcinoma hepatocelular (CHC es la neoplasia primaria hepática más frecuente. Constituye el sexto tumor más habitual en el mundo, con más de 500.000 casos diagnosticados cada año y es la tercera causa más común de muerte por cáncer.Esta enfermedad afecta de manera casi exclusiva a pacientes con hepato-patía crónica que han desarrollado cirrosis, especialmente la relacionada con los virus de la hepatitis B y C, siendo en este grupo de sujetos el CHC la causa más frecuente de muerte.La incidencia del hepatocarcinoma varía ampliamente a lo largo de la geografía mundial. Se han descrito tasas de 2 a 50 casos por 100.000 habitantes al año, en correlación a la epidemiología de sus factores de riesgo y la distribución de los diversos genotipos virales. Las zonas más prevalentes son el Sudeste Asiático y el África Subsahariana, donde la infección por el virus de la hepatitis B (VHB es endémica. Los estudios más recientes objetivan un aumento mundial en la incidencia del CHC, incluyendo los países occidentales, debido a la mayor diseminación del virus de la hepatitis C (VHC en las décadas de los 60 y 70 además de un aumento en el consumo excesivo de alcohol.La elevada complejidad de esta neoplasia y las patologías con las que se haya íntimamente relacionada, hacen necesario un abordaje multidiscipli-nar para su manejo, implicando a múltiples especialidades tanto médicas como quirúrgicas.

  1. Modulação da pressão intracraniana em um modelo experimental de hipertensão abdominal e lesão pulmonar aguda

    OpenAIRE

    Zampieri,Fernando Godinho; Almeida,Juliana Roberta; Schettino,Guilherme Pinto de Paula; Park,Marcelo; Machado,Fabio Santana; Azevedo,Luciano Cesar Pontes

    2011-01-01

    OBJETIVO: Avaliar o efeito de alterações hemodinâmicas, respiratórias e metabólicas sobre a pressão intracraniana em um modelo de lesão pulmonar aguda e síndrome compartimental abdominal. MÉTODOS: Oito porcos Agroceres foram submetidos, após a instrumentação, a cinco cenários clínicos: 1) estado basal com baixa pressão intra-abdominal e pulmão sadio; 2) pneumoperitôneo, com pressão intra-abdominal de 20 mm Hg; 3) lesão pulmonar aguda induzida por lavagem pulmonar e desativação de surfactante;...

  2. Ventajas comparativas en el comercio agroalimentario, México y Estados unidos 2007-2011

    OpenAIRE

    Carlos Ricardo Menéndez Gámiz; Víctor H. Palacio Muñoz

    2013-01-01

    En este artículo se realiza una revisión del estado actual de las ventajas comparativas de México y Estados Unidos en el mercado agroalimentario mundial. Se recurre a las ventajas comparativas, como una herramienta de la teoría económica, aplicada en el análisis de los diez capítulos agropecuarios y catorce agroalimentarios del Sistema armonizado del comercio internacional (HS) por sus siglas en inglés, para el período 2007 a 2011. Se encontró que en México hay 8 capítulos con Ventaja compara...

  3. Terrorismo de Estado y subjetividad : Escenarios actuales: juicios por crímenes de lesa humanidad

    OpenAIRE

    Cicconi, María Luján; Oñativia, Xavier Andrés; Vedio, Marta; Shapiro, Hernán

    2011-01-01

    El desarrollo de los juicios por crímenes de lesa humanidad cometidos por el Terrorismo de Estado durante la última dictadura cívico-militar configura un nuevo espacio de interés para la Psicología Pese a lo reciente de la implementación de estos procesos judiciales ya se cuenta con algunos antecedentes que proporcionan la suficiente información para revisar indicadores de impacto en la subjetividad de los actores intervinientes en dichas experiencias. Este Taller propone un espacio para la p...

  4. Clinical and CT imaging features of abdominal fat necrosis

    International Nuclear Information System (INIS)

    Zhao Jinkun; Bai Renju

    2013-01-01

    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. Tuberculosis abdominal Abdominal tuberculosis

    OpenAIRE

    T. Rubio; M. T. Gaztelu; A. Calvo; M. Repiso; H. Sarasíbar; F. Jiménez Bermejo; A. Martínez Echeverría

    2005-01-01

    La tuberculosis abdominal cursa con un cuadro inespecífico, con difícil diagnóstico diferencial respecto a otras entidades de similar semiología. Presentamos el caso de un varón que ingresa por presentar dolor abdominal, pérdida progresiva y notoria de peso corporal y fiebre de dos meses de evolución. El cultivo de la biopsia de colon mostró presencia de bacilo de Koch.Abdominal tuberculosis develops according to a non-specific clinical picture, with a difficult differential diagnosis with re...

  6. Estado actual de las empresas productoras de microalgas destinadas a alimentos y suplementos alimenticios en América Latina

    Directory of Open Access Journals (Sweden)

    Luis Daniel Martínez Angulo

    2017-12-01

    Full Text Available Las microalgas resultan de interés en la producción de alimentos y suplementos debido a su riqueza de nutrientes. Esta revisión tiene como objetivo recopilar información actual sobre el estado de empresas de mediana y gran escala, productoras de biomasa y bioproductos microalgales comercializados como alimento y suplemento alimenticio en América Latina, con el fin de conocer el nivel de desarrollo en la región. El país con mayor cantidad de empresas productoras de alimentos a base de microalgas es Brasil (6, seguido de México, Perú, Chile (2, Ecuador y Cuba (1. El sistema de cultivo más común empleado por empresas latinoamericanas en el comercio de microalgas es el abierto. El organismo más utilizado en productos alimenticios a base de microalgas en Latinoamérica corresponde al género Spirulina. Se ha investigado sobre la composición bioquímica de más de 10 especies de microalgas, a escala de laboratorio. Las microalgas son fuente importante de proteínas y de ácidos grasos del tipo omega-3, así como de vitaminas y minerales. Se evidencia el potencial que tiene Latinoamérica para el desarrollo de nuevas tecnologías de sistemas de cultivo y productos alimenticios a base de microalgas, como alimento para la población como para la exportación. Sin embargo, se requiere de un gran esfuerzo tanto del sector privado como del público para alcanzar los fines.

  7. ESTADO DE LAS NORMAS INTERNACIONALES EMITIDAS POR LA JUNTA DE NORMAS INTERNACIONALES DE CONTABILIDAD

    OpenAIRE

    Vílchez Olivares, Percy Antonio

    2014-01-01

    El presente artículo presenta el nuevo esquema contable internacional de la Junta de Normas Internacionales de Contabilidad, su historia, estructura actual, objetivos y el estado actual del marco normativo de las Normas Internacionales de Contabilidad. Con la vigencia Ley General de Sociedades Ley N.° 26887 de 1997, el Perú adoptó en forma legal las Normas Internacionales de Información Financiera (antes Normas Internacionales de Contabilidad), para su aplicación obligatoria en la preparación...

  8. Staged abdominal re-operation for abdominal trauma.

    Science.gov (United States)

    Taviloglu, Korhan

    2003-07-01

    To review the current developments in staged abdominal re-operation for abdominal trauma. To overview the steps of damage control laparotomy. The ever increasing importance of the resuscitation phase with current intensive care unit (ICU) support techniques should be emphasized. General surgeons should be familiar to staged abdominal re-operation for abdominal trauma and collaborate with ICU teams, interventional radiologists and several other specialties to overcome this entity.

  9. La fatiga como estado motivacional subjetivo

    Directory of Open Access Journals (Sweden)

    D. Cárdenas

    2017-03-01

    No obstante, la tendencia actual es entender la fatiga como un estado motivacional complejo cuyo origen tiene lugar en numerosos procesos fisiológicos y psicológicos que sirven para regular el esfuerzo y proteger al organismo de daños graves. Los objetivos de la presente revisión narrativa son analizar los diferentes enfoques existentes para el estudio y la explicación de la fatiga, establecer el vínculo con el concepto de carga de entrenamiento y justificar la importancia de evaluar las repercusiones de la carga mental para conseguir una adecuada planificación y control del proceso de entrenamiento.

  10. Ultrasound in the diagnosis of palpable abdominal masses in children.

    Science.gov (United States)

    Annuar, Z; Sakijan, A S; Annuar, N; Kooi, G H

    1990-12-01

    Ultrasound examinations were done to evaluate clinically palpable abdominal masses in 125 children. The examinations were normal in 21 patients. In 15 patients, the clinically palpable masses were actually anterior abdominal wall abscesses or hematomas. Final diagnosis was available in 87 of 89 patients with intraabdominal masses detected on ultrasound. The majority (71%) were retroperitoneal masses where two-thirds were of renal origin. Ultrasound diagnosis was correct in 68 patients (78%). All cases of hydronephrosis were correctly diagnosed based on characteristic ultrasound appearances. Correct diagnoses of all cases of adrenal hematoma, psoas abscess, liver hematoma, liver abscess and one case of liver metastases were achieved with correlation of relevant clinical information.

  11. Abdominal Tuberculosis Mimicking Intra-abdominal Malignancy: A ...

    African Journals Online (AJOL)

    TNHJOURNALPH

    BACKGROUND. Abdominal TB usually presents with nonspecific findings and may thus m.,mw a multitude of gastrointestinal disorders. Abdominal tuberculosis may therefore present as large and palpable intra-abdominal masses usually arising from lymphadenopathy which may mimic lymphomas and other malignancies.

  12. Abdominal tuberculosis mimicking intra-abdominal malignancy: A ...

    African Journals Online (AJOL)

    Background: Abdominal TB usually presents with nonspecific findings and may thus mimic a multitude of gastrointestinal disorders. Abdominal tuberculosis may therefore present as large and palpable intra-abdominal masses usually arising from lymphadenopathy which may mimic lymphomas and other malignancies.

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

    International Nuclear Information System (INIS)

    Marincek, B.

    2002-01-01

    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.)

  14. 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.)

  15. Contra-reforma y des-constitucionalización estatal en Bolivia: Del horizonte plurinacional a la restauración neocolonial del Estado-nación

    Directory of Open Access Journals (Sweden)

    Pabel Camilo López Flores

    2017-12-01

    Full Text Available Los sentidos y contenidos transformadores del actual texto Constitucional boliviano, como resultado de un polémico proceso constituyente que se realizó en la década pasada con la densidad de una ‘coyuntura fundante’, a pesar de haber sido objeto de negociaciones y modificaciones por actores del poder constituido, resulto en un texto que representaba un horizonte de cambio en torno a la construcción de un Estado Plurinacional. Sin embargo, luego de su aprobación y promulgación, normas sucesivas y políticas estatales y gubernamentales que tiene lugar en la realidad del país apuntarían a un retroceso de los horizontes de transformación estatal de la Constitución y a un evidente proceso de contra-reforma y des-constitucionalización, lo que alejarían cada vez más la construcción plurinacional del Estado y, por el contrario, reproducen y acentúan una faceta monológica del Estado-nación en Bolivia. En este breve texto se propone un abordaje al actual contexto sociopolítico del proceso post-constituyente boliviano en la década actual y una mirada crítica a la situación del horizonte de construcción del Estado plurinacional a través de las orientaciones e implicaciones de las políticas del gobierno del MAS en lo últimos años de manejo estatal, que expresarían, entre otros aspectos, un proceso de des-constitucionalizacion, una tendencia de desplurinacionalizacion del Estado con efectos en la relación del Estado con las organizaciones sociales comunitarias, los pueblos indígenas y con sus reivindicaciones.

  16. Ventajas comparativas en el comercio agroalimentario, México y Estados unidos 2007-2011

    Directory of Open Access Journals (Sweden)

    Carlos Ricardo Menéndez Gámiz

    2013-06-01

    Full Text Available En este artículo se realiza una revisión del estado actual de las ventajas comparativas de México y Estados Unidos en el mercado agroalimentario mundial. Se recurre a las ventajas comparativas, como una herramienta de la teoría económica, aplicada en el análisis de los diez capítulos agropecuarios y catorce agroalimentarios del Sistema armonizado del comercio internacional (HS por sus siglas en inglés, para el período 2007 a 2011. Se encontró que en México hay 8 capítulos con Ventaja comparativa, y en Estados Unidos 10 de los 24. Para México el escenario es desfavorable en relación con la economía agrícola más grande del mundo, cuando en junio del 2013 se propuso apoyo por 890 mil millones de dólares para la “Farm Bill” 2014-2018 en EE.UU.

  17. Estado nutricional e distribuição de gordura corporal em crianças e adolescentes com Fibrose Cística

    Directory of Open Access Journals (Sweden)

    Célia Regina Moutinho de Miranda Chaves

    2015-11-01

    Full Text Available O objetivo deste estudo é avaliar o estado nutricional e a distribuição da gordura corporal em crianças e adolescentes com fibrose cística. Foram realizadas avaliação da distribuição de gordura corporal por meio da absorciometria de duplo feixe de energia, do estado nutricional por estatura/idade e índice de massa corporal/idade e a ingestão dietética pelo recordatório alimentar de 24horas, em 56 pacientes com idade entre 8 e 18 anos. Aproximadamente 50% da amostra apresentou estado nutricional adequado. A maioria apresentou a ingestão calórica e de lipídios inadequadas. O IMC/I foi o indicador nutricional que melhor evidenciou o aumento do percentual de gordura do tronco, razão androide/ginecoide e razão gordura tronco/gordura total. Os pacientes com Insuficiência Pancreática e os eutróficos apresentaram razão mediana androide/ginecoide maior. O aumento da adiposidade abdominal foi evidenciado pela DXA. O IMC/I não identificou a diminuição da massa magra corporal, mas quando aumentado foi significativo para adiposidade abdominal. Pacientes com fibrose cística devem associar a avaliação antropométrica à composição corporal e à distribuição de gordura corporal para um diagnóstico mais precoce de desnutrição e fatores de risco cardiometabólico.

  18. 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.

  19. La Política Social en el Estado de Bienestar: el desafío de los sistemas complejos

    Directory of Open Access Journals (Sweden)

    PIERPAOLO DONATI

    1987-01-01

    Full Text Available Es incorrecto asumir que la actual crisis en los medios del estado de bienestar supone también una crisis estructural en la política social; la política social en la sociedad postindustrial debe ser distinguida, estructural y culturalmente, del estado de bienestar. Así, se discuten la naturaleza de la ciudadanía y de los valores en la sociedad post-industrial. Los sistemas sociales post-industriales se caracterizan por la complejidad y la diferenciación social. Las tendencias actuales van hacia la desregulación, la descentralización, y la privatización. Se hace necesario entender un nuevo marco conceptual para estos procesos sociales complejos; el articulo hace una tentativa para definir ese marco basándose en el interaccionismo simbólico Talcott Parsons y Niklas Luhmann.

  20. Chronic abdominal wall pain misdiagnosed as functional abdominal pain.

    Science.gov (United States)

    van Assen, Tijmen; de Jager-Kievit, Jenneke W A J; Scheltinga, Marc R; Roumen, Rudi M H

    2013-01-01

    The abdominal wall is often neglected as a cause of chronic abdominal pain. The aim of this study was to identify chronic abdominal wall pain syndromes, such as anterior cutaneous nerve entrapment syndrome (ACNES), in a patient population diagnosed with functional abdominal pain, including irritable bowel syndrome, using a validated 18-item questionnaire as an identification tool. In this cross-sectional analysis, 4 Dutch primary care practices employing physicians who were unaware of the existence of ACNES were selected. A total of 535 patients ≥18 years old who were registered with a functional abdominal pain diagnosis were approached when they were symptomatic to complete the questionnaire (maximum 18 points). Responders who scored at least the 10-point cutoff value (sensitivity, 0.94; specificity, 0.92) underwent a diagnostic evaluation to establish their final diagnosis. The main outcome was the presence and prevalence of ACNES in a group of symptomatic patients diagnosed with functional abdominal pain. Of 535 patients, 304 (57%) responded; 167 subjects (31%) recently reporting symptoms completed the questionnaire. Of 23 patients who scored above the 10-point cutoff value, 18 were available for a diagnostic evaluation. In half of these subjects (n = 9) functional abdominal pain (including IBS) was confirmed. However, the other 9 patients were suffering from abdominal wall pain syndrome, 6 of whom were diagnosed with ACNES (3.6% prevalence rate of symptomatic subjects; 95% confidence interval, 1.7-7.6), whereas the remaining 3 harbored a painful lipoma, an abdominal herniation, and a painful scar. A clinically relevant portion of patients previously diagnosed with functional abdominal pain syndrome in a primary care environment suffers from an abdominal wall pain syndrome such as ACNES.

  1. LA MIGRACIÓN DE RETORNO DESDE ESTADOS UNIDOS HACIA EL ESTADO DE MÉXICO : OPORTUNIDADES Y RETOS

    Directory of Open Access Journals (Sweden)

    Jaciel Montoya Arce

    2011-01-01

    Full Text Available En este artículo se analiza la migración de retorno en el Estado de México, desde la perspectiva personal y del hogar. Se utiliza, para tal efecto, la base de datos de la Encuesta sobre Migración de Mexiquenses a Estados Unidos (EMMEU, 2009, que captó, entre otros aspectos de la migración, cuántos y qué tipos de migrantes se encuentran de regreso en la entidad, así como las habilidades que traen consigo, la forma en que las utilizan y las limitaciones actuales que enfrentan para desplegarlas en su totalidad. Esto permitió detectar que los migrantes de retorno traen consigo una nueva mentalidad socioeconómica y familiar que se manifiesta en sus prácticas cotidianas, como un mayor impulso a la educación de sus hijos y su salud, capitalización de pequeños negocios, cambios de empleo del campo a las actividades terciarias. A partir de ello, es necesario potenciar el uso de estas habilidades socioproductivas por la vía de los programas públicos de apoyos concretos, según las necesidades de los retornados en sus familias y comunidades.

  2. VACUUM THERAPY VERSUS ABDOMINAL EXERCISES ON ABDOMINAL OBESITY

    Directory of Open Access Journals (Sweden)

    Nevein Mohammed Mohammed Gharib

    2016-06-01

    Full Text Available Background: Obesity is a medical condition that may adversely affect wellbeing and leading to increased incidence of many health problems. Abdominal obesity tends to be associated with weight gain and obesity and it is significantly connected with different disorders like coronary heart disease and type II diabetes mellitus.This study was conducted to investigate the efficacy of vacuum therapy as compared to abdominal exercises on abdominal obesity in overweight and obese women. Methods: Thirtyoverweight and obese women participated in this study with body mass index > 25 kg/m2andwaist circumference ≥ 85 cm. Their ages ranged from 28 - 40 years old.The subjects were excluded if they have diabetes, abdominal infection diseases or any physical limitation restricting exercise ability. They were randomly allocated into two equal groups; group I and group II. Group I received vacuum therapy sessions (by the use of LPG device in addition to aerobic exercise training. Group II received abdominal exercises in addition to the same aerobic exercisesgiven to group I. This study was extended for successive 8 weeks (3 sessions/ week. All subjects were assessed for thickness ofnthe abdominal skin fold, waist circumference and body mass index. Results: The results of this study showeda significant difference between group I and group II post-interventionas regarding to the mean values of waist circumference and abdominal skin fold thickness (p<0.05. Conclusion: It can be concluded that aerobic exercises combined with vacuum therapy (for three sessions/week for successive 8 weeks have a positive effect on women with abdominal obesity in terms of reducing waist circumference and abdominal skin fold thickness.

  3. Colombia - Estados Unidos y los cambios políticos en la región: una aproximación

    OpenAIRE

    Roberto González Arana; Horacio Godoy

    2007-01-01

    Este trabajo se propone analizar la dinámica actual de las relaciones entre Colombia y los Estados Unidos, las negociaciones de cara al Tratado de Libre Comercio y la influencia del conflicto colombiano en el tipo de relaciones políticas y económicas bilaterales. Los recientes cambios políticos en la región afectan no sólo las relaciones bilaterales entre Colombia y sus vecinos sino también tienen una incidencia en las relaciones con los Estados Unidos. Para ello, se eval...

  4. Análisis cualitativo de la red hidrométrica actual del estado de Guerrero, México

    Directory of Open Access Journals (Sweden)

    María Perevochtchikova

    2012-02-01

    Full Text Available El análisis y valoración correcta de una red de observación hidrométrica puede dar a los usuarios una visión clara del recurso hídrico en su territorio, de tal manera que les permita planear una mejor distribución y gestión del mismo. En el caso particular del estado de Guerrero, después de un análisis de la información hidrometeorológica disponible, se observó que el recurso agua a nivel superficial es abundante, aunque cabe la duda si es aprovechado de manera correcta y completa. Al hacer una revisión detallada de la base de datos observados de aguas superficiales se encontró que entre 1980 y 2000 hubo una disminución dramática en las estaciones en operación, en aproximadamente la mitad, al mismo tiempo que se encontraron in-coincidencias en las mismas bases de datos que dan un error en su manejo de un 4 a 7%. Todo esto conlleva a la dificultad de formar las isolíneas de escurrimiento superficial que permitan mostrar la disponibilidad real del recurso hídrico, así como la consecuencia de elaborar una estrategia incorrecta de planeación de su uso en interés del desarrollo económico y político del estado.

  5. 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...

  6. El estado Schumpeteriano en diálogo con el estado de bienestar

    OpenAIRE

    Peñas Felizzola, Olga Luz

    2010-01-01

    El presente trabajo se desarrolla con la intención de dar cuenta de algunos de los planteamientos básicos de la teoría del estado Schumpeteriano, particularmente alrededor de dos reflexiones centrales: la importancia de la obra de Schumpeter para la teoría económica, y los elementos distintivos entre el estado Shumpeteriano y el estado de Bienestar.

  7. 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.

  8. TRASPLANTE PULMONAR: ESTADO ACTUAL

    Directory of Open Access Journals (Sweden)

    María Teresa Parada C., DRA.

    2015-05-01

    Los desafíos en la actualidad son el déficit de órganos, que lleva aumento de lista de espera por lo que se han desarrollado técnicas de optimización de injertos, la extensión de la edad de los candidatos a trasplante y se mantiene sin grandes modificaciones la disfunción crónica de injerto.

  9. Estado actual y perspectivas de la domótica

    Directory of Open Access Journals (Sweden)

    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.

  10. Perspectiva actual de la política migratoria en Estados Unidos y Europa: ¿un nuevo rumbo?

    OpenAIRE

    Arévalo Moscoso, María Alejandra

    2012-01-01

    En los últimos años las reformas a la política migratoria europea se han caracterizado por su apertura hacia la inmigración y la movilidad. A contrario sensu, Estados Unidos ha optado por la creación de políticas migratorias que pugnan por la reducción de la migración y por la detención del reclutamiento de trabajadores foráneos.No obstante, el incremento de los flujos de inmigración hacia el continente europeo derivado de inestabilidad política, crisis de derechos humanos y una serie de situ...

  11. An abdominal tuberculosis case mimicking an abdominal mass

    African Journals Online (AJOL)

    An abdominal tuberculosis case mimicking an abdominal mass. Derya Erdog˘ an a. , Yasemin Ta ¸scı Yıldız b. , Esin Cengiz Bodurog˘lu c and Naciye Go¨nu¨l Tanır d. Abdominal tuberculosis is rare in childhood. It may be difficult to diagnose as it mimics various disorders. We present a 12-year-old child with an unusual ...

  12. 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

  13. Analisis TLC entre Colombia y Estados Unidos: Estados de Virginia y Washington

    OpenAIRE

    Pulecio Leon, Gloria Daniela

    2016-01-01

    el punto central de esta investigación será identificar las principales fortalezas y oportunidades de las empresas colombianas frente al Tratado de Libre Comercio con Estados Unidos, con miras al desarrollo de un proceso de exportación no tradicional e internacionalización, en los estados de Virginia y Washington. Para esto debemos primero reconocer las oportunidades que el mercado colombiano ha aprovechado en los estados de Virginia y Washington, segundo revisar si el tratado de libre ...

  14. Análisis cualitativo de la red hidrométrica actual del estado de Guerrero, México

    OpenAIRE

    Perevochtchikova, María; García Jiménez, Fermín

    2006-01-01

    El análisis y valoración correcta de una red de observación hidrométrica puede dar a los usuarios una visión clara del recurso hídrico en su territorio, de tal manera que les permita planear una mejor distribución y gestión del mismo. En el caso particular del estado de Guerrero, después de un análisis de la información hidrometeorológica disponible, se observó que el recurso agua a nivel superficial es abundante, aunque cabe la duda si es aprovechado de manera correcta y completa. Al hacer u...

  15. Intra-abdominal hypertension and abdominal compartment syndrome in association with ruptured abdominal aortic aneurysm in the endovascular era: vigilance remains critical.

    Science.gov (United States)

    Bozeman, Matthew C; Ross, Charles B

    2012-01-01

    Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are common complications of ruptured abdominal aortoiliac aneurysms (rAAAs) and other abdominal vascular catastrophes even in the age of endovascular therapy. Morbidity and mortality due to systemic inflammatory response syndrome (SIRS) and multiple organ failure (MOF) are significant. Recognition and management of IAH are key critical care measures which may decrease morbidity and improve survival in these vascular patients. Two strategies have been utilized: expectant management with prompt decompressive laparotomy upon diagnosis of threshold levels of IAH versus prophylactic, delayed abdominal closure based upon clinical parameters at the time of initial repair. Competent management of the abdominal wound with preservation of abdominal domain is also an important component of the care of these patients. 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.

  16. El amparo constitucional. Doctrina y problemas actuales. La admisibilidad del recurso

    OpenAIRE

    Hernández Ramos, Mario

    2015-01-01

    El presenta artículo desarrolla el tema del amparo constitucional abordando los siguientes puntos relacionados con la doctrina y los problemas más actuales, así como la admisibilidad del recurso del amparo: Aspectos introductorios. El recurso de amparo y el trámite de admisión. 1) Estado de la cuestión y diagnóstico de la situación. 1.1) La situación en cifras. 2) Causas de la avalancha de recursos de amparo y acumulación de asuntos ante el tribunal constitucional. 2.1) Causas de origen legis...

  17. Abdominal trauma

    International Nuclear Information System (INIS)

    Giordany, B.R.

    1985-01-01

    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

  18. HORTICULTURA PROTEGIDA EN NAYARIT, MÉXICO: SITUACIÓN ACTUAL Y PERSPECTIVAS

    Directory of Open Access Journals (Sweden)

    Juárez-López P

    2012-02-01

    Full Text Available Los objetivos del presente artículo son presentar la situación actual de la horticultura protegida en Nayarit, México y visualizar su probable crecimiento y desarrollo con la implementación de un clúster agroindustrial en el sur. Se describe, de manera general, la situación actual de la horticultura en México, se indican algunos factores agronómicos que favorecen este sistema de producción en el estado y se presenta la situación actual del establecimiento de invernaderos como parte del Clúster Agroindustrial del Sur de Nayarit; asimismo, se visualizan posibles beneficios socioeconómicos con su implementación. Se concluyó que la horticultura protegida en Nayarit está en rápido crecimiento y desarrollo. Se espera que con la puesta en marcha del Clúster Agroindustrial se impulse la economía y el sector agrícola de la entidad; se prevé también un incremento en la exportación de hortalizas y que aumenten las opciones de empleo de ingenieros agrónomos.

  19. Estudio poblacional sobre el estado de salud y nutrición de habitantes de la ciudad de Mérida, México

    OpenAIRE

    Barbosa-Martín, Enrique Efraín; Fajardo-Niquete, Ileana; Sosa-Valadez, Fernando; Cetina-Sánchez, Francisco; Puc-Encalada, Ivan; Vargas-Espinosa, Rafael; Jiménez-Estrada, Rebeca; Betancur-Ancona, David Abram

    2016-01-01

    Introducción: La Encuesta Nacional de Salud y Nutrición (ENSANUT) reporta el panorama actual de la epidemiología nutricional nacional y estatal en México. Sin embargo, no existen reportes nutricionales de las capitales de los estados mexicanos. El presente trabajo tuvo como objetivo evaluar el estado de salud y nutrición en habitantes de Mérida, Yucatán, México. Material y Métodos: Estudio transversal, retrospectivo y descriptivo que utilizó los lineamientos metodológicos y diagnósticos de la...

  20. 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

  1. 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.

  2. Impacto metabólico e inflamatorio de una comida rica en grasas saturadas y su relación con la obesidad abdominal.

    Science.gov (United States)

    Alayón, Alicia Norma; Rivadeneira, Ana Patricia; Herrera, Carlos; Guzmán, Heidy; Arellano, Dioneris; Echeverri, Isabella

    2018-05-01

    Introducción. La etapa posprandial se asocia con el incremento de marcadores relacionados con el riesgo cardiovascular, cuya intensidad depende del estado metabólico.Objetivo. Determinar el impacto de la ingestión de una comida rica en grasas saturadas sobre el perfil metabólico e inflamatorio y su relación con la obesidad abdominal.Materiales y métodos. Se hizo un ensayo clínico en 42 individuos (21 con obesidad abdominal). Se midieron, en sangre, la glucosa, la insulina, el perfil lipídico, la proteína C reactiva, los lipopolisacáridos y la interleucina 6, en ayunas y después de la ingestión.Resultados. Además de la obesidad, se registró la presencia de resistencia a la insulina y de niveles elevados de triacilglicéridos y proteína C reactiva en ayunas. Asimismo, se detectaron niveles posprandiales más elevados de glucosa, insulina y triacilglicéridos. La interleucina 6 disminuyó en el grupo de personas sin obesidad y los lipopolisacáridos aumentaron en ambos grupos.Conclusión. La ingestión de una comida rica en grasas saturadas produjo un mayor impacto en las variables glucémicas en el grupo con obesidad y, aunque afectó de forma similar los lípidos en ambos grupos, el incremento de triacilglicéridos fue mayor en presencia de una concentración basal elevada y promovió el aumento de lipopolisacáridos. El estado inflamatorio basal y posprandial afectó en mayor medida al grupo con obesidad. El momento posprandial reflejó el estado más frecuente de los individuos en un día normal y permitió evidenciar la capacidad de respuesta metabólica frente a la ingestión de alimentos, así como los estados tempranos de riesgo metabólico.

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

    Directory of Open Access Journals (Sweden)

    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.

  4. Abdominal ultrasonography in the diagnostic work-up in children with recurrent abdominal pain

    DEFF Research Database (Denmark)

    Wewer, Anne Vibeke; Strandberg, C; Pærregaard, Anders

    1997-01-01

    We report on our experience with routine abdominal ultrasonography in 120 children (aged 3-15 years) with recurrent abdominal pain, in order to determine the diagnostic value of this investigation. Eight children (7%) revealed sonographic abnormalities: gallbladder stone (n = 2), splenomegaly (n...... = 1) and urogenital abnormalities (n = 5). The recurrent abdominal pain could be explained by these findings in only two (may be three) cases. CONCLUSION: The diagnostic value of abdominal ultrasonography in unselected children with recurrent abdominal pain is low. However, the direct visualization...... of the abdominal structures as being normal may be helpful to the parents and the child in their understanding and acceptance of the benign nature of recurrent abdominal pain....

  5. The value of plain abdominal radiographs in management of abdominal emergencies in Luth.

    Science.gov (United States)

    Ashindoitiang, J A; Atoyebi, A O; Arogundade, R A

    2008-01-01

    The plain abdominal x-ray is still the first imaging modality in diagnosis of acute abdomen. The aim of this study was to find the value of plain abdominal x-ray in the management of abdominal emergencies seen in Lagos university teaching hospital. The accurate diagnosis of the cause of acute abdominal pain is one of the most challenging undertakings in emergency medicine. This is due to overlapping of clinical presentation and non-specific findings of physical and even laboratory data of the multifarious causes. Plain abdominal radiography is one investigation that can be obtained readily and within a short period of time to help the physician arrive at a correct diagnosis The relevance of plain abdominal radiography was therefore evaluated in the management of abdominal emergencies seen in Lagos over a 12 month period (April 2002 to March 2003). A prospective study of 100 consecutively presenting patients with acute abdominal conditions treated by the general surgical unit of Lagos University Teaching Hospital was undertaken. All patients had supine and erect abdominal x-ray before any therapeutic intervention was undertaken. The diagnostic features of the plain films were compared with final diagnosis to determine the usefulness of the plain x-ray There were 54 males and 46 females (M:F 1.2:1). Twenty-four percent of the patients had intestinal obstruction, 20% perforated typhoid enteritis; gunshot injuries and generalized peritonitis each occurred in 13%, blunt abdominal trauma in 12%, while 8% and 10% had acute appendicitis and perforated peptic ulcer disease respectively. Of 100 patients studied, 54% had plain abdominal radiographs that showed positive diagnostic features. Plain abdominal radiograph showed high sensitivity in patients with intestinal obstruction 100% and perforated peptic ulcer 90% but was less sensitive in patients with perforated typhoid, acute appendicitis, and blunt abdominal trauma and generalized peritonitis. In conclusion, this study

  6. El papel del Estado en la configuración de la realidad actual de las sociedades pesqueras en México

    Directory of Open Access Journals (Sweden)

    Aura Ramírez

    2016-06-01

    Full Text Available Este trabajo ofrece un panorama general sobre las sociedades pesqueras que históricamente se han desarrollado en el territorio mexicano, y enfatiza en el papel desempeñado por el Estado en la configuración de las mismas a partir de la década de 1940, vinculándolo con los retos y desafíos que dichas sociedades enfrentan hoy día.

  7. Evaluation of the levels of metalloproteinsase-2 in patients with abdominal aneurysm and abdominal hernias.

    Science.gov (United States)

    Antoszewska, Magdalena

    2013-05-01

    Abdominal aortic aneurysms and abdominal hernias become an important health problems of our times. Abdominal aortic aneurysm and its rupture is one of the most dangerous fact in vascular surgery. There are some theories pointing to a multifactoral genesis of these kinds of diseases, all of them assume the attenuation of abdominal fascia and abdominal aortic wall. The density and continuity of these structures depend on collagen and elastic fibers structure. Reducing the strength of the fibers may be due to changes in the extracellular matrix (ECM) by the proteolytic enzymes-matrix metalloproteinases (MMPs) that degrade extracellular matrix proteins. These enzymes play an important role in the development of many disease: malignant tumors (colon, breast, lung, pancreas), cardiovascular disease (myocardial infarction, ischemia-reperfusion injury), connective tissue diseases (Ehler-Danlos Syndrome, Marfan's Syndrome), complications of diabetes (retinopathy, nephropathy). One of the most important is matrix metalloproteinase-2 (MMP-2). The aim of the study was an estimation of the MMP-2 blood levels in patients with abdominal aortic aneurysm and primary abdominal hernia, and in patients with only abdominal aortic aneurysm. The study involved 88 patients aged 42 to 89 years, including 75 men and 13 women. Patients were divided into two groups: patients with abdominal aortic aneurysm and primary abdominal hernia (45 persons, representing 51.1% of all group) and patients with only abdominal aortic aneurysm (43 persons, representing 48,9% of all group). It was a statistically significant increase in MMP-2 blood levels in patients with abdominal aortic aneurysm and primary abdominal hernia compared to patients with only abdominal aortic aneurysm. It was a statistically significant increase in the prevalence of POCHP in patients with only abdominal aortic aneurysm compared to patients with abdominal aortic aneurysm and primary abdominal hernia. Statistically significant

  8. De los estados fallidos

    OpenAIRE

    Ruiz Medrano, Salvador Francisco

    2011-01-01

    Al presente, desde distintas perspectivas, los Estados fallidos parecieran ser una clasificación más de los Estados en general. Este artículo constituye un intento por revisar dicho concepto, que en nuestros días, últimamente, a cobrando nueva relevancia. La tarea se emprende desde el concepto que el derecho internacional da a los Estados fallidos. Luego se analizan las características políticas del mismo, a través del Índice de Política Exterior y Fondo para la Paz de los...

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

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    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.

  10. 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

  11. Current depression among women in California according to residence in the California-Mexico border region Depresión actual en las mujeres en California según el lugar de residencia en la región fronteriza entre California y México

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    Suzanne Ryan-Ibarra

    2012-05-01

    Full Text Available OBJECTIVE: To estimate the prevalence of current depression; examine the relationship between current depression and immigration, health status, health care access, and health behaviors; and assess differences by California-Mexico border region (Imperial and San Diego Counties among women in California. METHODS: Using a cross-sectional, representative sample of adult women from the California Women's Health Survey (n = 13 454, a statewide telephone survey, prevalence of current depression and predictors of depression were examined in California and according to border region residence. Depression was assessed with the eight-item Patient Health Questionnaire. RESULTS: The prevalence of current depression for women in California was 12.0%. It was similar in the border (13.0% and the nonborder (11.9% regions. Odds of current depression in women were lower among recent immigrants (OBJETIVO: Calcular la prevalencia de la depresión actual; examinar la relación entre la depresión actual y la inmigración, el estado de salud, el acceso a la atención de la salud y las conductas relacionadas con la salud; y evaluar las diferencias en la región fronteriza entre California (condados Imperial y San Diego y México en las mujeres. MÉTODOS: Se empleó una muestra transversal y representativa de mujeres adultas de la Encuesta de Salud de la Mujer de California (n = 13 454, una encuesta telefónica estatal, para examinar la prevalencia de depresión actual y los factores predictivos de depresión tanto en California como según el lugar de residencia en la región fronteriza. La depresión se evaluó mediante el Cuestionario de Salud del Paciente-8. RESULTADOS: La prevalencia de depresión actual en las mujeres en California fue 12,0%, y fue semejante en las regiones fronteriza (13,0% y no fronteriza (11,9% del estado. Las probabilidades de presentar depresión actual fueron menores en las mujeres que habían inmigrado recientemente (< 5 años o de 5 a

  12. Focused abdominal sonography for trauma (FAST) in blunt paediatric abdominal trauma

    International Nuclear Information System (INIS)

    Faruque, A. V.; Qazi, S. H.; Khan, M. A. M.

    2013-01-01

    Objective: To evaluate the role of focussed abdominal sonography for trauma in blunt paediatric abdominal trauma patients, and to see if the role of computed tomography scan could be limited to only those cases in which sonography was positive. Methods: The retrospective study covered 10 years, from January 1, 2000 to December 31, 2009, and was conducted at the Department of Radiology and Department of Emergency Medicine, Aga Khan University Hospital, Karachi. It comprised cases of 174 children from birth to 14 years who had presented with blunt abdominal trauma and had focussed abdominal sonography for trauma done at the hospital. The findings were correlated with computed tomography scan of the abdomen and clinical follow-up. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of focussed abdominal sonography for trauma were calculated for blunt abdominal trauma. SPSS 17 was used for statistical analysis. Results: Of the total 174 cases, 31 (17.81%) were later confirmed by abdominal scan. Of these 31 children, sonography had been positive in 29 (93.54%) children. In 21 (67.74%) of the 31 children, sonography had been true positive; 8 (25%) (8/31) were false positive; and 2 (6%) (2/31) were false negative. There were 6 (19.3%) children in which sonography was positive and converted to laparotomy. There was no significant difference on account of gender (p>0.356). Focussed abdominal sonography for trauma in the study had sensitivity of 91%, specificity of 95%, positive predictive value of 73%, and negative predictive value of 73% with accuracy of 94%. All patients who had negative sonography were discharged later, and had no complication on clinical follow-up. Conclusions: Focussed abdominal sonography for trauma is a fairly reliable mode to assess blunt abdominal trauma in children. It is a useful tool to pick high-grade solid and hollow viscous injury. The results suggest that the role of computed tomography scan can be

  13. Focused abdominal sonography for trauma (FAST) in blunt paediatric abdominal trauma.

    Science.gov (United States)

    Faruque, Ahmad Vaqas; Qazi, Saqib Hamid; Khan, Muhammad Arif Mateen; Akhtar, Wassem; Majeed, Amina

    2013-03-01

    To evaluate the role of focussed abdominal sonography for trauma in blunt paediatric abdominal trauma patients, and to see if the role of computed tomography scan could be limited to only those cases in which sonography was positive. The retrospective study covered 10 years, from January 1,2000 to December 31,2009, and was conducted at the Department of Radiology and Department of Emergency Medicine, Aga Khan University Hospital, Karachi. It comprised cases of 174 children from birth to 14 years who had presented with blunt abdominal trauma and had focussed abdominal sonography for trauma done at the hospital. The findings were correlated with computed tomography scan of the abdomen and clinical follow-up. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of focussed abdominal sonography for trauma were calculated for blunt abdominal trauma. SPSS 17 was used for statistical analysis. Of the total 174 cases, 31 (17.81%) were later confirmed by abdominal scan. Of these 31 children, sonography had been positive in 29 (93.54%) children. In 21 (67.74%) of the 31 children, sonograpy had been true positive; 8 (25%) (8/31) were false positive; and 2 (6%) (2/31) were false negative. There were 6 (19.3%) children in which sonography was positive and converted to laparotomy. There was no significant difference on account of gender (p>0.356). Focussed abdominal sonography for trauma in the study had sensitivity of 91%, specificity of 95%, positive predictive value of 73%, and negative predictive value of 73% with accuracy of 94%. All patients who had negative sonography were discharged later, and had no complication on clinical follow-up. Focussed abdominal sonography for trauma is a fairly reliable mode to assess blunt abdominal trauma in children. It is a useful tool to pick high-grade solid and hollow viscous injury. The results suggest that the role of computed tomography scan can be limited to those cases in which focussed

  14. Obesity-Associated Abdominal Elephantiasis

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    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.

  15. 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

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    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

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

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    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.

  17. Pilar García Jordán, El Estado propone, los c

    OpenAIRE

    Roux, Rodolfo de

    2016-01-01

    La autora, catedrática de historia de América en la Universidad de Barcelona, es una autoridad reconocida del mundo guarayo, al que ya ha dedicado cinco libros. En el último, que aquí reseñamos, reconstruye lo sucedido en quince años decisivos tanto para los guarayos como para la historia de la actual provincia de Guarayos, en el departamento boliviano de Santa Cruz. Pilar García comienza recordando que, en el contexto del surgimiento y desarrollo de Bolivia como Estado-nación, uno de los ret...

  18. Child with Abdominal Pain.

    Science.gov (United States)

    Iyer, Rajalakshmi; Nallasamy, Karthi

    2018-01-01

    Abdominal pain is one of the common symptoms reported by children in urgent care clinics. While most children tend to have self-limiting conditions, the treating pediatrician should watch out for underlying serious causes like intestinal obstruction and perforation peritonitis, which require immediate referral to an emergency department (ED). Abdominal pain may be secondary to surgical or non-surgical causes, and will differ as per the age of the child. The common etiologies for abdominal pain presenting to an urgent care clinic are acute gastro-enteritis, constipation and functional abdominal pain; however, a variety of extra-abdominal conditions may also present as abdominal pain. Meticulous history taking and physical examination are the best tools for diagnosis, while investigations have a limited role in treating benign etiologies.

  19. Abdominal Compartment Syndrome

    Directory of Open Access Journals (Sweden)

    Pınar Zeyneloğlu

    2015-04-01

    Full Text Available Intraabdominal hypertension and Abdominal compartment syndrome are causes of morbidity and mortality in critical care patients. Timely diagnosis and treatment may improve organ functions. Intra-abdominal pressure monitoring is vital during evaluation of the patients and in the management algorithms. The incidence, definition and risk factors, clinical presentation, diagnosis and management of intraabdominal hypertension and Abdominal compartment syndrome were reviewed here.

  20. Abdominal wall fat pad biopsy

    Science.gov (United States)

    Amyloidosis - abdominal wall fat pad biopsy; Abdominal wall biopsy; Biopsy - abdominal wall fat pad ... is the most common method of taking an abdominal wall fat pad biopsy . The health care provider cleans the ...

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Accuracy of the abdominal examination for identifying children with blunt intra-abdominal injuries.

    Science.gov (United States)

    Adelgais, Kathleen M; Kuppermann, Nathan; Kooistra, Joshua; Garcia, Madelyn; Monroe, David J; Mahajan, Prashant; Menaker, Jay; Ehrlich, Peter; Atabaki, Shireen; Page, Kent; Kwok, Maria; Holmes, James F

    2014-12-01

    To determine the accuracy of complaints of abdominal pain and findings of abdominal tenderness for identifying children with intra-abdominal injury (IAI) stratified by Glasgow Coma Scale (GCS) score. This was a prospective, multicenter observational study of children with blunt torso trauma and a GCS score ≥13. We calculated the sensitivity of abdominal findings for IAI with 95% CI stratified by GCS score. We examined the association of isolated abdominal pain or tenderness with IAI and that undergoing acute intervention (therapeutic laparotomy, angiographic embolization, blood transfusion, or ≥2 nights of intravenous fluid therapy). Among the 12 044 patients evaluated, 11 277 (94%) had a GCS score of ≥13 and were included in this analysis. Sensitivity of abdominal pain for IAI was 79% (95% CI, 76%-83%) for patients with a GCS score of 15, 51% (95% CI, 37%-65%) for patients with a GCS score of 14, and 32% (95% CI, 14%-55%) for patients with a GCS score of 13. Sensitivity of abdominal tenderness for IAI also decreased with decreasing GCS score: 79% (95% CI, 75%-82%) for a GCS score of 15, 57% (95% CI, 42%-70%) for a GCS score of 14, and 37% (95% CI, 19%-58%) for a GCS score of 13. Among patients with isolated abdominal pain and/or tenderness, the rate of IAI was 8% (95% CI, 6%-9%) and the rate of IAI undergoing acute intervention was 1% (95% CI, 1%-2%). The sensitivity of abdominal findings for IAI decreases as GCS score decreases. Although abdominal computed tomography is not mandatory, the risk of IAI is sufficiently high that diagnostic evaluation is warranted in children with isolated abdominal pain or tenderness. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Internal Mammary Vessels’ Impact on Abdominal Skin Perfusion in Free Abdominal Flap Breast Reconstruction

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    Solveig Nergård, MD

    2017-12-01

    Conclusions:. Using the IMV in free abdominal flap breast reconstruction had a significant effect on abdominal skin perfusion and may contribute to abdominal wound healing problems. The reperfusion of the abdominal skin was a dynamic process showing an increase in perfusion in the affected areas during the postoperative days.

  4. 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

  5. Corporatismo: el estado de la cuestión

    Directory of Open Access Journals (Sweden)

    SALVADOR GINER

    1985-01-01

    Full Text Available Se analizan las diferentes posturas acerca del debate que en torno al corporativismo se realiza en los países occidentales desarrollados. El debate en torno al corporativismo, según el autor, se centra principalmente en las políticas de concertación surgidas despúes de la Segunda Guerra Mundial. Se evalúa la principal bibliografía sobre el tema publicada en Inglaterra, Francia, Italia, Portugal, España y Estados Unidos desde 1974 hasta 1985, y se organiza en torno a los siguientes temas principales : los orígenes sociales del corporativismo ; definciones y tipos de corporativismo; causas y condiciones de las tendencias actuales del corporativismo; corporativismo, estado y democracia ; la inestabilidad del corporativismo. Un visión liberal del concepto lo ve como un intento de aproximación racional a la resolución de conflictos sociales y contradicciones existentes entre los diversos grupos de interés. Un punto de vista más radical del corporativismo señala el modo mediante el cual el capitalismo avanzado garantiza su estabilidad mediante la subordinación de las clases sociales a los "contratos sociales corporativos". Según el autor, se puede concluir que el "corporativismo" es una amplia tendencia a través de la cual la desigualdad social y los conflictos sociales se articulan en las sociedades avanzadas capitalistas.

  6. Ingeniería de tejidos y cirugía de la pared abdominal: prototipo de bioprótesis

    OpenAIRE

    Brandi, Claudio; Ambrosis, Mariana; Barraud, Carlos; Argibay, Pablo

    2013-01-01

    Antecedentes: La tendencia actual es reparar los defectos de la pared abdominal con mallas de polipropileno (PP) Este polímero tiene buena resistencia a las presiones intraabdominales, sin embargo puede presentar adherencias intestinales e infección. Con la idea de evitar estas complicaciones surge el desarrollo de mallas biológicas. Éstas están compuestas de colágeno descelularizado obtenido de tejido conectivo porcino, bovino o humano. Una posibilidad actual es cultivar células madres mesen...

  7. ESTADO ACTUAL DEL CONOCIMIENTO Y DISTRIBUCIÓN DEL ORDEN EPHEMEROPTERA (INSECTA EN LA REGIÓN AMAZÓNICA

    Directory of Open Access Journals (Sweden)

    DOMÍNGUEZ EDUARDO

    2002-12-01

    Full Text Available El estado del conocimiento de la fauna de Ephemeroptera de los grandes ríos tropicalesde América del Sur es incompleto y fragmentario. Además, debido a lo dispersode la bibliografía relacionada es difícil acceder a la poca información disponible.En este trabajo se presenta un resumen del conocimiento de cada familia presente, yse proponen las prioridades de investigación en la región. Se incluye una tabla delas especies registradas, con las respectivas citas bibliográficas así como un mapacon las localidades donde las especies fueron encontradas. Al presente se registran8 familias, con 44 géneros y 100 especies, aunque se espera que este número seincremente notablemente con más colectas y estudios en la región.

  8. Don't Forget the Abdominal Wall: Imaging Spectrum of Abdominal Wall Injuries after Nonpenetrating Trauma.

    Science.gov (United States)

    Matalon, Shanna A; Askari, Reza; Gates, Jonathan D; Patel, Ketan; Sodickson, Aaron D; Khurana, Bharti

    2017-01-01

    Abdominal wall injuries occur in nearly one of 10 patients coming to the emergency department after nonpenetrating trauma. Injuries range from minor, such as abdominal wall contusion, to severe, such as abdominal wall rupture with evisceration of abdominal contents. Examples of specific injuries that can be detected at cross-sectional imaging include abdominal muscle strain, tear, or hematoma, including rectus sheath hematoma (RSH); traumatic abdominal wall hernia (TAWH); and Morel-Lavallée lesion (MLL) (closed degloving injury). These injuries are often overlooked clinically because of (a) a lack of findings at physical examination or (b) distraction by more-severe associated injuries. However, these injuries are important to detect because they are highly associated with potentially grave visceral and vascular injuries, such as aortic injury, and because their detection can lead to the diagnosis of these more clinically important grave traumatic injuries. Failure to make a timely diagnosis can result in delayed complications, such as bowel hernia with potential for obstruction or strangulation, or misdiagnosis of an abdominal wall neoplasm. Groin injuries, such as athletic pubalgia, and inferior costochondral injuries should also be considered in patients with abdominal pain after nonpenetrating trauma, because these conditions may manifest with referred abdominal pain and are often included within the field of view at cross-sectional abdominal imaging. Radiologists must recognize and report acute abdominal wall injuries and their associated intra-abdominal pathologic conditions to allow appropriate and timely treatment. © RSNA, 2017.

  9. Correlation between intra-abdominal pressure and pulmonary volumes after superior and inferior abdominal surgery

    Directory of Open Access Journals (Sweden)

    Roberto de Cleva

    2014-07-01

    Full Text Available OBJECTIVE:Patients undergoing abdominal surgery are at risk for pulmonary complications. The principal cause of postoperative pulmonary complications is a significant reduction in pulmonary volumes (FEV1 and FVC to approximately 65-70% of the predicted value. Another frequent occurrence after abdominal surgery is increased intra-abdominal pressure. The aim of this study was to correlate changes in pulmonary volumes with the values of intra-abdominal pressure after abdominal surgery, according to the surgical incision in the abdomen (superior or inferior.METHODS:We prospectively evaluated 60 patients who underwent elective open abdominal surgery with a surgical time greater than 240 minutes. Patients were evaluated before surgery and on the 3rd postoperative day. Spirometry was assessed by maximal respiratory maneuvers and flow-volume curves. Intra-abdominal pressure was measured in the postoperative period using the bladder technique.RESULTS:The mean age of the patients was 56±13 years, and 41.6% 25 were female; 50 patients (83.3% had malignant disease. The patients were divided into two groups according to the surgical incision (superior or inferior. The lung volumes in the preoperative period showed no abnormalities. After surgery, there was a significant reduction in both FEV1 (1.6±0.6 L and FVC (2.0±0.7 L with maintenance of FEV1/FVC of 0.8±0.2 in both groups. The maximum intra-abdominal pressure values were similar (p= 0.59 for the two groups. There was no association between pulmonary volumes and intra-abdominal pressure measured in any of the groups analyzed.CONCLUSIONS:Our results show that superior and inferior abdominal surgery determines hypoventilation, unrelated to increased intra-abdominal pressure. Patients at high risk of pulmonary complications should receive respiratory care even if undergoing inferior abdominal surgery.

  10. Correlation between intra-abdominal pressure and pulmonary volumes after superior and inferior abdominal surgery.

    Science.gov (United States)

    Cleva, Roberto de; Assumpção, Marianna Siqueira de; Sasaya, Flavia; Chaves, Natalia Zuniaga; Santo, Marco Aurelio; Fló, Claudia; Lunardi, Adriana C; Jacob Filho, Wilson

    2014-07-01

    Patients undergoing abdominal surgery are at risk for pulmonary complications. The principal cause of postoperative pulmonary complications is a significant reduction in pulmonary volumes (FEV1 and FVC) to approximately 65-70% of the predicted value. Another frequent occurrence after abdominal surgery is increased intra-abdominal pressure. The aim of this study was to correlate changes in pulmonary volumes with the values of intra-abdominal pressure after abdominal surgery, according to the surgical incision in the abdomen (superior or inferior). We prospectively evaluated 60 patients who underwent elective open abdominal surgery with a surgical time greater than 240 minutes. Patients were evaluated before surgery and on the 3rd postoperative day. Spirometry was assessed by maximal respiratory maneuvers and flow-volume curves. Intra-abdominal pressure was measured in the postoperative period using the bladder technique. The mean age of the patients was 56 ± 13 years, and 41.6% 25 were female; 50 patients (83.3%) had malignant disease. The patients were divided into two groups according to the surgical incision (superior or inferior). The lung volumes in the preoperative period showed no abnormalities. After surgery, there was a significant reduction in both FEV1 (1.6 ± 0.6 L) and FVC (2.0 ± 0.7 L) with maintenance of FEV1/FVC of 0.8 ± 0.2 in both groups. The maximum intra-abdominal pressure values were similar (p=0.59) for the two groups. There was no association between pulmonary volumes and intra-abdominal pressure measured in any of the groups analyzed. Our results show that superior and inferior abdominal surgery determines hypoventilation, unrelated to increased intra-abdominal pressure. Patients at high risk of pulmonary complications should receive respiratory care even if undergoing inferior abdominal surgery.

  11. 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...... subjects and in patients with intestinal obstruction was acceptable for a clinical examination. Abdominal auscultation is a helpful clinical examination in patients with acute abdominal pain....

  12. The therapeutic impact of abdominal ultrasound in patients with acute abdominal symptoms

    International Nuclear Information System (INIS)

    Dhillon, S.; Halligan, S.; Goh, V.; Matravers, P.; Chambers, A.; Remedios, D.

    2002-01-01

    AIM: The technical performance of abdominal ultrasound in the investigation of acute abdominal pain has been thoroughly investigated but its therapeutic effects are less well understood. We aimed to determine the therapeutic effect of abdominal ultrasound in the investigation of acute abdominal pain. MATERIAL AND METHODS: A pre- and post-intervention observational study design was used to determine the diagnostic and therapeutic effects of abdominal ultrasound for acute abdominal pain. Referring clinicians completed a pre-ultrasound questionnaire that detailed their leading diagnosis, confidence in this and intended management in 100 consecutive adult patients. Following ultrasound a second questionnaire was completed. This again detailed the leading diagnosis, confidence in this and their intended management. Clinicians quantified the management contribution of ultrasound both for the individual case in question and in their clinical experience generally. RESULTS: The leading diagnosis was either confirmed or rejected in 72 patients and a new diagnosis provided where no prior differential diagnosis existed in 10. Diagnostic confidence increased significantly following ultrasound (mean score 6·5 pre-ultrasound vs 7·6 post-ultrasound, P < 0·001). Intended management changed following ultrasound in 22 patients; 15 intended laparotomies were halted and a further seven patients underwent surgery where this was not originally intended. Ultrasound was rated either 'very' or 'moderately' helpful in 87% of patients, with 99% of clinicians finding it either 'very' or 'moderately' helpful generally. CONCLUSION: Abdominal ultrasound has considerable diagnostic and therapeutic effect in the setting of acute abdominal pain. Dhillon, S. et al. (2002)

  13. Mudanças no Estado-avaliador: comparativismo internacional e teoria da modernização revisitada

    Directory of Open Access Journals (Sweden)

    ALMERINDO JANELA AFONSO

    2013-01-01

    Full Text Available Tras analizar algunas características de la primera fase del Estado evaluador, el ejercicio planteado en este texto comienza repasando brevemente la (vieja teoría de la modernización para, a continuación, sugerir que algunos de sus presupuestos siguen, en gran medida, subyacentes en el actual comparativismo internacional evaluador que se ha constituido como agenda política, cada vez más dominante, por lo menos, desde finales de los años noventa del siglo pasado, y a la que corresponde lo que el autor denomina segunda fase (o reconfiguración del Estado evaluador. El artículo también intenta plantear algunas cuestiones e hipótesis sobre una tercera fase (la fase posterior al Estado evaluador, que, aunque todavía presenta unos límites poco definidos, puede inscribirse, de forma cada vez más evidente, en la continuidad de la expansión capitalista de las políticas de privatización y mercantilización de la educación (y de la evaluación.

  14. Estado actual de la biotecnología en Costa Rica

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    Marta Valdez

    2004-09-01

    Full Text Available Se realizó un estudio del estado de la biotecnología en Costa Rica como parte del proyecto "SIMBIOSIS: Programa Cooperativo para la Construcción de Indicadores en Biotecnología adaptados a los países de América Latina y el Caribe, para motivar la aplicación y transferencia de tecnologías industriales". El estudio se enfocó en dos ítemes: "investigadores" y "proyectos de investigación", desarrollados en Costa Rica entre 1998 y 2002. Se construyó una base de datos a partir de la cual se obtuvieron indicadores para los investigadores, relacionados con aspectos como género, edad, desempeño como docentes, número de proyectos, funciones, grado académico, área de especialidad y número de publicaciones. Los indicadores determinados para los proyectos de investigación se vinculan con los temas de: especialidades, sector socioecónomico de aplicación, duración y número de investigadores por proyecto. Entre las principales conclusiones obtenidas a nivel nacional cabe mencionar la alta participación de las mujeres en esta área de investigación (54%; la baja participación de recursos humanos jóvenes como investigadores (13% menores de 30 años, y que la mayoría de los investigadores, con altos grados académicos, tienen 4 o más proyectos a su cargo (42%. Con relación a las especialidades de los proyectos, la mayoría se clasifican en la categoría Bio-Agro (39% mientras que en Acuicultura sólo se encontró un 1% del total. Los sectores de aplicación con el mayor número de proyectos son: Agropecuario (37% y Salud Humana (35%. Se discuten las principales fortalezas y limitaciones para el desarrollo de la biotecnología en Costa Rica, para contribuir a una mejor definición de políticas de desarrollo científico y tecnológico del país.Current estate of biotechnology in Costa Rica. Astudy was carried out on the construction of indicators in biotechnology in Costa Rica as part of the project "SYMBIOSIS, Cooperative Program for

  15. Chronic Abdominal Wall Pain.

    Science.gov (United States)

    Koop, Herbert; Koprdova, Simona; Schürmann, Christine

    2016-01-29

    Chronic abdominal wall pain is a poorly recognized clinical problem despite being an important element in the differential diagnosis of abdominal pain. This review is based on pertinent articles that were retrieved by a selective search in PubMed and EMBASE employing the terms "abdominal wall pain" and "cutaneous nerve entrapment syndrome," as well as on the authors' clinical experience. In 2% to 3% of patients with chronic abdominal pain, the pain arises from the abdominal wall; in patients with previously diagnosed chronic abdominal pain who have no demonstrable pathological abnormality, this likelihood can rise as high as 30% . There have only been a small number of clinical trials of treatment for this condition. The diagnosis is made on clinical grounds, with the aid of Carnett's test. The characteristic clinical feature is strictly localized pain in the anterior abdominal wall, which is often mischaracterized as a "functional" complaint. In one study, injection of local anesthesia combined with steroids into the painful area was found to relieve pain for 4 weeks in 95% of patients. The injection of lidocaine alone brought about improvement in 83-91% of patients. Long-term pain relief ensued after a single lidocaine injection in 20-30% of patients, after repeated injections in 40-50% , and after combined lidocaine and steroid injections in up to 80% . Pain that persists despite these treatments can be treated with surgery (neurectomy). Chronic abdominal wall pain is easily diagnosed on physical examination and can often be rapidly treated. Any physician treating patients with abdominal pain should be aware of this condition. Further comparative treatment trials will be needed before a validated treatment algorithm can be established.

  16. Modelo Vectorial para la Inferencia del Estado Cognitivo de Pacientes en Estados Derivados del Coma

    Directory of Open Access Journals (Sweden)

    Esteban Velásquez R.

    2014-06-01

    Full Text Available La forma tradicional de evaluar el estado de conciencia de un individuo, ha sido mediante la aplicación de estímulos y el análisis de sus respuestas, sin embargo, esta técnica se ve limitada cuando el individuo es incapaz de responder evidentemente ante un estímulo, como es el caso de los pacientes en estados derivados del coma. En estos casos, se requiere de una conexión directa con el cerebro del paciente para detectar una respuesta. Por consiguiente, en este artículo se desarrolla y analiza un modelo computacional basado en los principios de las máquinas de soporte vectorial (MSV, para inferir el estado cognitivo de pacientes en estados derivados del coma, mediante la utilización de un equipo de electroencefalografía comercial. Los resultados obtenidos, mostraron que el modelo logró clasificar correctamente una tarea cognitiva en al menos cuatro de cada cinco pruebas en pacientes de control, lo que se traduce en la obtención de un sistema de bajo costo para el análisis del estado de conciencia y para la posible comunicación con algunos pacientes en estados derivados del coma mediante protocolos médicos definidos. De esta manera, este sistema se presenta como un gran aporte para las clínicas y centros hospitalarios, como herramienta potencial de diagnóstico para este tipo de pacientes.

  17. 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.

  18. Torsion of abdominal appendages presenting with acute abdominal pain

    International Nuclear Information System (INIS)

    Al-Jaberi, Tareq M.; Gharabeih, Kamal I.; Yaghan, Rami J.

    2000-01-01

    Diseases of abnormal appendages are rare causes of abdominal pain in all age groups. Nine patients with torsion and infraction of abdominal appendages were retrospectively reviewed. Four patients had torsion and infarction of the appendices epiploicae, four patients had torsion and infarction of the falciform ligament. The patient with falciform ligament disease represents the first reported case of primary torsion and infarction of the falciform ligament, and the patient with the transverse colon epiplocia represents the first reported case of vibration-induced appendix epiplocia torsion and infarction. The patient with the falciform ligament disease presented with a tender upper abdominal mass and the remaining patients were operated upon with the preoperative diagnosis of acute appendicitis. The presence of normal appendix with free serosanguinous fluid in the peritoneal cavity should raise the possibility of a disease and calls for further evaluation of the intra-abdominal organs. If the diagnosis is suspected preoperatively, CT scan and ultrasound may lead to a correct diagnosis and possibly conservative management. Laparoscopy is playing an increasing diagnostic and therapeutic role in such situations. (author)

  19. 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...

  20. Estado actual del proceso de territorialización del espacio ultraterrestre por parte de Colombia y recomendaciones para su consolidación

    Directory of Open Access Journals (Sweden)

    María Ximena Correa Olarte

    2017-07-01

    Full Text Available El objetivo de este artículo es evidenciar la carencia de un proceso consolidado de territorialización del espacio ultraterrestre por parte de Colombia y hacer recomendaciones a partir de la teoría de la geografía que permitan iniciar dicho proceso. El espacio ultraterrestre es aquella franja del espacio exterior en la que los satélites artificiales orbitan alrededor de la Tierra y es más lejana que el espacio aéreo de cada Estado. En dicho espacio, únicamente los Estados con desarrollo tecnológico y capacidad de inversión importante en áreas espaciales hacen uso de este, territorializándolo. En este artículo, se destaca la importancia de la concienciación sobre la utilización y ocupación de ese espacio, la promulgación de leyes y políticas bajo un marco jurídico colombiano consolidado y el desarrollo técnico-científico y académico para iniciar un proceso de territorialización del espacio ultraterrestre por parte de Colombia.

  1. 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.

  2. A Influência de um protocolo de coordenação motora no estado depressivo e estado cognitivo

    OpenAIRE

    Costa, Cândida; Pinheira, Vítor; Rodrigues, Abel

    2014-01-01

    Introdução: São conhecidos os efeitos positivos do exercício terapêutico no estado depressivo e estado cognitivo do idoso. Objetivo: Este estudo teve como objetivos avaliar e comparar os efeitos de um protocolo de coordenação motora, com a duração de 8 semanas, duas vezes por semana, 50 minutos cada sessão, no estado depressivo e estado cognitivo. Metodologia: 30 idosos (81,43 ±8,97 anos), 66,7% mulheres, clinicamente estáveis e capazes de realizar marcha, numa amostra por conveniência...

  3. Retrospective comparison of abdominal ultrasonography and radiography in the investigation of feline abdominal disease

    Science.gov (United States)

    Won, Wylen Wade; Sharma, Ajay; Wu, Wenbo

    2015-01-01

    Abdominal radiography and ultrasonography are commonly used as part of the initial diagnostic plan for cats with nonspecific signs of abdominal disease. This retrospective study compared the clinical usefulness of abdominal radiography and ultrasonography in 105 feline patients with signs of abdominal disease. The final diagnosis was determined more commonly with ultrasonography (59%) compared to radiography (25.7%). Ultrasonography was also able to provide additional clinically relevant information in 76% of cases, and changed or refined the diagnosis in 47% of cases. Based on these findings, ultrasonography may be sufficient as an initial diagnostic test for the investigation of feline abdominal disease. PMID:26483582

  4. [Differential diagnosis of abdominal pain].

    Science.gov (United States)

    Frei, Pascal

    2015-09-02

    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.

  5. 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.

  6. Rol del estado en los ensayos clínicos Role of government in clinical trials

    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.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

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

    International Nuclear Information System (INIS)

    Karmazyn, B.; Horev, G.; Kornreich, L.; Ash, S.; Goshen, Y.; Yaniv, I.

    2001-01-01

    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.)

  8. 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.

  9. Estrategias de información, sensibilización y desarrollo de capacidadespara la gestión del Turismo Rural. Caso San Francisco Oxtotilpan, Estado de México.

    OpenAIRE

    González Domínguez, Irais

    2015-01-01

    El pueblo Matlazinca es uno de los grupos indígenas del país que mayor desintegración ha sufrido desde la época de la Conquista hasta la actualidad, de haber sido un grupo que ocupaba un amplio territorio en la época prehispánica, el correspondiente a los actuales estados de Michoacán, Guerrero y México, se ha reducido a una sola comunidad: San Francisco Oxtotilpan, ubicada en el municipio de Temascaltepec, Estado de México. Actualmente, los pobladores de la comunidad matlazinca de San Fr...

  10. Abdominal wall blocks in adults

    DEFF Research Database (Denmark)

    Børglum, Jens; Gögenür, Ismail; Bendtsen, Thomas F

    2016-01-01

    been introduced with success. Future research should also investigate the effect of specific abdominal wall blocks on neuroendocrine and inflammatory stress response after surgery.  Summary USG abdominal wall blocks in adults are commonplace techniques today. Most abdominal wall blocks are assigned......Purpose of review Abdominal wall blocks in adults have evolved much during the last decade; that is, particularly with the introduction of ultrasound-guided (USG) blocks. This review highlights recent advances of block techniques within this field and proposes directions for future research.......  Recent findings Ultrasound guidance is now considered the golden standard for abdominal wall blocks in adults, even though some landmark-based blocks are still being investigated. The efficiency of USG transversus abdominis plane blocks in relation to many surgical procedures involving the abdominal wall...

  11. Excesso de peso e adiposidade central em adultos de Teresina-PI Overweight and abdominal fat in adult population of Teresina, PI

    Directory of Open Access Journals (Sweden)

    Lorena Guimarães Martins Holanda

    2011-02-01

    Full Text Available OBJETIVO: Determinar a prevalência de excesso de peso e adiposidade abdominal em adultos residentes na zona urbana da cidade de Teresina-PI. MÉTODOS: Estudo transversal com amostra probabilística por conglomerados. Foram avaliados 464 adultos, entre 20 e 59 anos, residentes na zona urbana do município de Teresina-PI. O estado nutricional foi classificado com base no Índice de Massa Corporal (IMC, e o acúmulo de gordura abdominal foi estimado pela medida da circunferência da cintura. O nível de significância foi estabelecido em 5% (pOBJECTIVE: To determine prevalence of overweight and abdominal fat in adult population in the urban area of Teresina-PI. METHODS: Cross-sectional study with probabilistic sample by conglomerates. The study evaluated 464 adults, 20 to 59 years of age living in the urban area of Teresina-PI. Nutritional status was classified by the body mass index (BMI and abdominal fat accumulation was estimated according to waist circumference. The significance level was set at 5% (p<0.05. RESULTS: Prevalence of overweight and obesity according to nutritional status based on BMI was, respectively, 30.0% and 7.7%. There was an increase in the proportion of overweight and obesity among men with progressively higher family income. Highest rates of obesity were found among individuals 50 to 59 years of age with stable marriages and nonsmokers. No association was found between individual or family income and presence of abdominal fat in the population. CONCLUSION: Prevalence of overweight in the study population follows the Brazilian trend. Proportions of overweight and obesity were higher among men and increased with age. Women and married persons showed a greater tendency for abdominal obesity.

  12. Síndrome de compartimento abdominal durante pinçamento por via endoscópica de perfuração intestinal secundária à colonoscopia Síndrome de compartimiento abdominal durante pinzamiento por vía endoscópica de perforación intestinal secundaria a la colonoscopia Abdominal compartment syndrome during endoscopic clamping of an intestinal perforation secondary to colonoscopy

    Directory of Open Access Journals (Sweden)

    Magda Lourenço Fernandes

    2009-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A colonoscopia é um exame muito utilizado nos dias atuais para diagnóstico, tratamento e controle de doenças intestinais. A perfuração intestinal, embora rara, é a mais temida complicação deste exame. A correção da perfuração pode ser feita através do uso de clipes posicionados por via endoscópica. O objetivo deste relato de caso foi alertar os especialistas para a ocorrência e o tratamento de síndrome de compartimento abdominal durante pinçamento endoscópio de perfuração intestinal secundário à colonoscopia. RELATO DO CASO: Paciente do sexo feminino, 60 anos, estado físico ASA II, submetida à colonoscopia sob sedação. Durante o exame constatou-se perfuração acidental do intestino e optou-se por tentar pinçar a perfuração por via endoscópica. A paciente evoluiu então com dor e distensão abdominal, pneumoperitônio, síndrome de compartimento abdominal, dispnéia e instabilidade cardiovascular. Realizou-se punção abdominal de emergência, o que determinou a melhora clínica da paciente até que laparotomia de urgência fosse realizada. Após laparotomia exploradora e sutura da perfuração a paciente evoluiu clinicamente bem. CONCLUSÕES: O pinçamento por via endoscópica de perfuração intestinal secundária à colonoscopia pode contribuir para a formação de pneumoperitônio hipertensivo e síndrome de compartimento abdominal, com repercussões clínicas graves que exigem tratamento imediato. Profissionais capacitados e recursos técnicos adequados podem ser fatores determinantes do prognóstico do paciente.JUSTIFICATIVA Y OBJETIVOS: La colonoscopia es un examen utilizado muy a menudo en la actualidad para el diagnóstico, tratamiento y el control de las enfermedades intestinales. La perforación intestinal, aunque sea rara, es la más temida complicación de ese examen. La corrección de la perforación puede ser hecha a través del uso de clips introducidos por vía endosc

  13. Dynamic CT in the abdominal organ, 2. Dynamics in the abdominal malignancies

    Energy Technology Data Exchange (ETDEWEB)

    Fukuda, K [Jikei Univ., Tokyo (Japan). School of Medicine

    1980-03-01

    The potential role of the abdominal dynamic CT in malignant tumors was evaluated. Among total of 112 cases dynamically studied included were, 22 cases of abdominal malignancies, renal cell carcinoma in 7, hepatocellular carcinoma in 7, metastatic liver tumor in 5, renal pelvic carcinoma in 2, and pancreatic cystadenocarcinoma in one. The results led to the following advantages of the abdominal dynamic CT over conventional CT. (1) The tumor thrombus and the lymphnode involvement could be better demonstrated. (2) The tumor vessels and the tumor stain could be depicted. (3) The extent of the tumor in the parenchyma could be better appreciated. The more invasive catheter angiography would likely to be replaced by the abdominal dynamic CT in the selected case.

  14. Responsabilidad del Estado por la privación injusta de la libertad

    Directory of Open Access Journals (Sweden)

    Ricardo Hoyos Duque

    2006-01-01

    Full Text Available Analizando la jurisprudencia del Consejo de Estado en lo relacionado con la responsabilidad del Estado por la privación injusta de la libertad, encontramos que la Corporación ha adoptado tres clases de posiciones: La primera, que podemos considerar como subjetiva, en la que equipara esta forma de responsabilidad con el error judicial y el defectuoso funcionamiento de la administración de justicia, pues exige una conducta fallida de la administración de justicia y la presencia de una decisión judicial abiertamente contraria a derecho, como requisitos necesarios para que surja la responsabilidad patrimonial del Estado por prisión provisional injusta. La segunda, que podemos llamar objetiva, sujeta esta forma de responsabilidad, en cuanto a la conducta imputada, a que la persona que ha sido privada de la libertad y que posteriormente ha sido liberada como consecuencia de una decisión de autoridad competente, ésta haya sido fundada en alguna de las causales que contempla el Art. 414 del Decreto Ley 2700 de 1991 (anterior C.P.P, es decir, en que el hecho no ocurrió, o no le es imputable o que no constituyó conducta punible, sin necesidad de valorar la conducta del funcionario judicial y de comprobar si la misma fue errada, ilegal, arbitraria o injusta. La tercera, posición actual de la Corporación, fundamenta la responsabilidad del Estado por privación injusta de la libertad en lo reglado por el artículo 90 de la Constitución Política, esto es, que el Estado es patrimonialmente responsable por los daños antijurídicos que le sean imputables, de manera que si un sujeto es privado de la libertad en desarrollo de una investigación penal y posteriormente es liberado mediante providencia judicial en la que se resuelve desvincularlo del proceso penal, los daños que demuestre y que se deriven de la detención deben serle indemnizados, toda vez que no estaba en el deber de soportarlos.

  15. Abdominal elephantiasis: a case report.

    Science.gov (United States)

    Hanna, Dominique; Cloutier, Richard; Lapointe, Roch; Desgagné, Antoine

    2004-01-01

    Elephantiasis is a well-known condition in dermatology usually affecting the legs and external genitalia. It is characterized by chronic inflammation and obstruction of the lymphatic channels and by hypertrophy of the skin and subcutaneous tissues. The etiology is either idiopathic or caused by a variety of conditions such as chronic filarial disease, leprosy, leishmaniasis, and chronic recurrent cellulites. Elephantiasis of the abdominal wall is very rare. A complete review of the English and French literature showed only two cases reported in 1966 and 1973, respectively. We report a third case of abdominal elephantiasis and we briefly review this entity. We present the case of a 51-year-old woman who had progressively developed an enormous pediculated abdominal mass hanging down her knees. The skin was thickened, hyperpigmented, and fissured. She had a history of multiple abdominal cellulites. She underwent an abdominal lipectomy. Histopathology of the specimen confirmed the diagnosis of abdominal elephantiasis. Abdominal elephantiasis is a rare disease that represents end-stage failure of lymph drainage. Lipectomy should be considered in the management of this condition.

  16. Comparison of changes in tidal volume associated with expiratory rib cage compression and expiratory abdominal compression in patients on prolonged mechanical ventilation.

    Science.gov (United States)

    Morino, Akira; Shida, Masahiro; Tanaka, Masashi; Sato, Kimihiro; Seko, Toshiaki; Ito, Shunsuke; Ogawa, Shunichi; Takahashi, Naoaki

    2015-07-01

    [Purpose] This study was designed to compare and clarify the relationship between expiratory rib cage compression and expiratory abdominal compression in patients on prolonged mechanical ventilation, with a focus on tidal volume. [Subjects and Methods] The subjects were 18 patients on prolonged mechanical ventilation, who had undergone tracheostomy. Each patient received expiratory rib cage compression and expiratory abdominal compression; the order of implementation was randomized. Subjects were positioned in a 30° lateral recumbent position, and a 2-kgf compression was applied. For expiratory rib cage compression, the rib cage was compressed unilaterally; for expiratory abdominal compression, the area directly above the navel was compressed. Tidal volume values were the actual measured values divided by body weight. [Results] Tidal volume values were as follows: at rest, 7.2 ± 1.7 mL/kg; during expiratory rib cage compression, 8.3 ± 2.1 mL/kg; during expiratory abdominal compression, 9.1 ± 2.2 mL/kg. There was a significant difference between the tidal volume during expiratory abdominal compression and that at rest. The tidal volume in expiratory rib cage compression was strongly correlated with that in expiratory abdominal compression. [Conclusion] These results indicate that expiratory abdominal compression may be an effective alternative to the manual breathing assist procedure.

  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. Dramaturgia femenina fin de siglo. Estado de la cuestión

    Directory of Open Access Journals (Sweden)

    Serrano, Virtudes

    2004-04-01

    Full Text Available La intención de estas páginas se centra en componer el panorama de la expresión pública de la incorporación de la mujer a la escritura y la práctica de la dirección de escena desde la década de los ochenta del siglo XX hasta el momento actual. Traemos a colación algunos de los hitos que desde 1983 van sirviendo para establecer el estado de la cuestión de una dramaturgia que, a las dificultades que conlleva un género como el dramático, a caballo entre la literatura y el espectáculo; entre el arte y la empresa, añade la de estar realizado por mujeres, a quienes les supone un mayor esfuerzo que a los hombres el ser reconocidas y valoradas. Así lo manifestaban las autoras en 1984 y en el mismo sentido se expresan las actuales representantes de los últimos colectivos aparecidos en la escena española.…

  19. Intra-abdominal tuberculous peritonitis

    International Nuclear Information System (INIS)

    Schneider, G.; Ahlhelm, F.; Altmeyer, K.; Kramann, B.; Hennes, P.; Pueschel, W.; Karadiakos, N.

    2001-01-01

    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. 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.)

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

    International Nuclear Information System (INIS)

    Watanabe, Shinsuke; Ishii, Takashi; Kuwata, Katsuya; Yoneyama, Chihiro; Kitamura, Kazuya; Sasaki, Yoshifumi; Kamachi, Masahiro; Nishiguchi, Hiroyasu.

    1986-01-01

    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)

  2. ¿Cuánto le cuesta al Estado un proceso judicial?

    Directory of Open Access Journals (Sweden)

    Luis M. Prada Bernal

    1997-12-01

    Full Text Available En este artículo el autor presenta una metodología para calcular los costos para el Estado de un juzgado y de un proceso judicial. Se analizan los resultados encontrados en un trabajo de campo que incluyó casos reales en las áreas de atención penal, laboral, de familia, civil y de menores, y se presenta un modelo para costear procesos judiciales tipo. Además, el artículo contiene cuadros y gráficas que facilitan su comprensión. El costo de un proceso judicial está conformado por los costos del despacho, del Tribunal Superior y de la Corte Suprema de Justicia, de acuerdo con el trámite surtido, y por los costos de otras instituciones del Estado relacionadas que apoyan el servicio de justicia, como la Fiscalía General de la Nación, el Instituto Colombiano de Bienestar Familiar, ICBF, el Instituto Nacional Penitenciario y Carcelario, INPEC, la Policía Metropolitana, la Procuraduría General de la Nación y el Instituto de Medicina Legal. El modelo determina el costo para el Estado de un proceso tipo y está elaborado para la situación actual y para un juzgado civil del circuito de Santafé de Bogotá. Por ello, no es de aplicación general. Es necesario validarlo en varios juzgados y bajo condiciones logísticas y tecnológicas diferentes. Además, el modelo plantea una metodología que, bien implementada, podría generar indicadores válidos para evaluar la gestión de funcionarios, empleados y despachos judiciales.

  3. Abdominal epilepsy

    International Nuclear Information System (INIS)

    Hasan, N.; Razzaq, A.

    2004-01-01

    Abdominal epilepsy (AE) is a rather uncommon clinical entity in children that might create diagnostic confusion especially when it lacks the typical manifestations of an epileptic seizure. We report the case of a young boy having apparently unexplained episodes of paroxysmal abdominal symptoms with no other suggestion of an underlying epileptic disorder. The case also explains how the clinical presentation can be misleading unless a high index of suspicion is maintained to reach the ultimate diagnosis. (author)

  4. 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.

  5. 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.

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

    Directory of Open Access Journals (Sweden)

    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. Abdominal wall hernias: computed tomography findings

    International Nuclear Information System (INIS)

    D'Ippolito, Giuseppe; Rosas, George de Queiroz; Mota, Marcos Alexandre; Akisue, Sandra R. Tsukada; Galvao Filho, Mario de Melo.

    2005-01-01

    Abdominal hernias are a common clinical problem Clinical diagnosis of abdominal hernias can sometimes be challenging, particularly in obese patients or patients with previous abdominal surgery. CT scan of the abdomen allows visualization of hernias and their contents and the differentiation from other masses of the abdominal wall such as tumors, hematomas and abscesses. Moreover, CT may identify complications such as incarceration, bowel obstruction, volvulus and strangulation. This study illustrates the CT scan findings observed in different types of abdominal wall hernias. (author)

  8. Da Vinci-assisted abdominal cerclage.

    Science.gov (United States)

    Barmat, Larry; Glaser, Gretchen; Davis, George; Craparo, Frank

    2007-11-01

    To report the first placement of an abdominal cervicoisthmic cerclage using the da Vinci robot. Case report. Tertiary-care hospital. A 39-year-old female with a history of cervical insufficiency who required a cerclage and was not a candidate for transvaginal cerclage placement. Abdominal cervicoisthmic cerclage placement using the da Vinci robot. Ability to safely and successfully place an abdominal cerclage using the da Vinci robot. Abdominal cerclage was successfully placed using the da Vinci robot. The patient had minimal blood loss and was discharged to home on the same day as surgery. Da Vinci robot-assisted abdominal cerclage placement is an innovative application of robotic surgery and may alter the standard of care for women who require this surgery.

  9. Functional abdominal pain.

    Science.gov (United States)

    Grover, Madhusudan; Drossman, Douglas A

    2010-10-01

    Functional abdominal pain syndrome (FAPS) is a relatively less common functional gastrointestinal (GI) disorder defined by the presence of constant or frequently recurring abdominal pain that is not associated with eating, change in bowel habits, or menstrual periods (Drossman Gastroenterology 130:1377-1390, 2006), which points to a more centrally targeted (spinal and supraspinal) basis for the symptoms. However, FAPS is frequently confused with irritable bowel syndrome and other functional GI disorders in which abdominal pain is associated with eating and bowel movements. FAPS also differs from chronic abdominal pain associated with entities such as chronic pancreatitis or chronic inflammatory bowel disease, in which the pain is associated with peripherally acting factors (eg, gut inflammation or injury). Given the central contribution to the pain experience, concomitant psychosocial disturbances are common and strongly influence the clinical expression of FAPS, which also by definition is associated with loss of daily functioning. These factors make it critical to use a biopsychosocial construct to understand and manage FAPS, because gut-directed treatments are usually not successful in managing this condition.

  10. Childhood abdominal cystic lymphangioma

    International Nuclear Information System (INIS)

    Konen, Osnat; Rathaus, Valeria; Shapiro, Myra; Dlugy, Elena; Freud, Enrique; Kessler, Ada; Horev, Gadi

    2002-01-01

    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. Conclusions: US

  11. 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

  12. Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain

    International Nuclear Information System (INIS)

    Randen, Adrienne van; Lameris, Wytze; Nio, C.Y.; Spijkerboer, Anje M.; Meier, Mark A.; Tutein Nolthenius, Charlotte; Smithuis, Frank; Stoker, Jaap; Bossuyt, Patrick M.; Boermeester, Marja A.

    2009-01-01

    The level of inter-observer agreement of abdominal computed tomography (CT) in unselected patients presenting with acute abdominal pain at the Emergency Department (ED) was evaluated. Two hundred consecutive patients with acute abdominal pain were prospectively included. Multi-slice CT was performed in all patients with intravenous contrast medium only. Three radiologists independently read all CT examinations. They recorded specific radiological features and a final diagnosis on a case record form. We calculated the proportion of agreement and kappa values, for overall, urgent and frequently occurring diagnoses. The mean age of the evaluated patients was 46 years (range 19-94), of which 54% were women. Overall agreement on diagnoses was good, with a median kappa of 0.66. Kappa values for specific urgent diagnoses were excellent, with median kappa values of 0.84, 0.90 and 0.81, for appendicitis, diverticulitis and bowel obstruction, respectively. Abdominal CT has good inter-observer agreement in unselected patients with acute abdominal pain at the ED, with excellent agreement for specific urgent diagnoses as diverticulitis and appendicitis. (orig.)

  13. Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain

    Energy Technology Data Exchange (ETDEWEB)

    Randen, Adrienne van [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); Academic Medical Center, Amsterdam (Netherlands); Lameris, Wytze [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); Nio, C.Y.; Spijkerboer, Anje M.; Meier, Mark A.; Tutein Nolthenius, Charlotte; Smithuis, Frank; Stoker, Jaap [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Bossuyt, Patrick M. [University of Amsterdam, Department of Clinical Epidemiology, Biostatistics, and Bioinformatics, Academic Medical Center, Amsterdam (Netherlands); Boermeester, Marja A. [University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands)

    2009-06-15

    The level of inter-observer agreement of abdominal computed tomography (CT) in unselected patients presenting with acute abdominal pain at the Emergency Department (ED) was evaluated. Two hundred consecutive patients with acute abdominal pain were prospectively included. Multi-slice CT was performed in all patients with intravenous contrast medium only. Three radiologists independently read all CT examinations. They recorded specific radiological features and a final diagnosis on a case record form. We calculated the proportion of agreement and kappa values, for overall, urgent and frequently occurring diagnoses. The mean age of the evaluated patients was 46 years (range 19-94), of which 54% were women. Overall agreement on diagnoses was good, with a median kappa of 0.66. Kappa values for specific urgent diagnoses were excellent, with median kappa values of 0.84, 0.90 and 0.81, for appendicitis, diverticulitis and bowel obstruction, respectively. Abdominal CT has good inter-observer agreement in unselected patients with acute abdominal pain at the ED, with excellent agreement for specific urgent diagnoses as diverticulitis and appendicitis. (orig.)

  14. Abdominal emergencies

    International Nuclear Information System (INIS)

    Raissaki, M.

    2012-01-01

    Full text: There are numerous conditions that affect mainly or exclusively the pediatric population. These constitute true emergencies, related to patient's health. Delay in diagnosis and treatment of abdominal non-traumatic emergencies may result in rapid deterioration, peritonitis, sepsis, even death or in severe complications with subsequent morbidity. Abdominal emergencies in children mostly present with pain, tenderness, occasionally coupled by vomiting, fever, abdominal distension, and failure to pass meconium or stools. Diarrhea, blood per rectum, abnormal laboratory tests and lethargy may also be manifestations of acute abdominal conditions. Abdominal emergencies have a different aetiology, depending on age and whether the pain is acute or chronic. Symptoms have to be matched with age and gender. Newborns up to 1 months of age may have congenital diseases: atresia, low obstruction including Hirschsprung's disease, meconium ileus. Meconium plug is one of the commonest cause of low obstruction in newborns that may also develop necrotizing enterocolitis, incarcerated inguinal hernia and mid-gut volvulus. Past the immediate postnatal period, any duodenal obstruction should be considered midgut volvulus until proven otherwise and patients should undergo ultrasonography and/or properly performed upper GI contrast study that records the exact position of the deduno-jejunal junction. Infants 6 months-2 years carry the risk of intussusception, mid-gut volvulus, perforation, acute pyelonephritis. Preschool and school-aged children 2-12 years carry the risk of appendicitis, genito-urinary abnormalities including torsion, urachal abnormalities, haemolytic uremic syndrome and Henoch-Schonlein purpura. Children above 12 years suffer from the same conditions as in adults. Most conditions may affect any age despite age predilection. Abdominal solid organ ultrasonography (US) coupled with gastrointestinal ultrasonography is the principle imaging modality in radiosensitive

  15. 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...

  16. ATIVISMO JUDICIAL E ESTADO DE DIREITO

    Directory of Open Access Journals (Sweden)

    Carlos Eduardo Dieder Reverbel

    2009-04-01

    Full Text Available O presente trabalho insere-se na Teoria do Estado e no Direito Constitucional. Parte da natural sociabilidade do humano para demonstrar que o Estado de Direito nasce para servir a pessoa, e esta abdica parte de sua liberdade em prol de um convívio harmônico e pacífico dentro da sociedade. Delimita, mesmo que não desenvolva, o que entende ser os princípios de Estado de Direito. Após, insere o estudo dentro das duas principais famílias de direito: common law e romano-germânica; apresentando o princípío prevalente em cada uma delas: legalidade e processualidade. Desenvolve distinção de McILWIAN entre  jurisdictio y gubernaculum, pois o Estado de Direito só pode ser aquele que delimite e proteja uma área restrita à  Política, e uma área restrita ao  Direito. Por fim, antes da conclusão e da bibliografia, mostramos  os  entraves que o  ativismo judicial  – inclusive colacionando jurisprudências – tem gerado para o florescimento de um Estado de Direito racional.

  17. Laparoscopic management of abdominal cocoon

    Directory of Open Access Journals (Sweden)

    Makam Ramesh

    2008-01-01

    Full Text Available "Peritonitis fibrosa incapsulata", first described in 1907, is a condition characterized by encasement of the bowel with a thick fibrous membrane. This condition was renamed as "abdominal cocoon" in 1978. It presents as small bowel obstruction clinically. 35 cases of abdominal cocoon have been reported in the literature over the last three decades. Abdominal cocoon is more common in adolescent girls from tropical countries. Various etiologies have been described, including tubercular. It is treated surgically by releasing the entrapped bowel. We report a laparoscopic experience of tubercular abdominal cocoon and review the literature.

  18. Abdominal Aortic Aneurysm (AAA)

    Science.gov (United States)

    ... Professions Site Index A-Z Abdominal Aortic Aneurysm (AAA) Abdominal aortic aneurysm (AAA) occurs when atherosclerosis or plaque buildup causes the ... weak and bulge outward like a balloon. An AAA develops slowly over time and has few noticeable ...

  19. 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. Copyright © 2016 SERAM. Published by Elsevier España, S.L.U. All rights reserved.

  20. Decadencia del estado de cambios en la posición financiera

    Directory of Open Access Journals (Sweden)

    Diego Ramírez Cardona

    1996-12-01

    Full Text Available Este artículo presenta una descripción de la evolución del estado de cambios en la situación financiera como estado financiero básico en Colombia. Analiza y confronta las normas técnicas de revelación de este estado financiero con las del estado financiero básico, armonizándolas con las normas internacionales. Establece la dualidad de las normas técnicas de revelación entre estado de cambios en la situación financiera y el estado de flujos de efectivo, determinando la duplicidad de estos estados financieros básicos reglamentados en Colombia. Recomienda la eliminación del estado de cambios en la situación financiera como estado financiero básico.

  1. Abdominal tuberculosis: Imaging features

    International Nuclear Information System (INIS)

    Pereira, Jose M.; Madureira, Antonio J.; Vieira, Alberto; Ramos, Isabel

    2005-01-01

    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

  2. LA INCIDENCIA DEL CONCEPTO ESTADO DE DERECHO Y ESTADO SOCIAL DE DERECHO EN LA INDEPENDENCIA JUDICIAL

    Directory of Open Access Journals (Sweden)

    Luisa Fernanda García Lozano

    2011-01-01

    Full Text Available El siguiente artículo tiene como objetivo realizar un análisis de la incidencia del tipo de Estado en la independencia judicial. En la primera parte, se aborda de forma integral el concepto de Estado de derecho haciendo énfasis en las características históricas y neoinstitucionales que han sido el fundamento de imposición en los últimos años. En la segunda parte, se estudia la trasformación del paradigma jurídico colombiano con su consagración en un Estado Social de Derecho, sus alcances en el campo constitucional y, la necesidad de realizar un estudio específico de este tema.

  3. Trabalho em turnos: estado geral de saúde relacionado ao sono em trabalhadores de enfermagem Trabajo por turnos: estado general de salud relacionado al sueño de trabajadores de enfermería Shift work: overall health state related to sleep in nursing workers

    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.Se objetivó identificar síntomas referentes al estado general de salud asociado al trabajo por turnos de enfermería y relacionarlos con la calidad del sueño. Realizado en Hospital de la Hermandad de Santa Casa de Poços de Caldas, estado de Minas Gerais. Participaron (n=136 profesionales de enfermería, con media etaria de 33,1 años, divididos en las categorías: enfermero 8,1%, técnico de enfermería 80,9%, auxiliar de enfermería 11,0% de turnos diurno y nocturno. Los síntomas de salud se identificaron mediante Inventario General de Salud y la calidad de sueño se evaluó por Diario del Sueño. Datos estadísticamente significativos según test Chi-Cuadrado (p=0,021 para presencia del síntoma de flatulencia o distensión abdominal en turno nocturno. Mediante análisis de regresión lineal múltiple, los sujetos del turno diurno que presentaban síntomas de mala digestión (eventualmente o siempre e irritabilidad (siempre

  4. Estado, Estado de Derecho y Violencia Armada en Colombia (2000-2011

    Directory of Open Access Journals (Sweden)

    Jerónimo Ríos Sierra

    2013-03-01

    Full Text Available Para la superación sostenible de la violencia armada en Colombia, con o sin negociaciones, la noción de “paz positiva” es imprescindible. El  éxito militar muestra su precariedad frente al necesario fortalecimiento del Estado de Derecho en un escenario de urgencias sociales, políticas y económicas. Durante la última década, tanto la Política de Seguridad Democrática como el Plan Colombia han priorizado el fortalecimiento del Estado en términos de seguridad, control territorial y fortaleza militar. Ello se debe a la idea de concebir la superación de la violencia armada en términos de ausencia de conflicto.Problemas tales como inequidad social, pobreza, parapolítica, connivencias de sectores políticos y del Estado con narcotráfico y actores armados, persistencia de la violencia guerrillera, paramilitarismo creciente, violaciones a los Derechos Humanos (DDHH y el Derecho Internacional Humanitario (DIH y/o desplazamiento forzado, tal y como se pondrá de manifiesto, persisten como desafíos por superar, más allá de la seguridad, si se pretende aspirar a una verdadera consecución de la paz en Colombia.

  5. Evaluación del estado sucesional de un bosque subtropical de quebradas en el norte de Uruguay

    Directory of Open Access Journals (Sweden)

    Grela Iván A.

    2003-01-01

    Full Text Available Con el objetivo de determinar el estado sucesional de una formación forestal subtropical luego de haber sido explotada selectivamente con fines madereros, se comparó la estructura actual de la misma con la de una zona contigua que no fue explotada y que se tomó como testigo. Para la comparación se tuvieron en cuenta los siguientes parámetros fitosociológicos: dominancia, abundancia (densidad, frecuencia e índice de valor de importancia. El número especies detectadas fue treinta en la zona en sucesión y veinticuatro en la testigo, y el indice de similitud de Czekanowski entre ambas de 0.83. De las diez especies más importantes en cada zona, siete son compartidas y poseen valores de importancia similares. De acuerdo a los diferentes análisis efectuados se concluye que la comunidad estudiada cuenta con el potencial para regenerase y retornar a su estado de evolución anterior.

  6. Blunt abdominal trauma in children.

    Science.gov (United States)

    Schonfeld, Deborah; Lee, Lois K

    2012-06-01

    This review will examine the current evidence regarding pediatric blunt abdominal trauma and the physical exam findings, laboratory values, and radiographic imaging associated with the diagnosis of intra-abdominal injuries (IAI), as well as review the current literature on pediatric hollow viscus injuries and emergency department disposition after diagnosis. The importance of the seat belt sign on physical examination and screening laboratory data remains controversial, although screening hepatic enzymes are recommended in the evaluation of nonaccidental trauma to identify occult abdominal organ injuries. Focused Assessment with Sonography for Trauma (FAST) has modest sensitivity for hemoperitoneum and IAI in the pediatric trauma patient. Patients with concern for undiagnosed IAI, including bowel injury, may be considered for hospital admission and serial abdominal exams without an increased risk of complications, if an exploratory laparotomy is not performed emergently. Although the FAST exam is not recommended as the sole screening tool to rule out IAI in hemodynamically stable trauma patients, it may be used in conjunction with the physical exam and laboratory findings to identify children at risk for IAI. Children with a normal physical exam and normal abdominal CT may not require routine hospitalization after blunt abdominal trauma.

  7. Acomodación abdominal: Fisiopatología de la Distensión Abdominal

    OpenAIRE

    Villoria Ferrer, Albert

    2011-01-01

    La distensión abdominal es una alteración clínica frecuente en la población general y en especial en los pacientes afectos de trastornos funcionales digestivos donde se manifiesta de una manera más intensa. El volumen de la cavidad abdominal presenta variaciones fisiológicas en respuesta a la ingesta de alimentos, el llenado vesical o la evacuación rectal. Nuestros datos indican que cuando se realiza un incremento del volumen abdominal de forma experimental en sujetos sanos mediante la infusi...

  8. Estado e controle nas prisões

    Directory of Open Access Journals (Sweden)

    Analía Soria Batista

    Full Text Available Este artigo analisa o problema da produção do controle e da ordem em prisões brasileiras, utilizando as perspectivas histórica e sociológica, e levanta a hipóteses de que, no Brasil, convivem duas modalidades de construção da ordem e do controle nas prisões. Uma delas, minoritária, baseia-se na prerrogativa do Estado na gestão do dia a dia prisional. A outra é relativa à negociação da pacificação do presídio entre o Estado e as lideranças dos presos. Embora, no primeiro caso, a prerrogativa do Estado possa ser vinculada às condições institucionais adequadas e, no segundo (negociação entre o estado e as lideranças dos presos às condições precárias dos presídios, como superlotação, número reduzido de agentes penitenciários, entre outros, a análise apontou que ambas as modalidades traduzem formas de relacionamentos e interações sociais historicamente produzidas entre o Estado e a sociedade, que remetem à fundação da República, recriadas através do habitus dos atores sociais, não se restringindo exclusivamente ao espaço social das prisões.

  9. 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.

  10. Validity of a new abdominal bioelectrical impedance device to measure abdominal and visceral fat: comparison with MRI

    OpenAIRE

    Browning, Lucy M; Mugridge, Owen; Chatfield, Mark; Dixon, Adrian; Aitken, Sri; Joubert, Ilse; Prentice, Andrew M.; Jebb, Susan A

    2010-01-01

    Abdominal fat, and in particular, visceral adipose tissue (VAT), is the critical fat depot associated with metabolic aberrations. At present VAT can only be accurately measured by computed tomography (CT) or magnetic resonance imaging (MRI). This study was designed to compare a new abdominal bioelectrical impedance device against total abdominal adipose tissue (TAAT) and VAT area measurements made from an abdominal MRI scan, and to assess it’s reliability and accuracy.

  11. 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

    INTRODUCTION: Evidence for the effect of post-operative abdominal binders on post-operative pain, seroma formation, physical function, pulmonary function and increased intra-abdominal pressure among patients after surgery remains largely un-investigated. METHODS: A systematic review was conducted...... formation and physical function. RESULTS: A total of 50 publications were identified; 42 publications were excluded leaving eight publications counting a total of 578 patients for analysis. Generally, the scientific quality of the studies was poor. Use of abdominal binder revealed a non-significant tendency...... to reduce seroma formation after laparoscopic ventral herniotomy and a non-significant reduction in pain. Physical function was improved, whereas evidence supports a beneficial effect on psychological distress after open abdominal surgery. Evidence also supports that intra-abdominal pressure increases...

  12. Estado Actual Ateroesclerosis, Hiperlipidemias y Diabetes

    Directory of Open Access Journals (Sweden)

    Efraim Otero Ruiz

    1989-12-01

    Full Text Available

    Ponentes: Profesionales Asociación Colombiana de Diabetes.
    Coordinador y Comentarista Académico Dr. Efraín Otero Ruiz

    Introducción
    Mario Sánchez-Medina, M.D.

    El problema del colesterol y su implicación con la ateroesclerosis ha sido preocupación de científicos, trece de ellos merecedores del Premio Nobel. Desde su aislamiento en 1784, investigadores de áreas diversas de la medicina han estudiado esta pequeñísima molécula que tiene a su vez, 30 enzimas involucradas en su metabolismo. La propiedad más interesante es su absoluta insolubilidad en agua que lo hace letal en su efectos. Organismos multicelulares realizan el transporte de la molécula esterificando el esterol en cadenas de ácidos grasos y empaquetando estos ésteres dentro de núcleos hidrofóbicos que son las lipoproteínas del plasma.

    La identificación en 1938 por Carl Müller de la hipertrigliceridemia familiar, permitió demostrar en 1970 la evidencia de dos formas, la heterocigótica y la homocigótica severa. Culminan las investigaciones con los hallazgos de Goldstein y Brown acreedores del Nobel de Medicina 1985, quienes gracias al hallazgo pionero en el cultivo de fibroblastos, establecen el papel enzimático en la biosíntesis del colesterol, secuencian los receptores a nivel molecular y caracterizan el genoma. Así se establece la acción aterogénica de las lipoproteínas de baja densidad.

    En un esfuerzo del grupo médico de la Asociación Colombiana de Diabetes (ACD, de actualizar el concepto y los resultados de los recientes descubrimientos farmacológicos de los inhibidores de la HMG CoA reductasa, he querido que mentes jóvenes que están trabajando como docentes, residentes e internos de nuestra institución, dentro del plan de integración con la Universidad Javeriana traigan a ustedes, señores Académicos un mensaje sumamente conciso, tratando de hacerlo lo más sencillo en su comprensión y práctico en sus aplicaciones. Es un esfuerzo que hacen estos jóvenes de llegar al estrado de la máxima autoridad médica del país para demostrar que conocen en profundidad el tema y que por ello quieren presentarlo, mediante la lujosa y honrosa coordinación del Dr. Efraím Otero Ruiz, quien a su vez será el comentarista de esta sencilla presentación...

  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. IMPLANTE COCLEAR. ESTADO ACTUAL Y FUTURO

    Directory of Open Access Journals (Sweden)

    Dr. Ángel Ramos-Macías

    2016-11-01

    Probablemente queden aspectos por ver, pero en este apartado podremos recoger los aspectos más importantes de la técnica que ha revolucionado no solo la otorrinolaringología como especialidad, sino la forma de abordar un problema médico, social y comunicativo del ser humano.

  15. Lateral abdominal muscle size at rest and during abdominal drawing-in manoeuvre in healthy adolescents.

    Science.gov (United States)

    Linek, Pawel; Saulicz, Edward; Wolny, Tomasz; Myśliwiec, Andrzej; Kokosz, Mirosław

    2015-02-01

    Lateral abdominal wall muscles in children and adolescents have not been characterised to date. In the present report, we examined the reliability of the ultrasound measurement and thickness of the oblique external muscle (OE), oblique internal muscle (OI) and transverse abdominal muscle (TrA) at rest and during abdominal drawing-in manoeuvre (ADIM) on both sides of the body in healthy adolescents. We also determined possible differences between boys and girls and defined any factors-such as body mass, height and BMI-that may affect the thickness of the abdominal muscles. B-mode ultrasound was used to assess OE, OI and TrA on both sides of the body in the supine position. Ultrasound measurements at rest and during ADIM were reliable in this age group (ICC3,3 > 0.92). OI was always the thickest and TrA the thinnest muscle on both sides of the body. In this group, an identical pattern of the contribution of the individual muscles to the structure of the lateral abdominal wall (OI > OE > TrA) was observed. At rest and during ADIM, no statistically significant side-to-side differences were demonstrated in either gender. The body mass constitutes between 30% and <50% of the thickness differences in all muscles under examination at rest and during ADIM. The structure of lateral abdominal wall in adolescents is similar to that of adults. During ADIM, the abdominal muscles in adolescents react similarly to those in adults. This study provided extensive information regarding the structure of the lateral abdominal wall in healthy adolescents. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Aportaciones del Alumnado al estado actual de la calidad de la docencia en Anatomía

    Directory of Open Access Journals (Sweden)

    J. A. Prada

    Full Text Available Con el presente trabajo nos hemos planteado el desarrollo de un sistema de recogida de información acerca de las expectativas y valencias en la docencia universitaria en los alumnos. Para ello hemos diseñado una encuesta específica donde se analizan los aspectos concretos que intervienen en el aprendizaje de la Anatomía, así como el valor subjetivo que el Alumno aporta a los mismos. De los resultados obtenidos hemos extraído el concepto de "Calidad referida" que es aquella que perciben los Alumnos. Los factores que los Alumnos piensan que dan Calidad a la enseñanza, como receptores finales del sistema, difieren de los aspectos contextuales que las actuales encuestas estudian. Consideramos que las opiniones del Alumnado no quedan suficientemente expuestas en la redacción actual de las encuestas, a pesar de que suponen un poderoso elemento de retroalimentación en la mejora de la calidad. Sobre la base de nuestro criterio de "Calidad referida" los Alumnos definen más claramente los aspectos relevantes que afectan al aprendizaje. Para ello pensamos que las encuestas deben ser específicas bajo las peculiaridades de cada área de conocimiento. Los resultados de dichas encuestas probablemente serían más útiles para los Docentes, a los que aportaría un conocimiento cierto de las expectativas del Alumnado.

  17. Intra-abdominal pressure during swimming.

    Science.gov (United States)

    Moriyama, S; Ogita, F; Huang, Z; Kurobe, K; Nagira, A; Tanaka, T; Takahashi, H; Hirano, Y

    2014-02-01

    The present study aimed to determine the intra-abdominal pressure during front crawl swimming at different velocities in competitive swimmers and to clarify the relationships between stroke indices and changes in intra-abdominal pressure. The subjects were 7 highly trained competitive collegiate male swimmers. Intra-abdominal pressure was measured during front crawl swimming at 1.0, 1.2 and 1.4 m · s(-1) and during the Valsalva maneuver. Intra-abdominal pressure was taken as the difference between minimum and maximum values, and the mean of 6 stable front crawl stroke cycles was used. Stroke rate and stroke length were also measured as stroke indices. There were significant differences in stroke rate among all velocities (P pressure and stroke rate or stroke length (P pressure and stroke indices when controlling for swimming velocity. These findings do not appear to support the effectiveness of trunk training performed by competitive swimmers aimed at increasing intra-abdominal pressure. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Migración y trabajo en Estados Unidos. Polarización ocupacional y racialización de la desigualdad social en la postcrisis

    Directory of Open Access Journals (Sweden)

    Alejandro Canales

    Full Text Available Resumen Analizamos la inserción laboral de los migrantes latinoamericanos en los Estados Unidos en un escenario postcrisis. Nuestra tesis es que la dinámica laboral en ese país está configurada por dos procesos estructurales: i la polarización de la estructura de las ocupaciones, y ii la racialización de la estructura de clases y la desigualdad social. Si bien el racismo y la discriminación étnica desde siempre han formado parte de la estructura social de los Estados Unidos, lo relevante en la época actual es la dimensión y magnitud que ellos alcanzan, así como las tendencias que se estiman para las próximas décadas.

  19. La Reforma del Estado y la Social democracia

    OpenAIRE

    Cárdenas, Manuel José

    2000-01-01

    En este artículo el autor sostiene que la gran tarea política de esta primera década del siglo XXI es la reconstrucción del Estado colombiano. Destaca que cuando existe una crisis importante en el sistema político su origen debe buscarse en el Estado o en el mercado. La Depresión del año 30 se produjo por un mal funcionamiento del mercado y la gran crisis de los años 80 por el colapso del Estado. Esta crisis en realidad comprendió varias crisis: fiscal, del modelo de intervención del Estado e...

  20. Abdominal tuberculosis. On-going challenge to gastroenterologists

    International Nuclear Information System (INIS)

    Ibrahim, Mahgoub; Osuba, Abimbola

    2005-01-01

    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

  1. Increased pressure within the abdominal compartment: intra-abdominal hypertension and the abdominal compartment syndrome.

    Science.gov (United States)

    Roberts, Derek J; Ball, Chad G; Kirkpatrick, Andrew W

    2016-04-01

    This article reviews recent developments related to intra-abdominal hypertension (IAH)/abdominal compartment syndrome (ACS) and clinical practice guidelines published in 2013. IAH/ACS often develops because of the acute intestinal distress syndrome. Although the incidence of postinjury ACS is decreasing, IAH remains common and associated with significant morbidity and mortality among critically ill/injured patients. Many risk factors for IAH include those findings suggested to be indications for use of damage control surgery in trauma patients. Medical management strategies for IAH/ACS include sedation/analgesia, neuromuscular blocking and prokinetic agents, enteral decompression tubes, interventions that decrease fluid balance, and percutaneous catheter drainage. IAH/ACS may be prevented in patients undergoing laparotomy by leaving the abdomen open where appropriate. If ACS cannot be prevented with medical or surgical management strategies or treated with percutaneous catheter drainage, guidelines recommend urgent decompressive laparotomy. Use of negative pressure peritoneal therapy for temporary closure of the open abdomen may improve the systemic inflammatory response and patient-important outcomes. In the last 15 years, investigators have better clarified the pathogenesis, epidemiology, diagnosis, and appropriate prevention of IAH/ACS. Subsequent study should be aimed at understanding which treatments effectively lower intra-abdominal pressure and whether these treatments ultimately affect patient-important outcomes.

  2. CT of abdominal abscesses

    International Nuclear Information System (INIS)

    Korobkin, M.T.

    1987-01-01

    The imaging search for a suspected abdominal abscess is common in hospitalized patients, especially after recent abdominal surgery. This paper examines the role of CT in the detection, localization, and treatment of abdominal abscess. The accuracy, limitations, and technical aspects of CT in this clinical setting are discussed. The diagnosis of an abscess is based on the demonstration of a circumscribed abnormal fluid collection. Although percutaneous aspiration with gram stain and culture is usually indicated to differentiate abscess from other fluid collections, the CT-based detection of extraluminal gas bubbles makes the diagnosis of an abscess highly likely. CT is compared with conventional radiographic studies, US, and radio-nuclide imaging. Specific CT and clinical features of abscesses in the following sites are emphasized: subphrenic space, liver, pancreas, kidneys, psoas muscle, appendix, and colonic diverticula. Most abdominal abscesses can be successfully treated with percutaneous drainage techniques. The techniques, results, and limitations of percutaneous abscess drainage are reviewed

  3. Brasil y el hemisferio occidental: América del Sur y los Estados Unidos como puntos de referencia de la política exterior brasileña

    Directory of Open Access Journals (Sweden)

    Peter Birle

    2014-06-01

    Full Text Available Este artículo analiza los modelos que sigue la política exterior brasileña en su contexto actual de desarrollo económico y crecimiento internacional, que son, fundamentalmente, los países de América del Sur y los Estados Unidos de América.

  4. 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.

  5. OS ARQUITETOS DA INDEPENDÊNCIA: O CONSELHO DE ESTADO E A CONSTRUÇÃO DE UM ESTADO NACIONAL BRASILEIRO (1822-1834

    Directory of Open Access Journals (Sweden)

    Walter Guandalini Jr.

    2014-01-01

    Full Text Available El artículo pretende comprender la actuación del Consejo de Estado en la construcción de un Estado nacional brasilero, desde su formación como Consejo General de Procuradores Generales de las Provincias del Brasil (1822-1823, pasando por su consolidación constitucional como Consejo de Estado (1823-1831, hasta su decadencia y extinción en el inicio de la Regencia (1831-1834. La investigación desea contribuir a la solución de la cuestión referente al papel desempeñado por el Consejo de Estado en el Brasil: al contrario de lo que afirma la doctrina brasilera del derecho administrativo, la institución no cumple funciones jurídicas, limitándose al trabajo de constitución de una estructura política para el nuevo Estado naciente.

  6. 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......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 penicillin treatment gave a good result....

  7. Acute appendicitis after blunt abdominal trauma

    Directory of Open Access Journals (Sweden)

    Marjan Joudi

    2012-02-01

    Full Text Available Appendecitis is one of the most frequent surgeries. Inflammation of appendix may be due to variable causes such as fecalit, hypertrophy of Peyer’s plaques, seeds of fruits and parasites. In this study we presented an uncommon type of appendicitis which occurred after abdominal blunt trauma. In this article three children present who involved acute appendicitis after blunt abdominal trauma. These patients were 2 boys (5 and 6-year-old and one girl (8-year-old who after blunt abdominal trauma admitted to the hospital with abdominal pain and symptoms of acute abdomen and appendectomy had been done for them.Trauma can induce intramural hematoma at appendix process and may cause appendicitis. Therefore, physicians should be aware of appendicitis after blunt abdominal trauma

  8. 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%.

  9. Abdominal imaging findings in gastrointestinal basidiobolomycosis.

    Science.gov (United States)

    Flicek, Kristina T; Vikram, Holenarasipur R; De Petris, Giovanni D; Johnson, C Daniel

    2015-02-01

    To describe the abdominal imaging findings of patients with gastrointestinal Basidiobolus ranarum infection. A literature search was performed to compile the abdominal imaging findings of all reported worldwide cases of gastrointestinal basidiobolomycosis (GIB). In addition, a retrospective review at our institution was performed to identify GIB cases that had imaging findings. A radiologist aware of the diagnosis reviewed the imaging findings in detail. Additional information was obtained from the medical records. A total of 73 GIB cases have been published in the medical literature. The most common abdominal imaging findings were masses in the colon, the liver, or multiple sites and bowel wall thickening. Initially, many patients were considered to have either a neoplasm or Crohn disease. We identified 7 proven cases of GIB at our institution, of which 4 had imaging studies (4 computed tomography [CT] examinations, 4 abdominal radiographs, and an upper gastrointestinal study). Imaging studies showed abnormalities in all 4 cases. Three-fourths of our study patients had an abdominal mass at CT. Two of 3 masses involved the kidneys and included urinary obstruction. All masses showed an inflammatory component with adjacent soft tissue stranding, with or without abscess formation. Radiologists should consider GIB when a patient from an arid climate presents with abdominal pain, weight loss, and an inflammatory abdominal mass on CT. Abdominal masses of the colon or liver, bowel wall thickening, and abscesses are the most common imaging findings.

  10. LA NATURALEZA CONTRADICTORIA DEL ESTADO MEXICANO

    Directory of Open Access Journals (Sweden)

    Carlos Báez Silva

    2002-01-01

    Full Text Available En el artículo se aborda el tema de la naturaleza del Estado mexicano, partiendo de la teoría de la contradicción del Estado capitalista adaptada al caso nacional. Se critican las posiciones tradicionales y se sostiene que la contradicción esencial del Estado en México consistió en su labor modernizadora mediante prácticas autoritarias, puesto que se institucionalizó la incertidumbre, entendido esto no como el desconocimiento del nombre del ganador de un proceso electoral preestablecido, sino como el uso y abuso de la discrecionalidad con que se gobernaba en México, la cual se convirtió en una verdadera institución, en el sentido económico del término.

  11. Una company town dividida entre la frontera de México y Estados Unidos: Revalorización de los primeros trazados industriales de Mexicali y Calexico 1902

    Directory of Open Access Journals (Sweden)

    Enrique Esteban Gómez Cavazos

    2016-12-01

    Full Text Available Este artículo nos acerca al origen urbano de las ciudades de Mexicali y Calexico que comparten frontera entre México y Estados Unidos. La ciudad del lado mexicano, Mexicali, estuvo en sus inicios más conectada a Estados Unidos que a México. Se buscan los trazados originales de las compañías urbanizadoras y como la llegada del ferrocarril y los complejos sistemas de irrigación desde el Río Colorado dan inicio al crecimiento urbano del Valle Imperial en Estados Unidos y al Valle de Mexicali en México. Se destaca la importancia de las edificaciones pioneras del centro urbano y lo poco que queda de las construcciones industriales, defendiendo la hipótesis de que este territorio se ordena diferente al resto del país y que el patrimonio industrial actual puede ser relevante en la transformación de la ciudad en base a su identidad.

  12. Abdominal imaging in AIDS patients

    International Nuclear Information System (INIS)

    Zhao Dawei; Wang Wei; Yuan Chunwang; Jia Cuiyu; Zhao Xuan; Zhang Tong; Ma Daqing

    2007-01-01

    Objective: To evaluate abdominal imaging in AIDS. Methods: The imaging examinations (including US, CT and MR) of 6 patients with AIDS associated abdominal foci were analysed retrospectively. All the cases were performed US, and CT scan, of which 4 performed enhanced CT scan and 1 with MR. Results: Abdominal tuberculosis were found in 4 patients, including abdominal lymph nodes tuberculosis (3 cases) and pancreatic tuberculosis (1 case). The imaging of lymph nodes tuberculosis typically showed enlarged peripheral tim enhancement with central low-attenuation on contrast-enhanced CT. Pancreatic tuberculosis demonstrated low-attenuation area in pancreatic head and slightly peripheral enhancement. Disseminated Kaposi's sarcoma was seen in 1 case: CT and MRI scan demonstrated tumour infiltrated along hepatic portal vein and bronchovascular bundles. Pelvic tumor was observed in 1 case: CT scan showed large mass with thick and irregular wall and central low attenuation liquefacient necrotic area in the pelvic cavity. Conclusion: The imaging findings of AIDS with abdominal foci is extraordinarily helpful to the diagnosis of such disease. Tissue biopsy is needed to confirm the diagnosis. (authors)

  13. [Diagnostic imaging and acute abdominal pain].

    Science.gov (United States)

    Liljekvist, Mads Svane; Pommergaard, Hans-Christian; Burcharth, Jakob; Rosenberg, Jacob

    2015-01-19

    Acute abdominal pain is a common clinical condition. Clinical signs and symptoms can be difficult to interpret, and diagnostic imaging may help to identify intra-abdominal disease. Conventional X-ray, ultrasound (US) and computed tomography (CT) of the abdomen vary in usability between common surgical causes of acute abdominal pain. Overall, conventional X-ray cannot confidently diagnose or rule out disease. US and CT are equally trustworthy for most diseases. US with subsequent CT may enhance diagnostic precision. Magnetic resonance seems promising for future use in acute abdominal imaging.

  14. An??lisis de los estados financieros de distribuidoras minoristas de alimentaci??n = Analysis of the financial statements of food retailers

    OpenAIRE

    Ant??n Mieres, Pablo

    2015-01-01

    El presente trabajo consta de un an??lisis comparativo de los estados financieros de dos empresas pertenecientes al sector de la distribuci??n minorista de alimentaci??n, tales como Mercadona e Hipercor, siendo la primera representativa del formato supermercado e Hipercor como representante del formato hipermercado. Con dicho an??lisis se pretende aportar informaci??n sobre la evoluci??n y actual situaci??n econ??mico-financiera de ambas empresas, as?? como ejemplificar la tendencia del se...

  15. Radiologic findings of abdominal wall endometriosis

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Jung Wook [Inje Univ. Ilsan Paik Hospital, Goyang (Korea, Republic of)

    2003-12-01

    To evaluate the imaging findings of abdominal wall endometriosis. In seven of 17 patients with surgically proven endometriosis of the abdominal wall, we retrospectively reviewed the findings of radiologic studies such as abdominal US (n=3), CT (n=4), and MRI (n=1). One patient under went more than one type of imaging, apparently. The surgical history of the seven, and their symptoms and preoperative diagnosis were reviewed, and the size, location, margin and nature of the mass, and the contrast enhancement patterns observed at radiologic studies, were assessed. The chief symptoms were palpable abdominal wall mass (n=5) and lower abdominal pain (n=2) around a surgical scar. Previous surgery included cesarean section (n=5), cesarean section with oophorectomy (n=1) and appendectomy (n=1). Masses were located in the subcutaneous fat layer (n=5) or rectus abdominis muscle (n=2), and their maximum diameter was 2.6 cm. Imaging findings, which correlated closely with the pathologic findings, included a well (n=5) or poorly marginated (n=2) solid mass, with a focal cystic area apparent in two cases. Although imaging findings of abdominal wall endometriosis may not be specific for diagnosis, the presence of a solid abdominal mass in female patients of reproductive age with a history of surgery is a diagnostic pointer.

  16. Radiologic findings of abdominal wall endometriosis

    International Nuclear Information System (INIS)

    Seo, Jung Wook

    2003-01-01

    To evaluate the imaging findings of abdominal wall endometriosis. In seven of 17 patients with surgically proven endometriosis of the abdominal wall, we retrospectively reviewed the findings of radiologic studies such as abdominal US (n=3), CT (n=4), and MRI (n=1). One patient under went more than one type of imaging, apparently. The surgical history of the seven, and their symptoms and preoperative diagnosis were reviewed, and the size, location, margin and nature of the mass, and the contrast enhancement patterns observed at radiologic studies, were assessed. The chief symptoms were palpable abdominal wall mass (n=5) and lower abdominal pain (n=2) around a surgical scar. Previous surgery included cesarean section (n=5), cesarean section with oophorectomy (n=1) and appendectomy (n=1). Masses were located in the subcutaneous fat layer (n=5) or rectus abdominis muscle (n=2), and their maximum diameter was 2.6 cm. Imaging findings, which correlated closely with the pathologic findings, included a well (n=5) or poorly marginated (n=2) solid mass, with a focal cystic area apparent in two cases. Although imaging findings of abdominal wall endometriosis may not be specific for diagnosis, the presence of a solid abdominal mass in female patients of reproductive age with a history of surgery is a diagnostic pointer

  17. 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

  18. Consecuencias del cuidado de personas con Trastorno del Espectro Autista sobre la salud de los cuidadores: estado actual de la cuestión

    OpenAIRE

    Ruiz Robledillo, Nicolás; Antón-Torres, P.; González Bono, Esperanza; Moya Albiol, Luis

    2012-01-01

    Los Trastornos del Espectro Autista (TEA) conforman un grupo de trastornos caracterizados por la aparición de problemas en la socialización, dificultades en la comunicación y el desarrollo de patrones e intereses restringidos. Esta sintomatología suele asociarse con diversos problemas de conducta, factores que han mostrado una gran relevancia a la hora de explicar las consecuencias del cuidado sobre el estado de salud de los cuidadores. Sin embargo, esta relación se ve modulada por diversas v...

  19. Estado actual y posibilidades futuras de la Psicología en cuatro paises del Caribe: Puerto Rico, Cuba, República Dominicana y Haití

    Directory of Open Access Journals (Sweden)

    Blanca Ortiz-Torres

    2013-01-01

    Full Text Available Actualmente la formación de Psicólogos/as enfrenta retos serios en muchos de los países del Caribe y América Latina. Entre estos me interesa destacar: el debate sobre educación pública vs. educación privada, el aparente excedente de profesionales de la Psicología en algunos de nuestros países y la contracción y/o privatización de programas gubernamentales que tiene como consecuencia, el desplazamiento de Psicólogos/as al sector privado o a actividades profesionales desvinculadas de la Psicología. Debo aclarar, estos no son meros “debates”, se trata más bien de la aprobación e implantación de políticas, que ya inciden sobre el acceso de determinados sectores a la educación de post-grado en Psicología y sobre las posibilidades de inserción en el mundo laboral de egresados de programas de post-grado, así como de programas de licenciatura. Veamos brevemente cuál es el estado actual, no sin antes sugerir revisar la edición especial de la Revista Interamericana de Psicología publicada en el año 2000 y editada por la Dra. Ana Isabel Álvarez en la que se discute y analiza la historia de la Psicología en el Caribe. Esa edición representa un trabajo valiosísimo para nuestra disciplina y es fundamental para entender el presente de la misma. Además debo advertir que en este trabajo sólo presentaré la situación en cuatro países: Puerto Rico, Cuba, República Dominicana y Haití, ya que son los países en los que sostengo vínculos profesionales, por lo que conozco por experiencia directa lo que en ellos ocurre en términos de la disciplina.

  20. Abdominal compartment syndrome with acute reperfusion syndrome

    International Nuclear Information System (INIS)

    Maleeva, A.

    2017-01-01

    Abdominal compartment syndrome was recognized clinically in the 19th century when Marey and Burt observed its association with declines in respiratory function. Abdominal compartment syndrome is first used as a medical terminology from Fietsman in a case of ruptured abdominal aortic aneurysm. A condition caused by abnormally increased pressure within the abdomen. Causes of abdominal compartment syndrome include trauma, surgery, or infection. Common symptoms: abdominal distension, fast heart rate, insufficient urine production, or low blood pressure Medical procedure: nasogastric intubation Surgery: laparotomy Specialists: radiologist, primary care provider (PCP), surgeon, and emergency medicine doctor [6, 10]. Keywords: Stomach. Gastroparesis . Diabetes Mellitus [bg

  1. Mechanical characterization of porcine abdominal organs.

    Science.gov (United States)

    Tamura, Atsutaka; Omori, Kiyoshi; Miki, Kazuo; Lee, Jong B; Yang, King H; King, Albert I

    2002-11-01

    Typical automotive related abdominal injuries occur due to contact with the rim of the steering wheel, seatbelt and armrest, however, the rate is less than in other body regions. When solid abdominal organs, such as the liver, kidneys and spleen are involved, the injury severity tends to be higher. Although sled and pendulum impact tests have been conducted using cadavers and animals, the mechanical properties and the tissue level injury tolerance of abdominal solid organs are not well characterized. These data are needed in the development of computer models, the improvement of current anthropometric test devices and the enhancement of our understanding of abdominal injury mechanisms. In this study, a series of experimental tests on solid abdominal organs was conducted using porcine liver, kidney and spleen specimens. Additionally, the injury tolerance of the solid organs was deduced from the experimental data.

  2. Experimental study of abdominal CT scanning exposal doses adjusted on the basis of pediatric abdominal perimeter

    International Nuclear Information System (INIS)

    Wei Wenzhou; Zhu Gongsheng; Zeng Lingyan; Yin Xianglin; Yang Fuwen; Liu Changsheng

    2006-01-01

    Objective: To optimize the abdominal helical CT scanning parameters in pediatric patients and to reduce its radiation hazards. Methods: 60 canines were evenly grouped into 4 groups on the basis of pediatric abdominal perimeter, scanned with 110,150,190 and 240 mAs, and their qualities of canine CT images were analyzed. 120 pediafric patients with clinic suspected abdominal diseases were divided into 4 groups on the basis of abdominal perimeter, scanned by optimal parameters and their image qualities were analyzed. Results: After CT exposure were reduced, the percentages of total A and B were 90.9 % and 92.0 % in experimental canines and in pediatric patients, respectively. Compared with conventional CT scanning, the exposure and single slice CT dose index weighted (CTDIw) were reduced to 45.8%-79.17%. Conclusion: By adjusted the pediatric helical CT parameters basedon the of pediatric abdominal perimeter, exposure of patient to the hazards of radiation is reduced. (authors)

  3. Superficie Específica y Estado Vital de la Materia

    Directory of Open Access Journals (Sweden)

    J. Hernando Ordoñez

    1992-03-01

    Full Text Available

    Se propone reemplazar el término de materia viva por el de estado vital de la materia por considerarlo adecuado, pues la materia es la misma, lo que cambia es su estado. Se estudia la relación entre la superficie específica y el estado vital de la materia. Constante del estado vital y el valor crítico de la superficie específica. Qué es la fuerza de inducción vital? Diferenciación funcional de las células. Cómo regula la unidad biológica su superficie específica? La materia que piensa es el fenómeno más grandioso de la creación.

    Sin entrar en disquisiciones sobre la naturaleza, manifestaciones y formas de la energía, me permito hacer unas a manera de divagaciones sobre los diferentes estados de la materia, que es una forma de la energía.

    Estados de la materia

    Sabemos que la mínima porción de la materia es el átomo, que tiene una composición compleja, que no es del caso estudiar. Los átomos pueden existir aislados y estar en lo que llamamos estado iónico. Si los átomos se juntan, forman moléculas, y su existencia constituye el estado molecular. Si las moléculas se juntan, forman complejos más grandes y tendremos las micelas, que constituyen el estado coloidal.

    Hasta aquí nuestros conocimientos nos son familiares, triviales. Pero hay un estado más complejo, en el cual entra materia en estado iónico, molecular y coloidal entrelazados entre sí, con propiedades totalmente diferentes. La materia en este estado adquiere caracteres extraordinarios tales como el de crecer, reproducirse, independizarse de las leyes físicas, puede autorregular su composición química, autorregular sus manifestaciones físicas, reaccionar ante los estímulos más variados, puede llegar hasta alturas inconcebibles integrando ideas. A este estado fue al que llamé en publicación anterior (1 estado vital, concepto que fue corroborado más ‘tarde por J.R. Brown (2 cuando me coment

  4. Children's (Pediatric) Abdominal Ultrasound Imaging

    Medline Plus

    Full Text Available ... particularly valuable for evaluating abdominal, pelvic or scrotal pain in children. Preparation will depend on the type ... help a physician determine the source of abdominal pain, such as gallstones, kidney stones, abscesses or an ...

  5. Abdominal epilepsy in a Nigerian child S

    African Journals Online (AJOL)

    Abdominal epilepsy is an exceptionally rare cause of abdominal pain that is more likely to ... We report on a child with episodic paroxysmal abdominal pain, accompanied by ... causes for the presenting complaints, work-up should proceed.

  6. 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...

  7. Recovery after abdominal wall reconstruction

    DEFF Research Database (Denmark)

    Jensen, Kristian Kiim

    2017-01-01

    Incisional hernia is a common long-term complication to abdominal surgery, occurring in more than 20% of all patients. Some of these hernias become giant and affect patients in several ways. This patient group often experiences pain, decreased perceived body image, and loss of physical function......, which results in a need for surgical repair of the giant hernia, known as abdominal wall reconstruction. In the current thesis, patients with a giant hernia were examined to achieve a better understanding of their physical and psychological function before and after abdominal wall reconstruction. Study...... was lacking. Study II was a case-control study of the effects of an enhanced recovery after surgery pathway for patients undergoing abdominal wall reconstruction for a giant hernia. Sixteen consecutive patients were included prospectively after the implementation of a new enhanced recovery after surgery...

  8. Abdominal angina

    International Nuclear Information System (INIS)

    Becker, G.J.; Stewart, J.; Holden, R.W.; Yune, H.Y.; Mail, J.T.; Klatte, E.C.

    1988-01-01

    Abdominal angina due to occlusive disease of the mesenteric arteries has been the to become clinically manifest only in the presence of severe disease in at least two of the following vessels: celiac, SMA, and IMA. Still, many patients who gradually develop significant two-vessel disease have few or no associated symptoms. Differences in collateral circulation and in cardiac index account for some of the clinical variation. The usual clinical manifestations include severe post-prandial pain, sitophobia (fear of eating because of the anticipated symptoms), and profound weight loss. Uncommonly, diarrhea, nausea, or vomiting may be encountered. Smoking is a common historical feature. Most series document a female predilection. Aside from occasional abdominal bruits and (more commonly) findings of peripheral vascular occlusive disease, the physical exam discloses only cachexia. But the differential diagnosis of profound weight loss is extensive. Therefore, abdominal angina has always created a diagnostic challenge. Multiple imaging modalities are often employed, and a seemingly negative evaluation often culminates in biplane aortography. The latter typically reveals stenoses and/or occlusions in at least two of the three mesenteric arteries. The authors discuss how a variety of surgical treatments, including thromboendarterectomy and bypass grafting, have evolved. Recently reported results have been excellent

  9. Radiographic evaluation of foals and ponies with abdominal disorders. 2. Findings in 60 patients with acute abdominal discomfort

    International Nuclear Information System (INIS)

    Gerhards, H.; Klein, H.J.; Offeney, F.

    1990-01-01

    A diagnostic approach based on clinical and radiographic examinations for evaluation of young foals and small ponies with acute abdominal discomfort is presented. Standing right to left lateral abdominal radiographs were taken of 54 foals and 6 ponies using a previously described technique. Interpretation of the radiographs was in conjuction with all clinical and laboratory findings and patient management. Using this approach, the site and cause of acute abdominal discomfort could be diagnosed accurately in 55 of 60 (91%) patients as confirmed by clinical, surgical or PM findings. Typical radiographs and photographs taken at surgery or at PM examination are presented. Typical radiographic findings, their interpretation and possible underlying gastrointestinal diseases are listed. It is concluded that the incorporation of standing lateral abdominal radiography in the clinical evaluation of foals and ponies with acute abdominal diseases gives findings of high diagnostic significance and should contribute to clinical decision-making, and that abdominal radiography can replace data from rectal palpation in foals and ponies

  10. La función tutorial de la Universidad en el actual contexto de la Educación Superior

    Directory of Open Access Journals (Sweden)

    Narciso GARCÍA NIETO

    2008-01-01

    Full Text Available La Convergencia Europea de Educación Superior supone unos cambios estructurales, metodológicos y técnicos muy importantes para la vida universitaria. La acción tutorial del profesorado universitario va a ser uno de los aspectos que será preciso readaptar y revitalizar. En el presente trabajo se define y justifica la tutoría como un quehacer relevante del profesor universitario. Se analizan, justifican y proponen las contribuciones y modelos de la tutoría en la Universidad, tomando como referencia y contextualizándolo en el espacio y el tiempo en el que se halla inmersa la Universidad actual, que no son otros que el Espacio Europeo de Educación Superior y la Sociedad del Conocimiento y de la Información. El rol tutorial que, de una u otra forma, siempre ha estado presente en la Universidad, es hoy especialmente demandado para responder a las nuevas necesidades y características del actual alumnado. Parece oportuno reflexionar sobre él subrayando toda su riqueza y significado en el actual contexto de la Educación Superior.

  11. La reacción penal del Estado frente al terrorismo transnacional = Criminal law and the State’s reaction to international terrorism

    Directory of Open Access Journals (Sweden)

    Mizrahi, Esteban

    2013-01-01

    Full Text Available El punto de partida de este artículo es la hipótesis de que la transformación contemporánea del papel del Estado en Occidente ha generado una reacción significativa en el derecho penal y esto condujo a una reformulación sustancial de teorías de la pena para explicar la aparición de nuevos delitos. El trabajo está articulado de la siguiente manera: En primer lugar se analiza la relación moderna entre seguridad ciudadana, Estado y pena para mostrar cómo la crisis contemporánea de la soberanía estatal expresa la necesidad de un nuevo marco teórico para explicar la relación entre estos términos (I. En segundo lugar se presenta el modelo desarrollado por Niklas Luhmann para esclarecer el papel del derecho en las sociedades complejas y los desarrollos penales específicos propuestos por Günther Jakobs desde un enfoque funcionalista (II. En tercer lugar se discute el tratamiento del terrorismo transnacional como un fenómeno que permite evaluar tanto los presupuestos como los límites del derecho penal en los actuales estados democráticos de derecho (III. Por último, a modo de conclusión, se ofrecen algunas respuestas tentativas a la cuestión de los límites y presupuestos de la reacción penal del Estado (IV

  12. El papel de los comités Pro-Estado en la creación del estado de Baja California

    Directory of Open Access Journals (Sweden)

    Lawrence Douglas Taylor

    1999-01-01

    Full Text Available El artículo trata del papel de los Comités Pro-Estado en la formación de Baja California como estado. Se analizan las raíces de la autonomía política en la península, que se remontan al Porfiriato, así como el impacto de la Revolución Mexicana sobre este proceso. Se examinan los diversos movimientos pro- estado que surgieron de 1929 en adelante la composición de sus grupos de integrantes, sus objetivos y contribuciones principales en términos de dirigir el sentimiento popular hacia la realización de esta meta.

  13. La Reforma del Estado y la Social democracia

    Directory of Open Access Journals (Sweden)

    Manuel José Cárdenas

    2010-03-01

    Full Text Available En este artículo el autor sostiene que la gran tarea política de esta primera década del siglo XXI es la reconstrucción del Estado colombiano. Destaca que cuando existe una crisis Importante en el sistema político su origen debe buscarse en el Estado o en el mercado. La Depresión del año 30 se produjo por un mal funcionamiento del mercado y la Gran Crisis de los años 80 por el colapso del Estado. Esta crisis en realidad comprendió varias crisis: fiscal, el modelo de intervención del Estado en lo económico y en lo social y en la forma burocrática de la administración del Estado. Las reformas económicas orientadas al mercado fueron la respuesta a la necesidad de tener un Estado mínimo y de dar más libertad a las fuerzas del mercado. Con este propósito se expidió la Constitución Política de 1991 y se realizaron reformas en la mayoría de los campos económicos y sociales.  Ante el hecho de que estas reformas no han sido plenamente satisfactorias y que el Estado no ha podido recuperar su papel de agente del desarrollo, estando en la práctica paralizado, en su concepto no se requiere una nueva reforma constitucional salvo aspectos muy puntuales como las transferencias territoriales, la gran reforma que debe hacerse debe  ser de carácter administrativo para recuperar la gobernanza, aumentar la gobemab1hdad y fortalecer la capacidad de promoción del Estado. En el artículo se explican en detalle las acciones que deberían realizarse para llevar a la práctica ca a uno de estos tres conceptos. Todo ello para alcanzar un Estado social­ liberal, Social porque debe seguir protegiendo los derechos sociales y promoviendo el desarrollo económico. Liberal porque debe usar más los controles del mercado y menos los controles administrativos, para lo cual debe descentralizarse la acción estatal fortalecerse lo merca  s de trabajo con la capacitación de los recursos humanos fomentarse la 1nnovacwn, el conocimiento y la competitividad.

  14. Estado de exceção em Giorgio Agamben

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    Evandro Pontel

    2017-02-01

    Full Text Available Esta reflexão aborda o estado de exceção enquanto necessidade à existência do direito e como realidade que emerge sempre mais e tende a ser tornar, por fim, regra nas sociedades atuais. Não mais excepcional, mas o padrão de atuação dos Estados que está se generalizando e se misturando com o que era o seu oposto, o estado de direito. Nesta perspectiva, o estado de exceção como paradigma de governo repercute no modo como o direito internacional regula o uso da força pelos Estados. Nesse sentido, a positivação dos princípios da soberania e não-intervenção confere e reforça a autonomia dos governos na condução de seus atos. Da mesma forma, em nome da defesa dos interesses nacionais há um enfraquecimento de iniciativas de cooperação entre os Estados. Frente a estas questões a abordagem agambeniana lança luzes no que tange ao Estado, à política e ao direito, justamente focando as estruturas que legitimam a violência, a arbitrariedade e a suspensão dos direitos, em nome da segurança, a serviço da concentração de poder e de uma lógica de domínio.

  15. SOBRE O ESTADO DE NATUREZA E O ESTADO CIVIL: UM DIÁLOGO ENTRE THOMAS HOBBES E IMMANUEL KANT

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    Andreza Barreto Leitão

    2010-08-01

    Full Text Available No presente trabalho, busca-se trazer à luz as relações entre Estado, Sociedade Civil e garantias de liberdade tendo em vista a evolução do pensamento político a esse respeito. Para tanto, tomou-se como parâmetro a passagem do estado de natureza ao estado civil segundo as concepções de Thomas Hobbes e de Immanuel Kant, levando-se em consideração as influências e os respectivos contextos históricos em que os arcabouços teóricos de cada autor foram erigidos. O primeiro deles veria tal passagem como fruto de um cálculo interessado, o segundo, como resultado de um dever-ser.

  16. Abdominal Pain

    Science.gov (United States)

    ... I find more information and related topics? Functional Abdominal Pain (English, French or Spanish)—from The North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN). Gastro Kids , a ...

  17. Evaluation of Forty-Nine Patients with Abdominal Tuberculosis

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    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.

  18. A Newborn With Abdominal Pain.

    Science.gov (United States)

    Alwan, Riham; Drake, Meredith; Gurria Juarez, Juan; Emery, Kathleen H; Shaaban, Aimen F; Szabo, Sara; Sobolewski, Brad

    2017-11-01

    A previously healthy 3-week-old boy presented with 5 hours of marked fussiness, abdominal distention, and poor feeding. He was afebrile and well perfused. His examination was remarkable for localized abdominal tenderness and distention. He was referred to the emergency department in which an abdominal radiograph revealed gaseous distention of the bowel with a paucity of gas in the pelvis. Complete blood cell count and urinalysis were unremarkable. His ongoing fussiness and abnormal physical examination prompted consultation with surgery and radiology. Our combined efforts ultimately established an unexpected diagnosis. Copyright © 2017 by the American Academy of Pediatrics.

  19. Neoliberalismo socioeconômico e mutações jurídicas do Estado moderno: o Estado Plurinacional boliviano

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    Martinho Martins Botelho

    2016-02-01

    Full Text Available O objetivo do presente artigo é analisar as recentes modificações no ordenamento jurídico constitucional boliviano, no que tange à institucionalização do Estado Plurinacional, criado a partir do diálogo maior entre a democracia cultural, o direito e as instituições econômicas. Em 2009, fora aprovada a Constituição Política do Estado Plurinacional de Bolívia, depois de manifestação por meio de referendo. O legado da nova Constituição Política boliviana reside no desligamento com o antigo regime mais corporativista e voltado para a difusão de um ideal neoliberal socioeconômico.  A compreensão da nova categoria constitucional poderá contribuir para o levantamento de elementos que possibilitem a compreensão de novas mutações constitucionais e intervenções jurídicas na sociedade do século XXI. O presente artigo busca refletir sobre a recente crise do Estado boliviano e na institucionalização do Estado Plurinacional como uma demanda social para a superação das ideias neoliberais.

  20. Acute abdomen in children due to extra-abdominal causes.

    Science.gov (United States)

    Tsalkidis, Aggelos; Gardikis, Stefanos; Cassimos, Dimitrios; Kambouri, Katerina; Tsalkidou, Evanthia; Deftereos, Savas; Chatzimichael, Athanasios

    2008-06-01

    Acute abdominal pain in children is a common cause for referral to the emergency room and for subsequent hospitalization to pediatric medical or surgical departments. There are rare occasions when the abdominal pain is derived from extra-abdominal organs or systems. The aim of the present study was to establish the most common extra-abdominal causes of acute abdominal pain. The notes of all children (1 month-14 years of age) examined for acute abdominal pain in the Accident and Emergency (A&E) Department of Alexandroupolis District University Hospital in January 2001-December 2005 were analyzed retrospectively. Demographic data, clinical signs and symptoms, and laboratory findings were recorded, as well as the final diagnosis and outcome. Of a total number of 28 124 children who were brought to the A&E department, in 1731 the main complaint was acute abdominal pain. In 51 children their symptoms had an extra-abdominal cause, the most frequent being pneumonia (n = 15), tonsillitis (n = 10), otitis media (n = 9), and acute leukemia (n = 5). Both abdominal and extra-abdominal causes should be considered by a pediatrician who is confronted with a child with acute abdominal pain.

  1. Automated segmentation and recognition of abdominal wall muscles in X-ray torso CT images and its application in abdominal CAD

    International Nuclear Information System (INIS)

    Zhou, X.; Kamiya, N.; Hara, T.; Fujita, H.; Chen, H.; Yokoyama, R.; Hoshi, H.

    2007-01-01

    The information of abdominal wall is very important for the planning of surgical operation and abdominal organ recognition. In research fields of computer assisted radiology and surgery and computer-aided diagnosis, the segmentation and recognition of the abdominal wall muscles in CT images is a necessary pre-processing step. Due to the complexity of the abdominal wall structure and indistinctive in CT images, the automated segmentation of abdominal wall muscles is a difficult issue and has not been solved completely. We propose an approach to segment the abdominal wall muscles and divide it into three categories (front abdominal muscles including rectus abdominis; left and right side abdominal muscles including external oblique, internal oblique and transversus abdominis muscles) automatically. The approach, first, makes an initial classification of bone, fat, and muscles and organs based on the CT number. Then a layer structure is generated to describe the 3-D anatomical structures of human torso by stretching the torso region onto a thin-plate for easy recognition. The abdominal wall muscles are recognized on the layer structures using the spatial relations to the skeletal structure and CT numbers. Finally, the recognized regions are mapped back to the 3-D CT images using an inverse transformation of the stretching process. This method is applied to 20 cases of torso CT images and evaluations are based on visual comparison of the recognition results and the original CT images by an expert in anatomy. The results show that our approach can segment and recognize abdominal wall muscle regions effectively. (orig.)

  2. [Clinical Approach to Abdominal Pain as Functional Origin].

    Science.gov (United States)

    Ryu, Han Seung; Choi, Suck Chei

    2018-02-25

    Abdominal pain is a common symptom that patients refer to a hospital. Organic causes should be differentiated in patients with abdominal pain and treatment should be administered in accordance with the causes. A meticulous history taking and physical examination are highly useful in making a diagnosis, and blood tests, imaging modalities, and endoscopy are useful for confirming diagnosis. However, in many cases, patients have functional disorders with no obvious abnormal findings obtained even if many diagnostic tests are performed. Patients with functional disorders usually complain the vague abdominal pain located in the center and other portions of the abdominal area. Although the most representative disease is irritable bowel syndrome, functional abdominal pain syndrome is currently researched as a new disease entity of functional abdominal pain. As various receptors related to functional abdominal pain have been discovered, drugs associated with those receptors are used to treat the disorders, and additional new drugs are vigorously developed. In addition, medical therapy with pharmacological or non-pharmacological psychiatric treatment is effective for treating functional abdominal pain.

  3. De los Estados fallidos a los Estados frágiles: un reto para el Derecho internacional contemporáneo [RECENSIÓN

    OpenAIRE

    Ortiz-Hernández, E. (Eimys)

    2013-01-01

    Recensión de Garciandía Garmendia, R., De los Estados fallidos a los Estados frágiles: un reto para el Derecho internacional contemporáneo Ed. Comares, Granada, 2013, 294 pp. (ISBN: 978-84-9045-054-3)

  4. Estado social de derecho o estado de opinión: dilema sin resolver en América Latina

    Directory of Open Access Journals (Sweden)

    Orlando José Cadrazco Salcedo

    2010-01-01

    Full Text Available Resumen:El alcance del Estado Social de Derecho no se circunscribe solamente a su terminología ni a lo etimológico desu traducción, todo por el contrario se da en las relaciones que deben marcar el comportamiento del Estado frentea los conciudadanos que lo integran y se refuerza con el principio de la Dignidad Humana, lo que había venidosiendo tratado desde la Revolución Francesa pero que ahora cobra mayor vigencia, dada la alta concentracióndel garantismo que sobre los derechos de los individuos deben preservar los Estados frente al conglomeradosocial. En el Estado de Opinión si bien existen unas normas, estas se van acomodando diariamente según elquerer del Gobernante de turno y lo que prima no es el apego o cumplimiento de las normas, sino la manipulaciónque el o los Gobernantes de turno hacen de la opinión pública a través de los medios masivos de comunicacióny el manejo de las encuestas de opinión que sirven para catapultar o enterrar un gobernante o un período deGobierno en un estado determinado.Palabras Claves:Estado Social de Derecho, Estado de Opinión, Gobierno, Democracia, Constitución, Población, Encuestas,Medios de Comunicación, Derechos Sociales.Abstract:The scope of the rule of law is not limited to terminology or the etymology of its translation, on the contrary,everything is in relationships that should mark the conduct of the State against the citizens in it and is strengthenedby the principles of human dignity, which had been treated since the French Revolution, but now becomes moreeffective, given the high concentration of the guarantors of the rights of individuals to preserve the front of thesocial conglomerate. In the state of opinion, although there are rules, they will want to accommodate the daily asthe ruler of the day and what the attachment is no premium or compliance, but the handling or the rulers of themake-shift public opinion through the mass media and the handling of the polls used to bury a

  5. Orientación laboral y técnica ofertada a los estudiantes sordos del Estado de Jalisco, México

    OpenAIRE

    Moreno Vite, Itzel

    2017-01-01

    [spa] Se trata de un estudio mixto de cinco años de investigación en los centros de educación especial que imparten los talleres de formación laboral (TFL) a estudiantes sordos en el Estado de Jalisco (México). El objetivo principal es analizar la situación actual de los TFL dirigidos a los estudiantes sordos y realizar posibles propuestas para su optimización. Seleccionamos una muestra de setenta participantes. Metodológicamente aplicamos cuestionarios basados en el marco de referencia...

  6. Prevalência e fatores associados à obesidade abdominal em adolescentes Prevalencia y factores asociados a la obesidad abdominal en adolescentes Prevalence of abdominal obesity and associated factors in adolescents

    Directory of Open Access Journals (Sweden)

    Marcelo Romanzini

    2011-12-01

    Full Text Available OBJETIVO: Verificar a prevalência de obesidade abdominal e sua associação com fatores demográficos, econômicos e estilo de vida em adolescentes. MÉTODOS: Estudo transversal conduzido em 644 adolescentes (397 do sexo feminino e 247 do masculino, de 15 a 19 anos. Foram coletadas informações demográficas (sexo e idade, econômicas (nível econômico e comportamentais (atividade física, alimentação, tabagismo e etilismo. A obesidade abdominal (desfecho foi determinada com base em pontos de corte para a circunferência de cintura, específicos ao sexo e à idade. A análise multivariada foi realizada por meio de regressão logística, estimando-se Odds Ratios (OR brutas e ajustadas, com intervalo de confiança de 95%. RESULTADOS: A prevalência de obesidade abdominal foi de 7,5%. Adolescentes do sexo masculino (OR 2,34; IC95% 1,27-4,32, de nível econômico intermediário (OR 2,89; IC95% 1,35-6,19 e alto (OR 2,98; IC95% 1,31-6,77 e que consumiam bebida alcoólica de forma abusiva (OR 2,12; IC95% 1,10-4,09 apresentaram maior chance de possuírem obesidade abdominal. CONCLUSÕES: A prevalência de obesidade abdominal foi baixa em comparação aos estudos internacionais. Ademais, encontrou-se que o sexo, o nível econômico e o consumo abusivo de álcool se associaram à obesidade abdominal.OBJETIVO: Verificar la prevalencia de obesidad abdominal y su asociación con factores demográficos, económicos y estilo de vida en adolescentes. MÉTODOS: Estudio transversal conducido en 644 adolescentes (397 del sexo masculino y 247 del femenino de 15 a 18 años. Se recogieron informaciones demográficas (sexo, edad, económicas (nivel económico y comportamentales (actividad física, alimentación, tabaquismo, alcoholismo. La obesidad abdominal (desfecho fue determinada con base en puntos de corte para la circunferencia de la cintura, específicos al sexo y la edad. El análisis multivariado se realizó mediante regresión logística, estimando

  7. Síntesis del estado del conocimiento del ciclo de carbono en ecosistemas boscosos de los Estados Unidos

    Science.gov (United States)

    Michael G. Ryan; Mark E. Harmon; Richard A. Birdsey; Christian P. Giardina; Linda S. Heath; Richard A. Houghton; Robert B. Jackson; Duncan C. McKinley; James F. Morrison; Brian C. Murray; Diane E. Pataki; Kenneth E. Skog

    2010-01-01

    Los bosques juegan un papel central en el ciclo de carbono de los Estados Unidos y global. El secuestro de carbono de los bosques de los Estados Unidos, a través de su crecimiento y la cosecha de productos madereros, compensa en la actualidad entre un 12 y un 19% de las emisiones de carbono asociadas al uso de combustible fósil de dicho país. El ciclo natural de un...

  8. Las reformas del Estado, de las políticas sociales y de salud: Un balance del final del milenio

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    Gerschman Silvia

    1999-01-01

    Full Text Available El presente trabajo se propone reflexionar sobre las reformas de los sistemas de salud y de políticas sociales en el marco de las así llamadas reformas del Estado. Com esta finalidad, se busca como punto de partida condensar distintas visiones explicativas de la crisis del Estado de Bienestar, presentes en la bibliografía produzida en la década de los 90. En el corazón de la crisis, las políticas sociales se encuentran profundamente cuestionadas. Lo que pretendemos mostrar es que este argumento posee una función específica, que es la de introducir mudanzas de carácter neoliberal en la política económica y para las cuales los instrumentos económicos utilizados van a generar la abstención del Estado en el plano social, la desregulación de las economías nacionales en favor del libre mercado y, fundamentalmente, el papel sobredimensionado del mercado financiero internacional. En este contexto, son analizadas las reformas de la seguridad social y de los sistemas de salud. La última parte del trabajo tuvo por objetivo enfrentar las dificultades que las políticas sociales presentan en el contexto actual, trayendo al centro del debate un mapeamiento de las alternativas posibles para el desarrollo de las políticas sociales y de salud.

  9. Effect of abdominal resistance exercise on abdominal subcutaneous fat of obese women: a randomized controlled trial using ultrasound imaging assessments.

    Science.gov (United States)

    Kordi, Ramin; Dehghani, Saeed; Noormohammadpour, Pardis; Rostami, Mohsen; Mansournia, Mohammad Ali

    2015-01-01

    The aim of this study was to compare the effect of diet and an abdominal resistance training program to diet alone on abdominal subcutaneous fat thickness and waist circumference of overweight and obese women. This randomized clinical trial included 40 overweight and obese women randomly divided into 2 groups: diet only and diet combined with 12 weeks of abdominal resistance training. Waist and hip circumferences and abdominal skin folds of the subjects were measured at the beginning and 12 weeks after the interventions. In addition, abdominal subcutaneous fat thickness of the subjects was measured using ultrasonography. Percentage body fat and lean body mass of all the subjects were also measured using a bioelectric impedance device. After 12 weeks of intervention, the weight of participants in both groups decreased; but the difference between the 2 groups was not significant (P = .45). Similarly, other variables including abdominal subcutaneous fat, waist circumference, hip circumference, body mass index, body fat percentage, and skin fold thickness were reduced in both groups; but there were no significant differences between the groups. This study found that abdominal resistance training besides diet did not reduce abdominal subcutaneous fat thickness compared to diet alone in overweight or obese women. Copyright © 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

  10. 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. Copyright © 2013 Elsevier Inc. All rights reserved.

  11. Perforated peptic ulcer associated with abdominal compartment syndrome.

    Science.gov (United States)

    Lynn, Jiun-Jen; Weng, Yi-Ming; Weng, Chia-Sui

    2008-11-01

    Abdominal compartment syndrome (ACS) is defined as an increased intra-abdominal pressure with adverse physiologic consequences. Abdominal compartment syndrome caused by perforated peptic ulcer is rare owing to early diagnosis and management. Delayed recognition of perforated peptic ulcer with pneumoperitoneum, bowel distension, and decreased abdominal wall compliance can make up a vicious circle and lead to ACS. We report a case of perforated peptic ulcer associated with ACS. A 74-year-old man with old stroke and dementia history was found to have distended abdomen, edema of bilateral legs, and cyanosis. Laboratory tests revealed deterioration of liver and kidney function. Abdominal compartment syndrome was suspected, and image study was arranged to find the cause. The study showed pneumoperitoneum, contrast stasis in heart with decreased caliber of vessels below the abdominal aortic level, and diffuse lymphedema at the abdominal walls. Emergent laparotomy was performed. Perforated peptic ulcer was noted and the gastrorrhaphy was done. The symptoms, and liver and kidney function improved right after emergent operation.

  12. 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.

  13. Imaging in Tuberculosis abdominal

    International Nuclear Information System (INIS)

    Suarez, Tatiana; Garcia, Vanessa; Tamara, Estrada; Acosta, Federico

    2010-01-01

    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

  14. 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

  15. Arnebia euchroma ointment can reduce abdominal fat thickness and abdominal circumference of overweight women: A randomized controlled study.

    Science.gov (United States)

    Siavash, Mansour; Naseri, Mohsen; Rahimi, Mojgan

    2016-01-01

    Obesity is a worldwide health problem which is associated with a lot of complications. One of these comorbidities is the metabolic syndrome that is in correlation with abdominal fat thickness and waist circumference. Various methods were used to reduce abdominal fat thickness such as liposuction. A noninvasive method is the topical agent. In this study, we investigated the effectiveness of Arnebia euchroma (AE) ointment on the abdominal fat thickness. This study was a double-blind clinical trial which was done at the endocrinology clinic in Khorshid Hospital, Isfahan, Iran, in 2014. After explaining the procedure and obtaining informed consent, the candidates were randomly divided into the case and control groups. The participants of the case and control groups applied AE ointment or placebo for 6 weeks on their abdominal area. Body mass index, waist and buttock circumference, and abdominal fat thickness were measured in both case and control groups at their first visit and then at the next 2, 4, and 6 weeks. We used t -test for comparing parametric variables between groups, paired t -test for changes from baseline to final, and repeated measure ANOVA for changes at different steps. Sixty female candidates participated in this study (thirty in each group). Ten patients left the study and fifty participants finished the trial. At the end of the study, participants had a significant weight loss (2.96 ± 1.6 kg, P Abdominal circumference also decreased significantly in the participants (11.3 ± 6.7 cm, P abdominal fat thickness decreased significantly in the participants (2.3 ± 1.1 cm, P abdominal fat thickness as well as the waist circumference without causing any side effect.

  16. 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.

  17. Soft-tissue masses in the abdominal wall

    International Nuclear Information System (INIS)

    Bashir, U.; Moskovic, E.; Strauss, D.; Hayes, A.; Thway, K.; Pope, R.; Messiou, C.

    2014-01-01

    Masses involving the abdominal wall arise from a large number of aetiologies. This article will describe a diagnostic approach, imaging features of the most common causes of abdominal wall masses, and highly specific characteristics of less common diseases. A diagnostic algorithm for abdominal wall masses combines clinical history and imaging appearances to classify lesions

  18. A viscoelastic model of the correlation between respiratory lung tumour motion and an external abdominal signal

    International Nuclear Information System (INIS)

    Cavan, A.E.; Wilson, P.L.; Meyer, J.; Berbeco, R.I.

    2010-01-01

    Full text: Accuracy of radiotherapy treatment of lung cancer is limited by respiratory induced tumour motion. Compensation for this motion is required to increase treatment efficacy. The lung tumour motion is related to motion of an external abdominal marker, but a reliable model of this correlation is essential. Three viscoelastic systems were developed, in order to determine the best model and analyse its effectiveness on clinical data. Three 1D viscoelastic systems (a spring and dash pot in parallel, series and a combination) were developed and compared using a simulated breathing pattern. The most effective model was applied to 60 clinical data sets (consisting of co-ordinates of tumour and abdominal motion) from multiple treatment fractions of ten patients. The model was optimised for each data set, and efficacy determined by calculating the root mean square (RMS) error between the mo elled position and the actual tumour motion. Upon application to clinical data the parallel configuration achieved an average RMS error of 0.95 mm (superior-inferior direction). The model had patient specific parameters, and displayed good consistency over extended treatment periods. The model ha dled amplitude, frequency and baseline variations of the input signal, and phase shifts between tumour and abdominal motions. This study has shown that a viscoelastic model can be used to cor relate internal lung tumour motion with an external abdominal signal. The ability to handle breathing pattern in'egularities is comparable or better than previous models. Extending the model to a full 3D, pr dictive system could allow clinical implementation for radiotherapy.

  19. Abdominal Compartment Syndrome in Surgical Patients

    African Journals Online (AJOL)

    abdominal hypertension and abdominal compartment syndrome, affect ... timely surgical intervention is crucial. Key words: .... On the second postoperative day, he was noted to be restless ... Although surgery is very effective in managing ACS.

  20. Direito, estado e poder: poulantzas e o seu confronto com Kelsen

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Motta

    2011-02-01

    Full Text Available A Teoria do Estado, no campo da Ciência Política, viveu momentos de crise, em particular na passagem dos anos 1980 para os 1990, quando algumas correntes intelectuais apontavam que o Estado-nação e as instituições estatais deixariam de ocupar um papel central como objetos de análise. O presente artigo vai de encontro a essa posição e visa a estabelecer uma análise comparativa de dois dos mais sistemáticos autores que trataram do conceito de Estado moderno e da relação deste com o Direito moderno: Hans Kelsen e Nicos Poulantzas. O ponto de partida é a analogia estabelecida entre ambos por David Easton, em seu artigo O sistema político sitiado pelo Estado, que identifica a obra marxista de Poulantzas com a teoria sistêmica e normativa de Kelsen sobre o Direito e o Estado. De fato, paradoxalmente, Poulantzas converge em muitos aspectos com Kelsen quando critica o pensamento liberal (ao qual Kelsen é filiado e quando define que o Estado de Direito seria a antítese dos estados autoritários. Mas, a despeito dessas convergências, as diferenças entre Poulantzas e Kelsen demarcam duas formas distintas no trato teórico e político sobre os conceitos de Direito e Estado. Para Kelsen, o Estado é impermeável, não havendo contradições e fissuras internas, enquanto, para Poulantzas, o Estado é definido como um campo estratégico de lutas, permeado de micropolíticas e de contradições. O artigo é composto de uma introdução, seguida por duas seções que sistematizam as principais definições de Kelsen e Poulantzas sobre o papel do Estado e do Direito modernos, além de uma conclusão, que demarca os aspectos convergentes e divergentes entre os dois autores

  1. Recurrent abdominal pain: when an epileptic seizure should be suspected? Dor abdominal recorrente: quando suspeitar de crise epiléptica?

    Directory of Open Access Journals (Sweden)

    Renata C. Franzon

    2002-09-01

    Full Text Available Recurrent episodes of abdominal pain are common in childhood. Among the diagnostic possibilities are migraine and abdominal epilepsy (AE. AE is an infrequent syndrome with paroxystic episodes of abdominal pain, awareness disturbance, EEG abnormalities and positive results with the introduction of antiepileptic drugs. We present one 6 year-old girl who had short episodes of abdominal pain since the age of 4. The pain was followed by cry, fear and occasionally secondary generalization. MRI showed tumor in the left temporal region. As a differential diagnosis, we report a 10 year-old boy who had long episodes of abdominal pain accompanied by blurring of vision, vertigo, gait ataxia, dysarthria, acroparesthesias and vomiting. He received the diagnosis of basilar migraine. In our opinion, AE is part of a large group (partial epilepsies and does not require a special classification. Pediatric neurologists must be aware of these two entities that may cause abdominal pain.Episódios recorrentes de dor abdominal são freqüentes na infância e entre as causas neurológicas há migrânea e epilepsia abdominal (EA. EA é uma síndrome que consiste de episódios paroxísticos de dor abdominal associada à alteração de consciência, anormalidades eletrencefalográficas e boa resposta à terapia anticonvulsivante. Apresentamos uma menina de 6 anos que tinha desde os 4 anos episódios de curta duração de dor abdominal, seguidos por choro, medo e ocasional generalização secundária. A RM mostrou a presença de um tumor em região temporal esquerda. Como diagnóstico diferencial, apresentamos um menino de 10 anos que há 12 meses referia episódios de dor abdominal de longa duração acompanhados por turvação visual, vertigem, marcha atáxica, disartria, acroparestesia e vômito, recebendo posteriormente o diagnóstico de migrânia basilar. Em nossa opinião, EA faz parte de um grande grupo (epilepsias parciais e não requer uma classificação especial

  2. Medición del comercio intraindustrial Colombia - Estados Unidos 1995-2005

    OpenAIRE

    Caicedo Marulanda, Carolina

    2010-01-01

    Este documento analiza la existencia de comercio intraindustrial entre Colombia y Estados Unidos, usando la información contenida en la base de datos BACI del CEPII para el periodo comprendido entre 1995 y 2005. La pertinencia de establecer una medición de los flujos de comercio intraindustrial entre Colombia y Estados Unidos radica fundamentalmente en la importancia relativa que representa Estados Unidos como socio comercial para Colombia. El comercio bilateral entre Colombia y Estados c...

  3. A Construção Social e Simbólica do Racismo nos Estados Unidos

    OpenAIRE

    Caldeira, Isabel

    1994-01-01

    Neste trabalho pretendo rever o processo de construção social e simbólica do racismo nos Estados Unidos, tomando em conta a articulação entre as circunstâncias histórico-sociais e os processos psicológicos e culturais, as transformações económicas e as racionalizações ideológicas. Na minha reflexão conta a reperspectivação do momento da colonização e da instalação do sistema escravocrata à luz da actual investigação histórica e sociológica, mas também a evolução do pensamento sobre a questão ...

  4. Radiological evaluation of abdominal trauma

    International Nuclear Information System (INIS)

    Ahn, K. S.; Cho, Y. H.; Kim, O.

    1982-01-01

    Simple abdomen film has played an important role in decision of emergency operations in patients with the abdominal trauma. Nowadays, it still acts as a primary and inevitable processes in emergency condition. At the Department of Radiology, Hanil Hospital, 70 patients, who were laparotomied due to penetrating or nonpernetraing abdominal trauma, were observed and analyzed with simple abdomen film after comparison with the operative findings. The results are as follows: 1. Most frequent age distribution was 10 to 39 years and marked 70%. Male was in 90% incidence. 2. Penetrating injury largely involved the small bowel and abdominal wall. Non-penetrating injury usually involved the spleen, small bowel, liver, kidney, pancreas, duodenum. 3. Single organ injury occurred in higher incidence at the small bowel and abdominal wall. Multiple organ injury occurred in higher incidence at the spleen, liver, kidney and pancreas. 4. Organ distribution was 26% in spleen, 22% in small bowel, 14% in liver, 11% in abdominal wall. 7% in pancreas, 7% in kidney. 5% in duodenum, 4% in GB and CBD, 2% in diaphragm, 2% in colon, and 1% in stomach. 5. The specific roentgen findings and their frequency which useful in differential diagnosis at abdominal trauma, were as follows: a) flank fluid; Detectable possibility was 71% in liver laceration, 69% in spleen laceration and 57% in pancreas laceration. b) ipsilateral psoas shadow obliteration; Detectable possibility was 57% in liver laceration, 57% in kidney laceration and 46% in spleen laceration. c) free air; Detactable possibility was 60% in duodenal perforation, and 36% in peroration of upper part of small bowel. d) Reflex ileus; Detectable possibility was 64% in small bowel, 50% in liver laceration and 35% in spleen laceration. e) rib fracture; Detactable possibility was 36% in liver laceration and 23% in spleen laceration. f) pleural effusion; Detectable possibility was 29% in liver laceration and 27% in spleen laceration

  5. Las analogías en la enseñanza y el aprendizaje de las ciencias experimentales: un estado de la cuestión

    Directory of Open Access Journals (Sweden)

    Natalia Buitrago Henao

    2009-10-01

    Full Text Available Esta ponencia hace parte del trabajo final para optar al título de Máster Oficial en investigación en la enseñanza y el aprendizaje de las ciencias experimentales, sociales y matemáticas, de la Universidad Internacional de Andalucía? y, presenta un estado actual de la cuestión en torno al uso de las analogías como recurso didáctico en el aula de ciencias.

  6. El análisis del coste del ciclo de vida como herramienta para la evaluación económica de la edificación sostenible. Estado de la cuestión

    OpenAIRE

    García-Erviti, F.; Armengot-Paradinas, J.; Ramírez-Pacheco, G.

    2015-01-01

    El presente trabajo expone el estado actual de la cuestión en referencia al análisis del coste del ciclo de vida (CCV) aplicado a la edificación. Las diferentes metodologías desarrolladas en torno a este concepto constituye una herramienta destinada a la evaluación de las distintas opciones de proyecto desde una perspectiva de eficiencia económica medioambientalmente sostenible. Basado en la obtención del valor actual de los costes y beneficios futuros asociados a las decisiones del proceso d...

  7. Roentgenologic evaluation of blunt abdominal trauma

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Zoon; Ra, Woo Youn; Woo, Won Hyung [Hankang Sacred heart Hospital, Chung Ang University School of Medicine, Seoul (Korea, Republic of)

    1974-10-15

    This study comprises 25 cases of blunt abdominal trauma proved by surgery. It is concluded that visceral damage by blunt abdominal trauma may be suspected, but can not be satisfactorily diagnosed upon a single plane abdominal roentgenologic examination with clinical support. Contrary to some reports in the literature, rupture of the hallow, viscus is more susceptible than solid organ and ileum is more than jejunum. It is a useful roentgenologic sign denoting distension and small cresent air shadow in the duodenal sweep of the damaged pancreas.

  8. The value of intra-abdominal pressure monitoring through ...

    African Journals Online (AJOL)

    hypertension after abdominal closure (8%) and only one of ... Ann Pediatr. Surg 13:69–73 c 2017 Annals of Pediatric Surgery. Annals of ... intra-abdominal hypertension ..... measurements as a guide in the closure of abdominal wall defects.

  9. Utilización de protectores superficiales para la conservación de la piedra: situación actual en España

    OpenAIRE

    Esbert, R. M.

    1993-01-01

    En este artículo se hace una revisión sobre el estado actual en España, de los trabajos e investigaciones referidas a la utilización de protectores superficiales para la conservación de la piedra. Se hace referencia a los parámetros y ensayos de durabilidad más frecuentemente utilizados, en el laboratorio, para predecir la idoneidad de los diferentes tratamientos. También se resalta la importancia que sobre la durabilidad de la piedra tienen los cambios infringidos por el tratamiento en...

  10. The efficacy of adhesiolysis on chronic abdominal pain

    DEFF Research Database (Denmark)

    Gerner-Rasmussen, Jonas; Burcharth, Jakob; Gögenur, Ismail

    2015-01-01

    INTRODUCTION: Abdominal adhesions are a frequent reason for chronic abdominal pain. The purpose of this systematic review was to investigate the evidence of performing laparoscopic adhesiolysis as a treatment for patients with chronic abdominal pain. METHODS: Medline, Embase, and The Cochrane Cen...... Central Register of Controlled Trials were searched for trials performing lysis of adhesions on patients suffering from chronic abdominal pain. Clinical studies on patients being treated for chronic abdominal pain with surgical adhesiolysis were included. The main outcome of the study...... chronic abdominal pain. A total of 22 trials were identified as case-series and included no control group. Three studies were identified as randomized controlled trials (RCT). A benefit of the intervention varied from 16 to 88 % in the non-randomized studies, with the majority reporting pain relief...... no difference between the intervention and control group. CONCLUSION: The identified studies showed promising but preliminary results of laparoscopic adhesiolysis as a treatment of chronic abdominal pain. The evidence for laparoscopic adhesiolysis is not sufficient to make definitive conclusions....

  11. Superficie Específica y Estado Vital de la Materia

    OpenAIRE

    J. Hernando Ordoñez

    1992-01-01

    Se propone reemplazar el término de materia viva por el de estado vital de la materia por considerarlo adecuado, pues la materia es la misma, lo que cambia es su estado. Se estudia la relación entre la superficie específica y el estado vital de la materia. Constante del estado vital y el valor crítico de la superficie específica. Qué es la fuerza de inducción vital? Diferenciación funcional de las células. Cómo regula la unidad biológica su superficie específica? La materia que piens...

  12. Ecografía abdominal dedicada al trauma (FAST

    Directory of Open Access Journals (Sweden)

    Dr. O. Víctor Dinamarca

    2013-01-01

    El lavado peritoneal diagnóstico ha sido el gold standard para diagnóstico de hemoperitoneo, con una tasa de complicaciones de hasta un 10%. La ecografía abdominal focalizada para trauma abdominal o ecografía FAST (focused abdominal sonography for trauma es una herramienta accesible, portátil, no invasiva y confiable para el diagnóstico de la presencia o ausencia de líquido en el abdomen. Este artículo describe la técnica de la ecografía abdominal focalizada para el trauma abdominal cerrado, su utilización clínica, ventajas y limitaciones.

  13. El rol del Estado en el Derecho Internacional Privado

    Directory of Open Access Journals (Sweden)

    Ruben B. Santos Belandro

    2015-09-01

    Full Text Available Contenido: Introducción. El Estado como instrumento de la racionalidad jurídica. Primer contragolpe en favor de la restauración de los valores irreflexivos: Savigny. La racionalidad jurídica al servicio del Estado: el neo-territorialismo rioplatense. Segundo contragolpe contra el racionalismo formal: el materialismo de Quintín Alfonsín. El reconocimiento de otras formas de racionalidad descartan al Estado como el único intérprete. ¿Y el futuro?

  14. Intra-abdominal pressure: an integrative review.

    Science.gov (United States)

    Milanesi, Rafaela; Caregnato, Rita Catalina Aquino

    2016-01-01

    There is a growing request for measuring intra-abdominal pressure in critically ill patients with acute abdominal pain to be clarified. Summarizing the research results on measurement of vesical intra-abdominal pressure and analyzing the level of evidence were the purposes of this integrative literature review, carried out based on the databases LILACS, MEDLINE and PubMed, from 2005 to July 2012. Twenty articles were identified, in that, 12 literature reviews, 4 descriptive and exploratory studies, 2 expert opinions, one prospective cohort study and one was an experience report. The vesical intra-abdominal pressure measurement was considered gold standard. There are variations in the technique however, but some common points were identified: complete supine position, in absence of abdominal contracture, in the end of expiration and expressed in mmHg. Most research results indicate keeping the transducer zeroed at the level of the mid-axillary line at the iliac crest level, and instill 25mL of sterile saline. Strong evidence must be developed. RESUMO Em pacientes críticos com quadros abdominais agudos a esclarecer é crescente a solicitação da aferição da pressão intra-abdominal. Sintetizar resultados de pesquisas sobre a mensuração da pressão intra-abdominal pela via vesical e analisar o nível de evidência foram os objetivos desta revisão integrativa da literatura, realizada nas bases LILACS, MEDLINE e PubMed, no período de 2005 a julho de 2012. Identificaram-se 20 artigos, sendo 12 revisões de literatura, 4 estudos exploratório-descritivos, 2 opiniões de especialistas, 1 estudo de coorte prospectivo e 1 relato de experiência. O método vesical para mensuração da pressão intra-abdominal foi considerado padrão-ouro. Existem variações na técnica, entretanto pontos em comum foram identificados: posição supina completa, na ausência de contratura abdominal, ao final da expiração e expressa em mmHg. A maioria indica posicionar o ponto zero do

  15. Abdominal tuberculosis: clinical presentation and outcome

    International Nuclear Information System (INIS)

    Kumar, R.; Saddique, M.; Iqbal, P.

    2007-01-01

    To study the clinical presentation and outcome of cases of Abdominal Tuberculosis. Fifty four patients of Abdominal Tuberculosis were seen during the study period. Four patients were lost to follow-up, which were excluded. Detailed information of all the patients including age, sex, symptoms, signs, investigations and management was recorded, analyzed and compared with local and international data. Out of the 50 patients with Abdominal Tuberculosis, 31 were females and 19 males. Their ages ranged from 17 to 63 years, with a mean age of 25.1 years. Thirty five cases were admitted through Emergency and 15 through Outpatients departments. Abdominal pain was the most common symptom found in 44 (88%) patients followed by vomiting in 33 (66%). Abdominal tenderness was seen in 22 (44%) patients, while 16 (32%) patients had rigidity and other features of peritonitis. Surgery was performed in all these patients, limited right hemicolectomy in 17 (34%), segmental resection and anastomosis in 12 (24%), ileostomy and strictureplasty in six (12%) each, repair of perforation in five (10%) and adhesiolysis in four (8%) patients. Overall mortality was 8% due to septicaemia and multiorgan failure. Abdominal Tuberculosis is a significant clinical entity with lethal complications in neglected cases. It affects a younger age group and is more common in females. Clinical features are rather non-specific but vague ill health, low grade fever, weight loss and anorexia may help to diagnose the case. (author)

  16. La responsabilidad patrimonial del Estado legislador en el ámbito tributario

    OpenAIRE

    Pérez Bernabeu, Begoña

    2016-01-01

    La responsabilidad patrimonial del Estado es un instituto básico en un Estado de Derecho, extendiéndose a los tres poderes del Estado: Legislativo, ejecutivo y judicial. En la actualidad existe un elevado grado de consenso en nuestro país al afirmar que el reconocimiento constitucional de la responsabilidad patrimonial del Estado legislador reside en el apartado 3 del artículo 9 de nuestra Constitución. En el ámbito tributario este instituto reviste una especial importancia habida cuenta de l...

  17. Ectopic intra-abdominal fascioliasis

    OpenAIRE

    ÖNGÖREN, Ali Ulvi

    2009-01-01

    Human fascioliasis, caused by Fasciola hepatica, is emerging as an important chronic zoonotic disease in many areas of the world, including Turkey. It primarily involves the liver and may also cause severe damage in the tissue. Herein we report on a patient with ectopic intra-abdominal fascioliasis that presented to our clinic with abdominal pain and distention. Physical and radiological examination as well as an exploratory laparotomy revealed a 10 × 10-cm mass in the splenic flexura of the ...

  18. Abdominal cerebrospinal fluid pseudocyst

    International Nuclear Information System (INIS)

    Pathi, Ramon; Sage, Michael; Slavotinek, John; Hanieh, Ahmad

    2004-01-01

    A case of an abdominal cerebrospinal fluid (CSF) pseudocyst in a patient with a ventriculoperitoneal shunt is reported to illustrate this known but rare complication. In the setting of a VP shunt, the frequency of abdominal CSF pseudocyst formation is approximately 3.2%, often being precipitated by a recent inflammatory or infective process or recent surgery. Larger pseudocysts tend to be sterile, whereas smaller pseudocysts are more often infected. Ultrasound and CTeach have characteristic findings Copyright (2004) Blackwell Publishing Asia Pty Ltd

  19. Relaciones Estado-Confesiones religiosas y el derecho de libertad religiosa en Italia y España

    Directory of Open Access Journals (Sweden)

    Fernando Santamaría Lambás

    2014-06-01

    Full Text Available Il contributo, non sottoposto a valutazione, riproduce il testo della relazione tenuta nel corso delle Jornadas sobre los seminarios italo españoles sobre relaciones Estado-Confesiones religiosas y el derecho de libertad religiosa, seminari organizzati dal Prof. Valerio Tozzi presso l'Università degli Studi di Salerno (21-25 ottobre 2013.SUMARIO: I. Los paréntesis dictatoriales en el pasado del estado moderno al estado social (primera sesión - 1a. De las experiencias constitucionales en España desde 1845 a 1920 - 1b. Desde el Estatuto Albertino de 1848 hasta 1920 en Italia - II. Las dictaduras fascista y de Primo de Rivera y de Franco y las relaciones entre cada uno de los estados y la Iglesia católica (segunda sesión - 2a. Las dictaduras de Primo de Rivera y de Franco en España - 2b. La dictadura fascista en Italia - III. La instauración en la práctica de la democracia en Italia y España (tercera sesión - 3a. Los periodos republicanos y la democracia de 1978 en España - 3b. Desde la Segunda Guerra mundial al momento actual en Italia.Abstract:From 21 to 25 October 2013 at the University of Salerno, the Tozzi, Macri and Santamaría teachers have had the opportunity to confront in several seminars organized by Professor Tozzi Italian-Spanish reality, both from a historical perspective current on-state relations religious confessions and the right of religious freedom in Italy and Spain. The seminars have passed in three sessions and a concluding fourth. The first, in parentheses dictatorial past of the modern state to social state. The second on the Franco fascist dictatorships and the relationships between each of the States and the Catholic Church and the third on the establishment in the practice of democracy in Italy and Spain.

  20. Recent advances in the management of abdominal compartment syndrome

    International Nuclear Information System (INIS)

    Saleem, T.B.; Ahmed, I.

    2004-01-01

    Abdominal compartment syndrome is a systemic syndrome involving derangement in cardiovascular hemodynamics, respiratory and renal function as a result of sustained increase in intra-abdominal pressure. This results in multi-organ failure requiring prompt action and treatment. Presentation can be acute, chronic and acute on chronic. Initial diagnosis is clinical, confirmed by measurement of urinary bladder pressure. Treatment is abdominal decompression by laparostomy and delayed abdominal closure. Awareness among the surgeons has increased because laparoscopy has resulted in determination of intra-abdominal pressure as a readily measurable quantity. They have been able to appreciate the benefit of abdominal decompression by performing repeated planned laparotomies for trauma. (author)

  1. Computerized abdominal tomography in Wilson's disease

    Energy Technology Data Exchange (ETDEWEB)

    Tsuchikura, Keiko; Ogawa, Teruyuki; Nakajima, Akihisa; Ono, Yasuhiko

    1986-05-01

    Cranial and abdominal computerized tomography (CT) was performed in a 10-year-old boy with Wilson's disease complicated by liver cirrhosis. Abdominal CT showed diffuse high density areas over the whole part of the liver propably due to copper sediments, although there was no abnormal cranial CT findings. Decreased high density area of the liver was seen 60 days after the administration of D-penicillamine, suggesting the excretion of copper from the liver. Abdominal CT, as well as cranial CT, may be of help to diagnose Wilson's disease and evaluate therapeutic effects. (Namekawa, K.).

  2. Development of control system in abdominal operating ROV

    OpenAIRE

    ZHANG Weikang; WANG Guanxue; XU Guohua; LIU Chang; SHEN Xiong

    2017-01-01

    In order to satisfy all the requirements of Unmanned Underwater Vehicle(UUV)recovery tasks, a new type of abdominal operating Remote Operated Vehicle(ROV) was developed. The abdominal operating ROV is different from the general ROV which works by a manipulator, as it completes the docking and recovery tasks of UUVs with its abdominal operating mechanism. In this paper, the system composition and principles of the abdominal operating ROV are presented. We then propose a framework for a control...

  3. Abdominal pregnancy - Case presentation.

    Science.gov (United States)

    Bohiltea, R; Radoi, V; Tufan, C; Horhoianu, I A; Bohiltea, C

    2015-01-01

    Abdominal pregnancy, a rare diagnosis, belongs to the ectopic pregnancy group, the leading cause of pregnancy related exitus. The positive diagnosis is very difficult to establish most often in an acute setting, leading to a staggering percent of feto-maternal morbidity and mortality. We present the case of 26-weeks-old abdominal pregnancy with partial feto-placental detachment in a patient, after hysteroscopy and in vitro fertilization, which until the acute symptoms that led to emergency laparotomy went unrecognized. The patient recovered completely and satisfactorily after surgery and, due to the high risk of uterine rupture with regard to a second pregnancy, opted for a surrogate mother. Abdominal pregnancy can be regarded as a difficult to establish diagnosis, with a greater chance in case of increased awareness. It is compulsory to be well informed in order not to be surprised by the diagnosis and to apply the correct treatment immediately as the morbidity and mortality rate is elevated.

  4. Treatment strategy for ruptured abdominal aortic aneurysms.

    Science.gov (United States)

    Davidovic, L

    2014-07-01

    Rupture is the most serious and lethal complication of the abdominal aortic aneurysm. Despite all improvements during the past 50 years, ruptured abdominal aortic aneurysms are still associated with very high mortality. Namely, including patients who die before reaching the hospital, the mortality rate due to abdominal aortic aneurysm rupture is 90%. On the other hand, during the last twenty years, the number of abdominal aortic aneurysms significantly increased. One of the reasons is the fact that in majority of countries the general population is older nowadays. Due to this, the number of degenerative AAA is increasing. This is also the case for patients with abdominal aortic aneurysm rupture. Age must not be the reason of a treatment refusal. Optimal therapeutic option ought to be found. The following article is based on literature analysis including current guidelines but also on my Clinics significant experience. Furthermore, this article show cases options for vascular medicine in undeveloped countries that can not apply endovascular procedures at a sufficient level and to a sufficient extent. At this moment the following is evident. Thirty-day-mortality after repair of ruptured abdominal aortic aneurysms is significantly lower in high-volume hospitals. Due to different reasons all ruptured abdominal aortic aneurysms are not suitable for EVAR. Open repair of ruptured abdominal aortic aneurysm should be performed by experienced open vascular surgeons. This could also be said for the treatment of endovascular complications that require open surgical conversion. There is no ideal procedure for the treatment of AAA. Each has its own advantages and disadvantages, its own limits and complications, as well as indications and contraindications. Future reductions in mortality of ruptured abdominal aortic aneurysms will depend on implementation of population-based screening; on strategies to prevent postoperative organ injury and also on new medical technology

  5. Actinomycosis mimicking abdominal neoplasm. Case report

    DEFF Research Database (Denmark)

    Waaddegaard, P; Dziegiel, M

    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...

  6. DYNAMICS OF HOSPITALIZATION OF PATIENTS WITH ACUTE SURGICAL PATHOLOGY OF ABDOMINAL AND ABDOMINAL ORGANS IN KUZBASS

    Directory of Open Access Journals (Sweden)

    Валерий Иванович Подолужный

    2018-03-01

    Full Text Available Publications of recent years do not reflect the regional dynamics of hospitalization of patients with acute surgical pathology of the abdominal cavity and anterior abdominal wall. Goal – to determine the volume of hospitalizations and treatment of patients with acute surgical pathology of the abdominal and anterior abdominal wall in the Kuzbass in the dynamics from 1993 to 2016. Materials and methods. A comparative analysis of the volume of treatment of patients with acute appendicitis, acute cholecystitis, acute pancreatitis, intestinal obstruction, perforated ulcer of the stomach and duodenum and strangulated hernia in surgical departments of Kuzbass from 1993 to 2016 to understand the changes occurring in abdominal surgery. Estimated in the comparative aspect for two decades (1993-2002 and 2007-2016 the average annual number of treated. The estimation of indicators in calculation on 100000 population is executed. The statistical processing was carried out using IBM SPSS Statistica computer version 24 and the nonparametric Mann-Whitney test. Result. Statistically significantly decreased the number of patients with acute appendicitis and perforated ulcers of the stomach and duodenum. The average annual hospitalization of patients with acute pancreatitis and strangulated abdominal hernias has significantly increased in the last decade. There are no significant differences in the increase in the total number of patients with acute cholecystitis and acute intestinal obstruction. Conclusions: 1. Over the past decade compared with 1993-2002, the incidence of acute appendicitis per 100000 thousand of the population decreased in the region by 39.9 %, the incidence of perforated gastric ulcer and duodenal ulcer by 30.2 %. 2. At this time, the number of people treated with 100000 people with acute pancreatitis increased by 94.7 %; with acute cholecystitis by 12.4 %; with an acute intestinal obstruction by 9.8 % and with a strangulated

  7. Computed tomographic evaluation of abdominal fat in minipigs.

    Science.gov (United States)

    Chang, Jinhwa; Jung, Joohyun; Lee, Hyeyeon; Chang, Dongwoo; Yoon, Junghee; Choi, Mincheol

    2011-03-01

    Computed tomography (CT) exams were conducted to determine the distribution of abdominal fat identified based on the CT number measured in Hounsfield Units (HU) and to measure the volume of the abdominal visceral and subcutaneous fat in minipigs. The relationship between the CT-based fat volumes of several vertebral levels and the entire abdomen and anthropometric data including the sagittal abdominal diameter and waist circumference were evaluated. Moreover, the total fat volumes at the T11, T13, L3, and L5 levels were compared with the total fat volume of the entire abdomen to define the landmark of abdominal fat distribution. Using a single-detector CT, six 6-month-old male minipigs were scanned under general anesthesia. Three radiologists then assessed the HU value of visceral and subcutaneous abdominal fat by drawing the region of interest manually at the T11, T13, L1, L3, and L5 levels. The CT number and abdominal fat determined in this way by the three radiologists was found to be correlated (intra-class coefficient = 0.9). The overall HU ranges for the visceral and subcutaneous fat depots were -147.47 to -83.46 and -131.62 to -90.97, respectively. The total fat volume of the entire abdomen was highly correlated with the volume of abdominal fat at the T13 level (r = 0.97, p abdominal adipose tissue measured at the T13 level using CT is a strong and reliable predictor of total abdominal adipose volume.

  8. Observaciones sobre el estado del sonido fricativo palatal sordo en el español salvadoreño

    OpenAIRE

    Quintanilla Aguilar, José Roberto Alexander

    2013-01-01

    En este trabajo se discute la situación actual del sonido fricativo palatal sordo en el español salvadoreño. El uso de este sonido en esta variedad de español se ha mantenido inicialmente por el influjo de la lengua pipil, una de las lenguas autóctonas de El Salvador. Dado que hoy en día el pipil se encuentra en estado casi agónico, se cree que la presencia de este sonido en el español salvadoreño también podría estar en detrimento. Sin embargo, el pipil no es la única lengua que ...

  9. Fenomenologia da depressão estado-limite

    Directory of Open Access Journals (Sweden)

    Kimura Bin

    Full Text Available Depois que o conceito de borderline ou de “estadolimite” foi constituído, seu emprego se generalizou rapidamente na psiquiatria contemporânea. Esse conceito está edificado inicialmente na fronteira entre as psicoses esquizofrênicas e as neuroses. Na psicanálise, a psicogênese do estado-limite foi principalmente formulada em termos de teoria de relação de objeto. Supõe-se que os doentes estado-limite fracassaram, na sua primeira infância, ao integrar suficientemente, nas relações, sua imagem do eu à imagem primordial do objeto materno. Neste trabalho, postulando a clivagem como o transtorno gerador, é fornecido um fundamento teórico para o parentesco – suposto primeiramente do ponto de vista puramente clínico – entre o estado-limite e a esquizofrenia.

  10. Dynamic CT in the abdominal organ, 1

    International Nuclear Information System (INIS)

    Fukuda, Kunihiko

    1980-01-01

    By utilizing a 4.5-second CT (computed tomography) scanner which allows sequential scans the changes of the iodine concentration in abdominal organs can be observed as dynamics reflected in CT number. The abdominal dynamic CT was performed as following method. After performing the preliminary scan 50ml of 60% meglumine iothalamate was rapidly injected intravenously by hands. The sequential scanning was initiated when a half dose of contrast medium was injected. In completion of the 4 sequential scans under arrested respiration the conventional post contrast scanning was performed. The analysis of 112 cases dynamically studied by CT came to the following conclusion. CT number of the abdominal aorta was greatest on the 1st or 2nd scan of the sequential scans (7.5 - 20.5 seconds after initiation of injection). Following this peak formation, CT number of the abdominal aorta declined rapidly due to both prompt diffusion of contrast medium into the extravascular space and dilution by the intravascular fluid. Iodine concentration of the abdominal aorta during the peak period was calculated as 11.3 mg/ml by the present method, being theoretically sufficient for delineation of the vessels smaller than medium size. In the patients with impaired renal function, several characteristic patterns were noted on the dynamics of contrast medium within the abdominal organs. The abdominal dynamic CT was felt to be promissing for evaluation of the renal function. (author)

  11. Contemporary imaging in abdominal emergencies

    International Nuclear Information System (INIS)

    Sivit, Carlos J.

    2008-01-01

    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.)

  12. O Estado cristão em Thomas Hobbes

    Directory of Open Access Journals (Sweden)

    Daniel Artur Emidio Branco

    2016-12-01

    Full Text Available O presente artigo tem como finalidade a investigação do pensamento do filósofo inglês Thomas Hobbes (1588-1679, mais precisamente a relação entre Igreja e Estado, valendo-se de suas obras, em especial Leviatã (1651. Com o título O Estado Eclesiástico em Thomas Hobbes, o artigo busca mostrar como as conclusões de Hobbes acerca do papel da Igreja no Estado são relevantes para o século XXI. A concepção de Evangelho de Cristo como um reino de outro mundo, a natureza privada da fé, o pontificado do soberano como aquele que se posiciona está entre Deus e os homens, a união entre Lei Mosaica e Lei Natural e a união entre Igreja e Estado são os delimitadores do grande tema, que busca levar o leitor contemporâneo ao conhecimento das conclusões de Hobbes e, assim, considerar a aplicação das mesmas a sua geração.

  13. Aggressive malignant abdominal mesothelioma: Clinical report

    International Nuclear Information System (INIS)

    Al-Hassan, Ahmad M.; Al-Saigh, Abdulrehman A.

    2004-01-01

    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

  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. Mechanisms and management of functional abdominal pain

    OpenAIRE

    Farmer, Adam D; Aziz, Qasim

    2014-01-01

    Functional abdominal pain syndrome is characterised by frequent or continuous abdominal pain associated with a degree of loss of daily activity. It has a reported population prevalence of between 0.5% and 1.7%, with a female preponderance. The pathophysiology of functional abdominal pain is incompletely understood although it has been postulated that peripheral sensitisation of visceral afferents, central sensitisation of the spinal dorsal horn and aberrancies within descending modulatory sys...

  16. Prevalencia de tabaquismo y bajo desempeño escolar, en estudiantes de 11 a 24 años de edad del estado de Morelos, México

    Directory of Open Access Journals (Sweden)

    Arillo-Santillán Edna

    2002-01-01

    Full Text Available Objetivo. Estudiar la asociación entre desempeño escolar autorreportado, y la experimentación y consumo de tabaco actual en estudiantes adolescentes y adultos jóvenes del estado de Morelos, México. Material y métodos. Se realizó un estudio poblacional transversal en el ámbito escolar, de 72 zonas administrativas de los 33 municipios del estado de Morelos, en áreas urbana, semiurbana y rural. De un marco muestral de escuelas públicas se seleccionaron aleatoriamente 13 293 estudiantes, de entre 11 a 24 años, que respondieron un cuestionario autoaplicado. Se construyeron modelos de regresión logística multinomial, donde la variable dependiente fue el hábito tabáquico en tres categorías (no fumadores, fumadores experimentadores y fumadores actuales. Resultados. La prevalencia de experimentación de consumo de tabaco fue 14.9% (IC 95%: 14.1-15.7 en mujeres y 27.3% (IC 95%: 26.1-28.4 en hombres; la prevalencia de consumo actual fue 6.1% (IC 95%: 5.6-6.6 y 13.1% (IC 95%: 12.2-13.9, respectivamente. En ambos géneros, conforme se incrementa la prevalencia tanto en experimentación como en consumo de tabaco actual, decrece el desempeño escolar. La asociación entre consumo de tabaco actual fue 5.1 veces mayor en mujeres (IC 95%:2.5-10.4, con promedio anual de calificaciones de seis respecto de quienes reportaron un promedio con valores de 10 y de nueve; en hombres se observó el mismo fenómeno (RM=4.2;IC 95%:2.7-6.7, con una tendencia lineal positiva y significativa en mujeres y hombres. Conclusiones. Estos resultados brindan evidencia de la posible relación entre el incremento de consumo de tabaco y el bajo desempeño escolar. Dicha asociación está determinada por complejas prácticas cotidianas de estilos y condiciones de vida de los adolescentes.

  17. Apuntes sobre las instituciones y los programas de desarrollo rural en México. Del Estado benefactor al Estado neoliberal

    Directory of Open Access Journals (Sweden)

    Francisco Herrera Tapia

    2009-01-01

    Full Text Available El artículo realiza un análisis descriptivo de los programas de desarrollo rural en México en el marco de los dos grandes modelos políticoeconómicos: el Estado benefactor y el Estado neoliberal. El primero modelo caracterizado por una mayor intervención en la economía y en el desarrollo de las comunidades rurales, y el segundo, caracterizado por una menor presencia del Estado y una mayor participación de la iniciativa privada. Se enfatiza el nacimiento de la planeación en México y su mecánica de intervención en el medio rural, así como los principales contenidos teóricos, metodológicos y de gestión social de los programas de desarrollo concebidos para atender a la población rural.

  18. Dehydration related abdominal pain (drap)

    International Nuclear Information System (INIS)

    Shah, S.I.; Aurangzeb; Khan, I.; Bhatti, A.M.; Khan, A.A.

    2004-01-01

    Objective: To describe the frequency of dehydration as a medical cause of acute abdomen. Subjects and Methods: All the patients reporting with abdominal pain to the surgical outpatient department or the emergency department were reviewed in the study. The clinical findings in all these cases were studied along with the mode of their management and outcome. Results: Of all the patients presenting with abdominal pain, 3.3% (n=68) were suffering from dehydration related abdominal pain. They were predominantly males in a ratio of 8.7: 1, mostly in the 2nd and 3rd decades of their lives. All these cases were suffering from acute or chronic dehydration were provisionally diagnosed by general practitioners as 'acute abdomen' and referred for surgical consultation. Associated symptoms included vomiting in 42.6%, backache in 91.2%, headache in 95.6%, and pain in lower limbs in 97.1 % of the cases. 83.8% required indoor management with intravenous fluids. All the patients became asymptomatic with rehydration therapy. Conclusion: Dehydration is a possible cause of severe abdominal pain. There is a need to educate the general public about the benefits of adequate fluid intake. (author)

  19. Chest complication after abdominal surgery

    International Nuclear Information System (INIS)

    Koh, B. H.; Choi, J. Y.; Hahm, C. K.; Kang, S. R.

    1981-01-01

    In spite of many advances in medicine, anesthetic technique and surgical managements, pulmonary problems are the most frequent postoperative complications, particularly after abdominal surgery. As postoperative pulmonary complications, atelectasis, pleural effusion, pneumonia, chronic bronchitis and lung abscess can be occurred. This study include evaluation of chest films of 2006 patients (927 male, 1079 female), who had been operated abdominal surgery from Jan. 1979 to June, 1980 in the Hanyang university hospital. The results were as follows: 1. 70 cases out of total 2006 cases (3.5%) developed postoperative chest complications, 51 cases (5.5%) in male, 19 cases (1.8%) in female. 2. The complication rate was increased according to the increase of age. The incidence of the postoperative complications over 40 years of age was higher than the overall average complications rate. 3. The most common postoperative pulmonary complication was pleural effusion, next pneumonia, atelectasis and pulmonary edema respectively. 4. The complication rate of the group of upper abdominal surgery is much higher than the group of lower abdominal surgery. 5. Complication rate was increased according to increase of the duration of operation. 6. There were significant correlations between the operation site and side of the complicated hemithorax

  20. Los estados frágiles y el retorno de la administración nativa.

    Directory of Open Access Journals (Sweden)

    Mark DUFFIELD

    2008-06-01

    Full Text Available Durante los últimos años, un número de ideas relacionadas con el trabajo en “entornos difíciles”, o que implican países descritos como “malos actores” o “estados frágiles” han entrado en el discurso político. Tratan de describir el reto del desarrollo en una época de inestabilidad global y de extendido fallo estatal. Estas ideas son similares en contenido y aquí nos referimos a ellas como el estado frágil, o el discurso sobre el estado frágil. El pensamiento de los gobiernos donantes sobre la reconstrucción de los estados frágiles se entiende como la punta de lanza de la política actual. De cualquier forma, además de explorar éste discurso, éste trabajo se basa en las suposiciones y disposiciones desarrolladas dentro de la cobertura del imperialismo liberal, en concreto, la práctica colonial del gobierno indirecto o administración nativa. En vez de ser esencialmente nuevo, el discurso sobre el estado frágil es más bien una reinscripción contemporánea de enfoques anteriores sobre el problema del espacio no gobernado. Dado el fallo histórico de semejantes tecnologías para revertir el rechazo al tutelaje occidental, en una época de guerra indefinida y de creciente insurgencia global, es tan urgente como relevante un examen crítico de esta arqueología.   Over the last several years, a number of ideas relating to working in “difficult environments”, or engaging countries described as “poor performers” or “fragile states” have entered policy discourse. They attempt to describe the challenge for development at a time of global instability and the widespread occurrence of state failure. In content, these ideas are similar and are referred to here as the fragile state, or fragile state discourse. Donor government thinking on reconstructing fragile states is regarded as the cutting-edge of current policy. Besides exploring this discourse however, this paper draws out its reliance on assumptions and

  1. Repertórios de interação estado-sociedade em um estado heterogêneo: a experiência na Era Lula

    Directory of Open Access Journals (Sweden)

    Rebecca Abers

    2014-06-01

    Full Text Available Este artigo analisa a combinação de rotinas de interação do Estado com os movimentos sociais na construção de políticas públicas durante o governo Lula em três setores de políticas: desenvolvimento agrário, política urbana e segurança pública. O argumento central é que, em um contexto caracterizado por uma permeabilidade inédita do Estado, movimentos sociais e atores estatais experimentaram criativamente padrões históricos de interação Estado-sociedade. Sob o mote da "participação da sociedade civil", movimentos sociais e atores estatais recorreram a um repertório de interação diversificado, que incluiu a participação institucional, protestos, ocupação de cargos na burocracia pública e relações personalizadas, com ênfase variada a depender dos padrões pretéritos de relação Estado-sociedade em cada setor.

  2. Diagnostic accuracy of low-dose CT compared with abdominal radiography in non-traumatic acute abdominal pain: prospective study and systematic review

    International Nuclear Information System (INIS)

    Alshamari, Muhammed; Geijer, Haakan; Norrman, Eva; Geijer, Mats; Jansson, Kjell

    2016-01-01

    Abdominal radiography is frequently used in acute abdominal non-traumatic pain despite the availability of more advanced diagnostic modalities. This study evaluates the diagnostic accuracy of low-dose CT compared with abdominal radiography, at similar radiation dose levels. Fifty-eight patients were imaged with both methods and were reviewed independently by three radiologists. The reference standard was obtained from the diagnosis in medical records. Sensitivity and specificity were calculated. A systematic review was performed after a literature search, finding a total of six relevant studies including the present. Overall sensitivity with 95 % CI for CT was 75 % (66-83 %) and 46 % (37-56 %) for radiography. Specificity was 87 % (77-94 %) for both methods. In the systematic review the overall sensitivity for CT varied between 75 and 96 % with specificity from 83 to 95 % while the overall sensitivity for abdominal radiography varied between 30 and 77 % with specificity 75 to 88 %. Based on the current study and available evidence, low-dose CT has higher diagnostic accuracy than abdominal radiography and it should, where logistically possible, replace abdominal radiography in the workup of adult patients with acute non-traumatic abdominal pain. (orig.)

  3. Diagnostic accuracy of low-dose CT compared with abdominal radiography in non-traumatic acute abdominal pain: prospective study and systematic review

    Energy Technology Data Exchange (ETDEWEB)

    Alshamari, Muhammed; Geijer, Haakan [Oerebro University, Department of Radiology, Faculty of Medicine and Health, Oerebro (Sweden); Norrman, Eva [Oerebro University, Department of Medical Physics, Faculty of Medicine and Health, Oerebro (Sweden); Geijer, Mats [Lund University and Skaane University Hospital, Department of Medical Imaging and Physiology, Lund (Sweden); Jansson, Kjell [Oerebro University, Department of Surgery, Faculty of Medicine and Health, Oerebro (Sweden)

    2016-06-15

    Abdominal radiography is frequently used in acute abdominal non-traumatic pain despite the availability of more advanced diagnostic modalities. This study evaluates the diagnostic accuracy of low-dose CT compared with abdominal radiography, at similar radiation dose levels. Fifty-eight patients were imaged with both methods and were reviewed independently by three radiologists. The reference standard was obtained from the diagnosis in medical records. Sensitivity and specificity were calculated. A systematic review was performed after a literature search, finding a total of six relevant studies including the present. Overall sensitivity with 95 % CI for CT was 75 % (66-83 %) and 46 % (37-56 %) for radiography. Specificity was 87 % (77-94 %) for both methods. In the systematic review the overall sensitivity for CT varied between 75 and 96 % with specificity from 83 to 95 % while the overall sensitivity for abdominal radiography varied between 30 and 77 % with specificity 75 to 88 %. Based on the current study and available evidence, low-dose CT has higher diagnostic accuracy than abdominal radiography and it should, where logistically possible, replace abdominal radiography in the workup of adult patients with acute non-traumatic abdominal pain. (orig.)

  4. Origen y distribución de pesticidas organoclorados (OCPs) en sedimentos actuales de la Laguna de El Hito (Cuenca, España Central)

    OpenAIRE

    Sánchez Palencia, Yolanda; Ortiz, José Eugenio; Torres, Trinidad de

    2015-01-01

    Se llevó a cabo el estudio del estado ambiental actual de la Laguna de El Hito basado en el análisis y cuantificación de 24 pesticidas organoclorados (OCPs): hexaclorobenceno, hexaclorociclohexanos, diclorodifenil-tricloroetano sus homólogos y metabolitos (DDTs), y ciclodienos (aldrín, dieldrín, endrín, endrín aldehido, endrín cetona, α- clordano, γ-clordano, endosulfán I, endosulfán II, endosulfán sulfato, heptacloro, heptacloro epóxido B y metoxicloro). Algunos compuestos ...

  5. Acute abdominal pain: Advances in diagnosis and management

    NARCIS (Netherlands)

    Gans, S.L.

    2015-01-01

    The term acute abdominal pain refers to non-traumatic abdominal pain of rapid onset with duration of less than five days. Acute abdominal pain can be divided in urgent and non-urgent conditions. Urgent causes require treatment within 24 hours to prevent serious complications whereas for non-urgent

  6. Turismo de congresos y reuniones en la ciudad de La Plata: Estado actual, tendencias y posibilidades de desarrollo

    OpenAIRE

    Herrera, Leandro Javier

    2014-01-01

    Año a año Argentina es elegida como sede de todo tipo de reuniones, una modalidad turística vista como una actividad económica rentable que crece sostenidamente a nivel mundial y nacional. El siguiente trabajo de investigación describe la situación actual de La Plata como ciudad sede de este fenómeno, los diferentes eventos realizados durante el año 2013 y características generales del consumidor principal de este segmento. Se realiza una conceptualización y contextualización del turism...

  7. Functional abdominal pain disorders in children

    NARCIS (Netherlands)

    Rajindrajith, Shaman; Zeevenhooven, Judith; Devanarayana, Niranga Manjuri; Perera, Bonaventure Jayasiri Crispus; Benninga, Marc A.

    2018-01-01

    Chronic abdominal pain is a common problem in pediatric practice. The majority of cases fulfill the Rome IV criteria for functional abdominal pain disorders (FAPDs). At times, these disorders may lead to rather serious repercussions. Area covered: We have attempted to cover current knowledge on

  8. Mechanisms and management of functional abdominal pain.

    Science.gov (United States)

    Farmer, Adam D; Aziz, Qasim

    2014-09-01

    Functional abdominal pain syndrome is characterised by frequent or continuous abdominal pain associated with a degree of loss of daily activity. It has a reported population prevalence of between 0.5% and 1.7%, with a female preponderance. The pathophysiology of functional abdominal pain is incompletely understood although it has been postulated that peripheral sensitisation of visceral afferents, central sensitisation of the spinal dorsal horn and aberrancies within descending modulatory systems may have an important role. The management of patients with functional abdominal pain requires a tailored multidisciplinary approach in a supportive and empathetic environment in order to develop an effective therapeutic relationship. Patient education directed towards an explanation of the pathophysiology of functional abdominal pain is in our opinion a prerequisite step and provides the rationale for the introduction of interventions. Interventions can usefully be categorised into general measures, pharmacotherapy, psychological interventions and 'step-up' treatments. Pharmacotherapeutic/step-up options include tricyclic antidepressants, serotonin noradrenergic reuptake inhibitors and the gabapentinoids. Psychological treatments include cognitive behavioural therapy and hypnotherapy. However, the objective evidence base for these interventions is largely derived from other chronic pain syndrome, and further research is warranted in adult patients with functional abdominal pain. © The Royal Society of Medicine.

  9. Diagnosis of calcification on abdominal radiographs

    International Nuclear Information System (INIS)

    Lamb, C.R.; Kleine, L.J.; McMillan, M.C.

    1991-01-01

    A wide variety of normal and pathologic factors may induce intraabdominal calcification. In general, the most reliable indication of the cause of a calcification is its location; therefore, if the affected organ can be identified the radiographic diagnosis is often straightforward or, at least, limited to relatively few possibilities. With this principle in mind, a series of patients with abdominal calcification are described for the purpose of illustrating the appearance of calcification of various abdominal organs. In addition, etiology for the calcification in each patient is discussed. Certain extraabdominal calcifications which may be seen on abdominal radiographs are also mentioned

  10. 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.

  11. Abdominal ultrasonography, 2nd Ed

    International Nuclear Information System (INIS)

    Goldberg, B.B.

    1984-01-01

    This volume is a new and updated edition of an extensively illustrated text and reference on the capabilities and imaging of gray scale ultrasonography for each major abdominal organ. Each major organ system is treated separately, including liver, gallbladder and bile ducts, pancreas, kidney, retroperitoneum, abdominal vasculature, and more. There are over 500 illustrations and ten pages of full color plates for cross sectional anatomy

  12. CT findings in abdominal actinomycosis

    International Nuclear Information System (INIS)

    Lee, In Jae; Ha, Hyun Kwon; Lee, Moon Gyu; Kim, Pyo Nyun; Auh, Yong Ho

    1999-01-01

    Abdominal actinomycosis is a chronic, progressive, suppurative disease with a favorable response to intravenous treatment with penicillin. In many instances, however, its clinical and radiological findings may overlap with those of other inflammatory and neoplastic conditions, and the familiarity with the various radiological features can thus avoid diagnostic delays. The purpose of this paper is to describe and discuss the CT findings of abdominal actinomycosis

  13. La formación docente de maestros de lenguas extranjeras en Estados Unidos: contextos, desafíos e interrogantes

    Directory of Open Access Journals (Sweden)

    Luis Javier Pentón Herrera

    2017-10-01

    Full Text Available La formación de maestros de lenguas extranjeras en Estados Unidos es un tema muy tratado y que ha ganado mucha popularidad en los últimos años dentro de la nación. El empuje por cuantificar el uso de prácticas efectivas ha intensificado el enfoque en estándares y métodos de enseñanza, muchas veces obviando la importancia de la aptitud lingüística que tienen los docentes en el idioma que enseñan. El presente artículo expone realidades sobre la disímil formación de maestros de idiomas de preescolar (K a duodécimo grado (12 grado en Estados Unidos. Para esto, el autor elucida el contexto de formación docente de maestros de idiomas y los requisitos para enseñar lenguas extranjeras en las escuelas públicas primarias y secundarias de la nación. Además, el artículo expone retos asociados a las prácticas de la formación docente actual y sus implicaciones tanto para educadores como para estudiantes. Asimismo, el autor concluye con interrogantes sobre el futuro de la formación docente en Estados Unidos durante un período donde se acrecienta la demanda por el aprendizaje de lenguas extranjeras mientras la nación experimenta un declive de profesores de idiomas.

  14. 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

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

    International Nuclear Information System (INIS)

    Choi, You Ri; Chang, Nam Kyu; Shin, Hyo Hyun; Oh, Hyun Jun; Kim, Jae Kyu; Choi, Soo Jin Na; Chung, Sang Young; Yim, Nam Yeol

    2010-01-01

    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

  16. Cost and Reimbursement for Three Fibroid Treatments: Abdominal Hysterectomy, Abdominal Myomectomy, and Uterine Fibroid Embolization

    International Nuclear Information System (INIS)

    Goldberg, Jay; Bussard, Anne; McNeil, Jean; Diamond, James

    2007-01-01

    Purpose. To compare costs and reimbursements for three different treatments for uterine fibroids. Methods. Costs and reimbursements were collected and analyzed from the Thomas Jefferson University Hospital decision support database from 540 women who underwent abdominal hysterectomy (n 299), abdominal myomectomy (n = 105), or uterine fibroid embolization (UFE) (n = 136) for uterine fibroids during 2000-2002. We used the chi-square test and ANOVA, followed by Fisher's Least Significant Difference test, for statistical analysis. Results. The mean total hospital cost (US$) for UFE was $2,707, which was significantly less than for hysterectomy ($5,707) or myomectomy ($5,676) (p < 0.05). The mean hospital net income (hospital net reimbursement minus total hospital cost) for UFE was $57, which was significantly greater than for hysterectomy (-$572) or myomectomy (-$715) (p < 0.05). The mean professional (physician) reimbursements for UFE, hysterectomy, and myomectomy were $1,306, $979, and $1,078, respectively. Conclusion. UFE has lower hospital costs and greater hospital net income than abdominal hysterectomy or abdominal myomectomy for treating uterine fibroids. UFE may be more financially advantageous than hysterectomy or myomectomy for the insurer, hospital, and health care system. Costs and reimbursements may vary amongst different hospitals and regions

  17. Review article: the functional abdominal pain syndrome.

    Science.gov (United States)

    Sperber, A D; Drossman, D A

    2011-03-01

    Functional abdominal pain syndrome (FAPS) is a debilitating disorder with constant or nearly constant abdominal pain, present for at least 6 months and loss of daily functioning. To review the epidemiology, pathophysiology and treatment of FAPS. A literature review using the keywords: functional abdominal pain, chronic abdominal pain, irritable bowel syndrome and functional gastrointestinal disorders. No epidemiological studies have focused specifically on FAPS. Estimates of prevalence range from 0.5% to 1.7% and tend to show a female predominance. FAPS pathophysiology appears unique in that the pain is caused primarily by amplified central perception of normal visceral input, rather than by enhanced peripheral stimulation from abdominal viscera. The diagnosis of FAPS is symptom-based in accordance with the Rome III diagnostic criteria. These criteria are geared to identify patients with severe symptoms as they require constant or nearly constant abdominal pain with loss of daily function and are differentiated from IBS based on their non-association with changes in bowel habit, eating or other gut-related events. As cure is not feasible, the aims of treatment are reduced suffering and improved quality of life. Treatment is based on a biopsychosocial approach with a therapeutic patient-physician partnership at its base. Therapeutic options include central nonpharmacological and pharmacological modalities and peripheral modalities. These can be combined to produce an augmentation effect. Although few studies have assessed functional abdominal pain syndrome or its treatment specifically, the treatment strategies outlined in this paper appear to be effective. © 2011 Blackwell Publishing Ltd.

  18. [Analyze prescription rules of Professor Jiang Liangduo treatment for abdominal mass based on traditional Chinese medicine inheritance platform].

    Science.gov (United States)

    Lian, Xiao-Xiao; Guo, Xiao-Xia

    2018-01-01

    To investigate the herbal prescription rules of Professor Jiang Liangduo in the treatment of abdominal mass based on the traditional Chinese medicine inheritance support system software (TCMISS) of version 2.5, find out new herbal formulas for the treatment of abdominal mass, and then provide new reference to its traditional Chinese medicine therapy. By the method of retrospective study, one hundred and thirty-two outpatient prescriptions of Professor Jiang for the treatment of abdominal mass were collected to establish a typical database with TCMISS. Four properties, five tastes, channel tropism, frequency count, Chinese herbal prescriptions rules and the new prescriptions were analyzed so as to dig out the prescription rules. There were 57 herbs with a frequency>=15, and then 91 core combinations of 2-5 herbs were evolved and 9 new prescriptions were created. It was found out that these drugs mainly had the effects of liver nourishing and soothing, soft-moist and dredging-tonifying, supporting right and dispeling evil, cooperating with the method of calming the liver and resolving hard lump according to the actual situation. It reflected the thought of treatment based on syndrome differentiation in TCM, and provided a new reference for its clinical treatment and research. Copyright© by the Chinese Pharmaceutical Association.

  19. CT evaluation of abdominal trauma

    International Nuclear Information System (INIS)

    Huang Ruiting

    2004-01-01

    Objective: An evaluation of CT diagnosis of abdominal trauma. Methods: CT appearance of abdominal trauma was analyzed retrospectively in 95 cases. thirty-three patients were cured by operation, and the other 59 patients received conservative treatment. Fifty-one patients out of 59 were seen healed or improved by a follow up CT scan after the conservative treatment. Results: The study included: 31 cases of splenic contusion, accompanying with hemoperitoneum in 25 cases; 3 cases of hepatic laceration; 33 cases of liver and spleen compound trauma accompanying with hemoperitoneum; 18 cases of renal contusion, with subcapsular hemorrhage in 12 cases; 4 cases of midriff colic; 3 cases of mesentery breach; 3 cases of digestive tract perforation. Conclusion: CT is sensitive and precise in evaluating abdominal trauma, providing important information for treatment. (author)

  20. Subtotal versus total abdominal hysterectomy

    DEFF Research Database (Denmark)

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

    2015-01-01

    OBJECTIVE: The objective of the study was to compare long-term results of subtotal vs total abdominal hysterectomy for benign uterine diseases 14 years after hysterectomy, with urinary incontinence as the primary outcome measure. STUDY DESIGN: This was a long-term follow-up of a multicenter......, 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...... from discharge summaries from all public hospitals in Denmark. The results were analyzed as intention to treat and per protocol. Possible bias caused by missing data was handled by multiple imputation. The primary outcome was urinary incontinence; the secondary outcomes were pelvic organ prolapse...

  1. Simultaneous repair of abdominal aortic aneurysm and resection of unexpected, associated abdominal malignancies.

    Science.gov (United States)

    Illuminati, Giulio; Calio', Francesco G; D'Urso, Antonio; Lorusso, Riccardo; Ceccanei, Gianluca; Vietri, Francesco

    2004-12-15

    The management of unexpected intra-abdominal malignancy, discovered at laparotomy for elective treatment of an abdominal aortic aneurysm (AAA), is controversial. It is still unclear whether both conditions should be treated simultaneously or a staged approach is to be preferred. To contribute in improving treatment guidelines, we retrospectively reviewed the records of patients undergoing laparotomy for elective AAA repair. From January 1994 to March 2003, 253 patients underwent elective, trans-peritoneal repair of an AAA. In four patients (1.6%), an associated, unexpected neoplasm was detected at abdominal exploration, consisting of one renal, one gastric, one ileal carcinoid, and one ascending colon tumor. All of them were treated at the same operation, after aortic repair and careful isolation of the prosthetic graft. The whole series' operative mortality was 3.6%. None of the patients simultaneously treated for AAA and tumor resection died in the postoperative period. No graft-related infections were observed. Simultaneous treatment of AAA and tumor did not prolong significantly the mean length of stay in the hospital, compared to standard treatment of AAA alone. Except for malignancies of organs requiring major surgical resections, simultaneous AAA repair and resection of an associated, unexpected abdominal neoplasm can be safely performed, in most of the patients, sparing the need for a second procedure. Endovascular grafting of the AAA can be a valuable tool in simplifying simultaneous treatment, or in staging the procedures with a very short delay.

  2. Longitudinal changes in abdominal fat distribution with menopause.

    Science.gov (United States)

    Franklin, Ruth M; Ploutz-Snyder, Lori; Kanaley, Jill A

    2009-03-01

    Increases in abdominal fat have been reported with menopause, but the impact of menopause on abdominal fat distribution (visceral vs subcutaneous) is still unclear. The objective of the study was to determine if abdominal fat content (volume) or distribution is altered with menopause. Magnetic resonance imaging was used to quantify total abdominal, subcutaneous, and visceral fat in 8 healthy women, both in the premenopausal state and 8 years later in the postmenopausal state. Physical activity (PA) and blood lipids were also measured. Body weight and waist circumference did not change with menopause (pre- vs postmenopause: body weight, 63.2 +/- 3.1 vs 63.9 +/- 2.5 kg; waist circumference, 92.1 +/- 4.6 vs 93.4 +/- 3.7 cm); however, total abdominal fat, subcutaneous fat, and visceral fat all significantly (P fat distribution was not significantly different after menopause (pre- vs postmenopause: subcutaneous, 73% +/- 3% vs 71% +/- 3%; visceral, 26% +/- 3% vs 28% +/- 3%). Lean mass, fat mass, and PA, along with total cholesterol and triglyceride levels, did not change with menopause. High-density lipoprotein and low-density lipoprotein both increased (P abdominal fat content increased with menopause despite no change in PA, body weight, or waist circumference; however, menopause did not affect the relative abdominal fat distribution in these women.

  3. La gestión del marketing en el marco de la filosofía de calidad total y su influencia en las pymes de la región bajio del estado de Guanajuato, México.

    OpenAIRE

    RÍOS ÁLVAREZ, LUCÍA

    2011-01-01

    En el presente trabajo es un análisis sobre la situación actual de las PyMes en el Estado de Guanajuato, México se propone un modelo derivado de este estudio documental y de campo, sobre las políticas y acciones de las PyMES en el área de la mercadotecnia, en el marco de la Filosofía de Calidad Total. El objetivo es valuar la problemática que con mayor frecuencia se presenta en las PyMES del Estado de Guanajuato, que limita y obstaculiza la plena satisfacción del cliente y el mejor desarrollo...

  4. Prophylactic antibiotics for penetrating abdominal trauma.

    Science.gov (United States)

    Brand, Martin; Grieve, Andrew

    2013-11-18

    Penetrating abdominal trauma occurs when the peritoneal cavity is breached. Routine laparotomy for penetrating abdominal injuries began in the 1800s, with antibiotics first being used in World War II to combat septic complications associated with these injuries. This practice was marked with a reduction in sepsis-related mortality and morbidity. Whether prophylactic antibiotics are required in the prevention of infective complications following penetrating abdominal trauma is controversial, however, as no randomised placebo controlled trials have been published to date. There has also been debate about the timing of antibiotic prophylaxis. In 1972 Fullen noted a 7% to 11% post-surgical infection rate with pre-operative antibiotics, a 33% to 57% infection rate with intra-operative antibiotic administration and 30% to 70% infection rate with only post-operative antibiotic administration. Current guidelines state there is sufficient class I evidence to support the use of a single pre-operative broad spectrum antibiotic dose, with aerobic and anaerobic cover, and continuation (up to 24 hours) only in the event of a hollow viscus perforation found at exploratory laparotomy. To assess the benefits and harms of prophylactic antibiotics administered for penetrating abdominal injuries for the reduction of the incidence of septic complications, such as septicaemia, intra-abdominal abscesses and wound infections. Searches were not restricted by date, language or publication status. We searched the following electronic databases: the Cochrane Injuries Group Specialised Register, CENTRAL (The Cochrane Library 2013, issue 12 of 12), MEDLINE (OvidSP), Embase (OvidSP), ISI Web of Science: Science Citation Index Expanded (SCI-EXPANDED), ISI Web of Science: Conference Proceedings Citation Index- Science (CPCI-S) and PubMed. Searches were last conducted in January 2013. All randomised controlled trials of antibiotic prophylaxis in patients with penetrating abdominal trauma versus no

  5. Estados de mal epiléptico na sindrome Delennox-Gastaut: aspectos terapeuticos

    Directory of Open Access Journals (Sweden)

    José Geraldo Speciali

    1977-09-01

    Full Text Available Foram descritas as condutas terapêuticas utilizadas nos estados de mal epiléptico, convulsivos e não convulsivos, observados em 14 pacientes com síndrome de Lennox-Gastaut. Verificou-se relação temporal entre aparecimento de estado de mal epiléptico e início de tratamento com clonazepam e difenilhidantoina; a retirada dessas medicações foi seguida pelo desaparecimento dos estados de mal. Indicou-se a possibilidade de tratamento dos estados de mal epiléptico modificando-se o esquema terapêutico administrado por via oral, reservando-se o tratamento parenteral para os estados com comprometimento progressivo da consciência e/ou dos distúrbios neurovegetativos.

  6. A novel LabVIEW-based multi-channel non-invasive abdominal maternal-fetal electrocardiogram signal generator.

    Science.gov (United States)

    Martinek, Radek; Kelnar, Michal; Koudelka, Petr; Vanus, Jan; Bilik, Petr; Janku, Petr; Nazeran, Homer; Zidek, Jan

    2016-02-01

    This paper describes the design, construction, and testing of a multi-channel fetal electrocardiogram (fECG) signal generator based on LabVIEW. Special attention is paid to the fetal heart development in relation to the fetus' anatomy, physiology, and pathology. The non-invasive signal generator enables many parameters to be set, including fetal heart rate (FHR), maternal heart rate (MHR), gestational age (GA), fECG interferences (biological and technical artifacts), as well as other fECG signal characteristics. Furthermore, based on the change in the FHR and in the T wave-to-QRS complex ratio (T/QRS), the generator enables manifestations of hypoxic states (hypoxemia, hypoxia, and asphyxia) to be monitored while complying with clinical recommendations for classifications in cardiotocography (CTG) and fECG ST segment analysis (STAN). The generator can also produce synthetic signals with defined properties for 6 input leads (4 abdominal and 2 thoracic). Such signals are well suited to the testing of new and existing methods of fECG processing and are effective in suppressing maternal ECG while non-invasively monitoring abdominal fECG. They may also contribute to the development of a new diagnostic method, which may be referred to as non-invasive trans-abdominal CTG +  STAN. The functional prototype is based on virtual instrumentation using the LabVIEW developmental environment and its associated data acquisition measurement cards (DAQmx). The generator also makes it possible to create synthetic signals and measure actual fetal and maternal ECGs by means of bioelectrodes.

  7. Diagnostic accuracy of low-dose CT compared with abdominal radiography in non-traumatic acute abdominal pain: prospective study and systematic review.

    Science.gov (United States)

    Alshamari, Muhammed; Norrman, Eva; Geijer, Mats; Jansson, Kjell; Geijer, Håkan

    2016-06-01

    Abdominal radiography is frequently used in acute abdominal non-traumatic pain despite the availability of more advanced diagnostic modalities. This study evaluates the diagnostic accuracy of low-dose CT compared with abdominal radiography, at similar radiation dose levels. Fifty-eight patients were imaged with both methods and were reviewed independently by three radiologists. The reference standard was obtained from the diagnosis in medical records. Sensitivity and specificity were calculated. A systematic review was performed after a literature search, finding a total of six relevant studies including the present. Overall sensitivity with 95 % CI for CT was 75 % (66-83 %) and 46 % (37-56 %) for radiography. Specificity was 87 % (77-94 %) for both methods. In the systematic review the overall sensitivity for CT varied between 75 and 96 % with specificity from 83 to 95 % while the overall sensitivity for abdominal radiography varied between 30 and 77 % with specificity 75 to 88 %. Based on the current study and available evidence, low-dose CT has higher diagnostic accuracy than abdominal radiography and it should, where logistically possible, replace abdominal radiography in the workup of adult patients with acute non-traumatic abdominal pain. • Low-dose CT has a higher diagnostic accuracy than radiography. • A systematic review shows that CT has better diagnostic accuracy than radiography. • Radiography has no place in the workup of acute non-traumatic abdominal pain.

  8. Asymptomatic Incisional Endometrioma Presenting as Abdominal ...

    African Journals Online (AJOL)

    Asymptomatic incisional endometrioma of the anterior abdominal wall is rare. Clinical diagnosis may be difficult. We present a 26 year old woman with incisional abdominal wall endometrioma discovered 5 years after caeserian section. It was painless and there was no change in size with menstruation. The patient's body ...

  9. Consumo energético-protéico e estado nutricional de crianças menores de cinco anos, no estado de Pernambuco, Brasil

    OpenAIRE

    Menezes,Risia Cristina Egito de; Osório,Mônica Maria

    2007-01-01

    OBJETIVO: Avaliar o consumo de energia e proteínas e associá-lo ao estado nutricional de crianças menores de 5 anos. MÉTODOS: Estudo transversal com 948 crianças menores de cinco anos, no Estado de Pernambuco. O consumo alimentar foi registrado utilizando o método recordatório de 24 horas. Para análise de energia e proteína foram utilizadas as Dietary Reference Intakes como referência, verificando-se o consumo mediano e a prevalência de inadequação. O estado nutricional foi avaliado utilizand...

  10. Reducing Abdominal Fat Deposition in Broiler Through Feeding Management

    Directory of Open Access Journals (Sweden)

    Cecep Hidayat

    2015-09-01

    Full Text Available Abdominal fat in broiler carcass is considered as a waste and its existence reduces the carcass quality. Abdominal fat deposition is affected by several factors such as genetic, nutrition, feed, sex, age and environment. Reducing abdominal fat deposition can be carried out by regulating the nutrient intake to ensure that no excessive nutrient was consumed. Nutrition effects to reduce abdominal fat deposition are associated with nutrient concentration of ration and quantity of daily feed intake. Daily nutrient intake can be limited, especially through restricted feeding. It is concluded that an appropriate feeding management can reduce abdominal fat deposition in broiler.

  11. Abdominal injuries in communal crises: The Jos experience

    Directory of Open Access Journals (Sweden)

    Emmanuel Olorundare Ojo

    2016-01-01

    Full Text Available Background: Abdominal injuries contribute significantly to battlefield trauma morbidity and mortality. This study sought to determine the incidence, demographics, clinical features, spectrum, severity, management, and outcome of abdominal trauma during a civilian conflict. Materials and Methods: A prospective analysis of patients treated for abdominal trauma during the Jos civil crises between December 2010 and May 2012 at the Jos University Teaching Hospital. Results: A total of 109 victims of communal conflicts with abdominal injuries were managed during the study period with 89 (81.7% males and 20 (18.3% females representing about 12.2% of the total 897 combat related injuries. The peak age incidence was between 21 and 40 years (range: 3–71 years. The most frequently injured intra-abdominal organs were the small intestine 69 (63.3%, colon 48 (44%, and liver 41 (37.6%. Forty-four (40.4% patients had extra-abdominal injuries involving the chest in 17 (15.6%, musculoskeletal 12 (11%, and the head in 9 (8.3%. The most prevalent weapon injuries were gunshot 76 (69.7%, explosives 12 (11%, stab injuries 11 (10.1%, and blunt abdominal trauma 10 (9.2%. The injury severity score varied from 8 to 52 (mean: 20.8 with a fatality rate of 11 (10.1% and morbidity rate of 29 (26.6%. Presence of irreversible shock, 3 or more injured intra-abdominal organs, severe head injuries, and delayed presentation were the main factors associated with mortality. Conclusion: Abdominal trauma is major life-threatening injuries during conflicts. Substantial mortality occurred with loss of nearly one in every 10 hospitalized victims despite aggressive emergency room resuscitation. The resources expenditure, propensity for death and expediency of timing reinforce the need for early access to the wounded in a concerted trauma care systems.

  12. Imaging the Abdominal Manifestations of Cystic Fibrosis

    Directory of Open Access Journals (Sweden)

    C. D. Gillespie

    2017-01-01

    Full Text Available Cystic fibrosis (CF is a multisystem disease with a range of abdominal manifestations including those involving the liver, pancreas, and kidneys. Recent advances in management of the respiratory complications of the disease has led to a greater life expectancy in patients with CF. Subsequently, there is increasing focus on the impact of abdominal disease on quality of life and survival. Liver cirrhosis is the most important extrapulmonary cause of death in CF, yet significant challenges remain in the diagnosis of CF related liver disease. The capacity to predict those patients at risk of developing cirrhosis remains a significant challenge. We review representative abdominal imaging findings in patients with CF selected from the records of two academic health centres, with a view to increasing familiarity with the abdominal manifestations of the disease. We review their presentation and expected imaging findings, with a focus on the challenges facing diagnosis of the hepatic manifestations of the disease. An increased familiarity with these abdominal manifestations will facilitate timely diagnosis and management, which is paramount to further improving outcomes for patients with cystic fibrosis.

  13. Who is Self-Actualized?

    Science.gov (United States)

    Roweton, William E.

    1981-01-01

    In an attempt to clarify Maslow's concept of self-actualization as it relates to human motivation, a class of educational psychology students wrote essays describing a self-actualized person and then attempted to decide whether public schools contribute to the production of self-actualized persons. Two-thirds of the students decided that schools…

  14. 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...

  15. Abdominal radiation causes bacterial translocation

    International Nuclear Information System (INIS)

    Guzman-Stein, G.; Bonsack, M.; Liberty, J.; Delaney, J.P.

    1989-01-01

    The purpose of this study was to determine if a single dose of radiation to the rat abdomen leads to bacterial translocation into the mesenteric lymph nodes (MLN). A second issue addressed was whether translocation correlates with anatomic damage to the mucosa. The radiated group (1100 cGy) which received anesthesia also was compared with a control group and a third group which received anesthesia alone but no abdominal radiation. Abdominal radiation lead to 100% positive cultures of MLN between 12 hr and 4 days postradiation. Bacterial translocation was almost nonexistent in the control and anesthesia group. Signs of inflammation and ulceration of the intestinal mucosa were not seen until Day 3 postradiation. Mucosal damage was maximal by Day 4. Bacterial translocation onto the MLN after a single dose of abdominal radiation was not apparently dependent on anatomical, histologic damage of the mucosa

  16. CT diagnosis of abdominal ectopic pheochromocytoma

    International Nuclear Information System (INIS)

    Zhang Yuping; Zhao Zhiying

    2010-01-01

    Objective: To discuss the value of CT in diagnosis of abdominal ectopic pheochromocytoma. Methods: CT findings of 5 cases surgically and pathologically proved with ectopic pheochromocytoma were retrospectively analyzed. Results: Soft tissue mass with light asymmetry enhancement was found between the abdominal aorta and the inferior vena ca-va in one case. 1 case was completely cystic with light enhancement of the cystwall located in front of the left side of the abdominal aorta. 1 case of large solid mass occurred between the renal hilum and the tail of pancreas, with irregular shape, unclear boundary, central necrosis, calcification and obviously enhancement at the solid part. 2 cases showed as oval soft lump with even density, moderate strengthening located before the abdominal aorta. Paroxysmal hypertension occurred in 3 cases and didn't in 2 cases. Hypertension happened in 1 case during the operation because of stimulation. Blood pressure appeared in 1 case during and after operation. Blood and urinary catecholamine increased significantly in 4 cases. Conclusion: Ectopic pheochromocytoma mainly located surround the abdominal aorta with diverse CT performance. It is helpful for diagnosing when finding a lesion locates at the specified sites combined with typical clinical presentation. CT can not only depict small tumor, but also can show the relationship with surrounding structure, and it provides important information for the operation and prognosis. (authors)

  17. OUR EXPERIENCE WITH BLUNT ABDOMINAL TRAUMA

    Directory of Open Access Journals (Sweden)

    Ankareddi Vijaya Lakshmi

    2016-12-01

    Full Text Available BACKGROUND Blunt abdominal trauma is an emergency and is associated with significant morbidity and mortality. The aim of the study is to study incidence, demographic profile, epidemiological factors, mechanism of trauma, treatment modalities, associated injuries, postoperative complications and morbidity and mortality. MATERIALS AND METHODS A retrospective analysis of 72 patients of blunt abdominal trauma who were admitted in government general hospital between May 2013 to April 2015 in Department of General Surgery, Government General Hospital, Guntur, with in a span of 24 months were studied. Demographic data, mechanism of trauma, management and outcome were studied. RESULTS Most of the patients in our study were in the age group of 21-30 years. Spleen was the commonest organ involved and most common procedure performed was splenectomy. Most common extra-abdominal injury was rib fractures. Wound infection was the commonest complication. CONCLUSION Initial resuscitative measures, thorough clinical examination and correct diagnosis forms the vital part of the management. FAST is more useful in blunt abdominal trauma patients who are unstable. X-ray revealed 100% accuracy in hollow viscous perforation in blunt abdominal trauma patients. CT abdomen is more useful in stable patients. Definitive indication for laparotomy was haemodynamic instability and peritonitis. Associated injuries influenced morbidity and mortality. Early diagnosis and prompt treatment can save many lives.

  18. Origen y distribución de los pesticidas organoclorados (OCPs) en sedimentos actuales de la Laguna de El Hito (Cuenca, España Central)

    OpenAIRE

    Sánchez-Palencia González, Yolanda; Ortiz Menéndez, José Eugenio; Torres Pérez-Hidalgo, Trinidad José

    2015-01-01

    Se llevó a cabo el estudio del estado ambiental actual de la Laguna de El Hito basado en el análisis y cuantificación de 24 pesticidas organoclorados (OCPs): hexaclorobenceno, hexaclorociclohexanos, diclorodifenil-tricloroetano sus homólogos y metabolitos (DDTs), y ciclodienos (aldrín, dieldrín, endrín, endrín aldehido, endrín cetona, ?-clordano, ?-clordano, endosulfán I, endosulfán II, endosulfán sulfato, heptacloro, heptacloro epóxido B y metoxicloro). Algunos compuestos superaron los Nive...

  19. Unusual causes of abdominal pain: sickle cell anemia.

    Science.gov (United States)

    Ahmed, Shahid; Shahid, Rabia K; Russo, Linda A

    2005-04-01

    Sickle cell disease is characterized by chronic hemolytic anemia and vaso-occlusive painful crises. The vascular occlusion in sickle cell disease is a complex process and accounts for the majority of the clinical manifestation of the disease. Abdominal pain is an important component of vaso-occlusive painful crises. It often represents a substantial diagnostic challenge in this population of patients. These episodes are often attributed to micro-vessel occlusion and infarcts of mesentery and abdominal viscera. Abdominal pain due to sickle cell vaso-occlusive crisis is often indistinguishable from an acute intra-abdominal disease process such as acute cholecystitis, acute pancreatitis, hepatic infarction, ischemic colitis and acute appendicitis. In the majority of cases, however, no specific cause is identified and spontaneous resolution occurs. This chapter will focus on etiologies, pathophysiology and management of abdominal pain in patients with sickle cell disease.

  20. Computed tomography and nonoperative treatment for blunt abdominal trauma

    International Nuclear Information System (INIS)

    Watanabe, Shinsuke; Ishi, Takashi; Kamachi, Masahiro; Takahashi, Toshio.

    1990-01-01

    Studies were undertaken to determine if computed tomography (CT) could reliably assist physical examination in the initial assessment of blunt abdominal trauma, and also to examine how various abdominal injuries were managed with the guidance of CT. A total of 255 patients underwent emergency abdominal CT following blunt abdominal trauma over a period of seven years. One hundred and fifty two patients had abnormal CT scans, including 58 hepatic, 36 renal, 25 splenic and 9 pancreatic injuries as well as 67 patients with intra-abdominal hemorrhage and 21 patients with free abdominal air. A comparative study on the detection of pneumoperitoneum revealed CT to be far superior to plain radiography. One hundred and three patients had normal CT scans, all of whom were managed nonoperatively, except for three false-negative cases and two nontherapeutic cases. The patients with injury to the parenchymal organs were given nonoperative treatment if they had stable vital signs and no evidence of associated injuries demanding immediate surgery and the majority of these patients were managed well nonoperatively. CT was thus found to be a useful adjunct in the management of victims of blunt abdominal trauma, since in a rapid and noninvasive fashion, CT accurately defined the extent of parenchymal organ injury and also disclosed any other abdominal injuries. (author)

  1. Computed tomography and nonoperative treatment for blunt abdominal trauma

    Energy Technology Data Exchange (ETDEWEB)

    Watanabe, Shinsuke; Ishi, Takashi; Kamachi, Masahiro [Saiseikai Shiga Hospital, Shiga (Japan); Takahashi, Toshio

    1990-01-01

    Studies were undertaken to determine if computed tomography (CT) could reliably assist physical examination in the initial assessment of blunt abdominal trauma, and also to examine how various abdominal injuries were managed with the guidance of CT. A total of 255 patients underwent emergency abdominal CT following blunt abdominal trauma over a period of seven years. One hundred and fifty two patients had abnormal CT scans, including 58 hepatic, 36 renal, 25 splenic and 9 pancreatic injuries as well as 67 patients with intra-abdominal hemorrhage and 21 patients with free abdominal air. A comparative study on the detection of pneumoperitoneum revealed CT to be far superior to plain radiography. One hundred and three patients had normal CT scans, all of whom were managed nonoperatively, except for three false-negative cases and two nontherapeutic cases. The patients with injury to the parenchymal organs were given nonoperative treatment if they had stable vital signs and no evidence of associated injuries demanding immediate surgery and the majority of these patients were managed well nonoperatively. CT was thus found to be a useful adjunct in the management of victims of blunt abdominal trauma, since in a rapid and noninvasive fashion, CT accurately defined the extent of parenchymal organ injury and also disclosed any other abdominal injuries. (author).

  2. [Abdominal Tuberculosis in children and adolescents. A diagnostic challenge].

    Science.gov (United States)

    Reto Valiente, Luz; Pichilingue Reto, Catherina; Pichilingue Prieto, Oscar; Dolores Cerna, Ketty

    2015-01-01

    To present our experience with abdominal tuberculosis in children and adolescents treated in our hospital from 2003 - 2014. It is a retrospective study. We have collected clinical records of inpatients overweight or obese and only 23.33% suffered of malnutrition. TB contact was present in 10 (33.33%). Positive tuberculin skin tests were seen in 10%. Extra-abdominal tuberculosis was found in 22 patients (63.32%). 12 cases had coexisting pulmonary tuberculosis and 4 cases had pleural effusion. 12 patients (40%) had tuberculous peritonitis; 12 patients (40%) had intestinal tuberculosis and peritoneal tuberculosis and 4 patients (13.33%) had intestinal tuberculosis. Bacteriological confirmation of tuberculosis was achieved in 10 cases (33.33%). Antituberculous therapy for 6 months was effective in 29 cases. One patient died who multifocal tuberculosis with HIV had associated. Abdominal tuberculosis is seen in 4.37% of children affected with tuberculosis, of which over 63% will have extra abdominal manifestations. Abdominal tuberculosis should be considered in patients with abdominal pain, fever, weight loss and abnormal chest radiography. Imaging can be useful for early diagnosis of abdominal tuberculosis.

  3. Trabajo Social en España: contextos históricos, singularidades y desafíos actuales

    Directory of Open Access Journals (Sweden)

    Rosana Matos-Silveira

    2013-06-01

    Full Text Available http://dx.doi.org/10.1590/S1414-49802013000300007 Este artículo analiza la naturaleza y construcción histórica del denominado Estado de Bienestar en España así como las particularidades del proceso de construcción y consolidación del Trabajo Social como profesión y disciplina. Muestra el importante papel de la profesión en la implementación, organización y consolidación de la red pública de servicios sociales con el predominio del modelo burocrático-administrativo profesional. Concluye indicando los principales desafíos actuales en un contexto de fuerte crisis del modelo económico capitalista y la radicalización de la cuestión social.

  4. 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.

  5. Ultrasonography in abdominal emergencies

    International Nuclear Information System (INIS)

    Risi, D.; Alessi, G.; Meli, C.; Marzano, M.; Fiori, E.; Caterino, S.

    1989-01-01

    From February 1986 to March 1988 113 abdominal US exams were performed in emergency situation to evaluate the accuracy of this methodology: 13 were blunt traumas, 18 post-operative complications. A real-time scanner with a linear probe of 5 MHz was employed. The results were confirmed by surgical and/or clinical and instrumental evaluation. In 81% of the examinations, ultrasonography allowed a diagnosis to be made. Gallbladder and biliary pathologies were the most common findings. The results (sensibility 96%, specificity 88%, accuracy 95%) confirm the affidability of ultrasonography in abdominal emergencies, as shown in literature

  6. Heterotopic bone formation as a result of abdominal polytrauma

    International Nuclear Information System (INIS)

    Petkov, G.; Penev, B.; Kirova, G.; Ruskova, E.; Karagiozov, P.

    2015-01-01

    Full text: Heterotopic bone formation within the abdominal cavity is a rare complication of the posttraumatic abdominal surgery. There are only few cases reported in the medical literature and most of them involve the mesentery or the abdominal wall. A case of 49y-old men is presented who developed intraabdominal heterotopic ossifications as a consequence of numeral exploratory laparotomies performed after a blunt abdominal trauma. The condition was detected during the follow-up MDCT 11 months later. The case is of interest because of the rarity of the condition and the diffuse character of the calcifications in the abdominal structures, which could pose some differential diagnostic difficulties

  7. Jejunal perforation caused by abdominal angiostrongyliasis Perfuração jejunal causada por angiostrongilíase abdominal

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    Jaques WAISBERG

    1999-09-01

    Full Text Available The authors describe a case of abdominal angiostrongyliasis in an adult patient presenting acute abdominal pain caused by jejunal perforation. The case was unusual, as this affliction habitually involves the terminal ileum, appendix, cecum or ascending colon. The disease is caused by the nematode Angiostrongylus costaricensis, whose definitive hosts are forest rodents while snails and slugs are its intermediate hosts. Infection in humans is accidental and occurs via the ingestion of snail or slug mucoid secretions found on vegetables, or by direct contact with the mucus. Abdominal angiostrongyliasis is clinically characterized by prolonged fever, anorexia, abdominal pain in the right-lower quadrant, and peripheral blood eosinophilia. Although usually of a benign nature, its course may evolve to more complicated forms such as intestinal obstruction or perforation likely to require a surgical approach. Currently, no efficient medication for the treatment of abdominal angiostrongyliasis is known to be available. In this study, the authors provide a review on the subject, considering its etiopathogeny, clinical picture, diagnosis and treatment.Os autores descrevem caso de angiostrongilíase abdominal em doente adulto que se manifestou como abdômen agudo devido à perfuração de alça jejunal, evento raro, uma vez que esta afecção geralmente envolve o íleo terminal, apêndice, ceco ou cólon ascendente. A doença é causada pelo nematódeo Angiostrongylus costaricensis cujos hospedeiros definitivos são roedores silvestres e os hospedeiros intermediários são caracóis e caramujos. A infecção em humanos é acidental e ocorre pela ingestão de secreção mucóide destes invertebrados presentes em vegetais ou por contato direto com o muco. A angiostrongilíase abdominal é clinicamente caracterizada pela presença de febre prolongada, anorexia, dor no quadrante inferior direito do abdômen e eosinofilia periférica. Embora a doença seja de

  8. Abdominal epilepsy as an unusual cause ofabdominal pain: A case ...

    African Journals Online (AJOL)

    Introduction: Abdominal pain, in etiology sometimes difficult to be defined, is a frequent complaint in childhood. Abdominal epilepsy is a rare cause of abdominal pain. Objectives: In this article, we report on 5 year old girl patient with abdominal epilepsy. Methods: Some investigations (stool investigation, routine blood tests, ...

  9. Pakistán: Estado Fallido, débil o colapsado

    Directory of Open Access Journals (Sweden)

    Alberto Priego

    2012-05-01

    Full Text Available Desde que se convirtiera en un Estado independiente en 1947, Pakistán ha arrastrado una serie de lastres que han limitado su desarrollo como Estado. Entre otros problemas podemos destacar como una composición étnica muy heterogénea, especialmente en el el norte y este del país, o el tráfico de drogas extendido por todo el país. Estas circunstancias han llevado a Pakistán a las principales indices de estados fallidos.

  10. Reducing Abdominal Fat Deposition in Broiler Through Feeding Management

    OpenAIRE

    Cecep Hidayat

    2015-01-01

    Abdominal fat in broiler carcass is considered as a waste and its existence reduces the carcass quality. Abdominal fat deposition is affected by several factors such as genetic, nutrition, feed, sex, age and environment. Reducing abdominal fat deposition can be carried out by regulating the nutrient intake to ensure that no excessive nutrient was consumed. Nutrition effects to reduce abdominal fat deposition are associated with nutrient concentration of ration and quantity of daily feed intak...

  11. Estado e controle nas prisões

    OpenAIRE

    Batista, Analía Soria

    2009-01-01

    Este artigo analisa o problema da produção do controle e da ordem em prisões brasileiras, utilizando as perspectivas histórica e sociológica, e levanta a hipóteses de que, no Brasil, convivem duas modalidades de construção da ordem e do controle nas prisões. Uma delas, minoritária, baseia-se na prerrogativa do Estado na gestão do dia a dia prisional. A outra é relativa à negociação da pacificação do presídio entre o Estado e as lideranças dos presos. Embora, no primeiro caso, a prerrogativa d...

  12. Diagnosis in acute abdominal pain and ongoing abdominal sepsis

    NARCIS (Netherlands)

    Kiewiet, J.J.S.

    2016-01-01

    Acute abdominal pain is a common reason for presentation at the emergency department. To establish a timely and adequate diagnosis, doctors use the pattern of complaints and physical examination as the basis for the evaluation of a patient. In this thesis we conducted a study that showed that

  13. La educación en un Estado Social de Derecho

    Directory of Open Access Journals (Sweden)

    Iván Alfonso Cordero Gutiérrez

    2011-01-01

    Full Text Available Resumen:El reto que Colombia asume en 1991 al cambiar de tipo de Estado, de uno Moderno o de derecho a uno Social de derecho, le impone deberes que suponen un cumplimiento inmediato como única vía para lograr sus fines.El mencionado cambio es necesario en todas las instituciones que componen la sociedad y entre ellas es primordial atender el tema de la educación.Con este artículo se pretende mostrar las tendencias que Latinoamérica ha presentado para asumir los retos de nuestra civilización actual, como parte de la investigación que se encuentra en su etapa de presentación de proyecto denominado “DIDACTICA Y ENSEÑANZA DEL DERECHO EN LAS UNIVERSIDADES DE MEDELLÍN”, liderado por quién presenta a ustedes este escrito.Palabras Claves:Educación, Didáctica, Metodología, Estado, Sistemas, Planeación, Investigación, Universidad, Emprendimiento, Subdesarrollo, Desarrollo Sostenible, Instituciones.Abstract:The challenge that Colombia assumes in 1991 upon changing of type of State, of one Modern or of right to one Social of right, imposes you owe him that they suppose an immediate compliance as only way to achieve their end.The it mentioned change is necessary in all the institutions that compose the company and among them is fundamental to attend the theme of the education.With this article intends to show the tendencies that Latin America has presented to assume the challenges of our current civilization, like part of the investigation that is found in its called project presentation phase DIDACTICA Y ENSEÑANZA DEL DERECHO EN LAS UNIVERSIDADES DE MEDELLÍN, headed by who presents You this writing.Key Words:Education, Didactic, Methodology, State, Systems, Planning, Investigation, University, Undertaking, Underdevelopment, Sustainable Development, Institutions.

  14. Sobre el surgimiento de los derechos indígenas, las tensiones con el estado-nación y la consiguiente necesidad de repensar el diseño de nuestras instituciones

    Directory of Open Access Journals (Sweden)

    Zimerman, Silvina

    2011-12-01

    Full Text Available El presente trabajo aborda la problemática del surgimiento y reconocimiento de los derechos indígenas. Para ello –y luego de sintetizar brevemente las corrientes iusfilosóficas que enmarcarán el desarrollo– la autora analiza en primera instancia el lugar que ocupó el sujeto indígena en tres momentos fundamentales: el modelo colonial, el modelo republicano del Estado-nación y el modelo contemporáneo vigente desde mediados del S.XX. Sostiene a continuación que el status actual de los derechos indígenas es un fiel reflejo de las estructuras político-culturales inherentes al Estado-nación moldeado por –y a la medida– del ciudadano burgués occidental. La autora finaliza planteando la necesidad de resignificar la noción de igualdad, entendiendo a los derechos como construcción social y a la luz de una propuesta pluralista tendiente a la edificación de un Estado intercultural, comprensivo de una sociedad más igualitaria y más justa.

  15. ¿Cuándo un estado es un estado? Explorando Puntlandia, Somalia | When is a State a State?: Exploring Puntland, Somalia

    Directory of Open Access Journals (Sweden)

    Martin DOORNBOS

    2011-10-01

    Full Text Available Este fragmento se escribió en un contexto, que puede seguir pareciendo familiar hoy día, en el que varios estados africanos estaban atravesando diversas crisis. Martin Doornbos advierte de que este fenómeno no es homogéneo y que cada estado estaba entonces en una fase diferente de crisis, con unas circunstancias y características propias. El Estado de Somalia se encontraba en un momento de estancamiento. Se trata así de un estado fallido en el que, no obstante, parece que han ido surgiendo elementos que podríamos denominar estatales. Por eso este capítulo se va a centrar en el caso de Puntlandia, una región somalí en la que se ha producido este fenómeno. Se analizará así cuándo se puede considerar que un estado efectivamente es un estado, y si Puntlandia realmente cumple las condiciones fundamentales para ser considerado de esta manera. También surgirá la pregunta de si el camino seguido por Puntlandia puede servir como guía para una Somalia unida en el futuro. This fragment was written in a context, which may seem familiar nowadays, where a number of African States were experiencing different crisis. Martin Doornbos advises us that these phenomena were not homogenous and that each state was in a different stage of crisis with independent circumstances and characteristics. Somalia was in a period of stagnation. It is a failed State in which elements of stateness nevertheless seem to reappear. For this reason this chapter concentrates on the case of Puntland, a Somali region where this phenomenon is taking place. It will analyze when a State is a State and if Puntland complies with the fundamental conditions that make it possible for it to be considered one. It also asks us whether the path followed by Puntland could serve as a guide for a unified Somalia in the future.

  16. Infected abdominal sacrocolpopexies: diagnosis and treatment.

    Science.gov (United States)

    Mattox, T Fleming; Stanford, Edward J; Varner, E

    2004-01-01

    The abdominal sacrocolpopexy is an excellent procedure to surgically treat vaginal vault prolapse. A synthetic graft is often used to support the vaginal apex, but has the potential to become infected or erode, requiring its removal or revision. The purpose of this paper is to report our experience in the management of patients with infected synthetic grafts after abdominal sacrocolpopexy. A review of the patient databases from three specialty gynecology centers was performed from March 1996 to June 2002. Only patients with an infected graft after an abdominal sacrocolpopexy were included in the study; patients with either suture or graft erosion responding to conservative treatment were excluded. Twenty-two women, ages 37-73 years, developed infection of the synthetic graft after an abdominal sacrocolpopexy (1-60 months after their initial surgery, mean 8.8 months). The infected materials included polytetrafluoroethylene (PTFE, Goretex, n =15) and polypropylene (n=7). Nine of the 15 PTFE meshes and four of the seven polypropylene meshes were placed at the time of a contaminated case (abdominal hysterectomy [n=12], colon resection [n=1]). Eighteen (82%) of the infected grafts involved braided permanent suture to attach the graft to the vaginal wall, monofilament/non-braided permanent suture was used in three patients, and suture type could not be determined in one. All graft removals were attempted vaginally, and this was successful in 16 cases (73%). Two patients experienced significant bleeding: the first patient required an emergency laparotomy and the second patient's bleeding was controlled with packing. A rectovaginal fistula occurred 3 weeks postoperatively in one patient. Synthetic graft infection should be considered as the differential diagnosis in a patient who has undergone an abdominal sacrocolpopexy. Transvaginal removal is preferred, but is fraught with potentially serious complications. The use of braided permanent sutures to affix the graft to the

  17. Abdominal Pain-Predominant Functional Gastrointestinal Disorders in Jordanian School Children.

    Science.gov (United States)

    Altamimi, Eyad M; Al-Safadi, Mohammad H

    2014-12-01

    Recurrent abdominal pain (RAP) is a common complaint in children. Significant portion of them are of functional origin. This study aimed to assess the prevalence of abdominal pain-predominant functional gastrointestinal disorder (FGID) and its types in Jordanian school children. This is a school-based survey at south Jordan. Information using the self-reporting form of the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III Version (QPGS-RIII) - the official Arabic translation - was collected. Classes from academic years (grades) 6 - 8 were selected. SPSS Statistical Package Version 17 (IBM, Armonk, NY, USA) was used. Categorical data were analyzed using Fisher's exact test, and continuous data were analyzed using t -test. P abdominal pain-predominant FGID. Seventy-nine (68%) of them were females. Forty-seven (10.6%) had irritable bowel syndrome (IBS). Thirty-six (8%), 17 (3.8%), 11 (2.4%) and five (1.1%) had abdominal migraine, functional abdominal pain, functional abdominal pain syndrome and functional dyspepsia, respectively. Abdominal pain-predominant FGID has become a major health issue in Jordanian children. One of four children between the ages of 11 and 15 years exhibits at least one abdominal pain-predominant FGID. The most common form of abdominal pain-predominant FGID in our children was IBS. Females are affected more often than males. Intestinal and extra-intestinal symptoms are seen regularly with abdominal pain-predominant FGIDs.

  18. Abdominal ultrasound (image)

    Science.gov (United States)

    Abdominal ultrasound is a scanning technique used to image the interior of the abdomen. Like the X- ... use high frequency sound waves to produce an image and do not expose the individual to radiation. ...

  19. [Abdominal wall actinomycosis. A report of a case].

    Science.gov (United States)

    Rojas Pérez-Ezquerra, Beatriz; Guardia-Dodorico, Lorena; Arribas-Marco, Teresa; Ania-Lahuerta, Aldonza; González Ballano, Isabel; Chipana-Salinas, Margot; Carazo-Hernández, Belén

    2015-01-01

    Abdominal wall Actinomycosis is a rare disease associated with the use of intrauterine device and as a complication of abdominal surgery. Diagnosis is difficult because it is unusual and behaves like a malignant neoplasm. A case report is presented of a patient who had used an intrauterine device for four years and developed a stony tumour in the abdominal wall associated with a set of symptoms that, clinically and radiologically, was simulating a peritoneal carcinomatosis associated with paraneoplastic syndrome, even in the course of an exploratory laparotomy. The patient attended our hospital with a two-month history of abdominal pain and symptoms that mimic a paraneoplastic syndrome. The diagnosis of abdominal actinomycosis was suspected by the finding of the microorganism in cervical cytology together with other cultures and Actinomyces negative in pathological studies, confirming the suspicion of a complete cure with empirical treatment with penicillin. Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy. Antibiotic therapy is the first treatment choice and makes a more invasive surgical management unnecessary. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

  20. Radiological Signs of Intra-abdominal Gossypiboma

    Directory of Open Access Journals (Sweden)

    Ferhat Çengel

    2014-03-01

    Full Text Available Gossypiboma is a mass lesion at the site of surgery due to a forgotten surgical sponge. Forgotten foreign bodies are mostly retained in the abdominal cavity but there are some cases in the thorax, cranium, breast, and an extremity. Gossypiboma should be considered, especially by radiologists, in patients with a history of surgery, who present with non-specific symptoms and abdominal mass. In this report, we describe the case of a female patient who presented with non-specific abdominal discomfort and fever about six months after open cholecystectomy. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 47-9

  1. Xenotransplante: Estado actual, limitantes y expectativas Xenotransplantation: Current state, limitations and expectations

    Directory of Open Access Journals (Sweden)

    Manuel Bazán Milián

    2004-06-01

    Full Text Available No hay duda de que poder disponer de órganos animales para trasplante solucionaría el problema de su escasez. Pero para que los xenotrasplantes puedan llegar a ser una realidad clínica, se debe superar de forma tres barreras: la inmunológica, la fisiológica y el riesgo de xenozoonosis. Desde el punto de vista inmunológico, la condición necesaria sería que el xenorrechazo pudiera modularse y transformarse a un allorejection-type. Los avances en la tecnología transgénica han resuelto por completo el rechazo hiperagudo, y se han obtenido sobrevidas máximas de meses para el riñón y el corazón, estas sobrevidas han permitido estudiar la compatibilidad fisiológica de estos órganos porcinos trasplantados en los monos durante estos períodos. En cuanto a las barreras infecciosas, con el desarrollo biotecnológico actual en el área de la producción porcina, se asegura el nacimiento de lechones completamente libres de patógenos específicos. Hasta la fecha no se ha comunicado ningún xenotrasplante clínico con órganos porcinos transgénicos. La razón de ello es que existe unanimidad en que todavía las barreras inmunológicas no se han superado. En la actualidad todos los esfuerzos están orientados a estudiar los mecanismos del rechazo vascular agudo retardado para así poder diseñar estrategias que lo prevengan con efectividadThere is no doubt that having animal organs for transplantation will solve the problem of their scarcity, but for xenotransplantations to turn into a clinical reality, it is necessary to overcome three barriers: the immunological, the physiological and the xenozoonosis risk. From the immunological point of view, it would be necessary that the xenorejection could be modulated and transformed into an allorejection type. The advances of transgenic technology have completely solved the hyperacute rejection, and maximum survivals of 3 months have been attained for the kidney and the lung. These suvivals have

  2. 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.

  3. 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.

  4. [Implementationof a low FODMAP dietforfunctional abdominal pain].

    Science.gov (United States)

    Baranguán Castro, María Luisa; Ros Arnal, Ignacio; García Romero, Ruth; Rodríguez Martínez, Gerardo; Ubalde Sainz, Eduardo

    2018-04-20

    The low FODMAP diet (fermentable oligosaccharides, monosaccharides, disaccharides, and polyols) has shown to be effective in adult patients with irritable bowel syndrome, but there are few studies on paediatric patients. The aim of this study is to assess the implementation and the outcomes of a low FODMAP diet in the treatment of functional abdominal pain in children from a Mediterranean area. A table was designed in which foods were classified according to their FODMAP content, as well as a 'Symptoms and Stools Diary'. A prospective study was conducted on children with functional abdominal pain in our Paediatric Gastroenterology Unit. A total of 22 patients were enrolled in the trial, and 20 completed it. Data were collected of the abdominal pain features over a period of 3 days, and then patients followed a two-week low FODMAP diet. Afterwards, information about abdominal pain features was collected again. After the diet, they showed fewer daily abdominal pain episodes compared to baseline (1.16 [IQR: 0.41-3.33] versus 2 [IQR: 1.33-6.33] daily episodes, P=.024), less pain severity compared to baseline (1.41cm [IQR: 0.32-5.23] versus 4.63cm [IQR: 2.51-6.39] measured by 10-cm Visual Analogue Scale, P=.035), less interference with daily activities, and less gastrointestinal symptoms. Only 15% of patients found it difficult to follow the diet. The implementation of a low FODMAP diet for 2 weeks in a Mediterranean paediatric population diagnosed with functional abdominal pain is possible with adapted diets. It was highly valued by patients, and they showed an improvement in abdominal pain symptoms assessed by objective methods. Copyright © 2018. Publicado por Elsevier España, S.L.U.

  5. Risk Assessment of Abdominal Wall Thickness Measured on Pre-Operative Computerized Tomography for Incisional Surgical Site Infection after Abdominal Surgery.

    Science.gov (United States)

    Tongyoo, Assanee; Chatthamrak, Putipan; Sriussadaporn, Ekkapak; Limpavitayaporn, Palin; Mingmalairak, Chatchai

    2015-07-01

    The surgical site infection (SSI) is a common complication of abdominal operation. It relates to increased hospital stay, increased healthcare cost, and decreased patient's quality of life. Obesity, usually defined by BMI, is known as one of the risks of SSI. However, the thickness of subcutaneous layers of abdominal wall might be an important local factor affecting the rate of SSI after the abdominal operations. The objective of this study is to assess the importance of the abdominal wall thickness on incisional SSI rate. The subjects of the present study were patients who had undergone major abdominal operations at Thammasat University Hospital between June 2013 and May 2014, and had been investigated with CT scans before their operations. The demographic data and clinical information of these patients were recorded. The thickness ofsubcutaneous fatty tissue from skin down to the most superficial layer of abdominal wall muscle at the surgical site was measured on CT images. The wound infectious complication was reviewed and categorized as superficial and deep incisional SSIfollowing the definition from Centersfor Disease Control and Prevention (CDC) guidelines. The significance ofeach potentialfactors on SSI rates was determined separately with student t-test for quantitative data and χ2-test for categorical data. Then all factors, which had p operative CTscans. Post-operative SSI was 25.2% (35/139), superficial and deep types in 27 and 8 patients, respectively. The comparison of abdominal wall thickness between patients with and without infection was significantly different (20.0 ± 8.4 mm and 16.0 ± 7.2 mm, respectively). When the thickness at 20 mm was used as the cut-off value, 43 of 139 patients had abdominal wall thickness ≥ 20 mm. The incidence of SSI of the thickness ±20 mm group was 37.2% (16/43) and of the less thickness group was 19.8% (19/96), with p operation. However, only abdominal wall thickness and wound classification were still significant

  6. [Factors associated with abdominal obesity in children].

    Science.gov (United States)

    Melzer, Matheus Ribeiro Theodósio Fernandes; Magrini, Isabella Mastrangi; Domene, Semíramis Martins Álvares; Martins, Paula Andrea

    2015-12-01

    To identify the association of dietary, socioeconomic factors, sedentary behaviors and maternal nutritional status with abdominal obesity in children. A cross-sectional study with household-based survey, in 36 randomly selected census tracts in the city of Santos/SP. 357 families were interviewed and questionnaires and anthropometric measurements were applied in mothers and their 3-0 years-old children. Assessment of abdominal obesity was made by maternal and child's waist circumference measurement; for classification used cut-off points proposed by World Health Organization (1998) and Taylor et al. (2000) were applied. The association between variables was performed by multiple logistic regression analysis. 30.5% of children had abdominal obesity. Associations with children's and maternal nutritional status and high socioeconomic status were shown in the univariate analysis. In the regression model, children's body mass index for age (OR=93.7; 95%CI 39.3-223.3), female gender (OR=4.1; 95%CI 1.8-9.3) and maternal abdominal obesity (OR=2.7; 95%CI 1.2-6.0) were significantly associated with children's abdominal obesity, regardless of the socioeconomic status. Abdominal obesity in children seems to be associated with maternal nutritional status, other indicators of their own nutritional status and female gender. Intervention programs for control of childhood obesity and prevention of metabolic syndrome should consider the interaction of the nutritional status of mothers and their children. Copyright © 2015 Sociedade de Pediatria de São Paulo. Publicado por Elsevier Editora Ltda. All rights reserved.

  7. Abdominal x-ray

    Science.gov (United States)

    Abdominal film; X-ray - abdomen; Flat plate; KUB x-ray ... There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most ...

  8. Original Research Abdominal myomectomy: A retrospective review ...

    African Journals Online (AJOL)

    Abdominal myomectomy and outcome in Ilorin, Nigeria 37. Malawi Medical Journal 29 (1): ... rate of 3.34% has been reported for Maiduguri, northeastern. Nigeria.4 Abdominal ... of Nigeria.6. Infertility secondary to uterine fibroid is one of the.

  9. Synovial sarcoma of the abdominal wall

    International Nuclear Information System (INIS)

    Matushita, J.P.K.; Matushita, J.S.

    1989-01-01

    A case report of synovial sarcoma arising in the abdominal wall is presented. A brief review of the clinical and radiological features of synovial sarcoma is made. Pre-operative diagnosis of an abdominal wall synovial sarcoma is virtually impossible, but should be considered when a soft tissue swelling is found to show amorphous stippled calcification X-ray. (author) [pt

  10. Abdominal fat indicators: anthropometry vs dual energy x-ray absortometry

    Directory of Open Access Journals (Sweden)

    Maria Fátima Glaner

    2008-06-01

    Full Text Available Excessive abdominal fat contributes to the development of chronic nontransmissible diseases. Dual emission X Ray absorptiometry (DXA is a simple to administer technique that allows abdominal fat percentage (%abdominalFDXA to be determined. Anthropometric measurements, which have been validated and are of low cost, such as the abdominal circumferences 2.5cm above the umbilical scar (ABC2,5 and level with the umbilical scar (ABCum, are used as indicators of abdominal fat. Skin folds (SF are little used for this purpose. The objective of this study was to verify which of these anthropometric indicators best correlates with and best explains abdominalFDXA. The sample was made up of 22 women (43.9±11.6 years; 34.7±8.3 %G totalDXA and 18 men (31.9±11.6 years; 19.0±8.0 %G totalDXA who were measured for ABC2.5, ABCum, suprailiac SF (SI, midaxillary SF (AM and abdominal SF (AB, while abdominalF (L1-L4 was measured by DXA. Pearson’s correlation and multivariate linear regression (“enter” method were employed to verify the anthropometric measurements’ correlations and percentage of explanation with relation to abdominalFDXA. Strong correlations and significant levels of explanation (pResumoO excesso de gordura abdominal contribui no desenvolvimento de doenças crônicas não-transmissíveis. A absortometria de raio-X de dupla energia (AXDE é uma técnica de simples aplicação, que permite a mensuração do percentual de gordura abdominal (%G abdominalAXDE. As medidas antropométricas, validadas e de baixo custo, como os perímetros abdominal 2,5cm acima da cicatriz umbilical (PAB2,5 e ao nível da cicatriz umbilical (PABum, são empregadas como indicadores de gordura abdominal. As dobras cutâneas (DC são pouco estudadas nesse sentido. Assim, o objetivo desse estudo foi verificar quais destes indicadores antropométricos mais se correlacionam e explicam o %G abdominalAXDE. A amostra foi composta por 22 mulheres (43,9±11,6 anos; 34,7±8,3 %G

  11. Predictors of abdominal injuries in blunt trauma.

    Science.gov (United States)

    Farrath, Samiris; Parreira, José Gustavo; Perlingeiro, Jacqueline A G; Solda, Silvia C; Assef, José Cesar

    2012-01-01

    To identify predictors of abdominal injuries in victims of blunt trauma. retrospective analysis of trauma protocols (collected prospectively) of adult victims of blunt trauma in a period of 15 months. Variables were compared between patients with abdominal injuries (AIS>0) detected by computed tomography or/and laparotomy (group I) and others (AIS=0, group II). Student's t, Fisher and qui-square tests were used for statistical analysis, considering p3) in head (18.5% vs. 7.9%), thorax (29.2% vs. 2.4%) and extremities (40.0% vs. 13.7%). The highest odds ratios for the diagnosis of abdominal injuries were associated flail chest (21.8) and pelvic fractures (21.0). Abdominal injuries were more frequently observed in patients with hemodynamic instability, changes in Glasgow coma scale and severe lesions to the head, chest and extremities.

  12. Centroamérica: el estado de las ciencias sociales.

    OpenAIRE

    Torres Rivas, Edelberto

    2011-01-01

    Este artículo trata sobre los estados de las ciencias sociales en Centroamérica; por el cual el autor aborda temas como: El posmodernismo, crisis de la pérdida del sentido ortodoxo , El Marxismo, estudios sobre la democracia, revoluciones, estados fallidos y paralelos todos estos relacionados a países centroamericanos.

  13. El Estado regulador en el Perú

    OpenAIRE

    Parodi Trece, Carlos

    1997-01-01

    Durante el gobierno de Alberto Fujimori se han dado cambios significativos en las instituciones del Estado. ¿Cuál es el sentido de todos estos cambios? ¿Reflejan fundamentalmente una estrategia de consolidación en el poder por parte de Alberto Fujimori? ¿Son más bien el resultado de la estrategia de las clases económicas dominantes para explotar mejor los recursos nacionales? o ¿son instituciones que reflejan un proceso de democratización del Estado? La contribución a la exploració...

  14. Investigación cualitativa: estado del arte

    OpenAIRE

    Reina Vanegas, Falon Carolina

    2014-01-01

    Las autoras producen y ponen en circulación un estado del arte sobre la investigación social cualitativa, con los objetivos específicos de: elaborar un marco conceptual sobre lo que es un estado del arte; exponer el proceso metodológico empleado para su construcción; establecer un marco histórico sobre la producción y circulación de material investigativo; describir las fuentes documentales consultadas, según su localización y posibles líneas de trabajo; y concluir acerca de los hallazgos de ...

  15. ABDOMINAL OBESITY, AN ANTHROPOMETRIC PARAMETER PREDICTING METABOLIC DISORDERS

    Directory of Open Access Journals (Sweden)

    Maricel Castellanos González

    2011-08-01

    Full Text Available Background: Waist circumference perimeter, as an indirect indicator of abdominal obesity, is commonly presented as an essential element in the clinical assessment of obesity. The link between abdominal obesity and insulin resistance is proposed as the core of metabolic syndrome’s pathophysiology and complications. Objective: To determine whether individuals with abdominal obesity present characteristics related to metabolic syndrome’s factors that differ from those observed in individuals with no abdominal obesity. Methods: A comparative analytical study was performed including cases control and design in two different groups. The sample was composed of 98 individuals of both sexes randomly selected out of a universe of 510 workers population at the Medical University of Cienfuegos from September to December 2005. They were all tested as to blood pressure, cholesterol, HDL cholesterol, fasting glucose and triglycerides. Results: Abdominal obesity was found in 30.6% of individuals. It was predominant in females (83.3% older than 40 years. The number of cases of obesity linked to hypertension was similar to the number of cases with low HDL cholesterol (53.3%. Impaired glucose was found in 16.7% of cases. Conclusions: Abdominal obesity is a health problem in the population included in this study and it increases as age does. Individuals with abdominal obesity are exposed to a higher risk of metabolic disorders, such as low levels of HDL cholesterol, high levels of triglycerides and total cholesterol, glucose alterations and hypertension.

  16. 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.

  17. Absent abdominal muscles, nephro-urologic abnormalities, and ...

    African Journals Online (AJOL)

    Absent abdominal muscles, cryptorchidism, and hydroureteronephrosis are known to occur in the prune belly syndrome (PBS). We present a male with absent abdominal muscles, severe neurologic damage, with global developmental delay, hydroureteronephrosis, and cryptorchidism. The patient also had arthrogryposis ...

  18. PATTERN AND OUTCOME OF ABDOMINAL INJURIES AT ...

    African Journals Online (AJOL)

    hi-tech

    2006-01-01

    Jan 1, 2006 ... a significant cause of abdominal injuries in Kenyatta National Hospital (KNH). The rate-of ... of selective management of abdominal injuries in. 1960 by ..... that pays great attention to the condition of the patient. (11). To aid in ...

  19. 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.

  20. El docente especialista en Dificultades de Aprendizaje y su desempeño en la escuela actual: un análisis desde la práctica

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    María Elena Martin Rodríguez

    2016-01-01

    Full Text Available La ponencia propuesta está enmarcada en el contexto de experiencias y buenas prácticas; pretende analizar la situación actual del docente en Dificultades de Aprendizaje desde la visión de las universidades formadoras y de quien ha ejercido funciones de docente especialista en esta área. Se propicia un espacio para la reflexión sobre la formación de este profesional, con el propósito de generar ideas para mejorar su accionar y su calidad de formación. Como referentes teóricos las políticas actuales del Ministerio y diversas corrientes del pensamiento. La metodología utilizada para buscar evidencias ha sido la entrevista y la observación, la población se constituyó con egresadas de universidades formadoras del estado (UNA, UPEL, UBV.

  1. Abdominal paracentesis and thoracocentesis.

    Science.gov (United States)

    Lee, Ser Yee; Pormento, James G; Koong, Heng Nung

    2009-04-01

    Abdominal paracentesis and thoracocentesis are common bedside procedures with diagnostic, therapeutic and palliative roles. We describe a useful and familiar a useful and familiar technique with the use of a multiple lumen catheter commonly used for central venous line insertion for drainage of ascites or moderate to large pleural effusions. The use of a multiple lumen catheter allows easier and more rapid aspiration of fluid with a smaller probability of the side holes being blocked as compared to the standard needle or single catheter methods. This is particularly useful in situations where the dedicated commercial kits for thoracocentesis and abdominal paracentesis are not readily available.

  2. 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.

  3. Contralateral Abdominal Pocketing in Salvation of Replanted Fingertips with Compromised Circulation

    Directory of Open Access Journals (Sweden)

    Hyung-Sup Shim

    2014-01-01

    Full Text Available Abdominal pocketing is one of the most useful methods in salvation of compromised replanted fingertips. Abdominal pocketing has generally been performed in the ipsilateral lower abdominal quadrant, but we have also performed contralateral pocketing at our institute. To determine which approach is more beneficial, a total of 40 patients underwent an abdominal pocketing procedure in either the ipsilateral or contralateral lower abdominal quadrant after fingertip replantation. Dates of abdominal pocketing after initial replantation, detachment after abdominal pocketing, range of motion (ROM before abdominal pocketing, and sequential ROM after the detachment operation and date of full ROM recovery and Disabilities of Arm, Shoulder, and Hand questionnaire (DASH score were recorded through medical chart review. Mean detachment date, mean abduction of shoulder after the detachment operation, and mean days to return to full ROM were not significantly different between the ipsilateral and contralateral pocketing groups. However, the mean DASH score was significantly lower in the contralateral group than the ipsilateral group. There were also fewer postoperative wound complications in the contralateral group than in the ipsilateral group. We, therefore, recommend contralateral abdominal pocketing rather than ipsilateral abdominal pocketing to increase patient comfort and reduce pain and complications.

  4. Contralateral Abdominal Pocketing in Salvation of Replanted Fingertips with Compromised Circulation

    Science.gov (United States)

    Shim, Hyung-Sup; Kim, Dong-Hwi; Kwon, Ho; Jung, Sung-No

    2014-01-01

    Abdominal pocketing is one of the most useful methods in salvation of compromised replanted fingertips. Abdominal pocketing has generally been performed in the ipsilateral lower abdominal quadrant, but we have also performed contralateral pocketing at our institute. To determine which approach is more beneficial, a total of 40 patients underwent an abdominal pocketing procedure in either the ipsilateral or contralateral lower abdominal quadrant after fingertip replantation. Dates of abdominal pocketing after initial replantation, detachment after abdominal pocketing, range of motion (ROM) before abdominal pocketing, and sequential ROM after the detachment operation and date of full ROM recovery and Disabilities of Arm, Shoulder, and Hand questionnaire (DASH) score were recorded through medical chart review. Mean detachment date, mean abduction of shoulder after the detachment operation, and mean days to return to full ROM were not significantly different between the ipsilateral and contralateral pocketing groups. However, the mean DASH score was significantly lower in the contralateral group than the ipsilateral group. There were also fewer postoperative wound complications in the contralateral group than in the ipsilateral group. We, therefore, recommend contralateral abdominal pocketing rather than ipsilateral abdominal pocketing to increase patient comfort and reduce pain and complications. PMID:25379539

  5. Mercado de trabajo rural y precarización: nuevas condiciones socioeconómicas en el sur del Estado de México

    Directory of Open Access Journals (Sweden)

    Elizabeth Guadalupe Chong González

    2015-01-01

    Full Text Available en el presente artículo se presentan los resultados de unestudio del mercado de trabajo rural y su precarización enel municipio de Coatepec Harinas, en el sur del Estado deMéxico, donde se muestra la diversidad ocupacional pre-dominante, así como la especialización en la floricultura,aspectos notables de la nueva ruralidad actual. También, conbase en los datos del trabajo de campo, se calculó un índicede precariedad laboral, estratificado en niveles, para saber elgrado de precariedad de la población trabajadora.

  6. La gestión de los números internacionales de identificación de documentos:estado de la cuestión

    OpenAIRE

    Orenes, Pilar Beltran; Universidad Rey Juan Carlos; Usero, José Ángel Martínez

    2011-01-01

    La gestión de los estándares de los números internacionales de identificación de documentos está teniendo una serie de consecuencias derivadas directamente del carácter público o privado de la gestión realizada y de los intereses comerciales. En este texto se hace un análisis del estado actual de las gestiones de los principales números de identificación de documentos, de cara a establecer las bases de la, a nuestro juicio, necesaria reflexión que deberían hacer las insti...

  7. Temporary abdominal closure with zipper-mesh device for management of intra-abdominal sepsis

    Directory of Open Access Journals (Sweden)

    Edivaldo Massazo Utiyama

    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.

  8. Hernia Following Blunt Abdominal Trauma

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    N Aghaie

    2009-10-01

    Full Text Available Traumatic abdominal wall hernia is a rare type of hernia, which follows blunt trauma to the abdomen, where disruption of the musculature and fascia occurs with the overlying skin remaining intact. Diagnosis of this problem is very difficult and delayed. Traumatic hernia is often diagnosed during laparatomy or laparascopy, but CT scan also has a role in distinguishing this pathology. Delay in diagnosis is very dangerous and can result in gangrene and necrosis of the organs in the hernia. The case report of a 35 years old man with liftruck blunt trauma is reported. His vital signs were stable. On physical examination, tenderness of RUQ was seen. He underwent Dpl for suspected hemoprotein. Dpl was followed up by laparatomy. Laparatomy revealed that the transverse and ascending colon partially herniated in the abdominal wall defect. The colon was reduced in the abdomen and repair of abdominal hernia was done. The patient was discharged after 5 day. The etiology, pathogenesis and management are discussed.

  9. Predictors of "occult" intra-abdominal injuries in blunt trauma patients.

    Science.gov (United States)

    Parreira, José Gustavo; Malpaga, Juliano Mangini Dias; Olliari, Camilla Bilac; Perlingeiro, Jacqueline A G; Soldá, Silvia C; Assef, José Cesar

    2015-01-01

    to assess predictors of intra-abdominal injuries in blunt trauma patients admitted without abdominal pain or abnormalities on the abdomen physical examination. We conducted a retrospective analysis of trauma registry data, including adult blunt trauma patients admitted from 2008 to 2010 who sustained no abdominal pain or abnormalities on physical examination of the abdomen at admission and were submitted to computed tomography of the abdomen and/or exploratory laparotomy. Patients were assigned into: Group 1 (with intra-abdominal injuries) or Group 2 (without intra-abdominal injuries). Variables were compared between groups to identify those significantly associated with the presence of intra-abdominal injuries, adopting ptrauma mechanism (ptrauma mechanism (p=0.008 - OR 2.85; 95%CI 1.13-6.22) and abnormal neurological physical exam at admission (p=0.015 - OR 0.44; 95%CI 0.22-0.85). Intra-abdominal injuries were predominantly associated with trauma mechanism and presence of chest injuries.

  10. Epidemiology and contemporary management of abdominal aortic aneurysms.

    Science.gov (United States)

    Ullery, Brant W; Hallett, Richard L; Fleischmann, Dominik

    2018-05-01

    Abdominal aortic aneurysm (AAA) is most commonly defined as a maximal diameter of the abdominal aorta in excess of 3 cm in either anterior-posterior or transverse planes or, alternatively, as a focal dilation ≥ 1.5 times the diameter of the normal adjacent arterial segment. Risk factors for the development of AAA include age > 60, tobacco use, male gender, Caucasian race, and family history of AAA. Aneurysm growth and rupture risk appear to be associated with persistent tobacco use, female gender, and chronic pulmonary disease. The majority of AAAs are asymptomatic and detected incidentally on various imaging studies, including abdominal ultrasound, and computed tomographic angiography. Symptoms associated with AAA may include abdominal or back pain, thromboembolization, atheroembolization, aortic rupture, or development of an arteriovenous or aortoenteric fistula. The Screening Abdominal Aortic Aneurysms Efficiently (SAAAVE) Act provides coverage for a one-time screening abdominal ultrasound at age 65 for men who have smoked at least 100 cigarettes and women who have family history of AAA disease. Medical management is recommended for asymptomatic patients with AAAs  5 mm/6 months), or presence of a fusiform aneurysm with maximum diameter of 5.5 cm or greater. Intervention for AAA includes conventional open surgical repair and endovascular aortic stent graft repair.

  11. Las causales exonerativas de la responsabilidad extracontractual. ¿Por qué y cómo impiden la declaratoria de responsabilidad? Aproximación a la jurisprudencia del Consejo de Estado

    Directory of Open Access Journals (Sweden)

    Héctor Patiño

    2011-07-01

    Full Text Available El artículo, de la mano de la jurisprudencia del Consejo de Estado colombiano, y de alguna de la Corte Suprema de Justicia, señala el alcance general y la comprensión que se le debe dar a los conceptos de nexo causal, imputación y causales de exoneración y presenta los lineamientos actuales de la jurisprudencia colombiana sobre esas cuestiones.

  12. Effect of Gender on the Total Abdominal Fat, Intra-Abdominal Adipose Tissue and Abdominal Sub-Cutaneous Adipose Tissue among Indian Hypertensive Patients.

    Science.gov (United States)

    Sahoo, Jaya Prakash; Kumari, Savita; Jain, Sanjay

    2016-04-01

    Abdominal obesity is a better marker of adverse metabolic profile than generalized obesity in hypertensive subjects. Further, gender has effect on adiposity and its distribution. Effect of gender on obesity and the distribution of fat in different sub-compartments of abdomen among Indian hypertensive subjects. This observational study included 278 adult subjects (Males-149 & Females-129) with essential hypertension from a tertiary care centre in north India over one year. A detailed history taking and physical examination including anthropometry were performed in all patients. Total Abdominal Fat (TAF) and abdominal adipose tissue sub-compartments like Intra-Abdominal Adipose Tissue (IAAT) and Sub-Cutaneous Adipose Tissue (SCAT) were measured using the predictive equations developed for Asian Indians. Female hypertensive subjects had higher Body Mass Index (BMI) with more overweight (BMI ≥ 23kg/m(2)), and obesity (BMI≥ 25 kg/m(2)). Additionally, they had higher prevalence of central obesity based on both Waist Circumference (WC) criteria (WC≥ 90 cm in males and WC≥ 80 cm in females) and TAF criteria {≥245.6 cm(2) (males) and ≥203.46 cm(2) (females)} than male patients. But there was no difference in the prevalence of central obesity based on Waist Hip Ratio (WHR) criteria (WHR ≥0.90 in males and WHR ≥ 0.85 in females) between two genders. High TAF & IAAT were present in more females although there was no difference in the distribution of high SCAT between two genders. Female hypertensive subjects were more obese with higher abnormal TAF & IAAT compared to male patients. However, there was no difference in the distribution of high SCAT among them.

  13. Reproducibility of abdominal fat assessment by ultrasound and computed tomography.

    Science.gov (United States)

    Mauad, Fernando Marum; Chagas-Neto, Francisco Abaeté; Benedeti, Augusto César Garcia Saab; Nogueira-Barbosa, Marcello Henrique; Muglia, Valdair Francisco; Carneiro, Antonio Adilton Oliveira; Muller, Enrico Mattana; Elias Junior, Jorge

    2017-01-01

    To test the accuracy and reproducibility of ultrasound and computed tomography (CT) for the quantification of abdominal fat in correlation with the anthropometric, clinical, and biochemical assessments. Using ultrasound and CT, we determined the thickness of subcutaneous and intra-abdominal fat in 101 subjects-of whom 39 (38.6%) were men and 62 (61.4%) were women-with a mean age of 66.3 years (60-80 years). The ultrasound data were correlated with the anthropometric, clinical, and biochemical parameters, as well as with the areas measured by abdominal CT. Intra-abdominal thickness was the variable for which the correlation with the areas of abdominal fat was strongest (i.e., the correlation coefficient was highest). We also tested the reproducibility of ultrasound and CT for the assessment of abdominal fat and found that CT measurements of abdominal fat showed greater reproducibility, having higher intraobserver and interobserver reliability than had the ultrasound measurements. There was a significant correlation between ultrasound and CT, with a correlation coefficient of 0.71. In the assessment of abdominal fat, the intraobserver and interobserver reliability were greater for CT than for ultrasound, although both methods showed high accuracy and good reproducibility.

  14. Essure Microinsert Abdominal Migration after Hysteroscopic Tubal Sterilization of an Appropriately Placed Essure Device: Dual Case Reports and Review of the Literature.

    Science.gov (United States)

    Rezai, Shadi; LaBine, Meghan; Gomez Roberts, Hunter Azdel; Lora Alcantara, Isamarie; Henderson, Cassandra E; Elmadjian, Malvina; Nuritdinova, Dilfuza

    2015-01-01

    Background. The Essure device is a method of permanent sterilization widely used in the US that has proven to be safe and effective in most cases. However, there have been reports of device migration that have led to failed tubal occlusion as well as several other serious complications resulting from the presence of the device in the abdominal cavity. Case. This paper represents two cases of failed tubal occlusion by an appropriately placed Essure device without signs or symptoms of further complications related to device migration. Conclusion. Although there have only been 13 reported cases of abdominal device migration since November 2014, this case indicates that the actual number may be higher than reported since it is possible for migration to occur without additional complications. In the majority of reported cases of abdominal migration a major complication requiring surgical correction occurred, such as adhesions, small bowel obstruction, bowel perforation, or persistent pelvic pain. To avoid these complications it is recommended that migrating implants be removed; however, this case also represents an example of when a migrating device may remain in situ in an asymptomatic patient.

  15. Essure Microinsert Abdominal Migration after Hysteroscopic Tubal Sterilization of an Appropriately Placed Essure Device: Dual Case Reports and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Shadi Rezai

    2015-01-01

    Full Text Available Background. The Essure device is a method of permanent sterilization widely used in the US that has proven to be safe and effective in most cases. However, there have been reports of device migration that have led to failed tubal occlusion as well as several other serious complications resulting from the presence of the device in the abdominal cavity. Case. This paper represents two cases of failed tubal occlusion by an appropriately placed Essure device without signs or symptoms of further complications related to device migration. Conclusion. Although there have only been 13 reported cases of abdominal device migration since November 2014, this case indicates that the actual number may be higher than reported since it is possible for migration to occur without additional complications. In the majority of reported cases of abdominal migration a major complication requiring surgical correction occurred, such as adhesions, small bowel obstruction, bowel perforation, or persistent pelvic pain. To avoid these complications it is recommended that migrating implants be removed; however, this case also represents an example of when a migrating device may remain in situ in an asymptomatic patient.

  16. Estudo prospectivo de pacientes pediátricos com dor abdominal crônica Prospective study of infants with chronic abdominal pain

    Directory of Open Access Journals (Sweden)

    Tatiana Kores Dorsa

    2007-09-01

    Full Text Available OBJETIVO: Classificar a dor abdominal crônica em crianças e adolescentes por meio dos critérios de Roma II e definir o desfecho diagnóstico em três anos de seguimento. MÉTODOS: Durante um ano, 71 pacientes com dor abdominal crônica foram atendidos como casos novos num ambulatório terciário de gastroenterologia pediátrica. Causas orgânicas foram excluídas por bases clínicas e laboratoriais, e relatos clínicos foram avaliados especificamente quanto à possibilidade de preencherem os Critérios de Roma II para dor abdominal em crianças. Para estabelecer o diagnóstico definitivo, os pacientes foram seguidos por três anos, em média. RESULTADOS: A alocação dos 71 pacientes segundo Roma II foi: doença orgânica (n=12, remissão dos sintomas após a primeira consulta (n=7, ou preencheram os critérios para dor funcional (n=52. Dos 12 pacientes de doença orgânica, nove foram diagnosticados como intolerantes à lactose, mas foram re-alocados para doença funcional no seguimento, visto que a dieta de isenção não aliviou a queixa. Dos 52 pacientes com doença funcional (idade mediana=9,3 anos, 50% meninos, nove, que inicialmente preencheram o critério para dor abdominal funcional, foram re-alocados no diagnóstico de constipação funcional e 43 mantiveram o diagnóstico funcional: 24 com dispepsia funcional, 18 com dor abdominal funcional e um com síndrome do intestino irritável. CONCLUSÕES: Dentre os casos de dor abdominal crônica, a dor do tipo funcional foi mais comum que as causas orgânicas e, dentre os seus subgrupos, a dispepsia funcional foi mais freqüente. O seguimento em longo prazo permitiu estabelecer o diagnóstico definitivo da origem da dor abdominal nessas crianças.OBJECTIVE: To classify chronic abdominal pain in children and adolescents, according to Rome II criteria and to define diagnosis outcome in a three-year follow-up period. METHODS: During one year, 71 consecutive new patients with abdominal pain

  17. La relación entre capacidad y autoridad en el Estado: La construcción de un Estado ‘Excepcionalista’ en Ecuador

    Directory of Open Access Journals (Sweden)

    Pablo Andrade

    2017-01-01

    Full Text Available The Relation between the State’s Capacity and Authority: The Construction of an ‘Exceptionalist State’In this paper we posit that the trajectory of structural-economic transformations in Ecuador between 2008 and 2014 can be understood from the perspective of state theory. Specifically, we argue that strengthening state authority in Ecuador has come at the expense of state capacities: by positioning the state in a place of ‘exceptional authority’, governmental actions sidelined the development of formal and informal networks between state and non-state actors, such as industrialists. Furthermore, we show that state capacities have been further undermined by internal divisions within bureaucratic structures and an eclectic process of leadership formation at the level of the state’s bureaucracy. Combined, these processes have resulted in a hybrid state form: a state with high degrees of authority that coexist with low levels of institutional and organizational capacity – a state form we have termed an ‘Exceptionalist State’.Resumen:En este artículo sostenemos que un entendimiento de la transformación de las capacidades y estructuras productivas de la economía ecuatoriana entre 2008 y 2014, puede darse desde el ángulo de la teoría del Estado. Específicamente, argumentamos que el fortalecimiento de la autoridad del Estado en Ecuador en el período analizado se ha dado a expensas del desarrollo de sus capacidades. Al posicionar al Estado en un lugar de ‘autoridad excepcional’, el gobierno central minó el desarrollo de redes formales en informales entre actores estatales y no-estatales, como la clase industrial. Así mismo, demostramos que las capacidades del Estado durante este período se han visto debilitadas por divisiones internas ligadas a eclécticos procesos de formación de liderazgos en la burocracia estatal. Estos procesos han resultado en la formación de un tipo de Estado híbrido que hemos denominado el ‘Estado

  18. Intra-abdominal fat area measurement using chest CT data

    International Nuclear Information System (INIS)

    Moriya, Hiroshi; Midorikawa, Shigeo; Hashimoto, Kouji; Ishii, Akira; Saitou, Kumi; Andou, Tomonori; Kitamura, Naoko; Sakuma, Koutarou

    2007-01-01

    Intra-abdominal fat obesity, which is linked with the metabolic syndrome, is usually characterized by measuring intra-abdominal fat area at the umbilical level of abdominal CT scan. In recent year, the chances of chest CT scanning are increased, as lung cancer screening survey or individual medical examination. Thus, we presented a method of measuring the areas of intra-abdominal fat and subcutaneous fat at the lower slice of chest CT scan. Fat areas found with this method were significantly correlated with those obtained at the umbilical level. (author)

  19. Unusual initial abdominal presentations of invasive meningococcal disease.

    Science.gov (United States)

    Guiddir, Tamazoust; Gros, Marion; Hong, Eva; Terrade, Aude; Denizon, Mélanie; Deghmane, Ala-Eddine; Taha, Muhamed-Kheir

    2018-03-28

    Invasive meningococcal disease (IMD) is recognized as septicemia and/or meningitis. However, early symptoms may vary and are frequently nonspecific. Early abdominal presentations have been increasingly described. We aimed to explore a large cohort of patients with initial abdominal presentations for association with particular meningococcal strains. Confirmed IMD cases in France between 1991-2016 were screened for the presence within the 24 hours before diagnosis of at least one of the following criteria (1) abdominal pain, (2) gastro-enteritis with diarrhea and vomiting, (3) diarrhea only. Whole genome sequencing was performed on all cultured isolates. We identified 105 cases (median age 19 years) of early abdominal presentations with a sharp increase since 2014. Early abdominal pain alone was the most frequent symptom (n=67, 64%), followed by gastro-enteritis (n=26, 25%) and diarrhea alone (n=12, 11%). Twenty patients (20%) had abdominal surgery. A higher case fatality rate (24%) was observed in these cases compared to 10.4% in all IMD in France (p=0.007) with high levels of inflammation markers in the blood. Isolates of group W were significantly more predominant in these cases compared to all IMD. Most of these isolates belonged to clonal complex ST-11 (cc11) of the sublineages of the South American-UK strain. Abdominal presentations are frequently provoked by hyperinvasive isolates of meningococci. Delay in the management of these cases and the virulence of the isolates may explain the high fatality rate. Rapid recognition is a key element to improve their management.

  20. Laparoscopy in unexplained abdominal pain: surgeon's perspective

    International Nuclear Information System (INIS)

    Abdullah, M.T.; Waqar, S.H.; Zahid, M.A.

    2016-01-01

    Unexplained abdominal pain is a common but difficult presenting feature faced by the clinicians. Such patients can undergo a number of investigations with failure to reach any diagnosis. The objective of this study was to evaluate the use of laparoscopy in the diagnosis and management of patients with unexplained abdominal pain. Methods: This cross-sectional study was conducted at Pakistan Institute of Medical Sciences Islamabad from January 2009 to December 2013. This study included 91 patients of unexplained abdominal pain not diagnosed by routine clinical examination and investigations. These patients were subjected to diagnostic laparoscopy for evaluation of their conditions and to confirm the diagnosis. These patients presented 43% of patients undergoing investigations for abdominal pain. Patients diagnosed with gynaecological problems were excluded to see surgeon's perspective. The findings and the outcomes of the laparoscopy were recorded and data was analyzed. Results: Unexplained abdominal pain is common in females than in males. The most common laparoscopic findings were abdominal tuberculosis followed by appendicitis. Ninety percent patients achieved pain relief after laparoscopic intervention. Conclusion: Laparoscopy is both beneficial and safe in majority of patients with unexplained abdominal pain. General surgeons should acquire training and experience in laparoscopic surgery to provide maximum benefit to these difficult patients. (author)

  1. Recurrent desmoid tumor of the abdominal wall | Toughrai | Pan ...

    African Journals Online (AJOL)

    Desmoid tumors most often occur in abdominal wall. Their tendency to recur lead to repeated operations which can make the abdominal wall reconstruction difficult. We report a 28-year-old female history. The patient was referred to our hospital for a recurrent desmoid tumor of the abdominal wall. The tumor was totally ...

  2. ABDOMINAL TRAUMA- CLINICAL STUDY

    Directory of Open Access Journals (Sweden)

    Vanaja Ratnakumari Billa

    2017-08-01

    Full Text Available BACKGROUND In the recent times there has been increased incidence of abdominal trauma cases due to several causes. Quick and prompt intervention is needed to decrease the mortality of the patients. So we conducted a study to assess the cause and the management of abdominal trauma cases in our institution. The aim of this study was to know the incidence of blunt and penetrating injuries and their causes, age and sex incidence, importance of various investigations, mode of treatment offered and post-operative complications. To study the cause of death and evolve better management. MATERIALS AND METHODS The present study comprises of patients admitted to and operated in various surgical units in the Department of Surgery at Government General Hospital, attached to Guntur Medical College Guntur, from August 2014 to October 2016. RESULTS Increase incidence seen in age group 20-29 years (30%. Male predominance 77.5%. Mechanism of injury–road traffic accidents 65%. Isolated organ injury–colon and rectum 40%. Other associated injuries–chest injuries with rib fractures 7.5%. Complications–wound infection 17.5%. Duration of hospital stay 8–14 days. Bowel injury management–closure of perforation 84.6%. Resection anastomosis 15.38%. CONCLUSION Thorough clinical examination, diagnostic paracentesis, plain X-ray erect abdomen and ultrasound proved to be very helpful in the diagnosis of intra-abdominal injuries. Spleen is the commonest organ involved in blunt trauma and colon is the commonly injured organ in penetrating abdominal trauma, many patients have associated extremity and axial skeleton injuries. With advances in diagnosis and intensive care technologies, most patients of solid visceral injuries with hemodynamic stability can be managed conservatively. Surgical site infection is the most common complication following surgery. The mortality is high; reason might be patient reaching the hospital late, high incidence of postoperative septic

  3. Particularidades de la educación político ideológica en la etapa actual

    Directory of Open Access Journals (Sweden)

    Raúl Ramón Vázquez Santiago

    2007-09-01

    Full Text Available En la lucha de clases que libra el proletariado contra la burguesía, los latifundistas y el Imperialismo, así como en la solución de la inmensa tarea de la construcción del Socialismo una tarea importante le corresponde a la guerra ideológica. Su papel crece en las condiciones del mundo actual cuando como resultado del derrumbe del campo socialista se ha producido un vuelco en las relaciones internacionales y cuando los Estados Unidos tratan de entorpecer la obra revolucionaria se sienten incapaces de detener el desarrollo de nuestra Revolución en la marcha hacia el Socialismo y hacen fuerte resistencia en el terreno de las idea, por eso se hace necesario librar una fuerte lucha ideológica con el objetivo de superar las dificultades.

  4. Clima do Estado de São Paulo

    Directory of Open Access Journals (Sweden)

    Marcello Martinelli

    2010-03-01

    Full Text Available Os fenômenos da atmosfera em contato com a superfície da Terra, portanto, de alto interesse para a sociedade humana, são estudados pela climatologia. Têm com fonte essencial a meteorologia.Ao abordar tais fenômenos trava-se contato com duas noções essenciais: a de tempo e de clima. São estados da atmosfera. Enquanto o tempo é uma combinação passageira, o clima resulta de condições que perduram por um período mais longo. Interessa, particularmente, o clima, por considerar estados mais duráveis...

  5. Functional abdominal pain syndrome treated with Korean medication

    Directory of Open Access Journals (Sweden)

    Chang-Gue Son

    2014-06-01

    Full Text Available A 37-year-old female patient with chronic and stubborn abdominal pain had been hospitalized five times in three Western hospitals, but no effects were observed. No abnormalities were found in blood tests, gastrointestinal endoscopy, sonogram, and computed tomography of the abdomen, except mild paralytic ileus. The patient decided to rely on Korean medicine as an inpatient. She was diagnosed with functional abdominal pain syndrome, and her symptom differentiation was the “Yang deficiency of spleen and kidney.” A herbal drug, Hwangikyeji-tang, along with moxibustion and acupuncture, was given to the patient. Abdominal pain and related symptoms were reduced radically within 16 days of treatment. This report shows a therapeutic potential of Korean medicine-based treatment for functional abdominal pain syndrome.

  6. Functional abdominal pain syndrome treated with Korean medication.

    Science.gov (United States)

    Son, Chang-Gue

    2014-06-01

    A 37-year-old female patient with chronic and stubborn abdominal pain had been hospitalized five times in three Western hospitals, but no effects were observed. No abnormalities were found in blood tests, gastrointestinal endoscopy, sonogram, and computed tomography of the abdomen, except mild paralytic ileus. The patient decided to rely on Korean medicine as an inpatient. She was diagnosed with functional abdominal pain syndrome, and her symptom differentiation was the " Yang deficiency of spleen and kidney ." A herbal drug, Hwangikyeji-tang , along with moxibustion and acupuncture, was given to the patient. Abdominal pain and related symptoms were reduced radically within 16 days of treatment. This report shows a therapeutic potential of Korean medicine-based treatment for functional abdominal pain syndrome.

  7. 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....

  8. A randomized, controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain

    International Nuclear Information System (INIS)

    Sala, E.; Watson, C.J.E.; Beadsmoore, C.; Groot-Wassink, T.; Fanshawe, T.R.; Smith, J.C.; Bradley, A.; Palmer, C.R.; Shaw, A.; Dixon, A.K.

    2007-01-01

    Aim: To compare the effect of an initial early computed tomography (CT) examination versus standard practice (SP) on the length of hospital stay, diagnostic accuracy, and mortality of adults presenting with acute abdominal pain. Materials and methods: Two hundred and five adults presenting with acute abdominal pain were randomized to undergo an early CT examination or current SP, which comprised supine abdominal and erect chest radiography. One hundred and ninety-eight patients (99 in each arm) were included in the analysis. The primary endpoint was the duration of inpatient stay; secondary endpoints were diagnostic certainty and mortality. Results: There was no significant difference in the length of hospital stay between the two arms (p = 0.20). At randomization 36% (35 of 96) of CT patients and 49% (48 of 98) of SP patients were correctly diagnosed; 24 h after randomization the correct diagnosis had been established in 84% of CT patients and 73% of SP patients. This refinement in diagnostic certainty was significantly better in the CT group (p < 0.001). There was no difference in mortality between the two trial arms (p = 0.31). Conclusion: Early abdominal CT in patients with acute abdominal pain improves diagnostic certainty, but does not reduce the length of hospital stay and 6 month mortality

  9. ESTÁNDARES DE TELEVISIÓN DIGITAL VÍA SATÉLITE: UNA REVISIÓN ACTUAL

    Directory of Open Access Journals (Sweden)

    Leidy Marian Rujano Molina

    2016-03-01

    Full Text Available Entre los servicios de telecomunicaciones de mayor demanda entre los usuarios está el de televisión digital vía satélite. Entre sus ventajas están la variedad de programación con la que se cuenta en el mencionado servicio y la relativa fácil instalación del equipo de usuario en comparación con los sistemas alámbricos. Para la prestación de dicho servicio se tienen principalmente los estándares DVB-S (Digital Video Broadcasting-Satellite, su evolución DVB-S2 (Digital Video Broadcasting – Satellite– Second Generation, ISDB-S (Integrated Services Digital Broadcasting - Satellite, ABS-S (Advanced Broadcasting System-Satellite y ATSC (Advanced Television Systems Committee. En este artículo, se hace una revisión del estado del arte actual de los principales aspectos de los mencionados estándares y se comparan sus características.

  10. Intra-abdominal cryptococcosis in two dogs.

    Science.gov (United States)

    Malik, R; Hunt, G B; Bellenger, C R; Allan, G S; Martin, P; Canfield, P J; Love, D N

    1999-08-01

    Intra-abdominal cryptococcosis was diagnosed in two young dogs. The first, an entire male border collie, was presented with vomiting. An abdominal mass detected during physical examination proved to be cryptococcal mesenteric lymphadenitis on exploratory laparotomy. The second dog, a female neutered giant schnauzer, was presented with neurological signs suggestive of encephalopathy. Intestinal cryptococcal granulomas were detected in an extensive diagnostic investigation which included abdominal ultrasonography. The gastrointestinal tract was considered the most likely portal of entry for cryptococcal organisms in both cases. Both dogs were treated using surgery and multiagent antifungal chemotherapy. The first case succumbed despite therapy, while the second dog was treated successfully as gauged by return to clinical normality and a substantial decline in the cryptococcal antigen titre which continued to fall after cessation of treatment.

  11. El estado del arte: una metodología de investigación

    Directory of Open Access Journals (Sweden)

    Maricelly Gómez Vargas

    2015-07-01

    Full Text Available Este trabajo pretende mostrar los principales hallazgos acerca del concepto de estado del arte, luego de la revisión y análisis de textos de las bases de datos de cuatro principales universidades de Medellín, que cuentan con programa de psicología, a la luz de un diseño cualitativo e interpretativo, de tipo documental, el cual giró en torno a las siguientes categorías de análisis: definición del estado del arte, historia del estado del arte, propósitos-objetivos-fines del estado del arte, método-técnicas-estrategias, concepciones-teorías y teóricos o representantes. El proceso de investigación tuvo como objetivo principal establecer el concepto del estado del arte en una muestra documental. Entre las conclusiones se destaca que el estado del arte es una metodología de investigación cualitativo-documental de carácter crítico-interpretativa que revisa los estados producidos por las personas en su representación bibliográfica, conformada por tres fases: 1 planeación y diseño, 2 gestión y análisis, 3 formalización y elaboración. Los instrumentos de matriz bibliográfica y matriz analítica de contenido son de gran utilidad para esta metodología.

  12. Ramos colaterais parietais e terminais da aorta abdominal em Myocastor coypus (nutria Terminal and parietal colateral branches of the abdominal aorta in Myocastor coypus (nutria

    Directory of Open Access Journals (Sweden)

    Paulete de Oliveira Vargas Culau

    2008-08-01

    Full Text Available Neste estudo, utilizaram-se 30 nutrias, 15 fêmeas e 15 machos, com o sistema arterial aórtico-abdominal preenchido com látex 603, pigmentado em vermelho, e fixado em uma solução aquosa de formaldeído a 20%. A aorta abdominal emitiu de sua superfície dorsal de 6 a 8 artérias lombares únicas. Das artérias renais, direita e esquerda, originaram-se as artérias frênico-abdominal para irrigar parte do diafragma e da parede abdominal lateral cranial. A aorta abdominal lançou dorsalmente, a artéria sacral mediana, cranialmente a sua bifurcação em artérias ilíacas comuns. As artérias ilíacas comuns, ramos terminais da aorta abdominal, originaram as artérias ilíacas interna e externa. A artéria ilíaca interna distribuiu-se nas vísceras da cavidade pélvica. A artéria ilíaca externa emitiu uma artéria umbilical e, antes de alcançar o anel femoral, lançou a artéria circunflexa ilíaca profunda para a parede abdominal lateral, em seus dois terços caudais. A artéria ilíaca externa lançou o tronco pudendo-epigástrico, que originou a artéria epigástrica caudal, para a parede abdominal ventral e a artéria pudenda externa, que saiu pelo canal inguinal, para irrigar a genitália externa. Os ramos parietais diretos da aorta abdominal foram as artérias lombares e a artéria sacral mediana, enquanto as artérias frênico-abdominal, circunflexa ilíaca profunda e epigástrica caudal, foram ramos colaterais parietais indiretos. Os ramos terminais da artéria aorta abdominal foram as artérias ilíacas comuns com seus ramos, as artérias ilíacas interna e externa.For this study it was used 30 nutria, 15 females and 15 males, with its abdominal aorta system full filled with latex 603, stained in red, and fixed in an aqueous solution of formaldehyde 20%. The abdominal aorta emitted from its dorsal surface 6 to 8 single lumbar arteries. From the renal arteries, left and right, it has been originated the phrenicoabdominal arteries

  13. Estado del arte de la investigación en la Escuela de Idiomas de la Universidad Pedagógica y Tecnológica de Colombia

    OpenAIRE

    LUÍS FERNANDO NIETO RUIZ

    2008-01-01

    Este artículo realiza un diagnóstico de la situación actual de la investigación en la Escuela de Idiomas de la Universidad Pedagógica y Tecnológica de Colombia, basándose en la diversidad de trabajos realizados por los futuros docentes. Los planteamientos sobre la amplitud del objeto de estudio y las metodologías empleadas, así, como los imaginarios lingüísticos y los asideros epistemológicos son tratados en este estado del arte.

  14. Abdominal wall surgery

    Science.gov (United States)

    ... as liposuction , which is another way to remove fat. But, abdominal wall surgery is sometimes combined with liposuction. ... from the middle and lower sections of your abdomen to make it firmer ... removes excess fat and skin (love handles) from the sides of ...

  15. Reproducibility of abdominal fat assessment by ultrasound and computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Mauad, Fernando Marum; Chagas-Neto, Francisco Abaete; Benedeti, Augusto Cesar Garcia Saab; Nogueira-Barbosa, Marcello Henrique; Muglia, Valdair Francisco; Carneiro, Antonio Adilton Oliveira; Muller, Enrico Mattana; Elias Junior, Jorge, E-mail: fernando@fatesa.edu.br [Faculdade de Tecnologia em Saude (FATESA), Ribeirao Preto, SP (Brazil); Universidade de Fortaleza (UNIFOR), Fortaleza, CE (Brazil). Departmento de Radiologia; Universidade de Sao Paulo (FMRP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Medicina. Departmento de Medicina Clinica; Universidade de Sao Paulo (FFCLRP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Filosofia, Ciencias e Letras; Hospital Mae de Deus, Porto Alegre, RS (Brazil)

    2017-05-15

    Objective: To test the accuracy and reproducibility of ultrasound and computed tomography (CT) for the quantification of abdominal fat in correlation with the anthropometric, clinical, and biochemical assessments. Materials and Methods: Using ultrasound and CT, we determined the thickness of subcutaneous and intra-abdominal fat in 101 subjects-of whom 39 (38.6%) were men and 62 (61.4%) were women-with a mean age of 66.3 years (60-80 years). The ultrasound data were correlated with the anthropometric, clinical, and biochemical parameters, as well as with the areas measured by abdominal CT. Results: Intra-abdominal thickness was the variable for which the correlation with the areas of abdominal fat was strongest (i.e., the correlation coefficient was highest). We also tested the reproducibility of ultrasound and CT for the assessment of abdominal fat and found that CT measurements of abdominal fat showed greater reproducibility, having higher intraobserver and interobserver reliability than had the ultrasound measurements. There was a significant correlation between ultrasound and CT, with a correlation coefficient of 0.71. Conclusion: In the assessment of abdominal fat, the intraobserver and interobserver reliability were greater for CT than for ultrasound, although both methods showed high accuracy and good reproducibility. (author)

  16. Trauma abdominal em grávidas Abdominal trauma in pregnant women

    Directory of Open Access Journals (Sweden)

    Gustavo Pereira Fraga

    2005-09-01

    Full Text Available OBJETIVOS: avaliar os fatores indicativos (parâmetros clínicos e índices de gravidade fisiológicos e anatômicos da evolução materna e fetal entre gestantes vítimas de trauma abdominal submetidas à laparotomia e discutir as particularidades do atendimento nesta situação. MÉTODOS: análise retrospectiva dos prontuários de 245 mulheres com trauma abdominal e tratamento operatório, atendidas entre 1990 e 2002. Foram identificadas 13 gestantes com lesão abdominal submetidas à laparotomia. Para registro e análise estatística dos dados foram utilizados o protocolo Epi-Info 6.04 e o teste exato de Fisher, com intervalo de confiança de 95%. Foram relacionados com a mortalidade fetal: escore na escala de coma de Glasgow, pressão arterial sistólica, índices de trauma (RTS, ATI, ISS e lesão uterina. RESULTADOS: a idade variou de 13 a 34 anos (média de 22,5. Seis mulheres (46,2% estavam no terceiro trimestre de gestação. O trauma penetrante correspondeu a 53,8% das lesões e em seis dessas pacientes o mecanismo de trauma foi ferimento por projétil de arma de fogo. Três pacientes tiveram lesões uterinas, associadas com óbito fetal. Não houve óbito materno e a mortalidade fetal foi de 30,7%. Não houve associação entre os índices de trauma e a mortalidade materna e fetal. A lesão uterina foi o único fator preditivo de risco para perda fetal (p=0,014. CONCLUSÕES: apesar da casuística pequena e de se tratar de estudo retrospectivo de gestantes com trauma grave, os achados deste estudo mostram que não há indicadores com boa acurácia para indicação da evolução materna e fetal.PURPOSE: to evaluate the predictors (clinical findings and physiological and anatomical scores of the maternal and fetal outcomes among pregnant women victims of abdominal trauma who were submitted to laparotomy and to discuss particularities of assessment in this situation. METHODS: retrospective analysis of the medical records of 245 women with

  17. Golpes de Estado

    Directory of Open Access Journals (Sweden)

    Roberto Cortazar

    1966-04-01

    Full Text Available Por golpes de Estado se ha entendido generalmente un acto subversivo tendiente al cambio de régimen de gobierno o a la deposición de un magistrado supremo, acto que suelen llevar a cabo, en nombre de un partido, los politicos que anhelan de buena o mala fe verificar la transformación en un momento dado, después de propiciar el terreno por medio de la oposición.

  18. Abdominal surgery in neonatal foals.

    Science.gov (United States)

    Bryant, James E; Gaughan, Earl M

    2005-08-01

    Abdominal surgery in foals under 30 days old has become more common with improved neonatal care. Early recognition of a foal at risk and better nursing care have increased the survival rates of foals that require neonatal care. The success of improved neonatal care also has increased the need for accurate diagnosis and treatment of gastrointestinal, umbilical, and bladder disorders in these foals. This chapter focuses on the early and accurate diagnosis of specific disorders that require abdominal exploratory surgery and the specific treatment considerations and prognosis for these disorders.

  19. 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.

  20. Zonificación agroecológica y estimación del rendimiento potencial del cultivo de la yuca (Manihot esculenta Crantz en el estado de Tabasco, México

    Directory of Open Access Journals (Sweden)

    B. Rivera-Hernández

    2012-01-01

    Full Text Available El estado de Tabasco es el principal productor de yuca (Manihote esculenta Crantz en México, mismo que ha perdido en los últimos cinco años cerca del 45% de la superficie dedicada a este cultivo. Razón por la cual, las políticas actuales de desarrollo rural se enfocan a dirigir todo tipo de apoyos, especialmente los económicos, hacia las áreas con mayor potencial productivo para diferentes cultivos, entre ellos, la yuca. Derivado de esta política y del interés del gobierno del estado de Tabasco, se realizó el presente estudio, con los objetivos de conocer las áreas con mayor potencial productivo en el estado y estimar el rendimiento potencial esperado del cultivo de la yuca. Para ello, se utilizó el procedimiento de zonificación agro-ecológica (zae propuesto por la Fao para áreas muy aptas y para una situación de alta inversión en condiciones de agricultura de temporal. Se analizaron cuatro variables climáticas y seis propiedades edafológicas. El análisis de las variables climáticas y edafológicas (físicas y químicas y su posterior representación cartográfica mostraron que en el estado de Tabasco existen 476,617 hectáreas con alto potencial edafoclimático para cultivar yuca, con rendimientos potenciales de 42.3 t ha-1.

  1. Evaluation of abdominal trauma by computed tomography and ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Do Yun; Kim, Sang Jin; Lee, Jong Tae; Yoo, Hyung Sik [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1986-06-15

    Out of 75 patients who were admitted to our hospital because of abdominal trauma and were undergone the procedures such as ultrasonography and/or CT scan within 24 hours of abdominal trauma due to suspected abdominal organ injury. We analyzed the results of 38 patients who were confirmed of diagnosis by operation, follow-up CT scan or ultrasonography. We analyzed the results of 38 patients who were confirmed of diagnosis by operation, follow-up CT scan or ultrasonography. 1. In the abdominal organ injury, solid organ injury consists of 8 cases of spleen laceration, 1 of splenic subcapsular hematoma, 7 of hepatic laceration, 7 of pancreas laceration, 3 of renal laceration, and 3 of subcapsular hematoma of kidney. 2. In addition, there were 7 bowel and/or mesenteric laceration, 2 diaphragmatic hernia, and 1 urethral rupture. 3. 2 cases of retroperitoneal hematoma and 1 case in which hemo peritoneum occurred without abdominal organ injury were confirmed by follow-up CT or ultrasonography. 4. In all of the 4 patients with multiple organ injury, pancreatic laceration was associated. 5. In abdominal trauma patients, ultrasonography or CT can be used to survey rapidly the entire abdomen for possible associated injury, and be of great help to clinicians in identifying the patients who need immediate surgery or in minimizing the incidence of unnecessary emergency abdominal exploration.

  2. Evaluation of abdominal trauma by computed tomography and ultrasonography

    International Nuclear Information System (INIS)

    Lee, Do Yun; Kim, Sang Jin; Lee, Jong Tae; Yoo, Hyung Sik

    1986-01-01

    Out of 75 patients who were admitted to our hospital because of abdominal trauma and were undergone the procedures such as ultrasonography and/or CT scan within 24 hours of abdominal trauma due to suspected abdominal organ injury. We analyzed the results of 38 patients who were confirmed of diagnosis by operation, follow-up CT scan or ultrasonography. We analyzed the results of 38 patients who were confirmed of diagnosis by operation, follow-up CT scan or ultrasonography. 1. In the abdominal organ injury, solid organ injury consists of 8 cases of spleen laceration, 1 of splenic subcapsular hematoma, 7 of hepatic laceration, 7 of pancreas laceration, 3 of renal laceration, and 3 of subcapsular hematoma of kidney. 2. In addition, there were 7 bowel and/or mesenteric laceration, 2 diaphragmatic hernia, and 1 urethral rupture. 3. 2 cases of retroperitoneal hematoma and 1 case in which hemo peritoneum occurred without abdominal organ injury were confirmed by follow-up CT or ultrasonography. 4. In all of the 4 patients with multiple organ injury, pancreatic laceration was associated. 5. In abdominal trauma patients, ultrasonography or CT can be used to survey rapidly the entire abdomen for possible associated injury, and be of great help to clinicians in identifying the patients who need immediate surgery or in minimizing the incidence of unnecessary emergency abdominal exploration.

  3. Maintenance of Pain in Children With Functional Abdominal Pain.

    Science.gov (United States)

    Czyzewski, Danita I; Self, Mariella M; Williams, Amy E; Weidler, Erica M; Blatz, Allison M; Shulman, Robert J

    2016-03-01

    A significant proportion of children with functional abdominal pain develop chronic pain. Identifying clinical characteristics predicting pain persistence is important in targeting interventions. We examined whether child anxiety and/or pain-stooling relations were related to maintenance of abdominal pain frequency and compared the predictive value of 3 methods for assessing pain-stooling relations (ie, diary, parent report, child report). Seventy-six children (7-10 years old at baseline) who presented for medical treatment of functional abdominal pain were followed up 18 to 24 months later. Baseline anxiety and abdominal pain-stooling relations based on pain and stooling diaries and child- and parent questionnaires were examined in relationship to the persistence of abdominal pain frequency. Children's baseline anxiety was not related to persistence of pain frequency. Children who, however, displayed irritable bowel syndrome (IBS) symptoms at baseline maintained pain frequency at follow-up, whereas in children in whom there was no relationship between pain and stooling, pain frequency decreased. Pain and stool diaries and parent report of pain-stooling relations were predictive of pain persistence but child-report questionnaires were not. The presence of IBS symptoms in school-age children with functional abdominal pain appears to predict persistence of abdominal pain over time, whereas anxiety does not. Prospective pain and stooling diaries and parent report of IBS symptoms were predictors of pain maintenance, but child report of symptoms was not.

  4. Estado de conhecimento e questões do campo científico

    Directory of Open Access Journals (Sweden)

    Marilia Costa Morosini

    2015-01-01

    Full Text Available http://dx.doi.org/10.5902/1984644415822Este texto objetiva desvelar questões sobre a construção de Estados de Conhecimento na área da Educação e apontar posições teóricas fundamentadoras dessas questões com vista à prática de pesquisa articulada à realidade nacional. Parte de tematizações encima de experiências, ao longo de quatro anos, em um curso de pós-graduação de excelência. Identifica categorias de análise na perspectiva do campo cientifico (Bourdieu: Políticas públicas do Estado-nação e da área disciplinar; Finalidades do Estado de Conhecimento para a ruptura de pré-conceitos (Quivy e Capenhoudt; Qualidade interna do Estado de Conhecimento (Lovitts marcado pela originalidade; e Metodologia de aprendizagem colaborativa. Conclui pela complexidade da produção de um Estado de Conhecimento decorrente das inúmeras inter-relações sócio-científicas e resgata sua importância para a inserção no campo cientifico e na área do objeto de pesquisa.

  5. Las relaciones especiales de sujeción entre el Estado y sus funcionarios

    Directory of Open Access Journals (Sweden)

    Luis Eduardo Ardila Quiroz

    2012-01-01

    Full Text Available Este escrito hace alusión a relaciones que existe entre el Estado y sus funcionarios, desde la obediencia en Grecia, hasta la connotación que adquiere el servidor público en el Estado Social de Derecho; y a su vez, las de estos para con sus asociados, pues bien sabido es que quienes sostienen al Estado y a todo el personal necesario para la exteriorización de aquel, son quienes pagan impuestos y contribuyen para que el presupuesto de gastos en bienes y servicios lleguen a buen puerto.Así como existen obligaciones por parte del Estado, también existen deberes que cumplir por parte de quienes lo habitan, por eso es de obligatorio cumplimiento, so pena de incurrir en un delito, el pago de contribuciones a favor del Estado, pero para que las erogaciones por parte del Estado hacia su población tengan la teleología o el fin propuesto, es necesario de una buena administración, si ello no acontece, se pierde la filosofía de las buenas maneras.

  6. Abdominal Aortic Aneurysm

    Science.gov (United States)

    ... AAAs don’t cause symptoms unless they leak, tear, or rupture. If this happens, you may experience: sudden pain in your abdomen, groin, back, legs, or buttocks nausea and vomiting abnormal stiffness in your abdominal muscles problems with urination or bowel movements clammy, sweaty ...

  7. Methods of patient warming during abdominal surgery.

    Directory of Open Access Journals (Sweden)

    Li Shao

    Full Text Available BACKGROUND: Keeping abdominal surgery patients warm is common and warming methods are needed in power outages during natural disasters. We aimed to evaluate the efficacy of low-cost, low-power warming methods for maintaining normothermia in abdominal surgery patients. METHODS: Patients (n = 160 scheduled for elective abdominal surgery were included in this prospective clinical study. Five warming methods were applied: heated blood transfusion/fluid infusion vs. unheated; wrapping patients vs. not wrapping; applying moist dressings, heated or not; surgical field rinse heated or not; and applying heating blankets or not. Patients' nasopharyngeal and rectal temperatures were recorded to evaluate warming efficacy. Significant differences were found in mean temperatures of warmed patients compared to those not warmed. RESULTS: When we compared temperatures of abdominal surgery patient groups receiving three specific warming methods with temperatures of control groups not receiving these methods, significant differences were revealed in temperatures maintained during the surgeries between the warmed groups and controls. DISCUSSION: The value of maintaining normothermia in patients undergoing abdominal surgery under general anesthesia is accepted. Three effective economical and practically applicable warming methods are combined body wrapping and heating blanket; combined body wrapping, heated moist dressings, and heating blanket; combined body wrapping, heated moist dressings, and warmed surgical rinse fluid, with or without heating blanket. These methods are practically applicable when low-cost method is indeed needed.

  8. Diagnosis of abdominal abscesses with 67gallium

    International Nuclear Information System (INIS)

    Noguera, E.C.; Mothe, G.A.

    1987-01-01

    Twenty six patients were studied with 67 Gallium to detect and localize the site of intra-abdominal and intraperitoneal infection. They were divided in two groups: a) with and b) without physical symptoms that could localize an abcess in the abdominal cavity. All the patients with suppuration had persistent up-take of 67 Ga in one anatomic area of the abdomen, subsequently documented by computarized axial tomography (CAT) in 58% of the cases or by laparotomy in 88% of them. Scintigraphy with 67 Ga in the patients with recent surgery not only detected focal infection in 67% of the cases but excluded subphernic collection. In 78% of patients with prolonged fever, the infection was localized. There was no false positive result. The comparison in 56% of the cases with CAT demonstrated that both techniques are 100% sensitive for the diagnosis of abdominal suppurative processes. Three of the 26 patients, after six weeks of medical treatment, were restudied with 67 Ga and CAT, showing total resolution of their previous abnormalities. It is concluded that 67 Ga scintigraphy performed as the first study in febrile patients independent of the presence or absence of physical symptoms that could localize the abdominal infection, is sensitive for the detection and localization of an abdominal abscess and that a negative result excludes it. (Author) [es

  9. Relationship Between Abdominal Symptoms and Fructose Ingestion in Children with Chronic Abdominal Pain.

    Science.gov (United States)

    Hammer, Veronika; Hammer, Katharina; Memaran, Nima; Huber, Wolf-Dietrich; Hammer, Karin; Hammer, Johann

    2018-05-01

    Limited valid data are available regarding the association of fructose-induced symptoms, fructose malabsorption, and clinical symptoms. To develop a questionnaire for valid symptom assessment before and during a carbohydrate breath test and to correlate symptoms with fructose breath test results in children/adolescents with functional abdominal pain. A Likert-type questionnaire assessing symptoms considered relevant for hydrogen breath test in children was developed and underwent initial validation. Fructose malabsorption was determined by increased breath hydrogen in 82 pediatric patients with functional abdominal pain disorders; fructose-induced symptoms were quantified by symptom score ≥2 and relevant symptom increase over baseline. The results were correlated with clinical symptoms. The time course of symptoms during the breath test was assessed. The questionnaire exhibited good psychometric properties in a standardized assessment of the severity of carbohydrate-related symptoms. A total of 40 % (n = 33) had malabsorption; symptoms were induced in 38 % (n = 31), but only 46 % (n = 15) with malabsorption were symptomatic. There was no significant correlation between fructose malabsorption and fructose-induced symptoms. Clinical symptoms correlated with symptoms evoked during the breath test (p Fructose-induced symptoms but not fructose malabsorption are related to increased abdominal symptoms and have distinct timing patterns.

  10. Abdominal and Pelvic CT

    Medline Plus

    Full Text Available ... pancreatitis or liver cirrhosis. cancers of the liver, kidneys, pancreas, ovaries and bladder as well as lymphoma. kidney and bladder stones. abdominal aortic aneurysms (AAA), injuries ...

  11. Diagnosis of mycotic abdominal aortic aneurysm using 67-gallium citrate

    International Nuclear Information System (INIS)

    Blumoff, R.L.; McCartney, W.; Jaques, P.; Johnson, G. Jr.

    1982-01-01

    Mycotic aneurysms of the abdominal aorta are uncommon, but potentially lethal problems. Clinical subtleties may suggest their presence, but in the past, definitive diagnosis has been dependent on surgical exploration or autopsy findings. A case is presented in which 67-gallium citrate abdominal scanning localized the site of sepsis in an abdominal aortic aneurysm and allowed for prompt and successful surgical therapy. This noninvasive technique is recommended as a adjunct in the diagnosis of mycotic abdominal aortic aneurysms

  12. Post caesarean section anterior abdominal wall endometriosis ...

    African Journals Online (AJOL)

    Abdominal wall endometriosis is a likely sequelae of caesarean section as viable endometrial tissue are deposited in the peritoneal cavity or anterior abdominal wall. One such case to sensitize clinicians of this rare presentation of the disease is presented. The patient was a 48 year old woman who presented with a lesion ...

  13. Whole abdominal irradiation in ovarian carcinoma

    International Nuclear Information System (INIS)

    Romestaing, P.; Gallo, C.; Gerard, J.F.; Ardiet, J.M.; Carrie, C.

    1989-01-01

    The prognosis of ovarian cancers, which are frequently diagnosed at a late stage, can probably be improved by whole abdominal radiotherapy. 45 patients in Lyon and 8 patients in Montelimar (7 stage I or C, 10 stage II and 36 stage III) were treated by whole abdominal radiotherapy, generally after 6 courses of chemotherapy (46 cases). The overall 5-year survival of this group of patients was 48% (Kaplan-Meier method). When the patients treated by complete resection at 1st look surgery (19 cases) are compared with those in whom 1st look surgery was incomplete (34 cases), the actuarial survival was 83% versus 27%. This study demonstrates that whole abdominal radiotherapy is feasible without any serious long-term complications after two operations and 6 courses of chemotherapy. These encouraging results need to be confirmed by randomized prospective studies [fr

  14. Effects of abdominal pressure on venous return: abdominal vascular zone conditions.

    Science.gov (United States)

    Takata, M; Wise, R A; Robotham, J L

    1990-12-01

    The effects of changes in abdominal pressure (Pab) on inferior vena cava (IVC) venous return were analyzed using a model of the IVC circulation based on a concept of abdominal vascular zone conditions analogous to pulmonary vascular zone conditions. We hypothesized that an increase in Pab would increase IVC venous return when the IVC pressure at the level of the diaphragm (Pivc) exceeds the sum of Pab and the critical closing transmural pressure (Pc), i.e., zone 3 conditions, but reduce IVC venous return when Pivc is below the sum of Pab and Pc, i.e., zone 2 conditions. The validity of the model was tested in 12 canine experiments with an open-chest IVC bypass. An increase in Pab produced by phrenic stimulation increased the IVC venous return when Pivc-Pab was positive but decreased the IVC venous return when Pivc - Pab was negative. The value of Pivc - Pab that separated net increases from decreases in venous return was 1.00 +/- 0.72 (SE) mmHg (n = 6). An increase in Pivc did not influence the femoral venous pressure when Pivc was lower than the sum of Pab and a constant, 0.96 +/- 0.70 mmHg (n = 6), consistent with presence of a waterfall. These results agreed closely with the predictions of the model and its computer simulation. The abdominal venous compartment appears to function with changes in Pab either as a capacitor in zone 3 conditions or as a collapsible Starling resistor with little wall tone in zone 2 conditions.

  15. Traumatic abdominal wall hernia secondary to motorcycle handle bar injury

    Directory of Open Access Journals (Sweden)

    R S Jamabo

    2011-01-01

    Conclusion: We recommend a high level of clinical suspicion for traumatic abdominal wall herniation in all patients with traumatic abdominal wall injuries. It is instructive that the area be explored with primary repair of the hernia and other tissue planes of the abdominal wall.

  16. [Late primary abdominal pregnancy. Case report].

    Science.gov (United States)

    Farías, Emigdio Torres; Gómez, Luis Guillermo Torres; Allegre, René Márquez; Higareda, Salvador Hernández

    2008-09-01

    Abdominal advanced pregnancy is an obstetric complication that put at risk maternal and fetal life. We report a case of advanced abdominal pregnancy with intact ovaries and fallopian tubes, without ureteroperitoneal fistulae and, late prenatal diagnosis, in a multiparous patient without risk factors, with alive newborn, and whose pregnancy was attended at Unidad Medica de Alta Especialidad, Hospital de Gineco-Obstetricia, Centro Medico Nacional de Occidente del IMSS, Guadalajara, Jalisco, México.

  17. Update on the prevention of death from ruptured abdominal aortic aneurysm.

    Science.gov (United States)

    Jacomelli, Jo; Summers, Lisa; Stevenson, Anne; Lees, Tim; Earnshaw, Jonothan J

    2017-09-01

    Objectives To monitor the early effect of a national population screening programme for abdominal aortic aneurysm in 65-year-old men. Setting The study used national statistics for death rates from abdominal aortic aneurysm (Office of National Statistics) and hospital admission data in England (Hospital Episode Statistics). Methods Information concerning deaths from abdominal aortic aneurysm (ruptured and non-ruptured) (1999-2014) and hospital admissions for ruptured abdominal aortic aneurysm (2000-2015) was examined. Results The absolute number of deaths from abdominal aortic aneurysm in men and women aged 65 and over has decreased by around 30% from 2001 to 2014, but as the population has increased, the relative reduction was 45.6% and 40.0%, respectively. Some 65% of all abdominal aortic aneurysm deaths are in men aged over 65; women aged 65 and over account for around 31%. Deaths from ruptured abdominal aortic aneurysm in men aged 60-74 (the screened group) appear to be declining at the same rate as in men aged 75 and over. The relative decline in admissions to hospital with ruptured abdominal aortic aneurysm may be greater in men and women aged 60-74 (which contains the screened group of men), than those older, giving the first possible evidence that abdominal aortic aneurysm screening is having an effect. Conclusion The death rate from abdominal aortic aneurysm is declining rapidly in England. There is the first evidence that screening may be contributing to this reduction.

  18. Transformaciones de la política exterior egipcia en materia de seguridad, frente al Estado de Israel, desde la caída de Mubarak. 2002- 2012

    OpenAIRE

    Morales, Alejandra

    2015-01-01

    El presente estudio de caso identifica las transformaciones de la política exterior egipcia en materia de seguridad frente al Estado de Israel, desde la Caída de Mubarak. La hipótesis que sustenta este ejercicio académico repasa las principales transformaciones que ha sufrido la política exterior egipcia en términos de seguridad frente a Israel pasando por la seguridad fronteriza, las relaciones diplomáticas, y el cambio del discurso gubernamental hasta la incidencia y actual importancia de ...

  19. Análisis de los intereses geoestratégicos de China y Estados Unidos en Corea del Sur tras el programa nuclear de Corea del Norte

    OpenAIRE

    Ramírez Ruiz, Vanessa

    2012-01-01

    La península coreana ha sido desde la Guerra Fría y a la actualidad una zona convulsionada por intereses políticos, económicos e ideológicos. Ese panorama obliga un análisis sobre la configuración y los cambios que se han dado entre las potencias actuales, China y Estados Unidos, desde la existencia de un programa nuclear norcoreano que afecta a Corea del Sur y la definición de los intereses de Beijin y Washington.

  20. DIEP breast reconstruction following multiple abdominal liposuction procedures.

    Science.gov (United States)

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

    2014-01-01

    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. Review of case notes and radiological investigations of two patients, and a PubMed search using the terms "DIEP", "deep inferior epigastric", "TRAM", "transverse rectus abdominis", "perforator" and "laparotomy", "abdominal wall", "liposuction", "liposculpture", "fat graft", "pfannenstiel", with subsequent appraisal of relevant papers by the first and second authors. Patient 1 had 3 episodes of liposuction from the abdomen for fat grafting to a reconstructed breast. Subsequent revision reconstruction of the same breast with DIEP flap was preceded by CT angiography, which demonstrated normal perforator anatomy. The reconstruction healed well with no ischaemic complications. Patient 2 had 5 liposuction procedures from the abdomen to graft fat to a wide local excision defect. Recurrence of cancer led to mastectomy and immediate reconstruction with free DIEP flap. Preoperative MR angiography demonstrated a large perforator right of the umbilicus, with which the intraoperative findings were consistent. The patient had an uneventful recovery and good healing with no fat necrosis or wound dehiscence. We demonstrate that DIEP flaps can safely be raised without perfusion-related complications following multiple liposuction procedures to the abdomen. The safe interval between procedures is difficult to quantify, but we demonstrate successful free flap after 16 months.

  1. Imaging findings of abdominal extraosseous plasma cell neoplasm

    International Nuclear Information System (INIS)

    Park, Yang Sin; Byun, Jae Ho; Won, Hyung Jin; Kim, Ah Young; Shin, Yong Moon; Kim, Pyo Nyun; Ha, Hyun Kwon; Lee, Moon Gyu; Bae, Kyung Soo

    2006-01-01

    To evaluate the imaging findings of abdominal extraosseous plasma cell neoplasm. From April 2000 to January 2005, eight patients (four men, four women; mean age, 50.6 years) with pathologically proved, extraosseous plasma cell neoplasm involving the abdominal organs were included in this study. The diagnoses were based on consensus agreement between two radiologists who retrospectively reviewed CT, ultrasonography, and enteroclysis findings. We evaluated the findings by focusing on the location, size, margin, and enhancement pattern of the lesion, and lymphadenopathy on each image. There were multiple myeloma in four patients and extramedullary plasmacytoma in the remaining four. Involved abdominal organs were the liver (n = 4), spleen (n 4), lymph node (n = 3), stomach (n = 1), small bowel (n = 1), and colon (n 1). The hepatic involvement of plasma cell neoplasm presented as a homogeneous, well-defined, solitary mass (n = 1), multiple nodules (n = 1), and hepatomegaly (n = 2). Its involvement of the spleen and lymph node appeared as splenomegaly and lymphadenopathy, respectively. Its involvement of the gastrointestinal tract including the stomach, small bowel, and colon, presented as a homogeneous, diffuse wall thickening or mass in the gastrointestinal tract. Abdominal extraosseous plasma cell neoplasm involves occasionally the liver, spleen, and lymph node, and rarely the gastrointestinal tract. When we encounter a well-defined, homogeneous lesion of the abdominal organs in patients diagnosed or suspected as having plasma cell neoplasm, we should consider its involvement of the abdominal organs

  2. Common Functional Gastroenterologic Disorders Associated With Abdominal Pain

    Science.gov (United States)

    Bharucha, Adil E.; Chakraborty, Subhankar; Sletten, Christopher D.

    2016-01-01

    Although abdominal pain is a symptom of several structural gastrointestinal disorders (eg, peptic ulcer disease), this comprehensive review will focus on the 4 most common nonstructural, or functional, disorders associated with abdominal pain: functional dyspepsia, constipation-predominant and diarrhea-predominant irritable bowel syndrome, and functional abdominal pain syndrome. Together, these conditions affect approximately 1 in 4 people in the United States. They are associated with comorbid conditions (eg, fibromyalgia, depression), impaired quality of life, and increased health care utilization. Symptoms are explained by disordered gastrointestinal motility and sensation, which are implicated in a variety of peripheral (eg, postinfectious inflammation, luminal irritants) and/or central (eg, stress and anxiety) factors. These disorders are defined and can generally be diagnosed by symptoms alone. Often prompted by alarm features, selected testing is useful to exclude structural disease. Identifying the specific diagnosis (eg, differentiating between functional abdominal pain and irritable bowel syndrome) and establishing an effective patient-physician relationship are the cornerstones of therapy. Many patients with mild symptoms can be effectively managed with limited tests, sensible dietary modifications, and over-the-counter medications tailored to symptoms. If these measures are not sufficient, pharmacotherapy should be considered for bowel symptoms (constipation or diarrhea) and/or abdominal pain; opioids should not be used. Behavioral and psychological approaches (eg, cognitive behavioral therapy) can be very helpful, particularly in patients with chronic abdominal pain who require a multidisciplinary pain management program without opioids. PMID:27492916

  3. Clinical application of PET in abdominal cancers

    International Nuclear Information System (INIS)

    Choi, Chang Woon

    2002-01-01

    Clinical application of positron emission tomography (PET) is rapidly increasing for the detection and staging of cancer at whole-body studies performed with the glucose analogue tracer 2-[fluorine-18]fluoro-2-deoxy-D-glucose (FG). Although FDG PET cannot match the anatomic resolution of conventional imaging techniques in the liver and the other abdominal organs, it is particularly useful for identification and characterization of the entire body simultaneously. FDG PET can show foci of metastatic disease that may not be apparent at conventional anatomic imaging and can aid in the characterizing of indeterminate soft-tissue masses. Most abdominal cancer requires surgical management. FGD PET can improve the selection of patients for surgical treatment and thereby reduce the morbidity and mortality associated with inappropriate surgery. FDG PET is also useful for the early detection of recurrence and the monitoring of therapeutic effect. The abdominal cancers, such as gastroesophageal cancer, colorectal cancer, liver cancer and pancreatic cancer, are common malignancies in Korea, and PET is one of the most promising and useful methodologies for the management of abdominal cancers

  4. Lactose and Fructose Intolerance in Turkish Children with Chronic Abdominal Pain.

    Science.gov (United States)

    Yuce, Ozlem; Kalayci, Ayhan Gazi; Comba, Atakan; Eren, Esra; Caltepe, Gonul

    2016-05-08

    To investigate the prevalence of lactose and fructose intolerance in children with chronic abdominal pain. Hydrogen breath tests were done to detect lactose and fructose malabsorption in 86 children with chronic abdominal pain (44 irritable bowel syndrome, 24 functional abdominal pain and 17 functional abdominal pain syndrome as per Rome III criteria) presenting to a Pediatric Gastroentreology department. 14 (16.3%) of patients were diagnosed with lactose intolerance and 11 (12.8%) with fructose intolerance. Lactose and fructose intolerance in children can lead to chronic abdominal pain and symptoms improve with dietary modifications.

  5. 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.

  6. Diagnostic ultrasonography in cattle with abdominal fat necrosis.

    Science.gov (United States)

    Tharwat, Mohamed; Buczinski, Sébastien

    2012-01-01

    This study describes the ultrasonographic findings in 14 cows with abdominal fat necrosis. Ultrasonography of the abdomen revealed the presence of heterogeneous hyperechoic masses and hyperechoic omentum with localized masses floating in a hypoechoic peritoneal fluid. A hyperechogenic rim was imaged around both kidneys. The intestines were coated with hyperechoic capsules and the intestinal lumens were constricted. Ultrasonographic examination of the pancreatic parenchyma showed an overall increased echogenicity which was homogenously distributed in 3 cases. A diagnosis of abdominal fat necrosis was made with ultrasound-guided biopsy of the echogenic masses, and thereafter at postmortem examination. Results from this study demonstrate the efficacy of ultrasonography as an imaging modality for antemortem diagnosis of abdominal lipomatosis in cattle. To the authors' knowledge, this study is the first that illustrates ultrasonographic findings in cattle affected with abdominal lipomatosis.

  7. VISCERAL ABDOMINAL PAIN AND OPPORTUNITIES OF SPASMOLYTIC TREATMENT

    Directory of Open Access Journals (Sweden)

    E.A. Kornienko

    2008-01-01

    Full Text Available Results of treatment of 30 children with visceral abdominal pain caused by different etiological factors with neurotropic selective m9cholinergic antagonist hyoscine butilbromide (buscopan are presented in this article. Two groups of children were treated with hyoscine butilbromide and drotaverine accordingly. Administration of hyoscine butilbromide allows to stop pain in 93% of patients; mean duration of abdominal pain was 3,4 ± 1,2 days (4,2 ± 1,4 days in children treated with drotaverine, р < 0,05. Activity of dyspeptic disorders was decreased at the time of treatment. a tolerance to hyoscine butilbromide was satisfactory, and no adverse events were registered. hyoscine butilbromide is effective in treatment of visceral abdominal pain in children, allowing shortening its duration more actively then drotaverine.Key words: children, visceral abdominal pain, hyoscine butilbromide.

  8. Abdominal wall hernias: imaging with spiral CT

    International Nuclear Information System (INIS)

    Stabile Ianora, A.A.; Midiri, M.; Vinci, R.; Rotondo, A.; Angelelli, G.

    2000-01-01

    Computed tomography is an accurate method of identifying the various types of abdominal wall hernias, especially if they are clinically occult, and of distinguishing them from other diseases such as hematomas, abscesses and neoplasia. In this study we examined the CT images of 94 patients affected by abdominal wall hernias observed over a period of 6 years. Computed tomography clearly demonstrates the anatomical site of the hernial sac, the content and any occlusive bowel complications due to incarceration or strangulation. Clinical diagnosis of external hernias is particularly difficult in obese patients or in those with laparotic scars. In these cases abdominal imaging is essential for a correct preoperative diagnosis and to determine the most effective treatment. (orig.)

  9. Penetrating abdominal injuries: management controversies

    Science.gov (United States)

    Butt, Muhammad U; Zacharias, Nikolaos; Velmahos, George C

    2009-01-01

    Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories, potential for organ injury, and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds, the management of abdominal gunshot wounds remains a matter of controversy. In this chapter we describe the rationale and methodology of selecting patients for non-operative management. We also discuss additional controversial issues, as related to antibiotic prophylaxis, management of asymptomatic thoracoabdominal injuries, and the use of colostomy vs. primary repair for colon injuries. PMID:19374761

  10. Penetrating abdominal injuries: management controversies

    Directory of Open Access Journals (Sweden)

    Velmahos George C

    2009-04-01

    Full Text Available Abstract Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories, potential for organ injury, and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds, the management of abdominal gunshot wounds remains a matter of controversy. In this chapter we describe the rationale and methodology of selecting patients for non-operative management. We also discuss additional controversial issues, as related to antibiotic prophylaxis, management of asymptomatic thoracoabdominal injuries, and the use of colostomy vs. primary repair for colon injuries.

  11. Embarazo ectópico abdominal

    OpenAIRE

    Karen Luz Torres Rojas; Miguel Blanco Paz; Gerardo Celorrio Montiel

    2015-01-01

    La incidencia de embarazo ectópico ha aumentado en los últimos años hasta 1:43 recién nacidos. La variedad abdominal es una de las menos frecuentes, su incidencia es de 1:10mil  nacidos vivos. El 1% de los embarazos ectópicos son abdominales y la implantación en el epiplón es una rara entidad. Pueden clasificarse como primarios o secundarios en función de que se originen o no en la cavidad peritoneal. Se presenta un caso de embarazo abdominal primario, localizado en cara posterior del útero y...

  12. Análisis y diseño de un detector compacto de radiación gamma de estado sólido para espectrometría

    OpenAIRE

    Toral Zamorano, Francisco Javier

    2017-01-01

    La detección de radiación es una necesidad desde el momento del descubrimiento de la radiación misma. Son muchas las tecnologías actuales empleadas para medir el nivel de radiación: contadores proporcionales, Geiger-Müller, cámaras de ionización, centelleo con tubos fotomultiplicadores, centelleo líquido, detectores de germanio, detectores de semiconductor de estado sólido (con o sin centelleador)… De todos ellos, solamente unos pocos son válidos para realizar una espectrometría gamma. Mie...

  13. Suprema Corte de Justicia de los Estados Unidos

    Directory of Open Access Journals (Sweden)

    Suprema Corte de Justicia Estados Unidos de Norte América

    2015-10-01

    Full Text Available INFORME DEL INSTITUTO DE DERECHO INTERNACIONAL PUBLICO.AUTOS: ESTADOS UNIDOS (Apelante v./ HUMBERTO ALVAREZ MACHAINLOS HECHOS.Un ciudadano mejicano fue secuestrado por la fuerza (en su país y transportado en un avión particular a los E.E.U.U. donde fue arrestado bajo acusación de haber participado en el rapto y asesinato, cometidos en Méjico, de un agente del Departamento para el Control de la Droga de los Estados Unidos (D.E.A. y su acompañante. (... 

  14. La migración México-Estados unidos

    OpenAIRE

    Santibañez Romellón, Jorge

    2014-01-01

    Note portant sur l'auteur TIJUANA: AVANT DE PASSER LA FRONTIÈRE EN BUS, DESTINATION LOS ANGELES(CLICHÉ: ANNICK TRÉGUER). INTRODUCCION La migracion de mexicanos hacia y desde los Estados Unidos es un proceso esencialmente social, económico, laboral y cultural que involucra a millones de mexicanos en México y en los Estados Unidos. El propósito de este breve documento es el de aportar una visión general de este importante proceso en lo que toca a la migración laboral, desde una perspectiva act...

  15. Focal epilepsy with ictal abdominal pain: a case report

    OpenAIRE

    Cerminara, Caterina; El Malhany, Nadia; Roberto, Denis; Curatolo, Paolo

    2013-01-01

    Focal epilepsy with ictal abdominal pain is an unusual partial epilepsy characterized by paroxysmal episodes of abdominal or visceral pain, disturbance of awareness and electroencephalographic abnormalities. We describe a new case of ictal abdominal pain in which gastrointestinal complaints were the only manifestation of seizures and review the previously described pediatric patients. In our patient clinical findings, ictal EEG abnormalities, and a good response to antiepileptic drugs allowed...

  16. Fallopian Tube Herniation through Left Sided Abdominal Drain Site.

    Science.gov (United States)

    Hussain, Khalid; Masood, Jovaria

    2016-06-01

    Intra-abdominal drains have been used since long to prevent intra-abdominal collection, and detect any anastomotic leaks. We report a case of left sided fallopian tube herniation from a left lower abdominal drain site in a 27-year female who underwent caesarian section for breach presentation. Several complications related to drain usage has been described but left sided fallopian tube prolapse through drain site has not been reported in literature.

  17. [The etiological aspects of acute abdominal pain in children].

    Science.gov (United States)

    Dinu, C A; Moraru, D

    2011-01-01

    The study of the etiological aspects of acute abdominal pain in children, in order to perceive the clinical-etiological correlations and the disorders distribution related to age, gender and the origin of the patients. The criteria for including patients were age (between 0 and 18 years) and the presence of acute abdominal pain before or during the consultation with the physician. The research on acute abdominal pain in children was performed on the level of the Surgery and Pediatrics II clinical departments of the "Sf. Ioan" Children's Emergency Clinical Hospital in Galati, between 01.01.2009 - 01.01.2011. The clinical study performed on the patients registered in the studied groups focused on the identification, the evaluation of the symptoms of acute abdominal pain in children, diagnosing and treating it. The criteria for excluding patients were an age older than 18 years or the absence of acute abdominal pain as a symptom before or during the examination. The statistical analysis used the descriptive and analytical methods. The data was centralized and statistically processed in M.S.EXCEL and S.P.S.S. databases. The patients with acute abdominal pain represent a percentage of 92.9% (2358 cases) of the total number of patients who suffer from abdominal pain (N=2537). The highest frequency of cases is represented by acute appendicitis (1056 cases - 44.8%). In the 5-18 years age group, acute appendicitis, mesenteric lymphadenitis, ovarian follicular cysts, acute pyelenophritis and salpingitis are predominant. In the 0-4 years age group gastroenteritis, acute pharyngitis, reactive hepatitis and lower digestive bleeding are predominant. In females, acute appendicitis, gastroenteritis, gastroduodenitis and cystitis are predominant, whereas in males, peritonitis, sepsis through E. coli, the contusion of the abdominal wall and acute pharyngitis are predominant.

  18. Abdominal emergencies during pregnancy.

    Science.gov (United States)

    Bouyou, J; Gaujoux, S; Marcellin, L; Leconte, M; Goffinet, F; Chapron, C; Dousset, B

    2015-12-01

    Abdominal emergencies during pregnancy (excluding obstetrical emergencies) occur in one out of 500-700 pregnancies and may involve gastrointestinal, gynecologic, urologic, vascular and traumatic etiologies; surgery is necessary in 0.2-2% of cases. Since these emergencies are relatively rare, patients should be referred to specialized centers where surgical, obstetrical and neonatal cares are available, particularly because surgical intervention increases the risk of premature labor. Clinical presentations may be atypical and misleading because of pregnancy-associated anatomical and physiologic alterations, which often result in diagnostic uncertainty and therapeutic delay with increased risks of maternal and infant morbidity. The most common abdominal emergencies are acute appendicitis (best treated by laparoscopic appendectomy), acute calculous cholecystitis (best treated by laparoscopic cholecystectomy from the first trimester through the early part of the third trimester) and intestinal obstruction (where medical treatment is the first-line approach, just as in the non-pregnant patient). Acute pancreatitis is rare, usually resulting from trans-ampullary passage of gallstones; it usually resolves with medical treatment but an elevated risk of recurrent episodes justifies laparoscopic cholecystectomy in the 2nd trimester and endoscopic sphincterotomy in the 3rd trimester. The aim of the present work is to review pregnancy-induced anatomical and physiological modifications, to describe the main abdominal emergencies during pregnancy, their specific features and their diagnostic and therapeutic management. Copyright © 2015. Published by Elsevier Masson SAS.

  19. Direito, estado e poder: poulantzas e o seu confronto com Kelsen

    OpenAIRE

    Luiz Eduardo Motta

    2011-01-01

    A Teoria do Estado, no campo da Ciência Política, viveu momentos de crise, em particular na passagem dos anos 1980 para os 1990, quando algumas correntes intelectuais apontavam que o Estado-nação e as instituições estatais deixariam de ocupar um papel central como objetos de análise. O presente artigo vai de encontro a essa posição e visa a estabelecer uma análise comparativa de dois dos mais sistemáticos autores que trataram do conceito de Estado moderno e da relação deste com o Direito mode...

  20. Ethnic influences on the relations between abdominal subcutaneous and visceral adiposity, liver fat, and cardiometabolic risk profile: the International Study of Prediction of Intra-Abdominal Adiposity and Its Relationship With Cardiometabolic Risk/Intra-Abdominal Adiposity.

    Science.gov (United States)

    Nazare, Julie-Anne; Smith, Jessica D; Borel, Anne-Laure; Haffner, Steven M; Balkau, Beverley; Ross, Robert; Massien, Christine; Alméras, Natalie; Després, Jean-Pierre

    2012-10-01

    Ethnic differences in cardiometabolic risk (CMR) may be related to patterns of ethnic-specific body fat distribution. We aimed to identify differences across ethnic groups in interrelations between BMI, abdominal adiposity, liver fat, and CMR profile. In the International Study of Prediction of Intra-Abdominal Adiposity and Its Relationship With Cardiometabolic Risk/Intra-Abdominal Adiposity, 297 physicians recruited 4504 patients (from 29 countries). In the current cross-sectional analyses, 2011 whites, 166 African Caribbean blacks, 381 Hispanics, 1192 East Asians, and 347 Southeast Asians were included. Computed tomography was used to assess abdominal fat distribution and to estimate liver fat content. Anthropometric variables and CMR profile were measured. Higher ranges of BMI were associated with higher levels of visceral [visceral adipose tissue (VAT)] and deep subcutaneous [deep subcutaneous adipose tissue (DSAT)] adiposity, with significant ethnic differences regarding the slope of these relations. Despite lower absolute BMI values, East Asians presented the largest accumulation of VAT but the lowest accumulation of DSAT with increasing adiposity. The association of BMI with liver fat did not differ between ethnic groups. Liver fat and DSAT were positively correlated with VAT with no ethnic variation. All ethnic groups had a similar association between a 1-SD increase in VAT, DSAT, or liver fat with hypertension, type 2 diabetes, hypertriglyceridemia, low HDL-cholesterol concentration, or high C-reactive protein concentration. Ethnicity significantly affects abdominal adiposity and liver fat partitioning, and East Asians have the most deleterious abdominal fat distribution. Irrespective of ethnicity, abdominal and hepatic fat depots are strongly interrelated and increased with obesity. Higher amounts of VAT or liver fat are associated with a more deteriorated CMR profile in all ethnic groups.

  1. Abdominal cocoon: sonographic features.

    Science.gov (United States)

    Vijayaraghavan, S Boopathy; Palanivelu, Chinnusamy; Sendhilkumar, Karuppusamy; Parthasarathi, Ramakrishnan

    2003-07-01

    An abdominal cocoon is a rare condition in which the small bowel is encased in a membrane. The diagnosis is usually established at surgery. Here we describe the sonographic features of this condition.

  2. Morbilidad y mortalidad por traumatismo abdominal (2002 a 2004 Mortality and morbidity from abdominal trauma (2002-2004

    Directory of Open Access Journals (Sweden)

    Carlos A Sánchez Portela

    2007-09-01

    Full Text Available Se realizó un estudio retrospectivo, descriptivo y longitudinal entre el 1ro. de enero de 2002 y el 31 de diciembre de 2004, cuyo universo estuvo constituido por los 123 pacientes con el diagnóstico de traumatismo abdominal, ingresados en el Servicio de Cirugía General del Hospital General Universitario «Abel Santamaría Cuadrado» (Pinar del Río. Se tomaron los datos primarios de las historias clínicas y se utilizó el método de análisis porcentual y la frecuencia absoluta para todas las variables medidas. En el estudio predominaron las edades entre 21 y 30 años (54 pacientes; 39,4 %. El mecanismo de lesión productor de trauma de abdomen más frecuente fue el accidente de tránsito (57 pacientes; 46,54 % y existió, además, predominio del traumatismo abdominal cerrado. Los pacientes que llegaron al hospital durante la primera hora de ocurrido el traumatismo (90,24 % tuvieron una evolución satisfactoria y la menor mortalidad (4,07 %. La punción abdominal fue el medio diagnóstico de más valor (83,08 % de positividad. El hígado y el bazo fueron los órganos más lesionados en estos pacientes. El shock hipovolémico (48,18 % y la peritonitis generalizada (22,63 % fueron las complicaciones más observadas. El shock hipovolémico fue la principal causa de muerteA retrospective, longitudinal and descriptive was performed on 123 patients diagnosed with abdominal trauma from January 1st, 2002 to December 31st, 2004 and admitted to General Surgery service of “Abel Santamaría Cuadrado” general university hospital in Pínar del Río province. Primary data were taken from the medical histories, using the method of percentage analysis and absolute frequency for all measured variables. The 21-30 years age group was predominant (54 patients, 39,4 %. The most common mechanism of abdominal trauma-causing lesion was traffic accidents (57 patients; 46,54 %. Blunt abdominal trauma prevailed. The patients that arrived at the hospital within the

  3. 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...

  4. El nodo de distribución en la cadena hortícola de valor México-Estados Unidos: el caso de las exportaciones sinaloenses de productos frescos

    Directory of Open Access Journals (Sweden)

    Carlos Javier Maya Ambía

    2009-01-01

    Full Text Available Sinaloa es la principal entidad federativa exportadora de hortalizas frescas de México a Estados Unidos. Su inserción en la globalización ocurre a través de la cadena hortícola de valor que existe entre ambos países. Para que ésta funcione de manera eficiente, es central el papel de las empresas que distribuyen en Estados Unidos las hortalizas producidas en Sinaloa. Después de explicar las características de la cadena en el contexto del mercado hortícola mundial, a partir del trabajo de campo realizado en la zona fronteriza de Nogales, Arizona, el presente artículo analiza la experiencia de los horticultores sinaloenses que crearon distribuidoras propias en territorio estadounidense, para mejorar su posición competitiva en el mercado y tener mayor control sobre sus productos. Asimismo, se detalla la situación actual y los desafíos que la globalización impone a las empresas estudiadas.

  5. Chest radiography and abdominal ultrasound in general practice

    NARCIS (Netherlands)

    Speets, Anouk Mariëlle

    2006-01-01

    Chest radiography (CXR) and abdominal ultrasound (US) are two widely used diagnostic imaging techniques in Western societies. General practitioners (GPs) in The Netherlands annually request approximately 500,000 CXRs and 200,000 abdominal US, and therefore clearly place a burden on health care.

  6. Paediatric surgical abdominal emergencies in a north central ...

    African Journals Online (AJOL)

    Paediatric surgical abdominal emergencies in a north central Nigerian centre. ... The causes of PSAEs vary worldwide, and the management is challenging, often with unimaginably poor outcome if not carefully handled. The aim of this ... Keywords: abdominal emergencies, acute abdomen, children, morbidity, mortality ...

  7. Intra-abdominal fat: Comparison of computed tomography fat ...

    African Journals Online (AJOL)

    Background: Intra-abdominal fat is an important factor in determining the metabolic syndrome/insulin resistance, and thus the risk of diabetes and ischaemic heart disease. Computed Tomography (CT) fat segmentation represents a defined method of quantifying intra-abdominal fat, with attendant radiation risks.

  8. Vacuum-Assisted Abdominal Closure Is Safe and Effective

    DEFF Research Database (Denmark)

    Jensen, R O; Buchbjerg, T; Simonsen, R M

    2017-01-01

    less likely to develop large hernias and had better self-evaluated physical health score (p mental health was found. CONCLUSION: The abdominal VAC treatment in patients with abdominal catastrophes is safe and with a relative low complication rate. Whether it might be superior...

  9. Estado nacional, globalización y democracia

    Directory of Open Access Journals (Sweden)

    Wilson Alcides Valenzuela Pérez

    2018-02-01

    Full Text Available La definición de Estado nacional que Hans Kelsen expone en su obra clásica del pensamiento jurídico Teoría general del Derecho y del Estado lo caracteriza como organización política, que crea una comunidad nacional con el objeto de ejercer el poder político en el marco de un orden normativo válido para un espacio territorial delimitado, mediante el cual, se garantiza el principio de autodeterminación de un pueblo y su complemento necesario: la soberanía. Sin embargo, con motivo de los procesos de globalización, en particular, globalización de la economía de mercado, las decisiones más importantes que afectan al Estado se toman en los organismos económicos internacionales como el Fondo Monetario Internacional o el Banco Mundial, con lo cual, los principios de autodeterminación y de soberanía propios de la clásica definición del Estado nacional son puestos en cuestión y se han convertido en una mera ficción. Ante esa realidad, la idea de una sociedad cosmopolita, postulada por Kant hace ya más de doscientos años, retoma su vigencia, salvo que ahora, a la distancia histórica, la propuesta kantiana debe ser implementada por la democratización de los procesos de constitución de un nuevo orden mundial. El presente artículo explora la posibilidad de fortalecer la democracia gracias a una reconstrucción de los principios de la Ilustración, aplicados a una sociedad cosmopolita mediante la práctica del poder comunicativo de los ciudadanos que, suponemos, producirá el desencadenamiento de las libertades comunicativas en el horizonte teórico propuesto por Habermas.

  10. Supervisión de sistemas lógicos de control utilizando el diagrama de evolución del estado*

    Directory of Open Access Journals (Sweden)

    Daniel Gómez

    2011-07-01

    Full Text Available Resumen: Los sistemas de fabricación actuales están controlados y supervisados por controladores lógicos programables. El análisis y mantenimiento de un programa de control es una tarea muy compleja debido a su gran tamaño medido tanto en líneas de código como en número de variables utilizadas. El análisis de los posibles problemas que puede presentar el proceso controlado, como por ejemplo, cuellos de botella y bloqueos, requiere de herramientas formales. Sin embargo, las herramientas existentes presentan importantes limitaciones. En este trabajo se propone el uso del diagrama de evolución del estado para realizar dicho análisis. Este diagrama complementa a otras herramientas formales basadas en redes de Petri o autómatas finitos y permite analizar los sistemas de control lógico a partir de las señales físicas del proceso. Resulta ser una herramienta de gran utilidad en las fases de validación y puesta en marcha, así como para la supervisión de procesos durante la fase de ejecución. Palabras clave: Control lógico, Autómatas finitos, Redes de Petri, Grafos orientados, Bloqueos, Cuellos de botella, Diagrama de estado

  11. Bloqueio do plano transverso abdominal contínuo bilateral em doente com cirurgia abdominal prévia

    Directory of Open Access Journals (Sweden)

    Isabel Flor de Lima

    2013-10-01

    Full Text Available Os autores apresentam um caso clínico em que foi realizado um bloqueio do plano do músculo transverso abdominal, com colocação de cateter bilateral, para analgesia pós-operatória de laparotomia exploradora, em doente com cirurgia abdominal prévia, insuficiência cardíaca, renal e hepática, em opção à analgesia epidural e aos opioides endovenosos em perfusão.

  12. Common Functional Gastroenterological Disorders Associated With Abdominal Pain.

    Science.gov (United States)

    Bharucha, Adil E; Chakraborty, Subhankar; Sletten, Christopher D

    2016-08-01

    Although abdominal pain is a symptom of several structural gastrointestinal disorders (eg, peptic ulcer disease), this comprehensive review will focus on the 4 most common nonstructural, or functional, disorders associated with abdominal pain: functional dyspepsia, constipation-predominant and diarrhea-predominant irritable bowel syndrome, and functional abdominal pain syndrome. Together, these conditions affect approximately 1 in 4 people in the United States. They are associated with comorbid conditions (eg, fibromyalgia and depression), impaired quality of life, and increased health care utilization. Symptoms are explained by disordered gastrointestinal motility and sensation, which are implicated in various peripheral (eg, postinfectious inflammation and luminal irritants) and/or central (eg, stress and anxiety) factors. These disorders are defined and can generally be diagnosed by symptoms alone. Often prompted by alarm features, selected testing is useful to exclude structural disease. Identifying the specific diagnosis (eg, differentiating between functional abdominal pain and irritable bowel syndrome) and establishing an effective patient-physician relationship are the cornerstones of therapy. Many patients with mild symptoms can be effectively managed with limited tests, sensible dietary modifications, and over-the-counter medications tailored to symptoms. If these measures are not sufficient, pharmacotherapy should be considered for bowel symptoms (constipation or diarrhea) and/or abdominal pain; opioids should not be used. Behavioral and psychological approaches (eg, cognitive behavioral therapy) can be helpful, particularly in patients with chronic abdominal pain who require a multidisciplinary pain management program without opioids. Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  13. Producción potencial de biogás empleando excretas de ganado porcino en el estado de Guanajuato

    Directory of Open Access Journals (Sweden)

    Miguel Martínez Lozano

    2015-01-01

    Full Text Available La actual reforma energética, así como los cambios mundiales en el uso y obtención de energía eléctrica o calorífica, empleando fuentes alternas, han llevado a replantear y maximizar el uso y explotación del biogás que se obtiene a partir de las excretas de diferentes tipos de ganado. El Estado de Guanajuato, posee un interesante número de cabezas de ganado en el ámbito bovino y porcino, lo que ha originado el planteamiento del presente artículo. En este trabajo, se presenta un estudio, empleando estadísticas locales, conducente a evaluar el potencial energético disponible a partir del uso de las excretas de ganado porcino, para producir Biogás y de ahí, establecer una valoración de la energía eléctrica anual obtenible, el ahorro en equivalente a barriles de petróleo que se podría manejar y la cantidad de gases que se dejarían de añadir a la atmósfera. El estudio se realiza dividiendo el estado por municipios y estableciendo los totales de cada variable de interés en el proceso. Los indicadores muestran que dada la sencillez de implementación de biodigestores para la producción de biogás, esta debe ser una alternativa interesante e importante a desarrollar y potenciar en los próximos años en el país. En el caso particular del Estado de Guanajuato, existen cerca de un millón de cerdos de diferentes edades registrados, pudiendo producir una energía potencial para alimentar a más de 60,000 viviendas estándar.

  14. Arma branca retida em aorta abdominal superior

    Directory of Open Access Journals (Sweden)

    Fernando Antonio C. Spencer Netto

    Full Text Available Abdominal aorta wounds carries a high immediate mortality. Few patients reach hospital care alive. There are no reports on Medline (1969-2002 about aortic wounds of foreign body with retention. A case with upper abdominal aortic wound with an inlaid blade is reported. The retained blade fixed the stomach to the surgical field, difficulting the vascular control, leading to an unconventional approach and allowing extensive contamination. The patient developed multiple organ dysfunction and died at fifth postoperative day. Singularities of an inlaid knife in upper abdominal aorta and changes in traditional approach are discussed. The authors assumed that the inlaid knife decreased the bleeding, allowing the patient arrival to the hospital, but worsened the approach to the aorta wound.

  15. Defectos de la pared abdominal

    Directory of Open Access Journals (Sweden)

    Adis L. Peña Cedeño

    2004-03-01

    Full Text Available Se realizó un estudio de los fetos con malformaciones congénitas, dadas por defecto de la pared abdominal (DPA, nacidos en el Hospital Universitario Ginecoobstétrico de Guanabacoa durante los años 1984 al 2000, para determinar la frecuencia de los distintos tipos de defectos de la pared abdominal y las malformaciones asociadas a éstas. Se revisaron los protocolos de necropsias e historias clínicas en este período y se obtuvieron 25 casos con DPA. La malformación más frecuente fue el onfalocele con 14 casos, seguido de la gastrosquisis con 6 casos. Se hallaron malformaciones asociadas en el 68 % de los casos, y se comprobó la efectividad del Programa Nacional de Malformaciones Congénitas, pues en el 80 % de las pacientes se interrumpió precozmente el embarazo.A study of the fetuses with congenital malformations due to defect of the abdominal wall (AWD that were born at the Gynecoobstetric Teaching Hospital of Guanabacoa from 1984 to 2000 was conducted aimed at determining the frequency of the different types of defects of the abdominal wall and the malformations associated with them. The protocosl of necropsies and medical histories corresponding to this period were reviewed and 25 cases with AWD were detected. The most common malformation was omphalocele with 14 cases, followed by gastrosquisis with 6 cases. Associated malformations were found in 68 % of the cases and it was proved the effectiveness of the National Program of Congenital Malformations, since pregnancy was interrupted early in 80 % of the patients.

  16. Interaction between intra-abdominal pressure and positive-end expiratory pressure

    Directory of Open Access Journals (Sweden)

    Jamili Anbar Torquato

    2009-02-01

    Full Text Available OBJECTIVE: The aim of this study was to quantify the interaction between increased intra-abdominal pressure and Positive-End Expiratory Pressure. METHODS: In 30 mechanically ventilated ICU patients with a fixed tidal volume, respiratory system plateau and abdominal pressure were measured at a Positive-End Expiratory Pressure level of zero and 10 cm H2O. The measurements were repeated after placing a 5 kg weight on the patients' belly. RESULTS: After the addition of 5 kg to the patients' belly at zero Positive-End Expiratory Pressure, both intra-abdominal pressure (p<0.001 and plateau pressures (p=0.005 increased significantly. Increasing the Positive-End Expiratory Pressure levels from zero to 10 cm H2O without weight on the belly did not result in any increase in intra-abdominal pressure (p=0.165. However, plateau pressures increased significantly (p< 0.001. Increasing Positive-End Expiratory Pressure from zero to 10 cm H2O and adding 5 kg to the belly increased intra-abdominal pressure from 8.7 to 16.8 (p<0.001 and plateau pressure from 18.26 to 27.2 (p<0.001. Maintaining Positive-End Expiratory Pressure at 10 cm H2O and placing 5 kg on the belly increased intra-abdominal pressure from 12.3 +/- 1.7 to 16.8 +/- 1.7 (p<0.001 but did not increase plateau pressure (26.6+/-1.2 to 27.2 +/-1.1 -p=0.83. CONCLUSIONS: The addition of a 5kg weight onto the abdomen significantly increased both IAP and the airway plateau pressure, confirming that intra-abdominal hypertension elevates the plateau pressure. However, plateau pressure alone cannot be considered a good indicator for the detection of elevated intra-abdominal pressure in patients under mechanical ventilation using PEEP. In these patients, the intra-abdominal pressure must also be measured.

  17. Bullhorn Hernia: A Rare Traumatic Abdominal Wall Hernia

    African Journals Online (AJOL)

    Department of Surgery, Government Medical College and Rajindra. Hospital, Patiala ‑ 147 001, Punjab, India. E‑mail: drbimal.undefined@gmail.com. INTRODUCTION. Traumatic abdominal wall hernia (TAWH) is uncommonly encountered despite the high prevalence of blunt abdominal trauma.[1] Bullhorn hernia is a rare, ...

  18. [Analysis of images in Japanese book Fukusho-Kiran (Medical Book Focusing on Abdominal Palpation) and Fukusho-Kiran yoku (Supplement to Medical Book Focusing on Abdominal Palpation)].

    Science.gov (United States)

    Zhang, Lijun; DI, Kan; Song, Yuanliang

    2014-09-01

    Hukusyo-kiran (Medical Book Focusing on Abdominal Palpation) and Hukusyo-kiran yoku (Supplement to Medical Book Focusing on Abdominal Palpation) are two typical monographs of Fukushin (abdominal palpation), with a total of 148 images about abdominal palpation. These images can be divided into 5 kinds: locations, theories, techniques, diseases and medicines, with its own system covering the theories, principles, prescriptions and medicines of abdominal palpation. It can be used as a guide for clinicians to differentiate the locations and qualities of diseases, confirm the principles of treatment, guide the usage of medicines, and predict the prognosis, with the rather high theoretic and academic value, deserving further research and analysis for the modern scholars.

  19. Taquicardias supraventriculares. Estado del arte

    Directory of Open Access Journals (Sweden)

    Jairo Alfonso Gándara Ricardo

    2016-01-01

    El tratamiento de las taquicardias supraventriculares dependerá del estado hemodinámico del paciente, el cual definirá el requerimiento de terapia eléctrica o tratamiento médico. Se debe hacer una selección adecuada de los pacientes que requieren estudio electrofisiológico y ablación.

  20. 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.

  1. CT appearances of abdominal tuberculosis

    International Nuclear Information System (INIS)

    Lee, W.-K.; Van Tonder, F.; Tartaglia, C.J.; Dagia, C.; Cazzato, R.L.; Duddalwar, V.A.; Chang, S.D.

    2012-01-01

    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. 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.

  3. Reproducibility of regional DEXA examinations of abdominal fat and lean tissue.

    Science.gov (United States)

    Tallroth, Kaj; Kettunen, Jyrki A; Kujala, Urho M

    2013-01-01

    The aim of this study was to develop and test the validity of a new repeatable method to delimit abdominal areas for follow-up of fat mass (FM) and lean tissue mass (LM) in DEXA examinations. 37 male volunteers underwent two DEXA examinations. Total body FM and LM measurements and corresponding abdominal measurements in a carefully defined region were calculated from the first scan. After repositioning of the subjects and a second scan, the delimited region was copied and the abdominal tissues re-calculated. The mean LM of the abdominal area was 2.804 kg (SD 0.556), and the mean FM was 1.026 kg (SD 0.537). The intra-class correlation coefficient for the repeated abdominal LM, FM, and LM/FM ratio measurements was 0.99. The mean difference (bias) for the repeated abdominal LM measurements was -13 g (95% confidence interval (CI) -193.0 to 166.8), and for the repeated abdominal FM measurements it was -35 g (95% CI -178.9 to 108.5). The results indicate that regional DEXA is a sensitive method with excellent reproducibility in the measurements of the abdominal fat and lean tissues. The method may serve as a useful tool for evaluation and follow-up of various dietary and training programmes.

  4. Endometriosis Abdominal wall

    International Nuclear Information System (INIS)

    Alvarez, M.; Carriquiry, L.

    2003-01-01

    Endometriosis of abdominal wall is a rare entity wi ch frequently appears after gynecological surgery. Case history includes three cases of parietal endometriosis wi ch were treated in Maciel Hospital of Montevideo. The report refers to etiological diagnostic aspects and highlights the importance of total resection in order to achieve definitive healing

  5. [Abdomen specific bioelectrical impedance analysis (BIA) methods for evaluation of abdominal fat distribution].

    Science.gov (United States)

    Ida, Midori; Hirata, Masakazu; Hosoda, Kiminori; Nakao, Kazuwa

    2013-02-01

    Two novel bioelectrical impedance analysis (BIA) methods have been developed recently for evaluation of intra-abdominal fat accumulation. Both methods use electrodes that are placed on abdominal wall and allow evaluation of intra-abdominal fat area (IAFA) easily without radiation exposure. Of these, "abdominal BIA" method measures impedance distribution along abdominal anterior-posterior axis, and IAFA by BIA method(BIA-IAFA) is calculated from waist circumference and the voltage occurring at the flank. Dual BIA method measures impedance of trunk and body surface at the abdominal level and calculates BIA-IAFA from transverse and antero-posterior diameters of the abdomen and the impedance of trunk and abdominal surface. BIA-IAFA by these two BIA methods correlated well with IAFA measured by abdominal CT (CT-IAFA) with correlatipn coefficient of 0.88 (n = 91, p abdominal adiposity in clinical study and routine clinical practice of metabolic syndrome and obesity.

  6. Effect of Daikenchuto (TJ-100) on abdominal bloating in hepatectomized patients.

    Science.gov (United States)

    Hanazaki, Kazuhiro; Ichikawa, Kengo; Munekage, Masaya; Kitagawa, Hiroyuki; Dabanaka, Ken; Namikawa, Tsutomu

    2013-04-27

    To evaluate the clinical usefulness of Daikenchuto (DKT) in hepatecomized patients. Twenty patients were enrolled with informed consent. Two patients were excluded because of cancelled operations. The remaining 18 patients were randomly chosen for treatment with DKT alone or combination therapy of DKT and lactulose (n = 9, each group). Data were prospectively collected. Primary end points were Visual Analogue Scale (VAS) score for abdominal bloating, total Gastrointestinal Symptoms Rating Scale (GSRS) score for abdominal symptoms, and GSRS score for abdominal bloating. The VAS score for abdominal bloating and total GSRS score for abdominal symptoms recovered to levels that were not significantly different to preoperative levels by 10 d postoperation. Combination therapy of DKT and lactulose was associated with a significantly poorer outcome in terms of VAS and GSRS scores for abdominal bloating, total GSRS score, and total daily calorie intake, when compared with DKT alone therapy. DKT is a potentially effective drug for postoperative management of hepatectomized patients, not only to ameliorate abdominal bloating, but also to promote nutritional support by increasing postoperative dietary intake.

  7. Functional residual capacity increase during laparoscopic surgery with abdominal wall lift

    Directory of Open Access Journals (Sweden)

    Hiroshi Ueda

    Full Text Available Abstract Background and objectives: The number of laparoscopic surgeries performed is increasing every year and in most cases the pneumoperitoneum method is used. One alternative is the abdominal wall lifting method and this study was undertaken to evaluate changes of functional residual capacity during the abdominal wall lift procedure. Methods: From January to April 2013, 20 patients underwent laparoscopic cholecystectomy at a single institution. All patients were anesthetized using propofol, remifentanil and rocuronium. FRC was measured automatically by Engstrom Carestation before the abdominal wall lift and again 15 minutes after the start of the procedure. Results: After abdominal wall lift, there was a significant increase in functional residual capacity values (before abdominal wall lift 1.48 × 103 mL, after abdominal wall lift 1.64 × 103 mL (p < 0.0001. No complications such as desaturation were observed in any patient during this study. Conclusions: Laparoscopic surgery with abdominal wall lift may be appropriate for patients who have risk factors such as obesity and respiratory disease.

  8. CT features of abdominal plasma cell neoplasms

    International Nuclear Information System (INIS)

    Monill, J.; Pernas, J.; Montserrat, E.; Perez, C.; Clavero, J.; Martinez-Noguera, A.; Guerrero, R.; Torrubia, S.

    2005-01-01

    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.)

  9. Ciudadania y Estado Del Bienestar: La Inmigracion Femenina en Espana

    Directory of Open Access Journals (Sweden)

    José Adelantado

    2011-06-01

    Full Text Available Normal 0 21 false false false PT-BR X-NONE X-NONE El Estado del Bienestar es un modelo institucional típico del desarrollo del estado-nación en Europa Occidental a lo largo del siglo XX. Es sucesor del Estado liberal decimonónico y se le atribuyen como finalidades propias conseguir la igualdad de oportunidades y la redistribución de recursos mediante un conjunto de políticas sociales. EI desarrollo del EB muestra la correspondencia entre la intensidad de los derechos y el tipo de asalarización de la fuerza de trabajo según clase, sexo y origen geográfico: sistemáticamente se observa que los hombres han disfrutado de más derechos que las mujeres y ambos que los y las inmigrantes. En ese contexto, el objeto de este trabajo consiste en averiguar la relación que vincula los derechos de ciudadanía con las desigualdades de clase-género-inmigración, relaci6n esta menos estudiada, sobre lodo en relación aI Estado deI Bienestar en Espanã.

  10. Ciudadania y Estado del Bienestar: La Inmigracion Femenina en Espana

    Directory of Open Access Journals (Sweden)

    José Adelantado

    2011-06-01

    Full Text Available Normal 0 21 false false false PT-BR X-NONE X-NONE El Estado del Bienestar es un modelo institucional típico del desarrollo del estado-nación en Europa Occidental a lo largo del siglo XX. Es sucesor del Estado liberal decimonónico y se le atribuyen como finalidades propias conseguir la igualdad de oportunidades y la redistribución de recursos mediante un conjunto de políticas sociales. EI desarrollo del EB muestra la correspondencia entre la intensidad de los derechos y el tipo de asalarización de la fuerza de trabajo según clase, sexo y origen geográfico: sistemáticamente se observa que los hombres han disfrutado de más derechos que las mujeres y ambos que los y las inmigrantes. En ese contexto, el objeto de este trabajo consiste en averiguar la relación que vincula los derechos de ciudadanía con las desigualdades de clase-género-inmigración, relación esta menos estudiada, sobre lodo en relación aI Estado deI Bienestar en Espanã.

  11. Abdominal Wall Endometriosis: An Overlooked but Possibly Preventable Complication

    Directory of Open Access Journals (Sweden)

    Chen-Chih Teng

    2008-03-01

    Conclusion: Abdominal wall endometriosis may be caused by iatrogenic inoculation of the endometrium into the surgical wound. It is strongly recommended that, at the conclusion of the surgical procedure, the abdominal wound be cleaned thoroughly, particularly at both corner sites (especially the operator's side. If an abdominal wall endometriosis is encountered after CS but the patient plans to have future pregnancy and the symptoms are mild, excision of the endometrioma may be deferred until the next indicated CS.

  12. Acute abdominal pain : considerations on diagnosis and management

    NARCIS (Netherlands)

    Toorenvliet, Boudewijn Ronald

    2011-01-01

    In this thesis several aspects on the diagnosing and management of patients with acute abdominal pain are investigated. 1; The efficacy and safety of standard outpatient re-evaluation for patients not admitted to the hospital after emergency department evaluation for acute abdominal pain. 2; The use

  13. New Technique of Direct Intra-abdominal Pressure Measurement

    Directory of Open Access Journals (Sweden)

    Elena Risin

    2006-10-01

    Conclusion: Direct measurement of intra-abdominal pressure using 14-Fr PVC round drain is a newly described technique that is simple, fast and credible. Future investigation will be needed to confirm the reliability of this method during postoperative follow-up of intra-abdominal pressures in selected patients.

  14. El origen del pánico de 2008: la crisis del mercado de crédito hipotecario en Estados Unidos

    Directory of Open Access Journals (Sweden)

    Mauricio Pérez Salazar

    2008-12-01

    Full Text Available Este artículo examina las causas del desplome del mercado norteamericano de titularizaciones hipotecarias, un mercado crucial en el pánico financiero de 2008. Señala que no son infrecuentes los casos de comportamientos irracionales de los inversionistas, tipificados en pirámides y burbujas. Contrasta el viejo y el nuevo modelo de financiación hipotecaria, cuya principal diferencia es la titularización que desvincula los incentivos de los diversos agentes de la cadena de valor y los riesgos que asumen. Concluye con una reflexión sobre las lecciones que puede tener la crisis hipotecaria colombiana de 1998-2000 para resolver la crisis actual en Estados Unidos.

  15. Harmonizing the diagnosis of metabolic syndrome--focusing on abdominal obesity.

    Science.gov (United States)

    Silva, Valter; Stanton, Kenneth R; Grande, Antonio José

    2013-04-01

    In 2009, important health organizations met to construct a Joint Scientific Statement (JSS) intended to harmonize the diagnosis of metabolic syndrome worldwide. The JSS aimed to unify the diagnostic criteria of metabolic syndrome, particularly in relation to whether to include abdominal obesity as a criterion of diagnosis. A large part of the JSS is devoted to discussing the diagnosis of abdominal obesity. More specifically, 9 of the 16 papers focused on abdominal obesity. Continuing this emphasis, we discuss the harmonization of the diagnosis of metabolic syndrome worldwide, specifically focusing on the need to improve the diagnosis of abdominal obesity.

  16. Active Detoxification in the Treatment of Abdominal Sepsis

    Directory of Open Access Journals (Sweden)

    O. M. Shevtsova

    2009-01-01

    Full Text Available Objective: to evaluate the efficiency of extracorporeal detoxification techniques in patients with abdominal sepsis. Subjects and methods. Three hundred and seventy-nine patients with acute generalized peritonitis were examined. Extracorporeal detoxifying techniques were used during conventional therapy in Group 1 (n=319; the other patients received only traditional therapy (a control group. The time course of changes in the parameters of toxemia, a hemostasiogram, and an immunogram were examined. Results. The study indicated significantly reduced endotoxemia and better blood aggregation resulting from the use of plasmapheresis, cryoplasmasorption, and plasmasorption, as well as stimulated immunity when the above techniques were combined with autoblood photomodification and extracorporeal immunopharmacotherapy in patients with abdominal sepsis. In severe abdominal sepsis and infectious-toxic shock, there was regression of multiple organ dysfunction and lower mortality when venovenous hemofiltration was applied. Conclusion. A differential approach to using active detoxifying techniques is needed, by taking into account the severity of the disease. Key words: abdominal sepsis, detoxifying techniques.

  17. Wandering ascaris coming out through the abdominal wall

    Directory of Open Access Journals (Sweden)

    Mohd L Wani

    2013-01-01

    Full Text Available A rare case of ascaris coming out through the anterior abdominal wall is reported here. A 40-year-old female had undergone dilatation and curettage by a quack. On the second day she presented with presented with features of peritonitis. She was explored. Resection anastomosis of the ileum was done for multiple perforations of the ileum. Patient developed a fistula in the anterior abdominal wall which was draining bile-colored fluid. On the 12 th postoperative day a 10-cm-long worm was seen coming out through the fistulous tract which was found to be Ascaris lumbricoids. Ascaris lumbricoids can lead to many complications ranging from worm colic to intestinal obstruction, volvulus, peritonitis, pancreatitis, cholangiohepatitis, liver abscess and many more. Worm has been reported to come out through mouth, nostrils, abdominal drains, T-tubes etc. But ascaris coming out through the anterior abdominal wall is very rare hence reported here.

  18. Estado Confusional Agudo nas Unidades de Cuidados Intensivos

    OpenAIRE

    Santos, L; Alcântara, J

    1996-01-01

    As alterações do comportamento frequentemente observadas em doentes internados nas unidades de cuidados intensivos (UCI), podem ser adequadamente designadas, na maioria das vezes, por estado confusional agudo, o qual se caracteriza por: flutuação do estado de vigília, distúrbio do ciclo vigília-sono, défice de atenção e concentração, desorganização do pensamento, manifestado entre outras formas por discurso incoerente, distúrbios da percepção sob a forma de ilusões e/ou alucinações, desorient...

  19. El gasto militar del Estado costarricense, 1821-1870.

    Directory of Open Access Journals (Sweden)

    Esteban Corella Ovares

    2016-12-01

    Full Text Available El presente artículo examina la relación entre los gastos militares del Estado costarricense y la conformación de una Hacienda Pública, durante las primeras cinco décadas de vida independiente. Durante ese período se dio un crecimiento importante de las fuerzas militares, y en consecuencia de los recursos económicos asignados a éstas por parte de las autoridades. La construcción de los mecanismos para obtener, administrar y gastar  esos recursos económicos favoreció la consolidación del Estado moderno en Costa Rica.

  20. Abdominal and Pelvic CT

    Medline Plus

    Full Text Available ... intravenous contrast indicate mothers should not breastfeed their babies for 24-48 hours after contrast medium is ... preferred for evaluation of acute abdominal conditions in babies, such as vomiting or blood in stool. For ...